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Home My WebLink About2906 PEPPERTREE LN - Building Permits(714) 754-5273 • FaX (714) 754-4856 • www.Ci.Costa-m05a.ca.US 77 FAIR DFiIVE, GOSIA MESA, GA 92626 BUILDING PERMIT JobAddress: 2906 PEPPERTREE LN Suite: Vicinity: Parcel Number: 13920316 Applicanr. GARCIA,FRANK Atldress: 21681 IMPALA ST HUNTINGTON BEACH, CA Owner. SCHWALBE, JEAN E TR Address ' S31 SAN BERNARDINO AVE , NEWPORT BEACH, CA Contractor. COAST ROOFING Address: 216611MPALA ST A�ch : Address: HUNTINGTON BEACH, CA Zip: 92646 Phone: Zoning: R3 R3 Phane: 714-96&8754 Zip: 92646 Phone: Zip: 92663-4812 Phone: 714-968-8754 License: 450393 - Eng: Address: Status: ISSUED Applied: OS/28/2003 Issued: OSI28/2003 ISSUED BY: ( / � ' `- Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF BUR AND INSTALL BUR ON GARAGES ONLY. . Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspectian: � Total: $0.00 $38.75 �0.50 $0.00 $0.00 $0.00 $39.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fmnt 0-0 PARKING Existina: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $972.00 ssiz.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (Ord. No. 92-28, § 1, 1241-92) 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 ot 180 days. ' INSPECTIONS: In order for the work authorized under this pertnit to be consideretl legal, such work must comply with all applicable codes, and all requlred inspectlona and final approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 200608 (fl�00) WORKERS'COMPENSAnON DECLARA�ON: I hereby aHirtn u<der penalj� oi perjury one of ihe tollowing declaratlons: ❑ 1 heve end wlll meimain e cenificate of wnsent m self-Insure tor workers' compensetlon, es provided for by sectlon 3700 0l the Lebor Code, tor the pertortn�nce of lfi` work for which this permit is issued. e and will maintain workers' compensation insurence, es requiretl by section 3700 of Ne LeDor CoOe, lor the perfortnance of tha work br which this pertnit is issued. w rkere' cIom qsatlon Insur ce wrder end policy number are: arrier: �Ci-�� irrnf� P liry Nu ber. /��%�JQ— 7Af� 3 bi fion neetl not be co p/etetl i/ the permif is velued ef one hundred dollers ($100) or IessJ ❑ I certify that in the OeAortnance of Ihe work for which Ihis pertnit is issued, I shall not employ eny person in any manner so es to become SuCject to Ihe workers' compensation laws ot 'fomle, entl agree thei if I s�oultl Decome sub�ect to the workers' compensetion provislons ol Section 3700 of the Labor Code, I shall torthwith y' h these pr is' ns.,�/ / centSig ure: � �'/�'7u-/L(4i �8ete:1 �r/Z,{�/D 7i ARNI . ILURE T052CURE WORKERS' dJMPENSATIdJ COVEMGE IS UNIAWFUL ANO SHALL SUBIECT AN E CPIMINFL PENALTIES AND CIVIL FINES UP TOONE HUN�RED SaND DOLLARE (5100,000�, IN MDIiION TO TME WST OF COMPENSATIIXJ, DMMGES AS PflOVIDED WR IN SECTION 3IW OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. I herE force DECLARATION: ed under provi51on5 ot C�epler 9(commenting with Section 7000) ol CONSTRUCTION LENDING AGENCV: and Professions Code, end my license is in full ❑ 1 hereby ettirm thet thera is a consWction lending agency tor the peAormence of t0e work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: lendefs Atldress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn thet under penelty ol perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Professions Code: Any Ciry or Counry which requires e permit to tonsiruct, elter, Improve, demolis�, or repalr any sWcture, prior to its issuance, el5o requires the eD7litant for such pertnii to file a signetl statement Ihat he or she Is licensetl pursuent lo Ihe provislons ot the Contrectors License Lew (ChaO�er 9(commencing with Sectlon 7000) of DlNsion 3 oi the Business and Profeuions Code) or tha� he or she i9 exempt therefrom