HomeMy WebLinkAbout3168 MANISTEE DR - Building Permits ,5111 CITY OF COSTA MESA •
49. BUILDING DIVISION
>r i ..l, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
p
1. 1 ..._...� I _
PERMIT
P00-00677
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 3168 MANISTEE DR Status: ISSUED
Suite No Applied: 12/04/2000
Issued: 12/04/2000
Vicinity:
Parcel Nunmber: 41801235 ISSUED BY:
Applicant: ADAME, ADRIAN
Address:
Phone: 800-888-6215
Zip:
Owner: VALENTIS, ALBERT J
Address 3168 MANISTEE DR
Phone:
COSTA MESA,CA Zip: 92626
Contractor: ALAP ASSOCIATES GP 9 .
Address: 7229 VARNA AVE
Phone: (800)444-8865
NORTH HOLLYWOOD,CA Zip: 91605
License: 771905
Arch / Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
WATER HEATER REPLACEMENT.
FEE SUMMARY
AMT QTY AMT QTY AMT QTY
ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0
Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0
Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0
Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0
Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0
Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0
Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0
Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0
Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0
Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0
Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0
Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0
Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0
Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0
Gas(Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00
Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00
Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00
Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0
Interceptors(Sand Auto) $0.00 0
TOTAL CALCULATED FEES: $35.80
COMMENTS/SPECIAL CONDITIONS
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
for a 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
2448-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have end 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.
❑ 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 workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ 1 certify that in the performance of the work for which this permit is issued,I shall not en loy 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 provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED
THOUSAND COLLARE($100,000),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 Business and Professions Code,and my license Is in full
force and effect.Uc.# Class 4
Contractors Signature: Date:
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).
Lenders 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 ha 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 property who builds or Improves thereon,and who does such work
himself or herself dr 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 floes riot 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 L 'aws.).
❑ I 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,faisework,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? ❑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 en RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0N
(Section 25534 of the California Health and Safety Code provides that the Caste Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑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 appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 101 Yes LI No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
Management District
—._�.esu_j_
7 If a permit athe South Coast res Quality ed by gement Di Heal or Sr air pollution control district3 or agency? Is required for the work which is the Subject of this
application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 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 1 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.
Si. .1. .�•]j -gal Owner(s)
e3
r And/Or Authorized Applicant____r r Date
CODE I INSPECTION TYPE, DAIS IWTRIALS BODE( INSPECTIONTYPE DAIS =ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 206 Final Plumbing
200 Final Re-Roof 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
• NETCLERK PRE- REGISTRATION AUTHORIZATION
I, the undersigned, give permission to accept any of the below signatures on a permit
application in lieu of an in-person signature. I hereby certify under the civil penalty of perjury, I
will comply with all declarations and agreements on the permit application.
The following employees and their authorized representati •a e permission to
apply for construction permits in the name of my camper .
ALAP ASSOCIATES -: '
Contractor Name(Type - Prim) Contrac ' a • �� . rl
Scott Waterbury ,�,�
NetClerk Name(Type - Prim) NetClerk Signature a,
•
Courier Service Name (Type - Print) Cflieer rv_tce Sp429
Undersigned Contractor Information:
ALAP ASSOCIATES �/ j 09/05/2000
Contractor's Name SignaturW Date
A. L. A. P, Assoc. 8004448865
Company Name Phone Number
7229 Varna Ave. 91605 8184070214
Company Address Fax Number .
•
Clarendon National • 01KR0021521
Worker's Compensation Insurance Carrier Polity Number
City Business License Expiration Date
City Electrical License Expiration Date
Contractor's State License No, and Class Expiration Date
• I \
•
•
CITY OF'OSTA KvtESA
BUILDING DIVISION
>•4 - .' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
PERMIT
aPra •
B01-01014
%bro.man
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.Qa,bsING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDJob Address: 3168 MANISTEE DR Status: ISSUED
Suite: Applied: 06/29/2001
Vicinity: Issued: 06/29/2001
Parcel Number: 41801235 Zoning: R1 R1
Applicant: COFFEY, BRIAN ISSUED BY: V '
Address:
Phone:
Zip:
Owner: VALENTIS, ALBERT J
Address 3168 MANISTEE DR ,
Phone: .•� 4 7
COSTA MESA, CA Zip: 92626 1
Contractor: THE ROOFING SPECIALISTS t
I
Address: 2428 NEWPORT BLVD#5 Ot•
Phone: (949)722-8846
COSTA MESA, CA
Zip: 92672 License: 734068
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF WOOD SHAKE INSTALL 7/16"OSB OVERSPACED SHEATHIING, INSTALL 1 -30 LB FELT AND 30 YEAR
COMP.SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $4,500.00
Permit: $111.25 Claim Valuation: $4,500.00
SMIP Res: $0.50
SMIP Com: $0.00
Other $0.00
Inspection: $0.00
Total: $111.75
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
for a 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
2446-46(6/00)
•
arrarmisimmoss
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
_Q—('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 workers'compensation Insurance carrier and policy number are.
