HomeMy WebLinkAbout2000 MEYER PL - Building Permits (3)(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2000 MEYER PL
Suite: B
Vicinity: BUILDING B, REAR BLDG
Primary Occ: R-1 Hotels/Apls/Res >10 Occ Type of Construclion: V-N
Parcel Number: TPN006025 Zoning:
npp�icant: MILLER, MATT
Address: 905 S CALICO CI
ANAHEIM,CA
owner: GOLDEN TOUCH HOA
Address 2000 MEYER PL
COSTA MESA, CA
Contrectoc ALL PRO ROOFING
Address: 905 S CALICO CI
ANAHEIM,CA
Zip: 92804
Arch :
Address:
Phone:
Zip:
License:
Phone: 714-226-0747
Zip: 92804
Phone:
Zip: 92627
Phone: 714-226-0747
License: 768511
Eng:
Address:
Slatus: ISSUED
Applied: 06/06/2006
Issued: O6/O6/2006
�i
. - ����
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 7/16 OSB, 1 LAYER 30# FELT, AND 30 YEAR COMPOSITION SHINGLES FOR BUILDING B. 3,100 S.F.
FEE SUMMARY
Plan Check: $0.00
Permit: $18125
SMIP Res: $0.96
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $182.21
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
Rear 0-0
Rear 0- 0
Left 0- 0
Lek 0- 0
Reauired: 0 Pr000sed: 0
Calc Valuation: Ss,ssz.00
Claim Valuation: ss,a3z.00
Right
Right
o- o
0- 0
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, § 7, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered lagal, 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) 7545626
WORKERS'COMPENSAnON DECLARAnON: �
I �ereDy aHirm untler penalry ot perjury one of t�e tollowing declarations:
❑ I have end will mainiain a certificate ot consent ro seli-Insure tor workers' compensation, es providetl for by section 3700 oi ihe Labor Code, for Ihe pertormance ot the
� work for which tMs pertnit is issuetl.
IKl I �ave end will maintain workers' wmpensation insurance, as requireA �y section 3700 of Ne Labor Code, tor ihe pertortnance of Ue work for which this permit is issued.
R My workers' compensation Insurence carner entl policy num6er are: /�;
Cerrier. �'�•1 �ti �.. / M(' � Policy Number. ��� — ( A )�Q,�/�?
(This sec6ort�ed not b ompl� i! t rmif is velued at one buntlred dollars (5/00) or less.) ��
❑ I certily t�et in thd pertortnanca of the work for which ihis pertnit is issuetl, I shell not employ any person in any manner so as to become subject to the workers'
compenselion laws of Californie, end egree ihat Ii I should 6ecome sublect to the workers' compensation provisions of Section 3700 of Ihe Labar Cotle, I shall Iorthwith
comply with these provision/py�/� � (�� � `� ���
Applicent Signeture: � �✓� exi �v�[� h� Date:
WARNINO: FAILURE TO 5EClIRE WORKERS' CAMPENSAiION COVERAGE IS UNL4WFUL qND SHALL SUBJECT AN EMPLOVER TO CRIM�NAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TKKISAND DOLURE (51�.�1. IN ADDITION TO iNE CQST OF COMPENSATION, DAhV�GES AS PROVIDED FOR M SECiION 3/Ofi OF THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES.
LICENSED CONTRALTORS DECLARATION:
I hereby aHirtn that I arti
to�ca and eflect. Uc. a_
Contractor's Signeture:
9(commencing wilh Section 7000) ot Division 3 of the 8i
Class a
S � Dete: _
Code, entl my license is in tull
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that ihere is a construction lending agency for the pedormance ol iha work lor which Nis permit is issued. (Sec. 3097, Civil Code).
Lentler's Neme: Lender's Adtlress:
Signature:
OWNER•BUILDER DECLARATONS:
Oate:
I hereby eilirm ihat under penalry ol perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or counN which requires a permit to construct, alter, improve, tlemolis�, or repair any structure, prior to its issuance, also requires the applicant tor such permit
b file a signea statemBnt Ihat he or s�e Is licensed pursuam to the pmvisions ol lhe Contractors Licensa Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the
Business end Profeuions Code) or that he or she Is exempt therelrom antl Ihe basis lor t�e alleged e:emption. Any violation oi Section 7031.5 by any applicant for a pertnit
suDjects the applicant to a civil penalty of not more Ihan five huntlretl dollars ($500).):
❑ I, es owner o( ihe p�operty, or my employees with wagas as thair sole compenselion, WILL DO TME WORK, end the simcWre is not intentletl or ofleretl for sale (Sec.
7044. Business and Professions Code: The Contraqors License Ww does no� apply to an owner o( p�opehy who builds or improves thereon, and who does such work
himsetl or herself or ihrough his or her own employees, provided Ihat such improvemems are no� intended or oHered for saie. If, however, t6e building or improvement is
sold within one y�ar of completion, the owneo-builder will have ihe burden of proving Ihat he or she did not build or improve for purpose of sele.).
❑ I, as owner ot the property, am E%CWSIVELV CONTRACTINC WITH LICENSED CONTRACTORS to conslmct t�e proiect (Sec. 7044, Business and Protessions
Code: The coniractors License Lew tloes not apply to an owner of property who builtls or Impmves ihereon, and who coniracts for such pro�ect with a contractor(s)
license pursuant to the Contraclors License Laws.).
