HomeMy WebLinkAbout2012 MEYER PL - Building PermitsM
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(714)754-5273 • Fax(714)754-4856
JobAdqress: 2012 MEYERPI
Suite: A
ViGiniry:
Parcel Nunmber: 42213512
App�icant: EAP, KONG
Adqress: 2648 SPAULDING ST
LONG BEACH,CA
Qwner: EAP, KONG
Address 2648 SPAULDING ST
Contraclor.
Adtlress:
Zip:
Arch :
Address:
LONG BEACH,CA
CI1Y OF COSTA MESA
BUILDING DIYIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILOING PERMIT
Zoning:
Phone:
Zip: 90804
Phone:
Zip: 90804
Phone:
License:
Eng:
Address:
RMIT NUMBER
69&02263
77 FAIR DRIVE, COSTA MESA, CA 92626
StaWs: ISSUED �
Applied: 12I18I1998
Issued: 72/78/7g9B
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEqR OFF EXISTING ROCK ROOF AND REROOF WITH COMP. SHINGLE. ROOF CERT ATTACHED TO PERMIT.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Tntal:
50.00
$48.50
$0.50
$0.00
$0.00
$0.00
$49.00
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0. 0
PARKING Existin : o
NOTES:
Rear 0. 0
Rear 0. 0
Required: 0
PLANNING & ZONING
Left 0. 0
LeR 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0• 0
Right 0- 0
$7,500.00
$1,500.00
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned
for a periotl of 780 days. .
INSPEC710N$: In order lor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspgetlona and final approval musl be obtained. Failure to obtain Inspections and linal epproval will result in ihe expiration of this permi�.
FOR INSPECTIONS CA�L: (714) 754-5626
WORKEFS' COMPENSATION DECLARATION: '
I �ereby aHirm unCer penalry of pe�ury one oi t�e idlowinq declaratims: •
❑ I heve entl wlll malniain a certificate of consent to sell-Insure lor workers' compensation, es provitled for by section 3700 0l the Lebor Code, lor Ihe pertortnance ot the
work for which Ihis pertnil is issued.
❑ I have anE will melntain workers' compensation insuraxe, as required by section 3700 ot Ihe Labor Code, for the peAortnance of the work Iw which Ihis pertnit is iuued.
My workers' compensation Insurflnce carfier end poliry number ere:
Certier: Pplicy Number:
(ihis sectlon need not be canpletetl I! Ure pertnit is ve/ue0 ef are huntlred tlollers (5100) or less.)
❑ I cenity thet in the peAormance ol the work lor which this pertnit Is iuuetl, I shall not employ any person in eny mennor so as to become subl�� to the workers'
compensetion laws ot Califomle, antl egree t�et It I s�ould �ecome sublect to Ihe workers' compensetion provi5ions of Sectlon 3700 ot lhe Lebor Cotle, 1 shall torihwith
comply with ihese pmdslons.
Applicant Slgnature: Dare:
WARNINd: FAILIIRE TO SECURE WORKERS' COMPENSATION COVEfiAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL VENALTIES AND CIVIL FlNES UP TOONE MUNORED
T/qUSAND DOl1ARE (5/00,OW), IN ADDITION TO THE CQ"iT OF COMPENSATION, DMIAGES AS PROVIDED F-0P IN SECTIIXJ 3108 OF THE LABOR CWE, INTEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn thet I em licensed under provisions of Chepter 9(commencing with Section 7000) of DiNslon 3 of the Business entl Prafessions Cotle, end my licensa is in full
lorce end eflact. LJc. a qass a
Contrector's Signawre: Date:
CONSTRULTION LENDING AGENCV:
❑ I hereby aMrm ihat there is a wnsirucLon lentling agenc.y for the peAormance of t�e work for w�ich ihis Oermit Is issued. (Sec. 3097, CiWI Cotle).