end Ihe b85i9 lor �he elleged exemption. Any NOIBiion ol SecliOn 7031.5 Dy flny applicant for e pertnit subjects tha applicant to a civil penalry ol not more Ihan five huntlred dollars ($500).): ❑ I, as owner ot the property, or my employees with weges es Ihelr sole compensation, WILL DO TFIE WORK, end tha structure is not intended or ottered for sale (Sec. 7044, Business and Prolessions Code: The Contracrors License Law does not apply to an owner ot pmperry who builds or impmves Ihereon, and who does such work himselt or hersell or ihrough his or har own employees, provided ihat such improvements ere not intendetl or oHered lor sale. II, however, ihe builtling or improvemen� is sold within one year ol completion, the owner-builder will have-I�e burtlen oi proving iha� he or she did not builtl or improve for purpose ot sale.). � ❑ I, es owner of the properry, em E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construd the pmject (Sec. 7044, Business and Professions Catle: T�e comreclors License lew doe9 no� apply Io en owner of pwpetly who bulltl5 or Improve5 Ihereon, and who contratts tOr such prqect wi�h e conirector(s) license pursuent to the Conirectors Licensa laws.). ❑ I am e:empt under sec. Business ena Professions Code tor this reason: Signature: Date: Owner ID veritled by driver's license. ❑ Ves ❑ Na Driver's License No. Vediication oi Ownership hy (type oi tlocument, i.e. - property tex �III or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby cenity thet no excavetlon five (5) or more leet in depih into which e person is required to descentl, will be metle in connection with work euthonzed by Ihis permit, and that no builtling siructure, scaffolding, lalsework, or demolition or dismantling thereof, wiil be more then thirry-six (36) feel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Administretiva Code). ❑ As ownervbulltler, I will not employ anyone ro do work which woutd requlre a permit from the Division ol Indusiriel Sefery, as notetl ebove, unless such person has a permit Io tlo such work trom the division. Signetura: Date: Division of Industrial Satery Permit Number. ICERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHY: I certity unOer penalty ot perjury ihal I have read ihis ep0��tion and state t�a� the information given is I corred. I agree to comply with all state laws end cIry ortlinences relating to bullding consiructlon, and authodza represent2tives ol the Ciry ol Coste Mesa to enter upon the above-describetl D�operly for insDection purposes. I egree not to occupy or ellow occupancy of eny building authorized by this permit until final inspeciion. CO�E1, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Rool Finel BIacWReteining Wall Final Factary Fire Place Final Sign Owner(s) npp fe r � Q� �� _� {G� CODE� INSPECTIONTYPE 206 Finel Mechanical 20B 210 212 Finel Plum�ing Finel Eledrical Flnel Fire Prevention 220 Finel Planning Approval 222 Final Site 204 Final Demolition 250 Final Building/Oaupancy PeTE I[�eLS (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT �� FAIR ORIVE, COSTA MESA, CA 92626 JobAddress: 2906 PEPPERTREE LN Suite: Vicinity: 4 PIEX Parcel Number: 13929610 Applicant: SCHWALBE, JEAN E TR Address: 531 SAN BERNARDINO AVE NEWPORT BEACH, CA Owner: SCHWALBE, JEAN E TR Address 531 SAN BERNARDINO AVE Conhactor Address: Zip: Arch : Address: NEWPORT BEACH, CA � Phone: Zoning: R3 R3 Phone: 949-642-8125 � Zip: 92663-4812 Phone: Zip: 92663-4812 Phone: License: Eng: Address: Status: ISSUED Applied: 02/O6/2003 Issued: 02/07/2003 �✓� / ��ri� Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROOF. REPLACE SHEATHING AS NECESSARY. COVER WITH 30 YEAR COMP. REPLACE FASCIA AS NEEDED. Plan Check: Permit SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $9725 - $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 sa,000.00 $a,000.00 NOTICE: The work authorized by this 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 it work is not commenced within 780 days, or if work is suspended or abandoned tor a period ot 180 days. � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. IFOR INSPECTIONS CALL: (714) 7545626 aaaa6 (rvoo� WORKERS' COMPENSATON DECLARA710N: ' � 1 I hereby eflirm under penelty af perjury one of the tollowing declaretions: ' ❑ I have and wlll maimain a certltiwte of consent lo self-Insure tor workers' compensation, es provitled tor 6y section 3700 0l ihe Labor Code, tor Ihe pertormence of the . work tor which thi5 parmii is issued. ❑ I have antl wlll maintain workers' compensation Insurance, as requlretl by section 3700 oF Ihe Labor Code, for the perfortnance of the work tor which this pertnit is issuetl. My workere' compensation Insurance carner end policy num�er are: Carrier: POlicy Number: (This secf/on need nof be comp/efed i! fhe permif is veluetl ef one hundred dollars ($100) o� less.J �. I certiy t�et In t�e pertormance ot the work for which this permll Is iuued, I shall not employ any person in eny manner so as to become subject to the workere' compensatlon laws o Celifomia, and agrea t�et tl I hould become subject �o the workers' compensation provislons ot Sectlon 3700 of the Lebor Code, I shall torthwith comply with t�ese pr risions. L/ p � � ///1� n �-7 Applicant SignaNre: �.l� - o �L(///-u�`�I�� Dete: nC " �/'� � WARNINQ: FAILURE TO URE WOfiKERS' CqAPENSA ON COVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CFIMINAL PENALilES AND CML FlNES UP TOONE NUNDRED TqUSANDDOl1ARE(51 ,OOO�,INADDITIONTOTHECOSTOFCpAPENSATION,OAMAGESASPROVIDEDFORINSEGTIqJ3]OfiOFTHELABORCODE,IMEREST,AN�ATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihet I em Ilcensetl untler provisions ol Chepter 9(commencing with Section 7000) of Divislon 3 of Ihe Business antl Professions Code, antl my license Is in full lorce end eflect. Lic. q Cless N Contrectofs SigneWre: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby effirtn that there is a construction lending egency for the performance of ihe work for w�ich �his permit is issued. (Sec. 3097, Civil Code). Lentlefs Neme: Lender s Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby atlirtn Ihet under penalty ot perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW tor the fallowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or county which requires a permit to constmc6 elter, improve, demolish, or repair any structure, pdor to its issuance, also requires ihe applicant tor such permit to file a signed statement Ihet he or she is Ilcensed pursuent to �he provisions oi ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 ot t�e Business and Professlons Cotle) or that he or she is eaempt therefrom entl the basis tor the allegetl e:emption. Any Woletion af Sadion 7031.5 by eny epplicant for e pertnit subjects t�e epplicam to e civil penalry of not more ihan five hundred dollers (5500).): �I, as owner of t�e propetly, or my employees wlih wages es thelr sole compensation, WILL DO THE WORK, and ihe stmcWre is noi in�ended or otterad lar sale (Sec. 704A, Business and Professions Code: The Contractors License Lew does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his or her awn employees, provided ihat such improvemenis ere not intendetl or oHered for sale. tl, however, the building or improvement is sold within one year of completion, the owner-buildar will heve the burden of proving that he or she ditl not Duiid or Improve for purpose of sale.). � ❑ I, as owner at the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the O�elect (Sec. 7044, 6usiness antl Protesslons Cotle: The coniractors License Law tloas not epply