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HomeMy WebLinkAbout2208 MEYER PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mes�a�u�,TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmbec Applicant: Address: Owner: Address 2208 MEYER PL 42218131 RENE JOHN SUSSMAN ELECTRIC 9222 CHRISTINE DR HUNTINGTON BEACH, CA ANSFIELD, VALENTINE J 1103 VALLEY VIEW DR , VERMILIION, SD Phone: 714-497-7453 Zip 92646 Phone: Zip: 57069-3550 Contractoc RENE JOHN SUSSMAN ELECTRIC Address: 9222 CHRISTINE DR ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service l0 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Molors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: 714-497-7453 HUNTINGTON BEACH, CA Zip: 92646 License: 556072 ISSUED BY: SCOPE OF PERMIT CHANGE-OUT OF AN ELECTRICAL SERVICE AT THE REAR OF AN EXISTING SFD. 1 SERVICE TO 200A NO OTHER WORK AUTHORIZED WITH THIS PERMIT. Quantity $23.50 $0.00 $0.00 $0.00 §0.00 $0.00 50.00 50.00 So.00 50.00 50.00 $30.50 $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 Temp Dist System / LigMing Busway /100 k Standing Section Misc Electrical Equipment Transformers up l0 1 kva/kw ................uP to 10 kva/kw .................up to 50 kva/kw .....:..........:up to 700 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Conduclor - Cirws ( gen or ride) � Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Olher Electrical Fee Investigation Pee Plan Check Fee Reinspeclion Fee $0.00 $0.00 $0.00 $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 $0.00 $0.00 TOTAL CALCULATED FEES §54.00 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: OS/24/2007 Issued: 05/24/2007 Quantily 0 0 0 0 0 0 0 0 0 0 0 0 0 D 0 0 0 NO710E: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1�, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all requlred inspeetlona antl final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5628 2d48�d81��) WORKERS' COMPENSATION DECLARATION: � I hereby aHirtn untler penelty of perjury ane af the tollowing decleretions: ❑ I heve entl will melnteln a cetliticare of consent m self-Insure tor workers' compensetlon, es provided for by section 3700 of the Lebor Code, for ihe peAormance of the work for which this permli is Issuetl. ❑ I have enG wlll melntain workers' compensetion insurance, as reQuiretl by sectlon 3700 of ihe Lebor Code, tor ihe pedortnance of the work for which this permit Is issued. My workers' compensetion Insurance wrder end policy number ere: Cercier: Policy Number: (This secfion need nof be complefed i! the permit is valued af one hundred dollare ($f 00J or less.) �� I certify ihet In ihe pertormance of t e work f r which ihis permit i5 i55ued, I shall not employ any pereon in any manner so to be me sub�ec� t0 the worker5' compensatlon laws of omla, egree at Ii I should becoma sub�ect to Ihe workers' compensation provisions of Sac on 37 of the Le6or CoAe, I shell forthwith complY wilh these provi ' s. ` ^ Applicant�Si9naNre:-�' pete: v /v WARNINO:FAILl1RETO5ECl1REWOR RS' PENSATIIXJCOVEMGEISIINLAWFULANDSHALLSUBIECTANEMPLOYERTOCRIMI PE ESANUGVILFINESUPTOONEHUNDRED TlIOUSANDOOLLARE(E100,000),INAD TOTHEC0.STOFCOMPENSATION,OAMAGESASPROVIDEDFORINSECilON31WOFTHELABOqCO�E,IMEREST,ANDFTTORNEI"SFEES. LICENSED CONTRACTORS DECI.Ap I hereby aHirtn ihat I em Ilcensed undar force entl eHect. LJc..a) /. CONSTRUCTION LENDING AGENCV: 7000) of Division 3 of the Business and my license is in full ❑ I hereby eHirm thet Ihere is a construction lending egency for ihe pertormance ot the work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Neme: Lender's Address: SigneNre: Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm thet untler