Lentler's Name: Lenders Address:
SignaNre: Date:
OWNER•BUIIDER DECLARATIONS:
I hereby eHirm thet unde� penel�y of perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the followinp reeson (Sec. 7031.5, Business anC Professions
Code: Any ciry or counry w�ic� requires e pertnii m wnstruct, altar, Impmve, demolish, or repalr eny stmcture, prior to Its issuence, elso requlres Ihe applicant tor such pertnit
to file e signetl stetament Ihet ha ar she is licensed pursuant to ihe provisions ol the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0l the
Business end Protessions Code) or Ihat he or she is exemp� therefrom end ihe besis lor ihe allaged e:emption. Any violatlon ot Section 7031.5 by any applicant tor e permi�
subjec�s t�e epplicant to e civil penelry of not more Ihan five huntlreC tlollers ($500).):
�I, es ownar ol the property, or my employees with wages es thelr sole compensation, WILL DO TTIE WORK, and Ihe structure is nat IntenOetl or ottered for sale (Sec.
7044, Business end Protessions CoOe: The Contrectors License Lew tloes not epply to an owner of property who builtls or improves thereon, end who tloes such work
himselt or herseli or through his or �er own employees, provided Ihet such improvements are not intended or oflered for sele. If, however, the bulltling or improvamenl is
soltl within ane year of comple9on, �he owner-builder will have the �urtlen at pmving that he or she tlid not bulltl or improve br purpase of sale.).
❑ I, as owner at tha properry, am E%CLUSIVELY CON7RACTING Wf7H LICENSED COMRACTORS to construct ihe project (Sec. 7044, Business and Professions
CoOe: The contractors License Law does not appy to an owner of properry w�o builCs or improves thereon, and who contracls lor such pmject with a coniractor(s)
license oursuant to the Contractors Licensa LawsJ.
❑ I am exempt
Signawre: �
Owner ID veri66d �
❑ No
Business and Protessions Code tor this reason:
Date: —
DriverS LiCenSe No. Expires:
Vedilcation af Ownership by (rype of daument, i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICA710N:
❑ I hereby certtly t�et no excavation five (5) ar more feet in depth Into which e person I5 requlred to descentl, will Da mede in connection with work authorizetl Cy Ihis
permit, end thet no Dulltling structure, scaHolding, talsework, or Aemolition or Alsmentling thereol, will De mare then thirty-six (36) feet hlgh. (Ghap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Celifomle Atlminisiretive Code).
❑ As owner-builtler, I will nat employ enyone to tlo wark which would requlre a pertnll twm the Divlsion ot Industtlel Setery, as nated ebove, unless such person hes e
permit to tlo suc� work trom the division.
Signature: Date:
Divislon ot Industdal Selery Permit Number.
CERTIFlCATE OF COMPUANCE ANO AUTHORQATON OF ENTRV: I certify under penalty of perjury ihet I have read t�is applica�ion and steta ihat ihe infortnetion given is
correct. I egree to comply with all state laws an0 ciry ordinances releting to builtling wnsiruction, end authodze representatives ol the Ci�y ol Costa Mesa to entar upon the
ebove-described property Por inspecGon puryoses. I agree not lo occupy or ellow occupancy ot any building authodzed by this permit until final inspection.