Carrier: Policy Number:
(This section need not be completed If the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the rk 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 ea that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith
comply with these p ons_ _ ___��
Applicant Signature:-, • _pate:
WARNING:FAILURE-TO SECURE WORKERS PENSAT1ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
-�SAND DIXhARE($100,000),IN ADDITION T 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 rhall'am ci ensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full
force and effect.Lic,a 4 06 l) Class# C-S5
Contractar's'Slgnaure: -(s-/f oate>-, (0-Z -d1 -
v/ / I
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction tending 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.).
O I 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,An 2,Sec.
341,Title 8,California Administrative Code).
O 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? ❑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 and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes L i No
(Section 65(350.2 of the California Government Code requires that the requested information be furnished on applications for non-residential 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 0 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? 0 Yes 0 No
B (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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
5 nature Of Legal Owner(s) Z 0 / Date
d/Or.Authorized Applicant Date
•
CODE I INSPECTION YPE OATS itnm9L$ coos. INSPFCTIONTYPE ti PATE lNTR1AL4
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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
•
CITY OF r'STA MESA PROPERTY DETAIL? 'SPORT
3168 Manistee Dr
Costa Mesa, CA 92626-3124
Owner: Valentis Albert J Valentis Chong H Phone:
Resident: Phone:
Site Address: 3168 Manistee Dr Tax Address: 3168 Manistee Dr
City/Zip: Costa Mesa/92626-3124 City/Zip: Costa Mesa/92626-3124
Parcel Id: 418-012-35 Own. Occ.: Yes
Location: Costa Mesa City School District: Newport-Mesa Unified
Neighborhood: Unknown Census Tract: 063908
Wealth Code: 8.0 Year Listed:
Legal Desc.: N Tr 9036 Lot 4
Zoning: Unknown
Subdivision: Unknown
Usage: 122: Single Family Residential
Style: Unknown
Construction: Unknown
Year Built: 1976 Ttl. Rooms: 6 Blktop Paving: Unk.
Stories: 1 Bsmt. Type: Unknown Concrt Paving: Unk.
Bdrms: 3 Bsmt. Fin.: Unknown Carport: No
Baths: 2 Full Gar.Type: Attached Garage Deck: Unk.
Heating: Unknown Gar. -Cars: Patio: Unk.
Cooling: Unknown Gar. Sqft: Pole Barn: Unk.
Irr. Lot: Unknown Roof Mater.: Unknown Pool: No
Terrain: Unknown Roof Style: Unknown Fireplace: 1
Water: Unknown Attic Type: Unknown Gas: Unk.
Sewer: Unknown Condition: Unknown Electric: Unk.
Sqft 1st: Lot Dim: Units:
Sqft 2nd: Lot Size: .103 acres
Sqft Bsmt: Lot Sqft: 4486.68 sq. feet
Sqft Total: 1369
Market Value: $184,237 Gross Tax Semi Ann.: $1,052.21
Assessed Land: $87,322 HB920 Credit Semi.:
Assessed Bldg: $96,915 RB Credit Semi Ann.:
Assessed Total: $184,237 RBA Credit Semi.:
Percent Improved: 53% Homestead Exemption:
Delinquent Taxes: Spec.Assmt. Semi.:
Tax Semi Ann.: $1,052.21
Sale Date: Apr-13-1983 Mortgage Date:
Sale Amt.: $75,500 Mortgage Amt.:
Deed Type: Unknown Mortgage Type:
Volume& Page: Volume&Page:
Seller: Lender:
Title Company: Unknown Mortgage Term:
Multi-Parcel: No Mortgage Rate:
The information is deemed reliable but is not guaranteed. 2001-2002 Tax Year Copyright 2003 Haines Printed Jun-06-03
SOUTH ORANGE CA
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
t P IT NO. TRACT NO.- LOT NO. UNIT NO.