penalry ot perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the Following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires a pertnit m consiruct, alter, Improve, demolish, or repair any simcWre, prior to its issuance, elso requlres the applicant for such permit to file e signed stetement that he or she is licensed pursuant ro the provislons of ihe Comrectore License Lew (Cheprer 9(commencing with Sectlon 7000) of Division 3 ot iha Business antl Profeulons Code) or Ihat he or she is exempt therefrom entl the 6asis tor the alleged exemption. Any violetion of Sedion 7031.5 by eny epplicent tor e pertnit sublects ihe epplicent to a civil penalry ot not more ihan five huntlretl tlollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure Is not intentle0 or otteretl tor sale (Sac. 7044, Business antl Professions Cotle: The Coniractors License Law does not apply to an owner of property who builas or improves thereon, end who does such work himselt or hersetl or Ihroug� his or her own employees, O�ovided thet such improvemenis are not intended or oHered tor sale. If, howevar, �he building or improvement is sold within one year of completion, the owner-builtler will have ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ' ❑ I, as owner oi Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of propeny who builds or Improves thereon, and who comrects lor such Drolect with a conirecror(s) liCenSe DurSuant to ihB Conirettor5 Liten58 WwS.). ❑ I am exempt under sec. Business end Professions Code tor ihis reason: Signature: Date: Owner ID verifiad by driver's license. ❑ Ves ❑ No Drivafs License No. Vedticetlon of Owners�ip by Qype of tlocument, i.a. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Eapires: ❑ I hereby certlM1/ ihet no excavetlon tive (5) or more feet in tlepih into which e person is required to descend, will be made In connectlon with work euthorizad by Ihis pertnit, end thet no building simcture, sceHolding, falsework, or demolition or dismantling ihereof, will be more Ihan Ihirty-siz (36) feet hlgh. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Californla Atlministrative Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a parmit from the Division ot Indusirial Safety, es notetl above, unless such person has a permit to tlo such work trom the tlivision. Signatura: Date: Division oi Industrial Sefety Permit Numbec CERTFICATE OF COMPLIANCE AND AIfTHORIZA710N OF ENTRV: I certity under penalry of perjury ihat I have read ihis application and state thet the information given is correct I egree b comply with ell stete laws and city ordinences relating to bullding construction, end authonze representatives ot the Clry oi Costa Mesa to enter upon the ebove-described property for inspection puryoses. I agree not to occupy or allow xcupancy of any building authorized by Ihis permit until tinal inspection. COUE I. INSPECTIONTYPE 1616 Fixed System Final e i 1266 200 Pool Spa Final Final Re-Roof 201 Final Black/Retaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Damolition Owner(s) +/�---� �— ApPlicant—=- o"re 1tID➢AL$ COpE� INSPECTIONTYPE 206 Final Mechanical 20B 210 212 220 Final Plumbing Final Electncal Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE L�L�4 (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 2208 MEYER PL Suite: Vicinity: RESIDENCE WITH ATTACHED GAR4GE Parcel Number. 42218131 Applicant: ANSFIELD, VALENTINE J Address: 1103 VALLEY VIEW DR � VERMILLION, SD'. � � - i owner: ANSFIEID, VALENTINE J Atldress 1103 VALLEY VIEW DR VERMILLION, SD Comractor OWNER-BUILDER Address: Zip: Zoning: Phone: 949-764-0083 ' Zip: 57069-3550 Phone: 949-764-0083 Zip: 570693550 Phone: License: 0 Status: ISSUED Applied: 01/31/2002 Issued: 01/37/2002 Arch : " , � " ' , Eng: � , - Adtlress: - �. � � � Addressi " - . - ' � Phone: ' � , � - , Phone: , •� Zip: ' .