❑ I am ezempt under sec. Business antl Professions Code for this reason:
Signature: Date:
Owner ID venfiad by tln�ers license. ❑ Yes ❑ No Driver's License No. Expires:
Verificetion ol Owners�ip by (type ol daument, i.e. - property tax 6i11 or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
❑ I hereby cenity that no excavation five (5) or more feet in depth imo which e person is required to descend, will be mede in connaction with work auNonzed by this
permit, and ihat no building stmcture, swNolding, falsework, or demolition or dismamling thereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7itle B, Califomia Administrative Code).
❑ As ownerDuiltleq I will not employ enyone to tlo work which would reQuire a pertnil irom the Division ol Intlustrial Safery, as noted above, unless such person �es a
permilto tlo such workfrom ihe division.
Signature: Dale:
Division ot Industrial Safety Permit Number.
CERTIFlCATE OF COMPLIANCE AND AlJTT10RIZA710N OF ENiRY: I cenify unaer penalry of perjury that 1 heve reatl this applicalion antl state ihat the information given is
correc�. I agree to comply with ell sta�e laws and ci�y ord�nances relaling lo building constmction, antl auihonze representatives of the City of Costa Mesa to enter upon the
above�descrihed propeAy tor inspection purposes. I agree not to occupy or allow occupancy ol any building euthonzed �y �his permil umil final inspection.
�S' naWreOfLegalOwner(s) `� ` Date
�,1�- M n �i � , „ Cl �
AnNOr Au o ze ca Date
CODE �. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Fe-Rooi
201 FIneI Block/Re�aininq Well
202 Final Fadory Fire Placa
203 Final Sign
204 Final Demolitian
Qi INi1TIpL5
. IIL�Y .SL '
, . '
CO�E I INSPECTION TYPE
20fi Final Mechanical
208 Final Plum6ing
270 Final Elec(rical
2/2 Final Fire Prevemlon
220 Final Planning Approval
222 Final Site
250 Final6uilding/Occupanty
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COSTA MESA BUILD SAFETY DEPARTMENT
P.O. BOX 1200 COST.. �AESA, CAUFORNIA 92626
For Applicant ro Fill in Completely — Use Ink Only
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USE OF
EXISTING BLOG.
Separate permits are required for .
electriq plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
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I hereby acknowledge that I have reatl this appllcation and siete
t�at the ebove Intormaiion is correct and apree to comply with
eli laws re8uletinp buil0inp construction, and I s�ell not employ
any petmn In violation of Me workman's compensation lews of
Me State of Celifornio.
1 hereEy cenify that I am proparly licensetl as a controctor under
the Stata of Californla Business antl Professions Catle, Dlvlsion 3,
Chapter 9, end Mat such licenses are in full forca entl etfect, or I
am examD< from tha provisions of the S[e2e of Celltornia Buslness
antl Profession/s C�o�tle, Dlvision 3, Chap 9. //�
Signatureof /// � L
Permlttee Y ��
or � � �
Authorizatl Apant Date
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COSTA MESA BUILD4� SAFETY DEPARTMENT
P.O. BOX 7200 COS�k�ESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �%
ADDPESS L B�F%O
OWNER OR `
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OF LOT TT� 6 7 �[ `Q %� NOW ON LO�
USEOF �I f f'
Separate permi[s are required Cor
electric, plumbing and heating work.
USE OF BUI�DING AND WORK TO BE PERFORMED
/(TNif/GiVw�/L6i1/�✓t.t/�� .�(%�
I heraby acknowlatlpa ihat I hava reatl this epplication and state
thet tho above Information is corract entl a0ree to comply with
all laws rap�latlnB builtling conrtruction, enE I sheil not employ
any peraon in vlolotion of No warkman's compensation lawa of
Me State of Californle.
1 heraby certity Mat I am properly Iicensetl as a contractor untlar
Ma Stete of Californio Businasa antl Protettions Cotle, Divisian 3,
Chaptor 9, antl that such Iicensas ara In full torca antl affect, or 1
em exempt (rom tha provlsions ot ihe Sceta of California eusinen
antl Prolessiom Cotlo, Dlvislon 3, Chap � r 9.
Sipnaturo o�
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or i
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COSTA MESA BUILD �SAFETY DEPARTMENT
P.O. BOX 1200 COSTs� iJIESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
BUI�DING Mn '�•
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QI hereby acknowlatl8a that I have reatl this application antl stata � T �
y� that the above informet(on is corract antl egree to comply with
a ell laws reBulatinB builtling connrucNon, entl I shall not amploy �' �
,� ony parmn In violaiion of the workmen'z compensation laws of m
W the Siate of Celifornla. '
� �O ' // �� m
3 I hereby certity thai l em properly Iicensad es e eaniractor under SQ. FT. �:1. K/'G�/ �+
tha State of Calitornia Business and Profeuions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cheptar 9, antl thet such licensas are in full force antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
am exempt from [ha prOvislOns Ot the$iate Of CelitOrnie Business VALUATION PERMIT FEE a
antl Professiona Cotle, Divislon 3, Chaoier B. S .�� u+
Sipnatura of�// PLAN CHECK 5 •� LL��
Parmlttae Y \ $�� �O O TAX S 3, T U
. Authorized Agant e � � TOTAL PAID E��� _ J T