HomeMy WebLinkAbout2186 MEYER PL - Building Permits(714) 754-5273 • F2� (�14) 754-4856 • www.Ci.cosla-mese.Ce.Us n rv.m unrve, wa i N mws�, i... acom
Job Address: 2186 MEYER PL
Suite No
Vicinity:
Parcel Nunmber: 42218135
Applicant GLOVER, LORIE
Address: 2737 S CRODDY STE D
SANTA ANA, CA
Owner: DEMARKS, SUZANNE
Address 2186 MEYER PL.
COSTA MESA, CA
PLUMBING PERMIT
Phone: (714)241-1414
Zip: 92704
Phone:
2ip: 92627
Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY STE D
SANTA ANA, CA
Arch / Eng : � '
Address:
Phone: (7i4)241-1414
Zip: 92704
License: 529127
Phone:
- Z�p:'
License: - -
SCOPE OF PERMIT
1 WATER HEATER CHANGE-OUT
ISSUE FEE -„
Backflow ivigation , ,
Backflow Preventer, �
Bathtub ,
Clarifer System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas EaAhquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease. Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
50.00
50.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
FEE SUMMARY
QTY AMT
Laundry Tub I Washer $0.00
0� , - Landscape Irrigation „ $0.00
� 0� �' , P-Trap � $0.00
, 0 � � Pressure Regulator ,� $0.00
0" �- Process Piping (per 10 ft) 50.00
0 � Receptors $0.00
0 Septic Tank $0.00
0 Sewer Cap for Demo $0.00
0 - Sewer ConneG � $0.00
0 Sewer Private Line $0.00
0� Shower $0.00
0 Sink, bar $0.00
0 Sink, commercial _ � $0.00
0 Sink, Floor $0.00
0 Sink, kitchen $0.00
0 Sink, servicelmop $0.00
0 Spa (private) $0.00
0 Spa (public) $0.00
0
0
Status: ISSUED
Applied: 04IO2/2001
Issued: 04/02/2007
ISSUED BY:
QTY � . � .; - � � � � AM7
0 �� �� Sump Pump_ ` � � E0.00
0 �S�diniming Pool �, "�$0.00
0 � - , : = ,Trap Primer/� � , .� $0.00
0-',>�� � Urinal,� C� �' , $0.00
-0 -� Vacuum Brkr Bkflow(14) $0.00
0 ,' � Vacuum Brkr Bkflow(5+) $0.00
0 � Wash Basin � $0.00
0 Wash Basin-Set $0.00
0 Waste and Vent System $0.00
0 ; � -Water Closet (Toilet) $0.00
0 . � - Water Heater / vent $12.30
0� Water Piping (Inst or Rep.) $0.00
0 Waler Re-pipe $0.00
0 Water Service $0.00
0 Water Softener $0.00
0 OTHER $0.00
0 VIOtATION $0.00
0 PLAN CHECK $0.00
REINSPECTION $0.00
COMMENTS I SPECIAL CONDITIONS
TOTAL CALCULATED FEES: E35.60
�
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No, 92-28, § 1, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or ii work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectiona and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration. of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2A46d8 �fl+W)
WORKERS'COMPENSAnON DECL4RAnON:
I hereby aHirm under penalry oi perjury one oi �he following tleUaretions:
❑ I heve enA will maintain e certificate ot consent to salf-Insure tor workers' compenseNon, es D�ovidetl tor by section 3700 0l the Lebor Code, for the peAormance of the
work lOr which IhiS pertnit is issued.
�I heve entl will mainlain workers' compensation insurance, as required by section 3700 of the LaDor Code, for the pedortnance of ihe work for which this pertnit is issued.
My workers' compensatio1n In_surerI�m' c.errier and policy number are:
Cerrior. ��i-� `�1M� Policy Number: I�' ��`? 0^� �
(Thls secNon ne�etl no 'D�e compleled il fhe permit is velued ef one hundred dollars ($t00J or less.)
❑ I certify that in ihe peAormance ol the work tor which Ihis pertnit is icsued, I shall not employ eny person in any mannar so es to become sublect to the workers'
compensation laws ol Celifornia, 9ntl agrea Ihet il I shoultl hecome sublect to the workers' compensation provislons of Secllon 3700 0l the Labor Cotle, I shall forthwith
comply with these provisions.