- License: - � License: � SCOPE OF PERMIT REROOF: TEAR OFF ASPHALT AND WOOD SHINGLE LAYERS, PUT NEW SHEATHING & METAL FLASHINGS, INSTALL TAR PAPER & COMP. SHINGLE, 30# FELT, 2300 SF (ATTACHED GARAGE). Plan Check: $0.00 Permit: $69.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75; , , - SETBACKS MAIN STRUCTURE Front 0- 0 Rear 0- 0 ACCESSORY Front 0. 0 Rear 0- 0 PARKING Existinq: 0 Reauired: 0 NOTES: FEE SUMMARY Calc Valuation: gz,000.00 Claim Valuation: sz,000.00 PLANNING�& ZONING � �- " Left 0- 0 Ri9ht 0- 0 Lefl 0. 0 Right 0- 0 Pro osed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(omia statutes and related regulations. (Ord. No. 92•28, § 1, 12•21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. • �� INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 zas<a larool WORKERS'COMPENSATON DECLARAnON: I �ereby ettirm under penally at perjury ono ot Ihe lollawing decleraiions: ❑ I heve end will maimaln e certificete of consent ro self-Insure br workers' compensation, as provided for by section 3700 of the Lebor Cotle, br ihe peAortnance of Ihe work tor which Itlis permit i5 issuetl. ❑ I have entl will maintain workers' compensation insurance, as required by section 3700 of ihe Lahor Cotle, tor !he pedortnance of the work for whkh this pertnit is issued. My workers' compensation Insurance wrrier and policy number ere: Carrier: � Policy Number: (This section need nof be comp/efed l! fhe Oelmit is velued /e1t one hundred dollars ($700) or less.) �I certify that in lhe pertortnance ot Ihe work tor whi tf t 1is permit Is issued, I shall not employ any person in eny manner so as to bewme subjeci Io the workero' compensation lews ol Calitomiq end ree thai' oultl become suDject to the workers' compensation provislons ot Section 3700 of the Labor Code, I sha0 tort�wilh comply with these prav' ons / �icenfsigneture • � vate:^— / � � � — � Z- AI�URE TO S�CURE ORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EM�ii TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE MUNDRED i/iOUSAND00LLAFE(5100,000) NADDITIONTOTHECOSTOFCAMPENSNTION,OAMAGESASPROVIDEDFORINSECTION39080FTHELABORCODE,IMEREST,ANDATTOiiNEY'SFEES. LICENSED CONTRAC70RS DECLARATION: I hereby eHirm that I am licensed untler provisions of Chapter 9(commencing with Seqion 7000) oi Division 3 of Ihe 8usiness and Pm�essions Code, end my license is in tull lorce and eHect. Lic. q Cless a Contracbr's Signature: Date: CONSTRUCTION LENDING AGENCV: �� ❑ I here6y aHirtn thet I�ere is a consiruction lending egenry for Ihe peAormance ot the work for which this permit is issued. (Sec. 3097, Civll Cotle). , ' LentleYs Neme: Lenders Adtlress: Signa�ure: � Date: OWNER-BUILDER DECLARATONS: I �ereby eMirtn thel untler penalry at perjury t�et I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe lollowing reasan (Sec. 7031.5. Busineu end Professians Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe applicant for such pertnit to file e signetl statement that he or she is Ilcensed pursuant to the provisions at the Contractors License Lew (Chepter 9(commencing with Sectlon 7000) af Division 3 ot ihe Business end Protessions Code) or that �e or she is exempt therefmm and ihe basis fo� the aileged axemption. Any violetion ol Section 7031.5 by eny applicant for a permit s jects the appliwnt to e civil penalry of not more than fiva hundred Aollars ($500).): I, es owner ol the pmperty, or my employeas with wages as their sole compensation, WILL DO T1E WORK, antl the swcWre Is not