HomeMy WebLinkAbout3162 MANISTEE DR - Building Permits L45r11111 ; CITY OF COSTA MESA
t ' t BUILDING DIVISION
Ii DEVELOPMENT SERVICES DEPARTMENT FERMI NUMBER
a,
vis
PERMIT .
• 0-00902
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 3162 MANISTEE DR • Status: ISSUED
Suite: Applied: 06/20/2000
Vicinity: HOUSE AND GARAGE Issued: 06/20/2000
Parcel Number: 41801232 Zoning: R1 R1 yy�
Applicant: CHARLIE JONES ISSUED BY: 'Y# /
Address: 1222 MAGNOLIA AVE#105-219
Phone: (909)739-7663
CORONA,CA Zip: 92881
Owner: KUTTERER, SANDRA L
Address %BARTLOW,D
FOUNTAIN VALLEY,CA Phone:
18400 MT STEWART CIR Zip: 92708
Contractor THE ROOF STORE
Address: 1222 MAGNOLIA AVE#105-219
Phone: (909)739-7663
CORONA,CA
Zip: 92881 License: 760394
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License: .
SCOPE OF PERMIT
REROOF-T/O, INSTALL 7/16"OSB BOARD, 1 LAYER OF 30#FELT AND 30 YEAR ELK COMPOSITION SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,681.00
Permit: $125.25 Claim Valuation: $5,681.00
SMIP Res: $0.57
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.82
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
r a I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
Alr+T7I _I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My worker}'c pensation Insurance carrier and policy number are: +�
Carrier: �-A J • Policy Number: . Bs-OO/eon/9o3
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these prey' '
Applicant Signature: Date: 6 _ -o 0
WARNING:FAILURE TO SECURE WORKERS'COMPEN ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,0001.IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Businjs a Aprofessions Code,and my license is In full
force and effect.Lic.N 76 C) 9y Class p 37
Contractor's Signature: _ Date: C•a.0-eo
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ 1 am exempt under sec. Business and Professions Code for this reason:
Signature: Date: •
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residentlel building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sig et Of L al Owners) b Date
00
And/Or A riz dApplicant Date
CODE r INSPECTION TYPE PATE RmfaLE CODES INSPECTION TYPE LAM INTRIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
-7
200 Final Re-Roof /"3-00 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. / o .3 ‘ DATE ////g/7
LOT NO. 7
ADDRESS „3/', �77// z-, , 4
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that (he-she-they)
/7 l/ (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa
Mesa as having complied with the conditions of approval which were imposed by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approvalother than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
i
RECEIVEDBY
Ll
CITY OF COSTA MESA n
PL`^i Pa N.^, ;rPT BY0s
NOV 1 5 1976 Developer and/or authorized
representative
AM FM
71819M112111213141516
112111213141516
Q BY
Lender
Park Mesa Homes UAIC girt( ; y 1972
JOB ADDRESS 3162 Manistee Drive BUILDING PERMIT NO. 41656
GENERAL CONTRACTOR Lucas Development Co. DESCRIPTION of WORK Residence w/att garage
AP No. 41 g_017_01 LOT 7 TRACT 9036 FIRE ZONE VALUE $ 35,9U0.UU
INSPECTIONS Sivture Date TYPE V GROUP I & J ZONE R-1
SOIL 2d•/Z••x PERMITS ISSL ED
GAS • SUBCONTRACTOR
Date I Number Signature
WATER _.'Iumbin•
ROUGH PLUMBING i WIZ _,•� yameJt lar=crw_'a3 _ r
PROP, SWR. LINE • HOUSE CON. Ii t...13L •- per.:
SPRINKLING SYSTEM 4. Jr. O.2Y. .___. 'tW .. Q•.• _ O
-
#r
MISCELLANEOUS rr.L i ' I e
an
ROUGH HEATING AND AIR CONDITIONING •D �L ho . .
