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HomeMy WebLinkAbout2168 MEYER PL - Building PermitsCITY OF COSTA MESA � BYILDING DIVIS/ON F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us `t��� FOR INSPECTIONS CAIL: (714) 754-5626 PERMIT NUMBER: BC07-00269 PERMIT TYPE: B COMBO Sub Type: RES_RRIP STATUS: ISSUED DATE ISSUED: 09126/2007 , , ISSUED BY: ?? . �oe aooRess: 2168 MEYER PL CM - Suite/Unit: APN: a221a13s , ' Zoning: , , � � � ': � Vicinity: GARAGE AND REAR YARb � � � - , � � Primary Occ' . ' Const Type: V-N , '' SQ. FT: 0 ' _�- Valuation: . 52,700.00 SCOPE OF WORK: CHANGE OUT (E) WATER HEATER, REWIRE OF ELECTRIAL IN GARAGE WITH DRYWALL REPAIR AND REPLACEMENT AND REWIRE ELEC7RICAL FOR (E) HOT TUB. . , OWNER: VIVANCO, TINA MICHELL� - Address: 2168 MEYER PL � � � Unit: Phone: 949-722-8552 � " � � ' • �Cily/State/Zip; : COSTA MESA, CA ' � � .� � - APPLICANT: GRIFFITH, JUDY i ' Address: 915 LAKE ST - : Unit: :B3452595 Phone: 714-960-7052 ' . � - City/State/zZip: HUNTINGTON BEACH, CA � ' � . , CONTRAC7oR: J K CONSTRUCTION �� - - License No. 450297 - . Phone: 714d04-9846 CELL - Address: 915 LAKE STUnit: Cell: 714-960-7052; � � City/State: HUNTINGTON BEACH, CA - ZipCode 92648 - , .. - _ � � _'. i._ . ' .. , . , . � -. � .. . . ARCHITECT: � � - � LicenseNo: �- � �- - � � � � ^ �PHONE'��' ENGINEER: - - � - - License No. � � �'-� PHONE:'.;� � COMBINTATION PERMIT FEE SUMMARY - Building Plan Check: $0.00 Building Fees: - ' - $83.25 Electrical Fees: � � $59.90 Mechanical Fees: - . , $0.00 Plumbing Fees: � - $33.30 SMIP Residential: � $0.50 � SMIP Commercial: $0.00 TOTAL FEES: $176.95 •'Re(er fo fo¢ racelpts br all fees paitl for project 0 NOTICE: The work authorizetl by this permit shall comply with all applicable handirap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DqYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration o( this permit. cooe �. �NSpEGTION TYPE O�TE INTRIRL C OE 1_N$PECiION ME U� IN A� 1616 Fixed System Final Fire Prevention 206 Final Mechanical . 12fi6 Pool Spa Final 208 Final Plumbing 200 Pinal Re-Roof 270 Final Electnwl 207 Final Block/Retaining Wall p72 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 final5ign 222 Final Site 204 Final Dertrolition 250 Final Building/Occupancy / O PP WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declaretions: ❑ I have antl will maintain a certifica[e of consent to self-Insure (or workers' compensation, as provided (or by section 3700 of the Labor Code, for the peAortnance of lhe work for which this permit is issued. � . � I have and vnll maintain workers' compensation insu2nce, as required by section 3700 ot the LaDor Code, for the pertortnance of the wvrk for which this permit is issued. My vrorkers' wmpensation Insurance wrrier and policy number are: / Carrier:� 5���`'� /– `�w � (Thisseeionneedrwteemndeteeat/�e,ce�naavaruede�manundreecnears(S�oo)aleul �PolicyNumber: � U � � y v ❑ 1 cerii(y t�at in Ihe peAortnance of the work lor which ihis permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree that if I should become subjec[ to the workers' compensation provisions ol Seclion 3700 of the L bor Code, I shall forthwith omply with these provisions. �' � -- �- S- �. -� Applimnl's $igna ure Dale C� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE L480R CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby afTrm that I am licensetl untler 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 !e�ffect. � Cic. # � � S ' / Class # % �' - a-S� u 7 ConUattor's Signa W re