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Home My WebLink About2910 PEPPERTREE LN - Building Permits0 r. (714) 754•5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us Job Address: 2910 PEPPERTREE LN Suite No Vicinity: Parcel Nunmber: 13929608 Applicant: MINP Address: 24707 i r� ;i j�� /; �✓ � / j``� , (��Contractor. � I c..... ! ( j/ /1�)`! +,`dC 55: /I � �J I! ``L' �ir �•� � �, �ir' \` ' �I� Il� � i ,r � � r) ` �Arch / Eng4; O �} Address: � � ��' i , �t ,� ST ..- ,-. SAN PLUMBING PERMIT -- - - � " '-----.. 77 FAIfl DRNE, GOSTA MESA, GA 92626 Status: ISSUED Applied: 03/22/2004 Issued: 03/22/2004 _ , ISSUED BY: ��v .�- i -- r..� _�---.<-� �c _. '`�' � 1 ( , � - <�c��. � , � R ' ,i r � ' n �t� �f>> �� Phone:--�(661)259-713�/ �,� ��` \�-\. j��,�..-� _Z�p�=.91321-`� `--/j �.,.7 / � C.\ � ��r.._o - _-_ 1 � � � ` � � _ � � %,�= "�� `'�� :/ �`��\�/ �� A .\\ � � � \` ��l \ / \ Phone: \��\\ � � � I�{ i :�' ; v o� °: � _/y1````�� °•° j, "ER HEATERS•& PLUMBING RD rr�^B �� dy �. _ \r»�"� �' i i Jt. 'i"'-..�..-�-'� „'�� .--'�. `� - Phone: (661) 259-7131 ~ "� � ' SANIA�ULAKI.IA,GA Zlp: 91321 ---,, " (/ i./ � /� =\ �� License: 627368 � -�: -- - =-=_ � - -� , ��1 �C�'�171 °� ��' 17°�.� � rs 11 �° � �, ��q�-�. � { 1�, i .EP,LACE WATER HEATERFOR U \V�.. ti \�� I ., ��`} </�<, AMT ISSUE FEE � �/" $23.50 Backflow irrigation $0.00 Backflow Prevente`� �$0:00 Bathtub � �$0:00 Clarifier System � � $0.00 Conned Qce,Soda,etc) -\ $0.00 Dental Units \$0:00 Dishwasher $0�00 Drain, Floor $0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 ��.y0� ,,r• � �-iitj�Launilry Tub � >��andscape`li � 'P,Trap i, �.,°ca� � AMT. �QTY.,,a.c sher��o �$O.00i�'�OS`s� in'J � �$0.00 0 - 00o a�l $0.00, ��0"'_-.- 1;// �V C P�� , ining,Pool i�,� �rimer,�,�� .'�, �-!_ ` ✓-' %� / `r��y�r.,, �,,.�.� ,..,,.,_.,-,.>-.: i.a,,,.dm$rkrBkflOw(1-4) 0'��, � Receptors ��`:=�.= ;'$0:00�0' \��Vacuuin Brkr�Bkflow(5+) O�r�SepticTank"�-- =$0.00 0�� WashBasinj � 0'^�.� �� Sewer'Cap for Demo $0.00 ��0''t l ��VJash�Basin�Set 0� � `�Sewei.Conneet % � � i �-� � 50.00 `' �0 `�� Waste�and Vent System 0- Sewer Frivate Line `�-' �� $O.00yCO�� ' /��Water Closet (Toilet) 0�"1' ``�Shower '"-� �-� 1l U�-� $0.00 0-% j'-' Water Heater / vent 0\\`'-Sink,_tiar.�� _� $0.00 �,0�� Water Piping pnsl or Rep.) 0 Sink,-commerciaPGUC�$O.00sO Water Re-pipe 0 Sink, Floor --'-' �`�$0.00 0 Water Service C $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants 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 if work is suspended or abandoned for a pedod of 180 days: • - .. ... 7.. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such workrmust comply with all applicable codes, and all required Inspeetions end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 zaaaee la'oo� WORKERS' COMPENSAnON DECLAFiAnON: � - 'I hareby aflirm under penalty of perjury one o� the following tleclaretions: -� � " ❑ I have antl will maintaln a certificate of consent lo self-Insure tor workers' compensetion, as pmvitletl for by section 3700 of the Labor Code, for'the pedortnarice oi the ork lor which lhis pertnit is issued. I have entl will maiNain workers' compensation insurance, es required by section 3700 of the Labor Code, for the pertormance of Ihe work for which this pertnit is�iuued. //�My workers' compensation Insurence carner antl policy number are: ,c- �[:afper: �, � Y� P cyNu er. � L, CW� 3.