TEMPORARY SERVICE OR POLE
UNDERGROUND fl POWER 0
ROUGH WIRINGtfl �/ LC2.--(6 1Z, Heating and Vent.
TRENCHES 0 FORMS ❑ STEEL REINF. I•�' w �/�• 1V '�/(� CD (x•4.7/ j1S7Z/
FLOOR SYSTEM ♦ I/ JI'J�,��/ 7•-.4-2/..
/f_xb/ " r—
BOND BEAM fl STEEL REINFORCE I"] � �XTT""'�---OOW1NNeVYIs//t4•�' (P
SHEATHING /, ' v
FRAME AND FLASHING a 2 6
LATHING — IN 3I OUT /l Z(s
PLASTER. BROWN COAT ♦♦
STRUCTURAL, FINAL EI IIIc
HEATING, VENT., REFRIG. AND A.C., FINAL a /0. '.frt(C tr tt fat.. L £('
_9-7C (Q5-'
PLUMBING, FINAL AND OAS TEST n /O .1t-•t `
ELECTRIC, FINAL IB-S>//F
BUILDING. FINAL Q
cocci Al Prniuoc..ruT<
41656
COSTA MESA BUILDING-SAFETY DEPARTMENT °S 2�-7fi� �LOD1 O2�� ��• 215.51
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A L A ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely - Use Ink Only R DATE RECEIVED
BUILDING �j,I /rty� DA SS O
ADDRESS ✓`�� '��51 l'4 V/L- .. ..1.7179:7
: /
OWNER Park Mesa Homes A.P.NO.
418 —OHS —01 PE Mit r5f§
MAIL BUILDING 31to?. mAblI�
ADDRESS 1451 Quail Street ADDRESS ice+ J/K•
CITY Newport Beach NO`'833-0018 TRACT 9036 LOT 7 BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLISH
LENDER San Diego Federal S & L x
BRANCH San Diego
•
ADDRESS 600 B Street OWNER xAw a� /
Si. BLUE � � .
ARCHITECT TEL. USE !J $
ARCH
Craig Combs & ABBOC•TO 645-8040
FIRE
ADDRESS 1535 Monrovia, Newport Beach ZONE 7vPE / GROUP 4
�/7
APPROVED DATE /,1
CONTRACTOR Lucas Development Corp. BY DATE/
ADDRESS 1451 Quail Street
TEL. ZON r� NO.OF USE OF NEW'C}•
CITY Newport Beach NO. 833-0018 - Lp PLANS Z. BUILDING C4/447-. ( `
F STATE CITY YARDS APPROVED YARDS APPROVED
Sa LIC.NO. 257064 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Oil SIZE NO.OF BLDGS. (FROM C/LSTRE ET)
9. OF LOT 55s x 9Os NOW ON LOT none FRONT 4 SFT. FT.
Q USE OF none
un
EXISTING BLDG. R.SIDF S FT. FT,
to
(-•
Separate permits are required for L,SIDE S FT. FT.
electric,plumbing and heating work.
C1-
- REAR ZO FT. FT.
[-., USE OF BUILDING AND WORK TO BE PERFORMED .
DISTANCE BET. BET.MAIN&
<Q MAIN BLDGS. ACCESS. BLDGS.
-1 tingle family residence 81C U.P..sisD7 ..75'97 DAPPROVED //-.3-2s
Q
.'..1 �A�ROVED Cala DATE 7/�?�
w 'OLD FORsS'tPEECIJt I RFfI OI:TF.\AENTS
o I hereby acknowledge that I have read this application and state —-- n
p.
athat the above information Is correct and agree to comply with m
O.
all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of E
the State of California. into ,��/_/l
I hereby certify that I am properly licensed as a contractor under �`•�z/ SO• FT. �� -]'sem V w
the State of California Business and Pr•fesslonsCode, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9,and th t such licenses ere/ full f• c and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE NLN: -
am exempt fro e pr PERMIT FEE §
Isions • the•tate o C Morrill,
VALUATION / � �`,ems Lo;
co
and Professlo de, slon •,Chep er 9.