Dale— — �_.. �—.. � CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn that [here is a construction lentling agency for the peAortnance ot the v.ork ta which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Date OWNER-BUILDER DECLARATIONS: I here6y affrm thal under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Businass antl Pmlessions Code: Any ciry or counry which requires a permit to construcl, aller, improve, demolish, or repair any strucWre, prior ro its issuance, also requires the appliwnt for such pertnit to fle a signetl statement that ha or she is licensed pursuanl lo the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pro(essions Cotle) or that he or she is ezempt therefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant ro a civil penalry of not more than five huntlretl dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who Oces such work himself or herself or Ihrough his or her own employees, providetl that such improvements are not intendetl or ofleretl for sale. If, however, the building or improvement is sold within one year o! completion, the owneo-builder will have the burden ot proving that he or she did nol build or improve for purpose of sale.). �� ❑ I, as owner of the.property, am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business and Professbns Code: The contraaors License Law dces not appry to an ovmer ot property wfio builds or improves [hereon, and vfio cmi2cts (or such pmject with a contracta(s) license pursuant to the Cont2ctors Ucense Lavrs.�. ❑ I am exempt under sec. Business antl Professions Code tor this reason: 905]-d6(3/0]) Owner ID venfied by tlnver's ,e. ❑ Yes ❑ No Dnvei s LicenSe No. Expires: 'Verification ot Ownership by (rype ot document, i.e. - property Wx bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • ❑ I hereby ceridy that no excavation frve (5) or more feel in depth intobfiich a person is required to descend, will be matle in connection with work authorized by this pertnit, and iha[ no 6uilding strucWre, scaFfdding, falsexnrk, a Oemolition or dismantling thereof, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2. M 2. Sec. 341, TUe 8, Califomia Adminis[rative Code). ❑ As owner-builder, I will not employ anyone lo do vrork which vroultl require a permit (rom the Division of Induslrial Safery, as no�etl above, unless such person has a pertnit lo do such work from Ihe division. Appliwnl's SignaWre Dale Division ol Intlustrial Safety Permil Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and ceni(y a Business Plan for emergency response to release or threatenetl release o( a hazardous matenall ❑ Ves ❑ No (Section 25505 of the Cali(omia Health and Salety Cotla requires, with some exceptions, that a Business Plan be filed with che Costa Mesa Fire Department by every business which has at any one time tlunng a reported year a quantity o! hazardous materials equal to or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet ot compressed gas at slandard temperaNre antl pressure). 2. Does or will the applicant or present or fWure building occupant need to file a regislralion fortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the Calitomia Health an0 Safery Code, with some exceptions, requires regislration with ihe Costa Mesa Fire Departmen[ by each business which at any one time has on hantl a quantity of acutety hazardous materials equal to or greater than a vreigM of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas a� standard temperaNre and pressure). 