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Home My WebLink About2924 PEPPERTREE LN - Building Permits:�.__; CITY OF COSTA MESA �� ° BUILDING DIVISION > _ � F DEVELOPMENT SERVICES DEPARTMENT � � PERMIT PERMIT UMBER � •'�m eA' 899-00154 � (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2924 PEPPERTREELN Suite: Vicinity: ParcelNunmber: 13929603 Applicant: ANDY MARSHALL Address: Owner: TAM, THOMAS(TA � �r.� Address PO BOX;7422 �, /i H��GTON•BEA�CH � �/// Contractoi /A 1�ALLAMERICA i� n � i iiv/i Address: 1218,E PA� ONA�ST „ � f�SANT� N�A R-�Ip��9 Iff�� d�ess 0� ��,- � � �, SETBACKS MAIN STRUCT ACCESSORY PARKING NOTES: Exlstinq: BUILDING PERMIT Zoning: R3 �e''��Phone � � Zip SH`U TR �� Pnone;�—""� 1 �/'�� Zip: 92615 % ROOFING :ic! ��/� �� / � ~�- _ c � Phone: 714-543-5400 i License:r 693307 I• � Status: FINALED Applied: 02/Ot/1999 Issued: 02/01/1999 ��5��\� � �� i Phone: e �,h111 e � i��<<� �� Valuation: �� $� � Valuation: / r�$i L. � � // �/lY/ ANNING:&?ZONING� �' /"` r "�, �` � �,�'-'" / lU � �� C�/� �'��Q�� 0��° - V�J ��Le� Righf j'� 0� <� /Y /��i � Le� 0'"0�� Right v///`0'0' � � 1 J�� Proposed: 0 EXPIRATION: This parmit 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 order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapectiona end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSA710N DECLARATION: � � I hereby eifirtn untler penalry of perjury one ol the followinq declarations: �. � �� ❑ I heve entl will maintain a certificate of consent to self-Insure for workers' compensation, as pmvitled for hy section 3700 of Ihe Lebor Cotle, for the pertormance of ihe work for which �his permit is issuetl. ❑ I have antl will maintein workers' compensation insurance, as requiretl by section 3700 of the Lebor Cotle, for the peAormence o� the work for which ihis pertnH is issued. My workere' compensetion Insurance cartier antl policy number are: _ Cartier: Policy Number: (This secfion need not be complered il the permit /s velued et one hundred dollars ($100) or less.) ❑ I certify that in Ihe pert ance he work for wlrich ihis permi` is issued, I shall not employ any person in eny menner so as to become sublect to the workers' compensation laws of C itomie, n agree ihet should bec 4 subje t the workers' compensatlon provisions of Section 3700 oi the Lebor Code, I s�ell forthwith comply with thesa pro�' � ns. ^'�� /�� Applicant Signeture: � � �Date: ' 6l % WARNING:FAILURETOSE UREWORKEFS' � IPENSATIONCAVERAGEISUNL4WFULANOSHALLSUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDRED THOUSANDDOILARE(5100,000),INADDITI THECOSTOFWMPENSATION,DAM4GESASPROVIDEDWRINSEGTIIXJ37060FTHElABORCODE,IPlrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby elfirm thet I am licensed under3 rovisi� force and eHect Lic. # �%'� 1/�� CONSTRUCTION LENDING AGENCV: at Chaprer 9(commencing wit Section 7000) of Divislon 3 ot Ihe Business�nd Professions Code, and my license is in full Class u C ' `r Date: -�! y ❑ I herehy alfirm Ihat there is e construction lending agency for the peAormance of Iha work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eflirtn ihat under penalry of perjury �het I em E%EMPT FROM 7HE CONTRAC70RS LICENSE LAW tor the fallowing reeson (Sec. 7031.5, Business and Pratessions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair eny simcture, pnor to its issuance, elso requires t�a applicant for such pertnit ta file a signed statement thet he or she Is licensed pursuant to the provisions of the Contractors License Lew (Chapter 9(wmmencing with Section 7000) of DiNsion 3 oi the Business and Professions Code) or thet he or she is exempt iherefrom and ihe basis for ihe alleged axemption. Any violation oi Section 7031.5 Cy any epplicant tor a pertnit subjecls lhe epplicant to e civil penalry of not more ihan five hundred dollars �$500).): ❑ I, es owner ot Ihe property, or my employees with wages as their sola compensatlon, WILL DO 7HE WORK, and the structure is not intended or oftered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Lew does not apply to an owner oi property who builtls or improves ihereon, end who does such work himself or herself or through his or her own employees, provitled thet such Improvements are not intended or ottered tor sale. tl, however, the builaing or Improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or sha did not builtl or Improve tor purpose of sale.). ❑ I, es owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70R5 to consiruct ihe prolect (Sec. 7044, Business and Professions Coda: The conirectors License Lew tloes not epply to an owner ot properry who Duilds or improves Ihereon, antl who conirecis for such project with e contractor(s) license pursuent to the Contrecrors License Lews.). ❑ I am evempt untler sec. Signature: Owner ID verified by drivefs license. ❑ Ves ❑ No Business and Protessions Code for ihis reason: Verificatlon af Ownarshlp by (rype of documen�, I.