HomeMy WebLinkAbout2912 PEPPERTREE LN - Building PermitsCITY OF COSTA MESA
BUILD/NG DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
RMIT NUMBER `/
P98-00682
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: Z9'I Z PEPPERTREE LN
Suite No
Vicinity:
Parcel Nunmber: 13929607
Applicant: ROOKS, ERNIE
Address:
Owner:
IEng:
�
ISSUE FEE�� \/
Backflow irrigation
Backflow Preventer �
Bathtub \�
Clarifier System
Connect (Ice,Soda,etc)�
Dental Units \
Dishwasher C
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
PLUMBING PERMI7
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��Phone:, t
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Status: ISSUED
Applied: 09/03/1998
Issued: 09/03/1998
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Phone: 760-0768 �,\��, O
��Zip: 92604
ODDY PLUMBING & HEATING
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7f� �CRODDY '
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JTA�ANA CA .� � �-",y
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I(� � o r-. 2h
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l�--- � ���E
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'LACE GAS LINES FROM�EXISTING'4
}DINGS. i
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�{\ FE
\�!�
AMT QTY "
622;00�`� 4 Laundry Tub /,
`$O.OD\y\ 0 ! LandsPcape Irri
$O.OD�O � P-Tra %U��
$0.00�0� �.�„�.--�' PressureiRegi
$0:00� 0 �Process Pipini
�$0.00 j/� 0\ ` Receptors>�\
$0.00��/� O�Septic;Tank'e
_$0.00�(/0 SewerCa'pfoi
�$0.00 �0 � �SewerConnec
$0;00� 0 �v �CSewerPrivate
$0.00 ��0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$35.00 4
$0.�� 0
$0.00 0
$0.00 0
Sink, service,
Spa (private)
Spa (public)
� ..�.. Q �y`�
.714'241-1414 � !'i
,
92704��...,
529127 . ' '''>'� � �d'�'
""�
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ir,11�1��1�Ju Li;��ln!
METERSO SHUT OFF VALVE AT THE EXTERIOR!OF 4
,-�% _ � �l/l� C
IMM{iRY`---� � ���/�
-,�,ct AMT QTY �
:i��'�`���$0.00 0 SumpP��
���G' o$OAO 0 Swimming Pool.
���cf��$0.00� 0 Trap�Primer � �
5,��,�$0:00[!J"0�� -..>�Uiinal „ l/.
.�eniu_�^cS,. � ay.w�,--u�
tr-=- r=$0.00"�0� �
Line $O.00f!0'�`
1rJI `-�� $0.00�0/ �
:ialf��u`�t� $0.00'�0%/.J/i
$0.00 0
$0.00 0
$0.00 0
COMMENTS / SPECIAL CONDITIONS
Watef Heatef / Vent
,Wate� Piping (Inst or Rep.)
N/ater Re-pipe
Water Service
Water Softener
OTHER
VIOLAT�ON
PLAN CHECK
REINSPECTION
�
AMT QTY
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00 \ 0
TOTALCALCULATEDFEES: $57.00
EXPIRATION: This permii shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In ordei for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspections and ��nal approval must be obtained. Failura to ob�ain inspections and final approval will result in the expiration of this permit. �
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: � �
I hereby aRirm under penelty of perjury one of �he following deCleralions:
❑ I have antl will maintain a certificate of consent to seN-Insure for workars' compensetion, as provitled for by section 3700 of Ihe Lebor Code, for ihe pertormance of Ihe
, work for which �his pertnit is issuetl.
� I have entl will maintain workers' compensation insurance, as required by sedion 3700 of the Lebor Code, for ihe pedortnance of the work for which Ihis pertnit is issuea.
My workers' compensation Insurance carner end policy number are: .
Cartier: Policy Number.
(lhis secfion neetl not be completetl i/ the permlf /s velued at one hundred dollers ($100) oNess.)