\' - 7fhis section need nat be camplefed i! the permil is value0 at one hundred tlallars ($100) or less.) . _ ❑ I certity ihat in the peAormance of the work for which this permit is issued, I shall not employ eny person in any manner so as �o become subject to Ihe workers' ensation laws of Catifomia, and egree that Ii I shoul� become sub�ect to the workars' compensetion provisions of Sec[ion 3700 oi Ihe Labor Code, I shall foRhwith � com y with these provisians/.� Appliwnt gnature: '/7/Q/,�0��((�,C�}.(f-L_ �a: 3-a�—v� G FAILURE TO SEC�ORNERS' CQHpENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLO O CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLI.ARE (5100,000), IN ADDITION TO THE COST OF CqMPEN5AT10N, DAMAGES AS GROVIDED FOR IN SECTION 3]O60F THE 1A80R CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm that I am licensad untler provisions of Chapter 9(commencing with Section 7000) of D� �� f the Business and Professions Cade, end my license is in tull rorca ct Lic. x �o � 7 6 �Class p L 3�o Conir igneture: �� j %�'j.GLti.t! �etSi 3'ei.'1—Y�Y CONSTRUCTION LENDING AGENCY: v ❑ I hereby attirm Ihat there is a construction lentling agency for the performance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler'S Neme: Lentler's Atltlress: SignaNre: OWNER-BUILDER DECLARATIONS: Date: I hereby aftirm that untler penalry of periury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Profeuions Coda: Any ciry or counry which requires a parmit to consiruct, alter, improve, demolish, or repair any slrucNre, prior to its issuance, elso requires ihe epplicant for such pertnit to file a signed statement thet he or she is IlCensetl pursuant to ihe provislons of the Contrectors License Law (Chepter 9(commencing with Section 7000) of Division 3 oi the eusiness and Professions Code) or that he br she is exempt theretrom and t�e basis for the alleged exemption. Any violation of Section 7031.5 by any epplicent for a pertnit subjects the applicant to a civil penalry of not more then fiva hundred dollars ($500).): ❑ I, as owner of the properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end the siructure Is not intendetl or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Lew does not apply to an owner of property who builds or improves thereon, and who tloes such work himseN or hereelf or through his or her own employees, provideC Ihat such improvements are not intended or oflered tor sele. If, however, Ihe building or improvement is soltl within one year of completion, the owner-builder will heve ihe burden ot proving ihat he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro constmct the project (Sec. 7044, Business and Professions Cotle: Tha con�rectors Llcense�Law,tloes not apply to an ownar ol property who builds or improves thereon, entl who coniracis tor such project with a contrector(s) license pursuant to the`ConBactois Cicgnse Laws.). ❑ I am e:empt under sec. ��`g"S'K•� Business and Professions Code tor this reason: Signature: � Dete: Owner ID verified by dnver's license. �� Yes` �-� No Drivers LiCenSe N0. Expi�es: Veniication of Ownership by (type ol document, i.e. - properry taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more fee� in depth into which e person Is required to descend, will be matle in connection with work euthorized by ihis