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIPICA710N: Onver's License No. Dete: Expires: ❑ I hereby certily thet no excavation five (5) or more feet in depth into which a person is required lo descanq will be matle in connection with work authorized by ihis parmit, and Ihat no bullding sWcture, swfrolding, talsework, or tlemolitlon or dismantling thereof, will be more ihan Ihirty-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title e, Celifomia Adminlsiretive Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which wauld require a pertnit trom ihe Dlvision oi Indusirial Setery, es noted above, unless such person has e permit to Oo such work irom ihe division. SignaNre: � Date: Divlsion of Industnal Sefety Permit Number: CERTIFlCA7E OF COMPLIANCE AND AllTHORIZA710N OF EMAV: I cartity under penalry of perjury that I have read this application and state that the information given is correct I ree comp ith all state laws and ciry inanc relating to builtling construdion, end authonze representatives ot the Ciry ot Costa Mesa lo enter upon Ihe abov es 'b rope f r inspedi rposes. I ee not t accupy or allow occupency ot any huilding authorized by ihis permit until final'nspection. �%�%�l� ,r�,r ��-�� —�\ ' / innatura Ot Leaal Owner(sl Date �Ey INSVECTIONTYPE 7616 Fixed System Finel Fire Prevention 1266 Pool SDe Finel 200 Finel Re-Roof � 201 Final BIocWReteining Well 202 Finel Fedory Fire Plece 203 Finel Sign 204 Finel Demolition 2ad6�d6 � I�� LQyp� INSPELTIONTYPE 206 Finel Machanicel 208 Finel Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 Finel Planning Apprwel 222 Final Si18 � 250 Finel Bullding/Occupan� ,un.. � � � �°��'� �EE RECEIVE� COSTA MESA BUILDING-SAFETY DEPARTMENT �'/ p r P.O. BOX 31] COSTA MESA. CALIFORNIA "��'-n (l ��'a✓''J � . ' ��IYf1iV�llL 11L��i. FOR APPL/CANT TO F/L[ /N COMPLETELY icw-r�orv�FOR �PERMIT TYPE OR PRINT � BUILDING � ADDRESS 2924 Pep er'Tree Lane � .� � '- COSTA MESA, CALIFORNIA FOR OFFICE USE �NLJ � Co e rove, IIIC� NECEIPT NO. p�p� E(@�SAIT�Nq OWNER } I. IIIY-CtJ�y� MAIL 1� (� 1�} " RECEIV�E/p�.eY DqT,REC IV�ED) OBTErI�SSUED ADORE55 41/ E• lftih S�.• - M I /� •ZJ�� /�I 'OGT 4% Q C CITV Costa Mesa� TNo`:I,IB-'-159 BUILDING , � - - ADDRE55' AR� 'CT Carlson Rc ��a � COSTA MESA, CALIFORNIA OR' NEER t NO.� � ._(. ADDRESS Garden Grove FIRE ' y� ZONE TVPE GROUP - Dike & Colegrwe, ZIICSTATE 1G7'Z93 pppROVED CONTRACTOR LIG NO. BY DATE ADDRE55 419 E• Zrtll Jli., Costa A�4epsa ZONING � LEGAL I LOT � I I l..p22 20NE NO.OF OSE'OF NEW �pI OESCRIPTION NO. BLOCK TRACT �'� �/IP�-AN8• I�BWCUING/��/�2G/ �tA �I�.� � ABYPRO�A/ i/'.�Y i , ' DATE I �✓� �`/--J I A.P. NO. CJ"vi c SIZE ,�jQ X lOC . I NO.OF BL�GS.nORe ypRDS EVES ' ' �� OF �OT � rvow oH toi REqUIRED ALLOWED USE OF � (CENTER LINE ST.) ' ' . EXISTING 6LDG. FRONT � ��FT: ' IN. SETBACK LINE FFOM C2� � l/] CENTER OF STREET J REAR YARp •L( R. SIDE -J FT. IN. i� SIDE YARD I LEFT S' I RIGHT � L. SIOE S Ff.' � IN. DESCRIPTION OF WORK � � .� ✓!' /, � /� REAR ��FT:- /I��'/✓��V,LIN� � NE\ I X II ALTERATION I II ADDITION I V '�/� ` � / ,,. REPAIR I IIMOVING - I IIDEMOL�SH I� �- /' BUILOING NO.OF SRE 3 I6 S STORIES'" � � � ' EXTERIOR WALL StuCCOIROOF ' � � . COVERING COVERING T � USE OF BUILDING AND WORK TO BE PERFORMED � . ' Multi le famil dwellin wit - ��/a r• %30 p� attached garage. Four living uni.ts. � , I HEREBY ACKNOWLE�GE THAT I MAVE READ THIS APPLICqTION yME AMOIINT 6HOWN UNDEN VALUpTION 19'FOP'THE AND STATE THRT THE ABOVE IS CONRECT NN� AGREE TO COM� pURPOSE OF E9TPBLISHINO A PERMIT pEE ONLY. PLY WITH ALL QTY ORDINANCES AND STATE LAW$ REGULqTING BUILOING CONSTFUCTION. � /` VALUATION M SIGNATURE OF h�!/�. �, �• PERMIT FEE $ �%�yy PERMITTEE � � " $ 30,97��'Y PLAN CHEGK $ 25�� - . AUTHORIZED AGENT Dike� & G�c7egrove, IIIC. � � TOTAL FEE $ %S��