❑ I certity ihat in the pertortnance of the work for which this permit is issuetl, 1 shell not employ any person in any manner so as to become subject to the workers'
compensetion laws of Califom�i�erttl��gree ihat i� should become subject to Ihe workers' compensation provisions of Section 3700 ot the Labor Cotle, I shell forthwith
!AIt�TO SECURE WORKERS' CAMPENSATIIXJ WVERAGE IS UNLAWFUL AND SHALL-SU&IECT AN
pOLLARE ($100.00p), IN ADOITION TO THE COST OF CAMPENSATION, DAhNGES AS PROVIDED FOR IN
PENALTIES AND CIVIL FINES UP i0 ONE HUNDRED
OR CAOE, INTEREST, AND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I he irm th� m.license rMer provisions ot Chapter 9(commencing with Section 7000) ot Division of ��e Busine d Protessions Code, and my license is in full
m�e andeftecl. Lic. q /. � CI Jf_
tractor's Signature: � - �' � oate: --�
/
CONSTRUCTION LENDING AGENCV:
❑ I hereby effirm ihat ihere is a cons�ruction lending agency tor the peAortnance of the work for w�ich Mis permlt Is issued.�(Sec. 3097, Civil Code). �
Lenders Name: lenders Address: �
Signature: � Date:
OWNER-BUILDER DECLARATIONS: � .
I hareby affirtn that under penally of perjury that I em E7(EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Protessions
Code: Any city or county which requires e permit to constmct, elter, improve, demolish, or repair eny stmcWre, prior to its issuance, also requires the applicant for such permit
to file a signatl statemeN that he or she is licensed pursuant to ihe provisions ot Ihe Contractors Llcense Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Pmfessions Code),or Ihel he or she is enempt iherefrom antl t�e basis for the allegetl exemption. Any violatlon ot Section 7031.5 by any applicant for a pertnit
su6jacis ihe applicant to a civil penelry of not more ihan five huntlred tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sola compensetion, WILL DO 7HE WORK, end the structure is not intended or oflered tor sale (Sec.
7044, Business antl Protessions Cotle: The Contreclors License Law does not epply lo en owner of property who huilds or improves thereon, entl who does such work
himselt or herself or Ihrough his or her own employees, provitletl thet such improvements are not intendetl or oXaretl for sale. If, however, the buildinq or improvement is
sold within ona year of complation, the owner-builtler will heve Ihe burden of proving thet he or she did not build or improve for purpose of sale.). �
❑ I, as owner of the properry, am EXCLUSIVELY CONTRACTING WRX LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business and Professions
Code: The coniractors License Law tloes not epply to en owner of property who builds or improves ihereon, and who contrects for such project with a coniractor(s)
licensa pursuant to Ihe Contrectore License Lews.).
❑ I am exempt untler sec. Business an0 Protessions Code for this reason:
SignaNre: Date:
Owner ID verified by tlriver's license. ',-' ❑ Ves ❑ No Dnver's License No. - Expires:
Ventication of Ownership by (type af documenL I.e. - property ta�c bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CEFi71FICA710N:
❑ I hereby certiy thet no excavatlon five (5) or more teet in depth into which a person is requlretl to tlescenQ will Ca metle in connection with work authorized 6y this
permit, end that no builtling strudure, scaRolding, falsework, or tlamolition or dismamling thereof, will be more than ihirry�six (36) teet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia AtlmiNsiretiva Code).
❑ As owner-huilder, I will not employ anyone to tlo work which would require a permit irom ihe Division of Industrial Satery, as notetl ehove, unless such person �es a
permit to do such work from the divisian. .�
Signature: � Date:
n .
Division of Industnal Satery Pertnit Number:
CERTIFlCATE OF COMPIJANCE AND AUTHORPJ1T10N OF ENfTiY: I certity under penelry ot perjury tha� I have reatl this epplication and state that t�e information given is
correcL I agree to comply with all state laws and ciry ordinances relating to building consiruction, end au�honze representetives of the City ot Coste Mesa to enter upon the
a6ove-described property for inspection purposes. I egree not to occupy or ellow occupancy ot any building euthonzed by �his pertnit until tinal inspection.
c
Cooe �. ixsveenoxnve p
1616 Fixetl System Finel Fire Prevention
1266 Pool Spe Final `
200 Finel Re-Rooi �
201 Final Block/Reteining Wall
202 Finel Factory Fire Plece
203 Finel Sign
p04 Finel Demolitlon
2446d8
�
��5 yppg� ixsvecnourrve
206 Finel Mechanicel
208 Finel Plumbing
� 210 Final Electdwl
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�Occupency
GAg It1�El5
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COSTA MESA BUILDING-SAFETY DEPARTMENT � �� �EC�� �+ �� �
P.O. BOX 317 COSTA MESA. GALIFORNIA _ . �GL� �C -.J,�-�� - .