3. Does or wiil the applicant or present or future building occupant neetl to prepare an RMPP (Risk Managemen[ and Prevention Pmgram for acutety hazardous malerials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Cotle provides that the Costa Mesa Fire Department may require the preparation, certification and filing with Ihe Fire Department o( an RMPP by businesses which are required to register aculely hazartlous materials with the Fire Department. 4. I( an RMPP is presentty required, has Section 25534 of the Calilomia Health antl Safety Code been fully complied with't ❑ Yes ❑ No 5. Does or will [he applicant or preseM or fuWre building occupant require tor the vrork which is the subject ot this application a permit tor such construction or modifica�ion from the South Coast Air Duality Managament Distncl or from any other air pollulion coMrol tlisMc[ or agency? ❑ Ves ❑ No (Section 658502 of !ha Califomia Govemment Code 2quires Ihat �he reque5ted informalion be fumishetl on applications for non-resitlential builCing pertnits). 6. Will any pah o( the faciliry b be constructed under this permil be within 1000 feet trom the outer boundaries of a schooll ❑ Yes ❑ No Qf yes', the (aciliry must meet the requirement of Sections 25534 and 42303 o( the Califomia Health and Salety Code). 7. It a permit fmm the South Coast Air Oualiry Management Dislrict or olher air pollution control district or agency is requiretl tor t�e wnrk which is the subject of this application, have all of the disclosures prescribed by Calilomia Health and Safery Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certi�cate ot compliance from the appropriate air pollution control officer). , , CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury Ihe in(ormation given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions: � , Signalure Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have reatl this application and state lhat the infortnation given is correcL I agree to comply with all state laws and ciry ordinances relating to building construction, and authonze represeniatives of the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purpose I ree not to occupy or allow occupancy of any building authonzed 6y is er 1 [il f al inspection. � J���j� 4S a re 1 Le wn r�s) Dale �,AnNorAW�onzetlApplimnl �Da�e_ . -�,'. , �6�'7 CO�TA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING /J��� ///_��� �� ADDRE55 O� �v�� COSTA MESA. CALIFORNIA OWNER cirv/�y,� ARC' .T OR l JE AD�RE55 LEG4L LOT DESCRIPTION NO. A.P. NO. OF l01 U / f / IJSE OF EXISTING BLDG. SETBnCX IINE CENTER OF ST SIDE YARO NEV _ REPAIR fC'Y_ �o/x'� LIC. NO. CITY LIC. NO. TEL. NO. BLOCK TRAC NO.OF BLOG9. flOM ../ � / t[r �}O REAR YARD ��i RIGHT ('� � LEFT �� / DESCRIPTION OF WORK � ALTERATION I ADDITION MOVING OEMOLISM ��y �{i NO.OF /��C ROOMS STORIES �R WALL /5 ROOF �G .(J COVERING � NEW I�l' / ��Ii/i i _ � I HEREBY ACHNOWLEDGE THAT 1 HhVE READ TNI6 APPLIC�TION �N� STPTE TH/.T TRE �BOVE IS COXRER �NO �GFEE TO COMPLV WITH ALL CITY OFOINANCES AND $TATE L�W$ flEGUL G BUILOING CONSTflUC� TION. ww ! SIGNATURE OF j � � 'L' 's/ PERMITTEE L� FEE RECEIVED ^Mas_'1,�� C� -� FINANCE DEP?. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUILDING nooqEss COSTA MESA. CALIFORNIA FIRE 20NE 20NE NO.OF TYPE � PL�NS APPROVED CORRECTIONS � UATION � � _ PERMIT FEE S /O 2 Y� PLAN CHECK S /,7 � J o y f TOTAL FEE 5 } � v�w'r OW NER A�LKTPIGH�bN CONSTRUCTION CO. �'�E 3-7-57 JOBADDRESS 2168 Me B;- P18CC BUILDINGPERMITNO. 8 GENERAL CONTRACTOR OWri6T BZC12'� VALUE $ lO�3HZ.00 LOT rj BLOCK TRACT �j5 R,p���jlatt' gar' GROUP I& J T�'P� 4 ZONE FIRE DISTRICT LL6O7 ,/ PERMITSISSUED INSPECTIONS ,J_ � f( DAT,E SU6CONTRACTOR ��VL;Ul�"' 2 .