intentled or otterad for sele (Sec. 7044, Business end Pmfessions Cade: The Contracbrs License Law tices no� aDPly to an owner ot pmperry who builds or improves thereon, and who Ooes such work himself or herseli or Ihrough his or her own employees, provitletl that such improvemenis are not intended or oHered for sale. If, however, Ihe building or improvement is sold within one year ol completion, the owner�6uilder will have the �urden of proving ihat �e or she did not build or impwve for puryose of saie.). ❑ I, as owner of ihe propetly, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to cons�ruct lhe projeci (Sec. 7044, Business and Pmfeuions Catle: The wmractors License Lew tl� not epply to en owner ot pmpeny who builds or Impmves thereon, and who comrects lor suc� project with e contrector(s) license pursuant to the Comractors L�pnse,lews.). ❑ lem Verificetion of Owrkrship Dy (type al Business and Professions Code tor this reason: s ❑ No i.e. � property tax bill or DIVISION OF INDUSTFiIAL SAFETY PEflM1T CERTIFICATION: ❑ I hereby certify ihet no excavetion five (5) or more feet in tlepth in�o which a person Is requiretl to descend, wlll be made In connectlon with work authonzed by ihis permit, and thal no building strucWre, scaHolding, falsework, or demolition or disman�ling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Celifomle Admini5lre�ive Code). ❑ As owner-builder, I will no� employ anyone to do work which would raquire a permit from the Division ol Indusiriel Selety, as notetl ebove, unless such person hes e permit to do such work from ihe division. Signature: Oate: Division ot Industnal Sefery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVATON OF EMRV: I cenify under penalry of perjury ihat I have read ihis application antl state that ihe infortnetion given is �cortect I egre to comply wiN ell stat lews en ry ortlinances relating to buildinq construction, and euthonze representatives of the Ciry of Costa Mesa to enter upon Ihe ebove-desc' d rop y i specY p . I agree not to occupy or allow occupancy of eny building authonzed by ihi permit until t�al i�n� tion. i., � _ �- ��, �g re OI Legal Owner(s)'`, } "�-' Date � And/Or Authonzetl Applicant Date CO�E I, INSPECTIONTYVE . 161fi FI:eC System Finel Fire�Prevention 1266 Pool Spe Final 200 201 202 203 Final Re-Roaf Final BIocWRetaining Wall Final Factory Fire Place Final Sign 204 Final Demolition QejE IN�ilALS 2- L7-�2. �_ COOE 1 INSPECTION TYPE 206 Final Mechenical 208 Final Plumbing 210 Finel Elecirital 272 Final Flre Preveniion 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupency PAg L�L$ < C� � C� ��.'ev.a $'u�i'duuy Div�io� OWNER-BUILDER VERIFICAT[ON 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 [he re[um of, an owner-builder verification. Attention Property Owner. An `owner-builder' building permit has been applied for in your name and bearing your signa[ure. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildin�pemut will be issued until this verification is received. �1. I personally plan to provide the major labor and materials for construction of the proposed �-J property improvement. �f Yes ❑ No 2. I �h�a�vJ� NRVC� signed an application for a building permit for the proposed work. 3. I have wntracted wit4 Name Address Phone ( ) 4. I plan to provide po� supervise and provide Name Address Phone ( ) 5. Name 1002-48 (F1EV.9/9B) the following person (firm) to provide the proposed construction: City Convactor's Lia No. of the work, but I have hired the following person to coordinate, major work: City Contractor's Lia No. I will provide some of the work bu[ I have provide the work indicated: Address (hired) the following persons to Yhone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of Califomia Health and Safety Code and have completed the above information to the best of my personal knowledge, in compliance with this State law. � jDa[e :' ./ —.3 �—� Z_ For more information call City of Costa Mesa Building Division at (714) 754-5273. 