Applicanl Siqnature: s� Date: � c�� 0�
W ARNINO: FAILURE TO CURE WORKERS' �MPENSAT1pJ COVERAGE IS UNUWFUL AND SHALL SUBIECf rW 1APLOYER TO CRIMINAL PENALTIES ANO CNII FlNES UP TOONE HUNDFE�
T}iWSAND DOl1ARE �5100,000),IN ADDiTON TOTHE WST OF COMPENSATON, DAN.AGES AS PROVIDED FOR IN SECTION �O6 OF TME IABOR CODE, IMEFEST, AND ATfOqNE1^S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aflirm that I am licensed under Qrovisions of Chapler 9(commencing with Section 7000) of Division 3 of ihe Busine�o�Pr� ssions Code, and my license is in tull
torce end eflact. Lic. q � Class p�_ n
Conirectors Signature: — — Date: '/ � 10 —0 �
CONSTRUCTION LENUING AGENCY:
❑ I hereby aflirm ihat there is a cons�Nction lending agency for the pedormanca ol the work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lendefs Name: Lentler's AddreSs:
Signeture:
Date:
OWNER•BUILDER DECLARA710NS:
I hereby aRirtn tfiet untler penalty ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry accounty which requires a permit to construct, elter, improve, demolish, or repair any structure, pnor to its issuanca, also requires the applicant tor such permit
to lile e signed statement that he or sha �Sllcensed Dursuent to ihe provisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) ol Division 3 ot the
Business end PmfeSsions;Code) oi thet he or she is enempt therelrom and the basis lor the ellegeA azemption. Any violation of Section 7031.5 by any epplicant for e pertnit
subjects t�e epplicant to e civil penalty a�'not more Ihan five huntlreC tlollars ($500).):
�
❑ 1, es owner of the property, o? my amployees with wages as their sole compensation, WILL DO TNE WORK, and the slrucWre Is not intandetl or oHered for sale (Sec.
7044. Business antl Professions Cotle: The Contrectors License Law tloes not apply lo en owner of propetly who huilds or improves thereon, and who does such work
himself or herseH or thmugh his or her own employees, provitletl that such improvemenis are not Intended or oHered for snle. If, however, the builtling or improvement is
sold within one year of completion, the owner-builder will heve ihe burden of proving ihat he or she tlid not build or improve for purpose of sale.).
❑ I, as ownar of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business and Professions
Code: ThB Conirectors License Lew does not epply t0 en ownor of pmperty who bullds or Improves ihereon, and who coniracis for such projecl with e coniractor(s)
license pursuant to ihe Contractorfr License Wws.).
❑ I em esempt untler sec.
Signature:
Owner ID verifietl by tlriver's license. ❑ Yes � No
Business and Professions Code lor this reason:
Venlicatian af Ownership by (type of tlaument, i.e. - propeny tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PEAMIT CERTIFICATION:
Drivers LitenSe No.
Date:
EKpires:
❑ I hereby certify ihat no ezcavation �ive (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, end that no builtling stmcWre, scalloltling, falsework, or demolitlon or dismantling t�ereof, will be more than thiny-six (36) feet high. (Chep. 32, Grp 2, Atl 2, Sec.
34i, Title B, Calitornla Administratl�e Code).
❑ As owner-bullder, I will not employ anyone to do work which would require a permit trom Iha Division of Indusirial Sefety, as noted ebove, unless such person has a
parmil to do such work from Ihe di�ision.
Signeture: �ate:
Division oi Intlustrial Safely Permit Number:
CERTIFlCATE OF COMPLIANCE AND A�MORIZA710NOF ENTAY: I certify under Denalty of perjury ihat I have read ihis eDPliwtlon and stata lhat the information given is
correct I agree to comply with ell state laws antl ciry ortllnances relating to building construction, and authonze representatives of the Ciry ot Cos�a Mesa to enter upon the
ebove-descnbed properry for inspection purposes. I egree not to occupy or allow occupency ol eny building authorized by this permit until final inspection.
�'� .- Wre 0� Legal Owner(s) Date
��� ���— '-/� � , o �
An�ciOr Authorized Applicant Date
COOE �, INSPECTIONTYPE PBIF' INTRIALS
7616 Fixed System Final Fire Preven�ion
1266
200
201
202
203
Pool Spe Final
FMaI Re-Rooi
Finel Block/Retaining Well
Final Factory Fire Placa
Finel Siqn
204 Finel Damalition
COUE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupanry
G tri L 1
�
OWNER
loa ADnuess 2186 Meser_Place
DATE 12-10-5%
BIi1LDING PERMIT NO. C)ZOO
1G N R_ ONTkACTOR S& W M330 Contr. VALUE $ 275.00
. o. LOT TRACT PII2E ZONE DESCRIPTION OF WORK B10Ck FEI1C0
GROUP TYPE ZONE PLAN NO.