COOE �. INFPELTIONTYPE
1618 Fixetl System Finel Fire Preventlon
1288 Pool Spe Finel
200 Finel Re-Rooi
201 FIneI8locWRetalning Well
202 Final Fectory Fire Place
203 FinalSign
20d Finnl Demolition
244&d6
Pd� ItQIIlElS
/� �/ O at' (
�' Date
CODE 1 INSPELTION TYPE
208 Finel Mechenicel
208 Finel Plumbing
210 Finel Electdcal
212 Finel Fire Prevention
220 Finel Planninp Approvel
222 Final Siie
250 Finel Bullding/Occupancy
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(714) 754-5273 • Fax (774) 754-4856
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAdd�055: 2O1Z MEYER PL
Suite: B
Vcinity:
Parcel Nunmber: 42213512
ApplicanC EAP, KONG
Address: 2648 SPAULDING ST
LONG BEACH,CA
Owner: EAP, KONG
Address 2648 SPAULDING ST
Cantractor:
Address:
Zip:
Arch :
Address:
LONG BEACH,CA
BUILDING PERMIT
Zoning:
Phone:
Zip: 90804
Phone:
Zip: 90804
PAone:
License:
Eng:
Address:
�
PERMIT NUMBER
898-02262
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED V�V'
�
Applied: 12/18/1998
Issued: 12/18/1998
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROCK ROOF AND REROOF WITH COMP. SHINGLE. ROOF CERT ATTACHED TO PERMIT.
Plan Ch�ck:
Permit:
SMIP Res:
SMIP Cam:
Other:
Inspection:
Total:
$0.00
$48.50
$0.50
$0.00
$0.00
$0.00
$49.00
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0. 0
PARKING Existinq: 0
NOTES:
Rear 0. 0
Rear 0� 0
Reavired: 0
FEE SUMMARY
PLANNING 8 ZONING
Left 0. 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0. 0
Right 0. 0
s�,soo.00
$1,500.00
'�� EXPIRATION: 7his permit shall automatically ezpire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized under fhis permit to be considered legal, such work must comply with all applicabie codes, and atl
required inapections and final approvel must be obtained. Failure to obtain inspections and final approval will resull in the expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545826
WORKERS' COMPENSATION OECLARATION: �
I hore6y eHirm under penelry ol per�ury one of Ihe following declarations: �
❑ I heve end will meintain a cetliticate of consent to self-Insure br workers' compenution, as prodded br by section 3700 0l the Labar Code, tor the peAortnence of the
wark tot which this pormit i9 issued.
❑ I heva end wlll mainteln workers' canpensatim insurance, es requireA by seclion 3700 al Ihe Labor Cotlo, fw ihe pertormence al Ihe work for whkh �his pertnit is issued.
My woAcers' compensetlan Insurance certler end polity number ere:
Certier; Policy NumOer.
(Thfs sec(ion neetl no( be comp/etetl U the permit is ve/ued at one hundred dollars (S I00J or less.)
❑ I certity thet in the pertortnance of the work lor which t�is permit is issue4 I shall not employ eny person in eny manner so es to 6ecome sub�ect to the workers'
campensetion lew5 0l Celilomia, antl egree Ihet II I s�ould became subject to tha workers' compenselion provisions oi Sectlon 3700 Of the Labar Catla, 1 shell lorthwith
wmply with these provisions.
Appllcant Signature: Date:
WARNINO: FNLUFE TO SECURE WORKERS' COMPENSATION COVEMGE IS UMAWFU� rW D SMAl1 SUBJEGT Ml EMPLOVEF TO CWMINAL PENALTIES AND dVIL FlNES UP TO ONE MUNORED
TlIIX1SNND DOLIME (5100,000), IN ADDIT1qJ TO TME CQST OF COMPENSATION, DMNGES 0.5 PRONOED FOF IN SECfIIXJ 3]08 OF THE LABOfl CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eKrtn Ihet I am licensed under Orovisions of Chapter 9(commencing with Section 7000) of Divislon 3 ot ihe Business entl Professions Code, entl my license is in full I.