CITY OF AddrCOSess
31`4A tCjoNST 72TPa,UCTION .PERMIT 1 rs&2-70 A.P.# Zone
Project Address 3r64 lry��n^�.Sf/C��R t �'C 1 S Main Building: Accessory Building:
Applicant's Mailin Addr ss y1 1 Rf'! F. �f TYPE OF CONSTRUCTION U NEW L I ADD 1 ALTERATION fJ REPAIR
Owner's Name t/4{ 5)11-1S phone-1512721 ❑ CONVERSION El DEMOLISH ❑ OTHT Front Q
DESCRIPTION OF WORK/USE OF BLDG. j7 C•Q �C BA Rear N
S7R M/—
Address 5�J` /��-l✓�
Arch/Eng. License No. TVPt uF P ER U GRADING El FOUNDATION U STRUCTURAL I C Right N
• 11�y--s'�1II IIqq Left G
Address /p� ❑ TENANT // ELECT;CAL tgpLUMBING ❑ ME/VANICAL S' R
Contractor's Name (7,7/� Phone 0 'OTHER - __e - !Ping.Ping. Ref.# Parking Req./Provided E
PROJECT DESCRIPTIO e. OCCUPANCY Q
Address(mailing) Planning Notes: M
CONSTRUCTION TYPE VALUATION$ T
City License No. ZONE GRADING CU.YDS. ACRES $,
LICENSED CONTRACTOR DECLARATION
I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 ntl Professions Code, and
my license is in full for act. ELECTRICAL FEES
License n License No.
Date SignaturE PLUMBING FEES Automatic Washer Transformer 0 15-50 KW
WORKERS'COMPENSATION DECLARATION
Bar Sink Showers Construction Pole Sub. • 0 50+ KW
treby affirm that I have a certificate of consent to self-insure or a certificate
Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
•
.,e00, Lab. C.) •
Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps
•
8 Certified copy is hereby furnished. Dry¢fs ❑Gas DElectric —^ Sub Panel
Certified copy is filed with the city Building Division. Bathtubs Sewer Connection
Date Applicant Fan Mo ❑0.1 HP ❑1'/a-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors I
F.A.U.
(This section need not be completed if the permit is for one hundred ($100) or
less). Dishwasher Solar Piping nc.Solar 09.15 HP 016-15+
1 certify that in the performance of the work it which this per is q is Ysued,I
shall not employ any person in any /a o become suq'e� Drinking Fountains Solar Tank Fixtures Microwave
Worker Comp sa o Laws of Calif• �!/ C
Date [ Signature S Floor Drains Swimming Pool w/Spa Device Boxesy
Pole Light
NOTICc It,after Arens this declaratio , •ou shoo.e•ecome subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalRange
comply with such provisions or this permit shall be deemed revoked. �� ff
CONSTRUCTION LENDING AGENCY y Switches Sign
/\Gas Service Outlets Water Closet .�• 9
I hereby affirm that there Is a construction lending agency for the performance Garbe a Disposal
of the work for which this Permit is issued (Section 3097 Civ. C.) Interceptors Water Heater gStanding Sections
Lender's Name '
Lender's Address Kitchen Sink Water Service Generator ❑0.5 KW ❑5-15 KW Trash Compactor
OWNER BUILDER DECLARATION –
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031,5 Business and Professional Code: Any city or •
county which requires a permit to construct,alter,Improve,demolish or repair P–Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that ne/she is licensed pursuant to the provisions of Roof Drains
t•;e Contractor's License Law(Chapter 9(commencing with Section 7000)of
-,r jsion 3 of the Business and Professions Code) or that he/she is exempt
.