permit, and thet no building simcture, scaHoltling, talsework, or demolition or dismantling thereoi, will be more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califomie Adminisirative Code). ❑ As ownervbuilder, I will not employ enyone m tlo work which would require e permit irom the Division ot Indusirial Safery, as notetl ebove, unless such pereon hes a permit to tlo such work trom the division. Signature: Date: Division oF Indusirial Safaty Permit Number: ICERTIFICATE OF COMPLIANCE AND AUTHORVATON OF ENTiiV: I certity under penalty of perjury that I have read ihis apPlication and state that the information given is I correct. I agree to comply with all stele lawg end ciry ordinances relating to building coreWction, end authorize representatives ot ihe Ciry of Costa Mesa to enter upon the above-descnbetl property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit until final inspec�ion. CQOE 1. INSPECTIONTYPE � 1616 Fixetl System Final Fire Prevention 1266 �Pool Spa Final � . 200 Final Re-Roo� 201 FIneI BIocWRetaining Wall , 202 Final Factory Fire Place 203 Finel Sign 204 � Finel Demolition � � Q�jfi INTRIRLS COPE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Finel Eleclncal 212 Finel Flre Prevention 220 222 250 Final Planning Approval Finel Sile . Final Building/Occupancy Q� UQII19Lfl � .. r �°�� . �EE RECtiIlE� COSTA MESA BUILDING-SAFETY DEPARTMENT �� ,�.a3-S� P.O. BOX 317 COSTA MESA. CALIFORNIA , `1��CE DEPT. � � FOR APPL/CANT TO F/LL /N COMPLETECY �PL�CATION�FOF2�.PERMIT TYPE OR PRINT BUILDING noo e�s"s 2910 Pe er Tree Lane . COSTA MESA. CALIFORNIA , '�1/n OFFIK USE`ONLJ . 0 P. rove� Ci• ' ' RECEIPf NO. p;y[�RNIT NuO. OWNER ! . ,' . I .• �,�'ll'�iy_ MAIL �9'E�'�(t�1 Sli• RECEIV/�DBY �OAT6REGEIVED DATEI6511ED . AODRESS '..GC:� I �O��I-S OGT �7 . ' TEL.LI H'��rJ BUILDING ' � �y GITY _ p NO. A�DRESS � AF !CT C8T'�.SOR $[ , �� - .COSTA MESA; CALIFORNIA Of ,NEER . NO. ADORESS GST'i�e11 GPOVC . � FIRE ' - - � ZONE TYPE GROUP D�8 SC� COZe�+jTOVO� ITIC. STATE 167293 APPROVED � ' ' CONTRACTOR ' LIC. NO.' BY DATE � nooRess 9 E. 1 th St.' Costa Mesa ' ZONING LEGAL �or .. 2822 ZONE .NO. OF OSE OF NEW// � � )p ppp OESCRIPTION �NO. � . IBLOCK ITRACT ��IPLqNS �IBUILOING K�/Ji}.�.A/�� .� �.�/1.��/ A. P. NO. ' . BYPROV/./I - /- � tf- < ..DATE I tJ �+X /�-� � � . SIZE � C NO. OF BLD�3. V�� OF LOT 65 'Y �'! I NOW ON �OT nOn YAROS EVES REQUIRED ALLOWED� USE OF � - ' ICENTER LINE ST.� - J� ' � EXISTING BLDG. FRONT �`"FT. f" IN. SETBACK LINE FROM L I �fI �"� � CENTER OF BTREET Vz REAR YARD �� R. SIDE ' /) FT. IN. SIDEYARD ILEFT 13� IRIGHT o� L.SIDE /� FT. IN. DESCRIPTION OF WORK REAR 1�J Fr. � � w. NE4 I X II ALTERATION I II ADDITION� I � REPAIR I II MOVING I II DEMOLISH I � � SZ�E��NG 3516 NO.OF S 4 EXTEftIOR WALL IROOF ,{- - TI COVERING . StiUCCO COVERING jbC '/ •°Qf � 3V ✓ US O B�ll IN ANp�WOR T F�PERF0�2MEO . �Iu�tip% �'amil,y �`we�ir� ,rrlth attach I HEfiE9Y AGKNOWLEOGE TXAT.1 XAVE READ THI6 APPIICATION �-� ANO STATE THAT THE l�BOVE'IS COFRECT ANO qGNEE TO COM- THE AMOUNT 6HOWN IINDER VqLVqT10N 19 FOR THE 'pLY WITH ALL CITY ORDINANCES AND STATE LPW9 REGULATING �'UflPO3E OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTftUCT10N. q VALUATION' � M SIGNATURE OF ` - PERMIT FEE S rJO�W/ PERMITTEE � s 30,97�'�f1ryr. PLANCHECK $25�0� AUTHORIZED AGENT �' D].ISC & ole rove IR0. TOTAL FEE S 75.� ��-