�r.��venrF n�Pz. _
FOR APPL/CANT TO f/LC /N COMP[ETELY ^' �.aPPLICAT.ION FOR �PERINIT
TYPE OR PRINT �!'�BU�LDING `„ �
BUILDING .
AODRESS 2972 Pe er Tree Iane- �
. COSTA MESA, CALIFORNIA �� ryn OFFICL USL O/ILJ �� '. !
� � O e rove� nc. - I y� pECE1PT NO. I PEFMIT �,
OWNER � • j
ADDftE55 4�] y� ���y31 Sy• fiECE1VED BY I� D�T ORE^E�V� 0�' E�5(U�95
r,
d
cirr Costa Mesa TN�$-1j,59 BUILDING r
ADDRESS
oR( NEER �Carlson Sc� No� �' . � � COSTA MESA. CALIFORNIA .
e roo " F�Re }�
ADDRE55 ' ' ZONE � TYPE" ��GROUP � " '
T� s
CONTRA6T��e & Colegrove, ��,.TAjyTp 167z93 APPROVED , �' - , . �
BY DATE
I�,ry n �t� s . . • .
ADDRE55 4+9 F+� `Zlth St� � Costa NIesa V 110T'Iila ZONING . . `
LEGAL LOT . �.O ' 2�L2 ZONE � .NO. OF USE�OF NEW /
OESCPIPTION I NO. I BLOCK ' I TRACT , �� yl PLANS ��I BIIILDING �� //�4'vl�! .' ���
'/ // LL 4 Y
A.P. NO.. � -- BYPROVEDIU ✓�C .`C%�� �DATE % L/ '-�.L�'-� /.
SIZE gO X 1W - No.oF e�oGS � � ypROS y � �F /EVES
OF LOT I NOW ON LOT nOne REqUIRED ALLOWED '
USE OF ' (CENTEH LINE ST.) �C-j� . . �
EXISTING BLDG. FftONT' 'J FT. ' IN.
SETBwGK LINE FPOM, COI �l�]I �i '
CENTEP OF STRE[i � REAR YARD � R. SIDE X FT. ' IN.
SIDEYARD ILEFT oi IRIGHT� o� ` L.SIDE /i FT. ' IN. .
DESCRIPTION OF WORK ' , .� � G/[.,� ��l,I� �
REAR FT: IN.. �
NE� I X II ALTERATION I II�ADDITION I-� � / _�/
REPAIR I IIMOVING I IIOEMOLISH 'I �
BUILDING 3516 NO.OS � STORIES 2
SIZE
EXTERIOR WAL�tllCCO ROOF - ' '
COVERING COVERING h%�
USE OF BUILDING AND WORK TO BE PERFORMED Q�' ��d ' .
riulti le £amil dwell' G%
attached garage - 730 sq. ft. �
1 HEREBY ACKNOWLEDGE THNT 1 HAVE NEAD THIS APPLICATION THE AMOUNT SXOWN UNDEH VALIIATION �5 FOR THE
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COM- pUFPO$E OF ESTABLI6HING A PERMIT FEE ONLY.
PLY WITH FLL CITY OFDINANLES AND STATE LAWS REGULATIryG
BUILDING CONSTFUCTION. ' VALUATION M
SIGNATURE OF - PERMIT FEE $SO�W
PERMITTEE -
.• • S 30,97��a0 PLAN GHECK $ 25�00
AUTHORIZED AGENT DlICe & olegrove,' Inc. ' TOTAL FEE $%S�W
' . �