i
AO PLAN CHECK § A w o
Signature of - A a
Permittee -$3�"1019^ TAX § �s E7 U
Authorized Agent JJ f ✓T/ TOTAL PAID $
OWNER REGALA, FLORENIO P. DATE 11-29-77
JOB ADDRESS 3162 Manistee Drive BUILDING PERMIT NO. 1+5129
Gr"`RAL CONTRACTOR Onwer-Builder DESCRIPTION of WORK Patio Cover
A ,. 1+18.012-32 LOT TRACT FIRE ZONE VALUE $ 180.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE B-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR Date Number umber I
Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
3 1 ROUGH WIRING Heating and Vent.
TRENCHES L] FORMS 0 STEEL REINF. f `"7./ft..-77
FLOOR SYSTEM ^
BONO BEAM fl STEEL REINFORCE I l Ii
FRAME AND FLASHING
LATHING - IN FT OUT n
PI "R, BROWN COAT i
Sl (URAL, FINAL Electric -
HEATING, VENT.. REFRIG. AND A,C., FINAL
PLUMBING. FINAL AND GAS TEST fl
ELECTRIC, FINAL /�//
BUILDING, FINAL At O_,,,2_2,77
45?.29 PAID * ,t***
.. :ov 2s ��PAID �4�o•• 5.50
•
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APP ICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
REC V DATE RECEIVED D IS U O
BUILDING 71 `2 MANiSTS- ()RIVE - -
ADDRESS :J n t�1 In� (J r /� ^
�LOREN O `'. REGA VA A.P. NO. '�I® -Oa-32 PERMIT NO.
OWNER L
MAIL
NtANISTE>; DRt F6 BUILDINADDRESS 3/'Z �9Qnti 5/le c �,
ADDRESS �t J�� 2 A >''t1 '7 �( // 7
�^.^^ A- I-'es , Ca NO.. ISI-5311 TRACT9r/3v LOT BLOCK
CITY WSr
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH
LENDER .
BRANCH /�( - � ,{J A
OWNER 1(C '
ADDRESS VALUE/ VL^
ARCHITECT TEL.
OR ENGINEER NO
FIRE ��tt,,////
ADDRESS,. ZONE TYPE i/' GROUP L
� ) APPROV D ✓ / 9-
X ONTRACTOR 014.�J� BY DATE / Z/ m
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITY NO. IPIAPS Z BUILDING alt
Kti/
Fcy STATE CITY YARDS APPROVED YARDS APPROVED
5 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
ts1 SIZE I NO.OF SLOGS (FROM C/L STREET)
L OF LOT NOW ON LOT FRONT FT. FT. _
Q USE or
,y.. EXISTING BLDG. RADE �FL FT.
to
FSeparate permits are required for L.SIDE FT.
G electric,plumbing and heating work. REAR
3zFT. FT.
`+SUS E BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
0 j\ 11 /1-y-s (/T��/ MAIN BLDGS. ACCESS.BLOCS.
Q / rye )f-r za Col
e / C.0 P,�b `l-r/ APPROVED �J
Y' �i� 4 APPROVEBI__/I] r~. DATE//^7. 7 2
(� C Com!/Y
IR
0 I hereby acknowledge that I have read this application and state ch
, n
Cd that the above information Is correct and agree to comply with m
D. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of u
Sthe State of California.
I hereby certify that I am properly licensed as a contractor under SO. FT. N
the State of California Business and Professions Code, Division 3, E AMOUNT SHOWN UNDER VALUATION IS FOR D
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEEY rgyy'.�
id
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE E a
and Professions Code,Division 3,Chapter 9. n
/}� PLAN CHECK S is
Signatu /]t /\O/C//)
Permltte "V E !� TAX f o
Ts. 5vU
Authorized Agent TOTAL PAID .E87 51