torce end eHecL Lia p Class N
CoMractors Signature: Date:
CONSTRUCTION LENDING AGENCV: � '�..�
❑ I hereby eKrtn thei Ihere is e construc6on lending agenty lor the peAortnencs ol the work tor which this permit is issued. (Sec. 3097, CMI COAe). �
Lentlers Neme: Lentlers A�tlress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn thet under penelry at perJury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the lollowing reason (Sec. 7031.5, Business entl Prolesslons
Coda: Any ciry or counry which reQulres a permlt to consiruct, alter, Impmve, demdish, or repalr flny siructure, pdor to ILs issuance, elw requlres Ihe appllcaN tor such permit
to file e 510nad statement Ihat he or s�e is Ilcensetl pureuent to the provislans al the Contractors Licensa Lew (Chapter 9(commendng with Section 7000) of Divlsion 3 ot the
Business end Professions Code) or thal he or she Is exempt Iherefrwn end tha besis tor Ihe alleged exemption. Any violation oi Section 7031.5 by any eppliwnt lor e pertnit
su �ects Ne epplicant lo e civ,l Denelry of not mora then five huntlreC dollars ($500) J:
I, es ov.nar of Ihe properry, or my employees wlih wages as thair sde compensetlon, WILL DO THE WORK, end ihe s[ructura is not intentletl or offered tor sale (Sec.
7044, eusiness entl Pmfessions CoGe: 7he Conirectors License Law does not epPN to en owner ol properry who builtls or imprrnes thereon, and who tloes such work
himselt or herseN or through his or her own employees, provitled that such Improvemants are not intended or oHered for sele. If, however, Ihe builtling or improvement is
sold within one year of completlon, the owner�builtler will have the burden of proving thet he or sha tlitl not bulld or improve for purpose of sala.).
❑ I, es owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTOHS to conswct Ihe project (Sec. 7044, Business and Profeuions
CoOe: The contrectors License Law does not apply to an owner of property who builds or improves thereon, and who contracis for such project with e cantrector(s)
Ilcense pursuant ro the Contractors License Lews J.
❑ I em exempt
Signeture: —�
Owner ID ve�d I
Yes ❑ No
Business end Prole55ions Code lor this reason:
Date:
Dnvers License No. Ezpires:
Vedticetion of Ownership by (rype oi tlocumem, i.e. - properry caa bill or deed):
DIVISION OF INDUSTRIAL SAFETY VERMR CER7IFICATION:
❑ I hereby ceNty that no excavation live (5) or more leet In depth Into which e persan Is requiretl to tlescentl, wlll be metle In connectlon wlth work euthorized Dy t�is
pertnit, anO lhat no 6uiltling strudure, scaHoltling, lelsework, or demolitlon or dlsmantling Ihereof, wlll be more Ihan tnirty-slx (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle B, Celllomle Atlministretive Cade).
❑ As owner-builder, I will not employ anyone to tlo work which woultl require e pertnit irom the Division ol Industriel Satery, es noted ebove, unless such person has e
permit to tlo such work fmm the division.
Signetura: Dete:
Division of Industrial Safety Permit Number.
CERTIFlCA7E OF COMPLIANCE AND AUiHORVATON OF ENTAY: I cenity under penalry ot per�ury t�et I have read this epplicetion end state Ihet the Infortnation given is
carrecL I egree to comply wlih all state laws and ciry ordinances relating ta building cnnstruciion, end euthonze representetives at Ihe Ciry of Coste Mesa to enter upon the
ebove-tleunbed rope y for inspectlon purposes. gre� py ar ellow occuDency of any �uilding euthonzed by�i� rtnit until fin I inspection.!7
GJ y
��i'jifi� r/ � � /1
�Sgnetura Ot Legel �yn (s) �— Date
� `/
And/Or Authonzed Applicem Dete
�flpEy INSFECTIONTYPE
7616 FiaeC System Final Fire Preventian
7266 Pod Spa Finel
200 Fnal Re-Roof
201 Final BIocWRetalning Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
204&G6
QAg U�lLS
,�8"9 �/ �
eooe� u�svetnoxrvae
206 Finel Mechanical
200 Finel Plumbing
270 Finel Elacidcal
212 Flnel Fire Prevention
220 Flnel Planning Approval
222 Final Site
250 Final Buliding/Occupancy
P�ff INIIDd�
d
�� o� C?adta '%12eQa �'uiE'du y Dusi.�a�
OWNER-BUILDER
VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the completion and require the rewrn of, an
owner-builder verification.