�/j�y(S�% DATE NUMBER Footing Trench � 7��,5 Foundation Form n Grade Gar �B D'�% Or Rough Framing _ _ 6/,_� Plumbing, Rough to Sl�.�it�_�'b p�, �j�Y9 Plumbing, Rough Comp7et� ��$ • _j , Temporary Pole Wiring,Rough �^M p�i $ 1957 Heating, Rough (,l1N/�—• '.3_ Heating, Final ewer, House C sewer, st. f'YL �5 5��, Septic Tank or Cesspool Lathing, In Ouf Plastering � Plumbing,Final,FixturesComplete� S a_�0 Plumbing. Fin.al Gas Test%5 /yf f�j_ � Wiring,Final �zj` � —�'r'�— OCcupanCY ..�'Yz"' ( ,� FORM 210 3M 10�•v5 )2- � COSTA MESA BUILDIfVG DEPARTfb1EIdT P. 0. 80X 317 COSTA MESA CALIFORNIA f w W K f N a o. JI Ft IST. � � lin IW �a lo �a Y C•l• OF STREET ---_�iPROP. TINE _ T. FOR 60 FT. STREET � C'T `r�� � 1 �FO, PROP LINE� --��—=---'�-- C. L. OF LI l9 ' I t � —�--------� ao FT so F W W K H y � O J ci S T. � I 6�196 I �' �i� � iC���� �� � c .S � �� !r— nn+n�� r.F DEPT. FOR APPLICANT TO �FILL�? _. Y UF �J�I / BUILDING ADDRESS aI �o� MENE� �v. ... ., i ,. . . , , . � Mail Addres J mr+ City � - Ph. No. Contracto����1%�%��L �T Ph. No�'7'$� 2-y �.�j v �y City Lic. No.d /� S State Lic. No. Z�d_ Size of Lo � / � �r% AP No. ��� � � �� �1. r � � Setbacks: C/L Street t� Rear � Side Yard - Right s � Left � � ,,�/�� �� �yi Type of Fence j��'�"� �-�� !�� X� �� 2"X s' i(/3p � I hereby acknowledge that I have read this application and state that the above is correct and agree to comply wiih all City Ord- inances and State Laws regulating building construction. FOR OFFICE �JSE ONLY /a-%-s7 � ��-/7-S? VALUATION '`-"'�"�-"—"— � Permit Fee $ '�- � � � � � P1an Check $ TOTAL FEE MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ "' ' ' MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES U6E REVERSE SIDE FOR DETAILS v--cJ MUSCHNER, E.G. GENERAL CONTRACTOR INSPECTIONS OCCUPANCY Form 410-5M-11-59 S-8 P DATE SUBCONTRACTOR TE �-%-61 iI.D1NG PERr4IT NO. 3 VALUE $ 00. 2IPTION OF WORK Add Pat�.COV.tO�% PERMITS ISSUED . -�,.9 2;� COS7.A 'MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COHTA MEBA. GLIPORNIA For Applieanf fio Fill In Complefely TYPE OR PRINT BUILDING ADDRE56 ' COSTA MES CALIFORNIA ■ MAIL ■ ARf ',Cf ■ &IZE TEL. OR BLDO6. 6CTBACK LIN¢ FROM / ceNTER OF 6TpLLT REAR YARD �I /� / SIDE YARD LEFf RIGHT �'i DESCRIPTION OF WORK 'SZE�NG Ivii o�� ROOMS EXTERIOR WALL �,_ , IROOF FEE RECEIVED � APR 7 19�) fiNANCE DEPt. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only R¢CEIPT NO. PE R[ NO. �� V� � 1^ VE� / I� R$C�EI^!D� DATE� C,D / – /� / b iILDING DRE66 COSTA MESA. CALIFORNIA FIRE . / ZONH TYPE �� APPROVED BY DA Z ING ZON INO. OP �8 OF PLAN9 OIlDI! L60AL � DHBCRIPIION A. P. NO. US^ � YARDB EVES APPROVED ALLOWI IetRCF YN6 8�1r_ J�L> i_ ��-J � �D. w" �L�T �.,� I NEREBY ACKNOWLEGGB TH�T I HAVE HCAD THIB APPLIGTION TME AMOIlNT 9HOWN UND6R VALUATION IB POR THH AND BTATE TXAT THG ADOVH 19 CORRHCT ANO I16R88 TO COM• pUPP098 OF EBTABlJ9XING A PERMIT F¢E ONLY. PLY WITM ALL CITY ORDINANCEB AND BTATE LAWB OULATINO BUILo1Na CONBTRURION. VALUATION ����`� '- �C� SIGNATURE OF l ��"�J . PERMIT FEE $ PERMITTE J � $ ��1�� PLAN CHECK $ —s AUTHORRED AGENT /t�� �'� � � TOTAL FEE 4 /, � -OWNER NYHiJSE, J. N. 7os ADDREss 2168 Meyer F e GENERAL,GONTRACTOR S. & W. Maeonry Const. GROUP INSPECTIONS Trc�chu Forn Nloor System Stcel ReinEorce Bond Benm Nramc and Flashing Lathing, In I Plastcr, brown coat Final Gas Tut FIRE ZONE TYPE ZONE DT-Q 1Z-17 57 Bl. JING PERMIT NO. 6�-96 VALUE $ 21.Z.00 PTION OF WORK i DATE I SUBCONTRACTOR PGAN NO.