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Home My WebLink About2915 PEPPERTREE LN - Building Permits, . .; � , .. � pia� �sa-sz�a • Faz (714) 754-4856 • www.ci.costa-mesa.c��LDING PERMIT Job Address: 2915 PEPPERTREE LN Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE n rv,in unrvt, cw i n mtan, i.i+ azceo Parcel Number: 13929308 Zoning: R1 R1 Applicanr. NAVARRO, REYNALDO��;-�� ---�� ISSUEDBY: Address: 2915PEPPERTREE W/'y 1G�'-'�-----� =z� � COSTA Owner: Address �� z�p:a �� i�. ; \ ,� =-- ��j 'Arch�� // � ,A�' � � ddress: � ` �l , ��g�� {, 1 ��' I�� ' RZ�� ''1 n °��J,• 't � t , ll �t; f�i � ' /�� ii%'�� REROOF RESIDENCE AND ATT� COMP SHINGLES�" � � iL---, I��l I �l � __,, ��1,;`�, � r , ' $o:oo �Plan Check: ��?� �� Permit t� (� `$11125 � $MIP Re's: �i�� $0.50 ACCESSORY PARKING , Status: ISSUED Applied: 11/10/2003 Issued: 11/10/2003 ��/��_y Phone; 714-540-2910`,C'-�.� a;c'n'/'./�� z�p: siszs �' 1 �� 11_i �f�l � )� �7 `'�c� , REYNALDO �� ._ _ _� t, � � �� 2TREELN� �-'�`= -"�- `� ��`�� } „ i��:..�o=�a�,��-� �`. � � / ` �. `�.-�-�Phone � �"-=...� ` �'�� i ��A� /� r Zip: 92626 �1��,� .�� . O � ,i,%//,� � �.. � DER � � -r .rJ.,� S�qy .� ' N i� .��.� \i� � 4i/ \ yop ` I'_-; `_ ll�A � ?� A� � ii , ( � ��.F�� ` � \ • E09 1 � � � �,�L �� nad s:•��-•,� li �.,\ ti /'` `l��tl�, „i ,� � ��''�._`�.�.,.Ai�i� Phone: � � �� /° �`o��t�� `� _�\7 �ic (nsei t'-'JLJ ��.. 1 ; � t� i i--ti . !ERMITs� c�^s,�p ��l `,-1' �' (J E j '--1 i )F ROOF, 1/2iSHTG, FELT PER MFGR'S�SPE6S; APPLX "3 ---- --- E I�%;!! � � __�---"..-- -. ._. �C�, ' : Jta '_'n �VA� �,F, C� � � � E,�..e� �$111)75 � ;�. a� ; 0" / >� �,. /� \\��"�''�� ` °� � ��. ,�-�° o �. �/,; ;� �� ,;;� \ ` ��: / / � F.r�o-�n.t� 0-�0 ,�// � \V\~� � V> i Front �0=0 � L �`�� ez�stina: � a � -, f ,� r _ �o � � ,'�^ �' `Calc Valuation: �/ ; � Cla� Valuation: j,� � � �/ L� \ s � / l `�./ � i j /, }�'-°^';��`;,�;�,--� �' /J �� ,� �� /�. � � � ,,,_ , � �—:�� c�- o � �.��/. ��! 0~�-__�'-�.�'_-Lek: =="0-� ��Right��;.�0=0� 1. G,.,...; 0�-� �—_ Left-�� 0�0 �� Right� 0-0 � ;��) �C�l•`^�"1t�'�iLl /�r% 1 i' J i � -) •! �/// 0 _��A � Proposed: 1— 0 �-�1�� ___ --_____ _. -- �C/�d � NO710E: 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, 1241-92) I EXPIRATION: This permit shall automatically expire and become void if work is not commenced within � 80 days, or if work is suspended or abandoned for a period of 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 ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaae-ae laoo� WORKERS'COMPENSA710NDECLARATON: � ' I hareby,affirm under penalry of perjury one ol the tollowing declarations:.� . , ' - ❑ I have and will maintain a certiticate of consent to self-Insure for workers' compensation, as provitled for 6y saqion 3700 ot the Labor Code, for ihe pertormence of the work for which this permit is issuetl. - � � � ❑ I have and will maintain workers' compensation insurance, es required by section 3700 of the Labor Ccde, lor the peAormance of the work for which ihis pertnit is issue0. My workers' compen�satlon Insurance cerrler and policy number are: Cerner: � PoliCy Number. (This