Attention Property Owner:
An `owner-builder' building pertnit has been applied for in your name and bearing your signature.
Please complete and retum this information in the envelope provided at your earliest opportunity [o avoid
unnecessary delay in processing and issuing your building permit. No buildinR pertni[ will be issued until [his
verification is received.
L I personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes ❑ No
2. I(have/have noQ ���� �� signed an application for a building permit for
the proposed work.
3. I have contracted with the following person (firm) to provide the proposed conswction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. 1 plan to provide portions of the work, but I have hired [he following person to coordinate,
supervise and provide [he major work:
Name
Address
Phone (
City _
ConVactor's Lic. No.
5. 1 will provide some of the work bu[ I have eeaba�esd (hired) [he following persons to
provide the work indicated:
Name Address Phone Type of Work
.�r� _ _.. � - • -- '— - - ^' - -
t0a2�46 (REV.9/98)
I hereby affirm that I have received a copy of the information se[ forth in Section 19830 of [he State
of California Health and Safety Code and have completed the above information to [he best of my personal
knowledge, in compliance with this State law.
Signed:
Name:
(Printed or Typed)
C.D.L. # OR S.S. #
Date:
For more information call City of Costa Mesa Building Division at (714) 754-5273.
, �1
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-:
\
tOG7d6 (REV.99B)
OWN�R j,pTS DATE 10-23-59
JOB ADDRESS 2012 A Meyer Place I3UILDING PERMIT N0. 1059�1 _
GENERALCONTRACTOR 88�� COSS'b $1(iZ'S. VALUE S S,C)GG,OO
AP No.11S- IL^19 LOT TRACT FIRE 'LONE DESCRIPTION OF WOAK ReS. YI/ab
n eCnoNS i,_�2-s� on7E I GROUP I,� J TYPE V ZONE R
SU6CONTRACTOR
Power
Form 210-3M—d-59 �(1�i9�t
, � 1�SS�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
FOR APPUCANT TO F/LL /N COMPLETELY
TYPE OR PRINT
BUILDING
AODRESS
COSTA MESA. ALIFORNIA
I , . , _1�_
�ARCH ITECT
OR ENGINEER
� LEGAL
— �3/ �J"� / 7
� / � /1 I uow�ou � e�r9•
SETB/�CR LINC FHOM
CENTER OF STREET REAR YARD �
/ (
SIOE YARD LEFf RIGHT � �
DESCRIPTION OF WORK
REPAI
BUILO
AND WORK TO QE
�'�� ��CES��I�
-PL'tJ �� - J-o -J `l
APPLICATIONAFOR PFERMIT
rm nF cnC1A INt�H
BUILDING
FOR Off/CE USE ON[Y
I ftEC61Pi NO. I PEHMIT NO.
oZ v �a
COSTA MESA.
APPROVED
y� ZONING
�� ZONE NO.OF I15E OF NEW��y-�J ,l
r __ / � I PLANS BUILOING U/- //'
:�q T 1 V�—
APPROVEDI� .� L ' DATE I Q�
ev i
1 NEREBY ACKNOWLEDGE THAT I HAVE PEAD THIS APPLICATION
AND STATE TNAT TNE /�BOVE IS COftHECT 1ND AGRE! TO COM-
PLY WITN �LL qTY OR�IN�NCES ANO ST�TE L�wB REGULATING
BUILUING CONB�% TI'ON: , /D �
SIGNATURE OF i . . . I ��
eTJ
REAft
�F
�F
SF
TME AMOUNT 9HOWN UNOER VALIIATION 18 FOH THE
PIIHPOBE OF ESTABLISHING • PEfiMIT FEE ONLY.
O"�/. � /_ � PERMIT FEE S �
/�� cv
U U U'� p�N CHECK S // —
�� � � TOTAL FEE S 3� —
♦