to en owner ol pwperty who builds or Improves thareon, antl who coniracis tor such project wiih a contrector(s) license pursuan� to ihe Contractors License Laws.). ❑ 1 am exem t untler sec. . Signature: � Owner ID ve Ifi d by dnvers license�, Verilication o Ownership by (type oi and Pm(essions Code for this reason: s ❑ Na Dnvets License No. i.e. - properry te�c bill or deed): �� Y �� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I herehy certity ihat no excavation five (5) or more feet in depth into which a person is required to descend, will be metle in connection with work euthoAzeO by Ihis permi6 and ihat no builtling sfrudure, scaHolding, lalsework, or demolition or dismantling thereot, will be more than ihirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celitomia Atlminisirative Code). _ ❑ As owner�builtler, I will not employ enyona m tlo work w�ich would require a permit irom the Division oi Intlustriel Safery, es notetl ahove, unless such person hes e permlt to do such work from ihe division. Signeture: Date: Division ol Industrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AU7110RIZATION OF EMRV: I certify untler penalry of perjury �hat I have read ihis ap0�ication and state t�at tha infortnatlon given is correct. I egree to comp y with ell s ate laws entl city ordinences rela�ing to building consimction, and euthorize representatives of the City oi Coste Mesa to enter upon t�e ebove-d cnbed prope for insp tionpurposes. I agree not to occupy or ellow occupancy oi eny building authorizetl by th�p �mit until tinsl��pection. // % / 4 A! .GI A/�c oC G� � �'" // L �'d� Date ignature Of Legal Owner(s) And/Or Authorized Appllcent Data GQOE �. INSPECTIONTYGE tfi16 Fixed System Final Fira Prevention 1266 Pool Spe Final 200 Final Re-Root �� 201 Finel BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition CODEt INSPECTIONTYPE 206 Finel Mechanical 20B Finel PlumDing 210 Finel Eleclncal 272 Finel Fire Prevention 220 Finel Planning Approval 222 Final Slte 250� Finel Building/Occupancy p� � Jlu. ., � ��5�9 � COS�cj'A MESA BUILDING-SAFETY DEPARTMENT 'l� 0.6bX 377 GOSTA MESA. CALIFORNIA fOR APPL/CANT TO F/Ll /N COMPLETfLY � TYPE.OR PRINT � sui�owc ' 6 ADDRE55 29�6 Pepper Tree I.ane G{/ COSTA MESA, CALIFORNIA , _ e _ otegrove, nc. MAIL �C) �E• 1(tla Sti� AOORE55' CITV COSt2 P'I2S8 . . TNO.LIO��.� AR :CT Carlson RL ��C� � ' OF �NEER �,�3�`��eII�'��£ NO. A�oRE55 Garden Grove Dike & Colegrove, Inc. STATE [p p CONTRACTOR � �IQ NO. ZO12/3 AODRE55 "�� F'� 17f'h St'� 1 COSti2. P�fesa � [sceiPnoH INO? � IBLOCK �I�'RACT� A.P. NO. NO. OF BLDG x 100 ,,,,w .,,, ,,,Tsnone SETBACK LINE FROM � (] cENiEfi OF STREET � - REAR YARD �7 SIDE YARD ILEFT S� IRIGHT yO, 'DESCRIPTION �OF WORK ' F I x II e, TFAer,�N I II e��,r,��, I SIZE ��yV �—RpgMS STORIES. 'E%TERIORWALgtuCCO IR��F `�I'OCIC COVERING COVERING. USE OF BUILDING AND WORK TO BE PERFORMED M�l i nl P Fami l� �rlwPl l j,y1�,u�i th attached garage. (four livin�•units �EE �ECEIVED � --C'cJ �o-�s_s9. FfNANCE DEPT. �LICi4TION �F�OR .PERMIT � �BUILDING s fOR OFF/CE USE ON[Y ' I NEGEIPT NO. IA.�� 1 3ECEIVEU_aT . I DATnE RECEIVED�-f�I DFTE ISSUEO IM � `� 3��J /1 nn+ COSTA MESA. CALIFORNIA ZONING ZONE �/./� +��NO.OF !!11 �� OSE OF NEW � /•1 Y pLAN6 � BUILDIN6`�,`C.�/t� O Y APPROVED // .- BY /�I � i O—� �. _DATE /� `d �CENTER LINE ST.) S�. + c�a r. �J3 d � � I HEREBY qCKNOWLEOGE THAT 1 NAVE READ THIS APPLICATION AN� STATE THAT THE RBOVE IS COFFECT. AND RGREE TO COM- 7HE AMOIINT SHOWN UNDER VRLUATION 18 FOR THE PLY WITH ALL QTY ORDINRNCES ANO STpTE LTWS REGULqTING. PURPOSE OF E9TN9LISHING A PEFMIT FEE ONLY. euilowc CorvsiRucno ypWAT10N SIGNATURE OF - � � PERMIT FEE $ �O�OO PERMITTEE � , . . �� $ 3o;97�i�� PLAN CHECK' $ 2rj�� AUTHORIZED'AGENT , D1�Ce & legrove,� In0. �G�OQ TOTAL FEE $ � '