_�•efrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3
=.31.5 by any applicant for a permit subjects the applicant to a civil - - -
esnalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3
compensation, will do the work,and the structure is not Intended or-offered 1111 _ _ _ Zoning Approved By Date
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL j. FEES Building Approved By
License Law does not apply to an owner of a property who builds or improves Date //
thereon, and who does such work himself/herself or through his or her own Application Issued By Dat
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0
sale. , however, the building or improvement is sold within one year of tom- Canopy Type II ❑ SUMMARY OF FEES
Piet' n, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground
Pr a for the purpose of sale). BUI LDING PERMIT $ SMIP $
1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural /100.000
igeration System PLAN CHECK
tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating BTU ❑100,000 BTU PLUMBING $ J UV ISSUANCE $
builds or improves thereon, and who contracts for such oroiects with a con-
tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple tem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof their Worker's Compensats ce should be pr•vided to me. ELECTRICAL $ GRADING $
am exempt under Section - Cf• n Firepl/Fact.Blt. ICBG# e Dampers
����7�j �1' ��/ -'`�� difir
7 r PLAN CHECK 50% $ MICROFILM $
Date __�'.f ! " f ' –`� owner �_ -
Heating System 81 Ducting Registers
�� i d state that the above ❑0.100,000 BTU ❑100,000BTU-- MECHANICAL $ TOTAL FEE $ S�oa
hereby certify that have read ppith ao
information Is correct. I agree to comply tall n y and county r ordinances _ PLAN CHECK 25% $
and state laws relating to bu'ding construction,an. hereby authorize repre-
sentatives of this /• .nter , Non –•v+! - boned property 4C
inspection purpose
Signature �.i ✓ , – %s/ Date –/
Drivers' License or 5le4fErci • Reinspection Fee I $15 Issue Fee $ 3 01 00019821-00019821 TOT 5.00
rte
0865-46,rev.5/88 White - Bu •ing; Canary -Applicant; Pink . Accounting; Goldenrod - Assessor ATE: 11/17/88 TIME: 10:0`
• CONSTRUCTION AND PLANNING PO( SPA 1
Date Inspector Date Inspector
. APPROVALS Permit# ---, APPROVALS Permit# .
1. Temporary Electrical Service or Pole ', 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
Oy lectrical Conduit Utility-Undrgrnd. '% 54. Forms
j • • -I
40Electrical Conduit:Undrgrnd. ? 55. Electrical Bonding • .2 , I
5rSteet ReinforcemJnt 56. Rough Plumbing & Pressure Test
6 Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • '
f '
7.:Footings ',�,^ 58. Electrical Conduit-Undrgrnd. .� -f . ,
I I 1 ,
8'Foundation 59. Gas Pipe, O Undrgrnd.,Test I ;
n
9cliVater Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. r
1056tructural Floor System 61. APPROVAL TO DECK , t ,
/11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final i
CITY OF COSTA MESA REQUEST FOR OCCUPANCY �
TRACT NO. 703‘ DATE ...44;; ,22,/%!e-
LOT
� // 2/��
LOT NO.
/
i j! �LGttdec___
�
ADDRESS .� J 6� . . - ja, -,i •
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.
Theundersigned, by executing this agreement, acknowledges that (he-she-they)
(was or were) bent/ 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 approval other 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.
BY Air--' -•"" "_7
RECEIVED P(u/(rrcchaset
CITY OF COSTA MESA BY ., v. t - / A
IFDeveloper and/or authorized
representative
COT o - 1Q7(;
AM P#1
',7181911.0140Z111213)415)6 BY
Lender
R
\/nl\Ln rdLR lieSG n✓luC ✓MIL ---•• a ./ ly/C
JOB ADDRESS 3168 Manistee Drive BUILDING PERMIT NO. 41653
GENERAL CONTRACTOR T.IICac Development Co. DESCRIPTION of WORK Residence w/att garage
A'' ''o. 418-011-01 LOT 4 TRACT 9036 FIRE ZONE VALUE $ 35,900.00
II .iCTIONS Signature Dote TYPE V GROUP I & J ZONE R-1
SOIL ty5 s-a-Z SUBCONTRACTOR PERMITS ISSUED
GAS Dote I Number Signature
WATER Plumbin•
ROUGH PLUMBING •S )-7,7s�/^ Ia 'y1�1., .7y 6 . -
PROP. SWR. LINE ❑ HOUSE CON. tO - vt..,-N _ '1
SPRINKLING SYSTEM _g �- 0 Z(. fear a
MISCELLANEOUS Ir N r 'e
ROUGH HEATING AND AIR CONDITIONING .'O 9-4 -, •
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER ❑
ROUGH WIRING a t-- 7-V7.. Neatin• and Vent.
