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HomeMy WebLinkAbout2012 MEYER PL - Building PermitsM �L . 9 t � �+ro.mm �F` (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 O F 4 � , p o, � > � : � �: �m °`� (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 ;' -: \ 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� — ♦