lNSPECTIONS
Test
DATE I SUBCONTRACTOR
13SUED
NUMBER
. COSTA MESA BUII.DBNG DEPARTAAEPlT ��
II P. 0. BOX .317 �
COStA MESA CAIIFORNIA
F-
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C•L. OF STREE
" J�PROP. �INE _
r 10 FT. FOR 60 FT. STREET
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES=-----
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
� 6200 � �� �E RECEI�y�`�.,
i ✓
FOR APPLICANT TO FfI:L�,�i '
� vA,e�E � �,�rc
BUILDING ADDRESS ��� �� ��r""'�
Owner
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Mail Address ���l+!, ,� '
City ��-v=� �4�_ Ph. No__ _ _ _
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City Lic._No.�7�S __^ State Lic. No. �` �__
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Size oE Lot eS%k��iJ AP No��J'—Sy1/ �
Set6acks: C/L Street �,��J� � Rear ���' i�'-
Side Yard - Right J"'�'- � Lef JG� �'� _
Type of Fence Y�✓ �Q �� �•� t���
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I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
Yermit Nc
f � /a��J 620 D
�a - �- s--7 I - zl,o%;
VALUATION �-�O`'`"`��V �p
Permit Fee $ `
"'�'""�� � Plan Check
TOTAL FEE $—_L
USE REVERSE SIDE FOR DETAILS
�
COLE, Elmer D, MAR 1�1958 � ua.TE
]oB a�DxEss 2186 Meper Place BUILDING PERMIT NO. GZOZ
1. ONTRACTOR Owner Builder vALas�$ 185.00
P. No. LOT TRACT FQ2E ZONE DESCRIPTION OF WOR% ffinr.k FP.nr.e
GROUP TYPE ZONE PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR
DA E NUMBER
Tcenches Forms � Steel �
coat
Final Gas Test
' '.
COSTA MESA BUILDIIVG DEPARTPAEIdT � I 6201 I "`�� �����a���
P. 0. BOX 317 ��, - q- � 7 r`~-
,...��. ..�... .,. � ��..�.��.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON OOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
FOR
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..
. . . .iryt_'1 .. i . i �
City Lic. No. - — State Lic. No.
Size of LoL�,��' AP No. ��S y�S '"���
Setbacks: C/L Street �CJ �/At iLt� D�,R�, . 3� S� Rta.
Side Yard - Right ("J Left �
Type of FenceY� �LO CK, W �l L►}STFhS /L t0%
i�?fi-x, (a-s t�c�i siCe'�� ri... rcedz.
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
U,SE REVERSE SIDE FOR DETAILS
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COST.4 MESA BUILDING DEPARTMENT
P. o. eox 3I�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
MAIL
ADORE55
ARCHITECT
OR ENGINEER
lE6A�
OESCRIPTION
A.P. NO.
USE OF
E%ISTING BLDG.
COSTA MESA. CALIFORNIA
LIC.
NO.
CITY LIC.
NO.
NO.OF BLOGS.
�IOW ON LOT
SETBACN LINE FPOM � /
cEHteA or sraEEr � O REAR YARD 10
SIDE YARO RIGHT � � LEFT ,S /
DESCRIPTION OF WORK
NEW ALTERATION �IIj ADDITION
REP, I �MOVING 1 II DEMOlISH
BUILOING 1 NO,OF
SIZE ROOMS STORIES
EXTERIOR WALL (.7'!�/�j�/�� ROOF l��^^
COVERING J/�GLCI COVERING f�G:
USE OF NEW /Ir�. � �AX � TT
BUILOING X�/� /Y
S
FEE RECEIVED
^M�,'1, ��5� �
FINANCE DEPT.
CITY OF COSTA MESR
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
COSTA MESA. CALIFORNIA
APPROVEO
BY
DATE
CORRECTIONS
HEREBV PCKNOWLEOGE T PV[ N
$TTTE THAT TME RBOVE IS CONRECT PN� 4GPEE TO COMPIV WITM tLL
CITY OH�IN4NCE5 <Np STATE LAW$ REGl1L/TING BUIL4ING CONSTPUC�
iioH. VAWATION '
SIGNATURE OF PERMIT FEE S �-' �
PERMITTE� /oJ 3 a V 2 .
PLAN CHECK 5 / ,J
$
eurunancn er.rur TOTAL FEE $ { C�
�err
OW NER POLKINGHORN CONSTRUCTION CO3 DATE 3-7-57
JOB ADDRESS 2186 Mever Place BUILDING PERMIT NO. #�SSZ
GENERA�CONTRACTOR dWI1BP Bldr. VALUE� 1Q�38Q.�Q
�or q s�ocK TRACT 3135 Res. w/att. gar. t
GROUP I& J TVPE V ZONE FIRE bISTRICT (1O]1
PERMITSISSVED
INSPECTIONS O_,f, �r� � g_AT�-7 SUBCONTRACTOR DATE I NUMBER
R�Ll�CN••i T9 /
Foundation Forms and
Plumbi
St.
Septic Tank or Cesspool �
Lathinq.ln Out
Plumbing, Final, Fixtures Con
Plumbing, Final Gas Test /S—
Wiring, Final
Occupancy
FOHM 210 3M 10�'v9