TRENCHES [ FORMS 1111 STEEL REINF. C anAtraIL • J.O-p; , . 1d�n.a
FLOOR SYSTEM ie'iC Ance ,,,A ; r-
_
BOND BEAM n STEEL REINFORCE n ft-6--
,
FRAATHING �' 7(41FRAME AND FLASHING �']j,/3]�'1LATHING - IN OUT //��� / //"-
PLASTER, BROWN COAT /-""' .4. aq.•'f,-e
ST 'URAL, FINAL •
HE. G. VENT., REFRIG. AND A.C., FINAL 44:11H44:11HBIjT..f! I C 1 Z(Eills!enSCnSIe
PLUMBING. FINAL AND GAS TEST n a /pO�/P• 4
ELECTRIC, FINAL A�n}�J�jy-1'f�a-�K]/j�[ •
/I��
BUILDING. FINAL Iira/'• 16
tel. ���/// "f
•
•
41653 P°'L Z15.51
:pp 2p7Cir;c•OD1p3n.. y
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only P C ION FOR STRUCTURAL PERMIT
R E BY DATE RECEIVED DA ISS MI
BUILDING 31/ e �tA, „1 �/
ADDRESS Ip ,V�1�r //�1 `I J/
OWNER Park Mesa Homes A.P. NO.`--I I R —nil—OI 41653
MAIL BUILDING
ADDRE5S 1451 Quail Street ADDRESS 3168NFi 't,' ,
CITY Newport Beach NOL. 833-0018 TRACT 9036 LOT 4 BLOCK
CO• D RUCT1O58II Diego Federal S 6 L NEW [ADO ALTER REPAIR MOVING OFMfLKH
X
BRANCH San Diego
oshadt
ADDRESS OWNER j[t✓�� /� ,(/S/
600 B Street ,, �t VALUE 35.:
ARCHITECT C raig Combs 6 AssocTEL•645-8040 USE Ad. KLG. SQ�
OR ENGINEER NO.
FIRE e}�
ADDRESS 1535 Monrovia, Newport Beach ZONE //- j/ YPE ei GROUP kf
APPROVED
�a-7�
CONTRACTOR Lucas Development Corp. BY ///Y��//p))VVVAAA--- DATE
ADDRESS 1451 Quail Street
TEL. ZONE NO.OF USE OF NE ej„
CITY Newport Beach NO. 833-0018 PIANS Z BUILDING J�/T. 6b'�
F STATE CITY YARDS APPROVED YARDS APPROVED
gLIC. NO. 257064 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
u SIZE NO.OF BLDGS (FROM C/LSTCRE ET)
L OF LOT 55' x 90' NOW ON LOT none FRONT U -7 FT. FT.
a USE OF none
e EXISTING BLDG. 11-51.12E 5 FL FT,
Vp
(-4
Separate permits are required for L.SIDE S FT. FT.
electric,plumbing and heating work. �J
C REAR FT. FT.
IR
I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Q • QQ MAIN BLD7GSS.. ACCESS. BLDGS.
-a single family residence rJ -/ C.U.P. ry� 75--9, APPROVED!!-3-25-
-,t
>" APPROVEO�. ` � DATE IL4 /J�
RY
6
g HOLD FOR �PECLRL REQUMEMENTS
p I hereby acknowledge that I have read this application and state n
In
IY 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
ryy7� the State Of California. ////lI
I hereby certify that I am properly licensed as a contractor under MSC SQ. FT. -40 H
,T
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in f I force - &effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provislo f the : of Ca for is Business s T sr
and Professions C Div In,Cr:- • VALUATION PERMIT FEE S/� s't/ •
n
PLAN CHECK S v.sZ-mss G
Signature of / r U.
PermlKee ` • $ 36,...b --- TAX S �s r/ U.
r U
Authorized Agent TOTAL PAID sot/ 5-.67