1002-48 (REV. 9/9B) OWNER _ 5��. COIINTIES DEV. C0. DATE ]„],�13�5( JOBADDRESS 2208 Meyer Place BUILDINGPERMITNO. #'j938 GENERqLCONTRACTOR Owner BZdT`. VALUE $ 9�(JOO.00 _ LOT ].'2 BLOCK TRACT 16h3 DW2�.�.iIIg W�8{',t,. gBT. GROUP I& J TYPE V ZONE �! FIRE DISTRICT 398Z I DATE I SUBCONTRACTOR I PERMITSISSUED INSPECTIONS , Rouqh to Slab Plumbi 20 ' I i_ i C'.. Heatin9, Final I-'j'�-c} I% �� ,r�JL✓; u�i(� I//- 3J-.�.%I �/�/ 9— �ewer, House � Sewer, St. %yj/� s �, �/�/-s J � , _ _ G..... . 1 - /L-C7 �n .�' 4 U !� or n Plumbing, Final, Fixtures Completel'Y/e� �/-Jj%r,s"] Plumbing,Fin,alGasTest � ji'Z(i5 ��-�J o�j_f:✓ St�„a3- Wiring,Final // R 5� �� �i Occupancy �'-� �.�y���f � FOftM 2(O 3M lO�vS Costa Mesa Building Department � APPI,ICATION FOR PERMIT ,� --:=:, P. O. Box 3!7 O(]QO �i �� 0 �_ �i � N� 7: COSTA MESA, CALIFORNIA " �f� �"' — — � — — - � - — e FOR OFFICE USE ONLY ' FOR APPLICANT TO I'+ILL IN Receipt No. Permit No. Building Address 3 �� Costa Mesa, L'a�OPIIIa, Rece��etl by Date Rec'd. Date Issued � _� �� ��, NOV 1 3 1956 Nearest Cross St. Building � Address Owner SO, C o✓ uT �¢ S O��t o Costa Mesa, California Mail Address �4o�f GoI.DEi.lU'�5'T Nearest Te�. Cross St. Cfty a _ No. Zone I plans I Type� Group Arohitector GAQ.Lso wf Lic. Engineer No. Appro�ed by Date �ddress _N CORRECTIONS � ` / / ,/ City Lic. _ .ntrector � ,( �a.ryo, . Addreu Legal Lot I 1 C� 'S Description I No. (,'�, I Block I Traet (Attach Metes and Bounds) No. of Bidga Size of Lot p Now on Lot p ljseof � No.of I No.of � Existing Bldg. F,amilles Rooms � Setback Line from Rear Yard ',�` — Center of Street �o Side Yard Z D DESCRIPTION OF WORH � New I� I Alteration I I Addition I Repair I I Moving I I Demolish I Building No. of Size O x % �� Rooms Stories erior Wall I Roof ✓ering S��uo Covering y{�yDp APPRQvt��r�' Use of New `� Foundation Location Inspector � Date Buiiding a�, p„r.t.��� Forms, Materials, Under-Pinning L Frame: Fire Stops, 8racing, Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. int. with all City Ordinances and State Laws regulating — building construction. Lath. Ext. Signature of Permittee 4c�. CO. D EU�, C O. Plaster, Int. � Authorized Agt. y.,..�� Plaster, Ext Valuatlon Permik Fee $ a�� Masonry Reinforced 9 � 0 Q� Plan Check $ "" Bond Beam $ � Feea' $ ✓� � FINAL FORM 204 lO�tS D, P. 6 S. O I✓ �� YLV'1 YLALV &how locatlon and distancea Trom propeMy Iine and between buildinga ,. . ,:,-�.,. , . , � , _ � � , , 1 n -� � � • l` . _ . . . � . � _. . . � : . _ , . .� . _ � �. i.. _ . _i. . .. _ t . � � . d � .. 1" .. � � ,_. �. -i't : ,� c� '�. ' , .. S__ . � ..., .i , `\' , . . C, �-�- � . ,. .. � , .� i .li = . . . . . . _l � ' . { ( � ' . e - _ . , OWNER BUTTRAM, DAVID A, DATE ],1-ZG-SI{ JOBADDRESS 2008 Meyer P],. BUILDINGPERMITNO. 71I1 GENERALCONTRACTOR Owner-Huilder VALUE $ 8�992•� _, G40UP i TVPE V ZONE +�.L FIRE DISTRICT �T2µ INSPECTION$ I DATE I SUBCONTRACTOR I PERMITSISSUED DATE I NUM9ER Foundation Forms and Grade to Garage Rough Framing � � �� Plumbing, Rough to Slab 5 Plum6ing, Rough Complete f ,Y:: �� Temporary Pole Wiring, Rough Z" Heating, Rough Heating,Final !GL .� Sewer /�,y SeptiC Tank or CesSpool � Lathing r' � ?lastering �(�— Plumbing, Final, Fixtures Compl te �l/��y— � Plumbing,FinalGasTest/J� - �/% -p Wiring,Final ?+5(�L -%� Occupanc /�L �,2 Form Yl0 G-H 1M 12-69 - Stl 7U t /3�-