ction need nof be completed il fhe permif is value0 at one hundred dollars ($700) ar /ess.) �� certity Ihat in ihe perfortnance ot the work for which Ihis permit is issued, I shell not employ any pereon in any manner so as�to become subject to ihe workars' �' compensatlon laws of California, and'agree ihat if I s�oula become subject to the workers' compensation provisions ot Section 3700 of the Labor Cotle, 1 shall forthwith comply__ w__ith ihese provis � 7 Appticant Signature: � � - ��_�� ' �Date:� � �� I � � � �% ' - WARNINGCFAI WRE TO SECURE WORKERS' CAMPENSATIIXJ COVERAGE IS UNIAW FUL AND SHALL SUBIECT AN EMPLOVEF TO CRIMINRL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND OOLLARE (5100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PqOVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTOiiNEY'S FEES. LICENSED CONTRACTOqS DECLARATION: �� I hereby aHirm that I am licensad under provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license Is in full � force antl ettect Lic. x Cless a Conirector's SignaNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that ihere is a consimetion lending agency for the pertormance of t�e work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Landers Neme: Lentler's Atldress: Signature: ' Date: OWNER-BUILOER DECLARATIONS: I hereby aHirm that untler penelty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7037.5, Business antl Professions Coda: Any city or county which requires e permit to constmct, alter, improve, demolish, or repair eny strucWre, prior to its issuance, also requlres fhe epplicant tor such permit to tile a s' netl statement thet he or she I5 licensed pureuant to Ihe provisions oi ihe Contractors License Law (Chepter 9(commencing with Section 7000) of Division 3 oi the Busin and Protessions Code) or thet he or she is exempt therefrom end the 6asis br the elleged exemption. Any violation of Sedion 7031.5 by any applicant for e permit sub' Is the applicent to e civil penalry ot not more ihan five hundred dollars ($500).): QI, es owner of the property, or my employees with wages es their sole compensation, WILL DO 7HE WORK, and Ihe siructure is not Intentlatl or o%eretl for sale (Sec. - 7044, Business and Professions Code: The Coniractors License Law does not apply �o an owner of property who builds or improves thereon, and who does such work hlmself or herself or ihrough his or her own employees, provided that such improvements are not Intendetl or oHered for sale. If, however, ihe building or improvement is soltl within one year of completion, ihe owner-builder will heve the burden of pmving that he or she did noi builtl or improve tor purpose ot sale.). ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prqect (Sec. 7044, Business and Professions Code: The contrectors License Lew tloes not apply to an owner of propeny who huiltls or Improves �hereon, end who coniracts tor such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em ezemp�nder sec. ID ventietl by tlriveYs licanse. ,� Yes ❑ No Verificetion o� Or.nership by (type of tlocGmem, I.e. - propeny tax bill or and Professions Code for this reason: No. DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify thet no excavetion five (5) or more teet in depth imo which a person is requiretl to tlescend, will be matle in connection with work authonzed by Ihis pertnit, and that no huiltling strudure, scaRolding, falsework, or demolition or dismantling ihareof, will be more than thitly-siz (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle 8, California Adminisiralive Cade). � ❑ As ownerbuilder, I will not employ enyone to do work which woultl require a permit from the Division of IndusMel Safery, as noted above, unless such person has e permit to do such work from iha division. Signature: Date: Division of Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHOHIZATON OF EMRV: I cetlify untler penalty of perjury ihet I have read this epplication an0 state Ihat the information given is correct. I egree to comply with all state laws end ciry ordinances rela�ing Io building consimctlon, and authorize representatives of Ihe Clry ot Gasta Mesa to anter upon ihe above-described property for inspection purposes. I egree not to occupy or ellow occupancy of eny building authorized by this permit until final inspection. ��17-r��-�I•�P� �� J�J I) I 1 O I() � � SignaWre Of Legal Owner(s) - �^ Date y , �"' And/OrAuthonzed Applicant Da�e CQOE t. INSiECTONTYPE 1616 Fixatl System Final Fire Prevention 1266 200 201 Pool Spa Final Final Ra-Roof Final Block/Retaininq Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition ORTE I�Q /L // 9l � COOE� INSVECTONflPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevantion 220 Final Planning ADP�o�al 222 Final Site 250 FinelBuilding/Occupancy PAIE II�9LH L.it.�y o� L?aQta ��2eda ' �c�r�� - Diuia�o�s '' OWIVER-6UILDER' VERIFICATION � � � - � � - - ._. j .: _ ,. 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 the remm of, an owner-builder venfication. � At[ention Property Owner: � - ' � ` An 'ownerbuilder' building permit has been applied fur in your name and bearing your signature. Please complete and retum this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildine oermit will be issued until this , venfication is received. I. 1 personally plan ro provi e the major labor and materials for conswction of the proposed propeRy improvement. Yes ❑ No 2. 1(have/have no[) , gned an application for a building permit for the proposed work. 3. � I have conVacted with the following persun (firm) to provide �he proposed conswc[ion: N�me Addres+ City _ Phone ( ) Contrac�or's Lic. No. 4. I plan tii provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work: � Name Address City _ Phone ( ) ConVactor's Lic. No. 5. I will provide some of the work but I iiave contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work �Oaz-a6 (REV.9/98) O�tiNER idAY JOB ADDRESS 2915 Pepper Tree Lane PERMIT GENERAL CONTRACTOR Lixc a w.i.c�r�vc VALUE $ i/�ll+�� AP. No. LOT �97 TRACT 2 22 FIRE 'LONE DESCRIPTION OF WORK e5, W 8 .�3t'. !SPECTIONS �.�_�7i I DATE I GROUP I RG J TYPE V SUBCONTRACTOR �' �� . . :�C ��i�i�� . JUN 1 a 19b9: COSTA MESA BUILDING-SAFETY DEPARTMENT ,,,_ {. [� � P.O: BOX 317 GOSTA MESA. CALIFORNIA � !�iltf:r\l'L L1L (. . �. L..�• L.• �',,�... .j_Ct FOR APP[/CANT TO f/L[ /N COMP[ETELY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADD e's"s .._- 2 1 Pe er� Tree Lane - � t 1/ � � � COSTA MESA, CALIFORNIA � FOR OFFICE USG ONLJ ' HECEIPT NO. PENMIT NO. OWNER M3 12 2 T1C - I I �� C MAIL t � RECEIVED 8Y OATE RECEIVED` DATE ISSUEI ADDRESS . E♦ 1 till St• I I""�.S ��.5� .I i%/�%-� TEL. i/ cirr .. Costa hfes8 No, euinniNc ADDRESS oR` �EER Carlson & No COSTA MESA. CALIFORNIA FIRE AODRE55 G3�C11 G 2 ' - ZONE GONTD7�C0 & Colegrove� Inc.�� o: 167�93 A�YPROVED � DATE � . • AODRE55 � 1 h qp q� " - � � ZONING LEGRL I LOT /1QI] I � , I G,p24 2ON I NO. OF I VSE OF NEW pESCRIPTION NO. 4]! BLOCK TRACT PLANS BVILO�NG ' � APPROVED A.P. NO. BY DATE S12E". NO.OF BLUGB. - OF LOT 6O I�How oH �oi REQU RED � ALLOWED USE OF (CENTER LINE STJ EXISTING BLDG. FRONT `�� FT. IN. SETBRCK LINE FROM � � ' . CENTER OF STREET ' � REAR YARD : R. SIOE � FI'. IN. � SIDE YARD ILEFT S�� IRIGHT .S� � L SIDE S Ff. ' IN. ` DESCRIPTION OF .WORK • � � � � REAR' � FT. IN. NE� I X II ALTERATION I II ADDITION I ' �REPAIR I II MOVING I II DEMOLISH I BUILDING [� NO.OF - SIZE 1 W ROOMS STORIES -' � EXTERIOR WALL ROOF ' � " ' COVERING St.IICCO ICOVERING ' � USE OF BUILDING AND WORK�TO BE PERFORMED , 'attached garage." , 1 HEREBY qCNNOWLEOGE THAT 1 HAVE READ THI9 qPPLICATION THE AMOUNT 8HOWN fINOER VALUATION IS FOH TME ANO STATE THAT-THE ABOVE IS CORNECT AND TGRpE TO COM- PLV WITH ALL GITY OROINpNCES ANO STATE LAWS kEGULATIN6 PURPOSE OF E6TABLISHING A PEFMIT FEE ONLY. ew�me+ceoNsieueiiarv. ' �VALUATION � J. SIGNATURE OF ' . ' PERMIT FEE $ � PERMITTEE . . � . ' " _ ' � �/' � . _ $ ��'S7� PLAN CHECK � � �AUTHORIZED AGENT � � SZ�S � � .TOTAL FEE $ '� - !UL 2 1 1960 JOB ADDRESS 2 �NSPECTIONS. I DATE SU6CONTRACTOR OCCUPANCY BUILDING PERMIT NO. VALUE Form 210—SM—I1-59 S-B P � • 115 36 1�� - COSTA MESA BUILDING-SAFETY DEPARTMENT P: O. BOX 917 �C08TA MEBA, C�.�FORNIA � For Appiican+ fo Fill In Compleiely . � TYPE OR PRINT' ADDRES3 z ��`5 �/ / 1=%_ �:-'L` G , COSTA MESA CALIFORNIA - , �MAIL _...�._ ^.-.^n�,_a --�-- /w'_ TEL. /2b �EE RECEIVED ' ��_z-�� PPLA�(;�'I� EPOR PERMIT C lY �U'r BUI DI�NG For Office Use Only rsecelvT No. eaMIT No. .y��e' l�J 3�v i'i'.�.bll I :� �:/�-��I �e1.:2-D�o FIRE ', ZONE APPROVEO BY �� 7� S�d'.S tecw� DE6CRIP �� I u�nw�nu �n.a . _ ... � 6HTBACK LINE FROM . I LEFT I RIGHT ' DESCRIPTIOM OF WORK BUILDING NO. OF 91ZE ROOMS PXTERIOR WALL ROOF COVERING ' COVERING U6E OF BUILDING AND WORK TO BE P�RF ��Yi�r� 9.U/�4l � 1 H¢PEBY ACKNOWLEDGE THATNHAVE ReAD TXI�/APPUGTION AN� BTAT¢ THAT THE ABOYE �� CORRECT wxo ,1�laee ro eoM- PLY WITH ALL CITY OflDINANCEe ANO ArE LAWB REGULATINa BUILDING CON6TRO �� / SIGNATURE OF i� //I Aib'�!�(i�%' 'D ' AUTHORIZED AGENT � � COSTA MESA. CALIFORNIA ZONING r+o. or use or r+ew1( r1� PLAN9 �Y I BUILDING U' OT. ) � , THE AMOUNT BHOWN UNDER VNLUATION 16 FOF TXE PURP08E OF EBTABLI9XING A PERMIT F¢E ONLY. VALUATION � � a PERMIT FEE � $ JC � N b $/�/� PLAN CHECK $ F 2 - ' iOTAL FEE- � 4