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Home My WebLink About2928 PEPPERTREE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Jab Address: 2928 PEPPERTREE LN Suile: Vicinity: APT BUILDING AND GARAGE Parcel Number: 13929602 Zoning: R3 R3 Applicanr. PLAYER, MIKE __ ISSUED BY: Address: 11321 MAGNOLIA AV /�,� j h�/�-714 534 5696 ''�c�� Status: ISSUED Applied: 04/222003 Issued: 04/22/2003 GARDENGROVE,/%i`'^'.�� '�1 Zp� 92841 ��`�\\\�,� �� ( //� / �1�� 1 / � �� `�� Owner JACQUES,�DONALD'F� � � I,��_� �� ) �� Address 2913�PEPPER TREE CN�/ ," - -'" _` -_-;--� " �__ f � <�� \` \ ��/ {� \\ ��/�-'--�Phone:=_o_�C�\` �\ � \\\ : f piC S( A MESA: CA� �.�� _ Zip: 92626 ```� � C�, �� i� i� \ /�l��/ '\\\` / ... \, mt�a�o� �PLAYE,R'SjROOFING Address: 11321.,MAGNOLIAAV � � ±�� ;�% ;"I �/,'/i/ ..�____ _.. �....,.,... AV�� '� I�,.`! ` �'��l GARDEN 1 Lp:v/ 92841� ,�l � ��io/ �Arch� l / J J✓ 'dtld�ss:�� % . i.. f, , b 0 2a � . Licensei>"'516717 �`� �`� . �e e "� 11 '��fq � � �� Eng: �� ;'� 9"� ' ` Addres§:�, I _ _ _ «,. _ � �.. � z �—� �'� � r� - � � �� ' `— SCOPE OF-PERMIT_--�-_ _' ; r�'__--.'_ �--, � I ROOF FOR AN 4�PLEX'AND GARAGEI!COVER FLAT�AREA�WITH 4'PLY�BUR�AND ROCK _ �i.lt L 1t �:.1i1(' ll I(1I1L: t`ilr1� ll n:J � � � —.= -' _.—_=---- =- __ --_ � � Iiil��,', Check:t�,i, �; $0.00 Permit`: `�-'„ <$125.25 IP Res:A�`�� $0.55 P Ci0fT1; ��1 $�.Q� � �th@f: '��)$0.�� i >eotion'.�� $0.00 ', i �, � .A � � �� I �Total: � - $125i80 � .��\ `�.r� \`\� � � ACCESSORY PARKING q Kr- � _� ��' '�=') !� V`�Ycii� � � `� � i� ° n , �'�.- C �° � °� ° m� c o t� r :�1 .'"��lt� ir % � 'Calc Valuation: :�.Claim Valuation � / � f' ;, �, � c �,/ / \\ - \. i �� ✓ER APT BU �� L.J � > il ��,"� �� Q° °� pLANNING;&ZONING, '��j �� / \�a ,`'�� 4,�� 'o ,�` °o �t,;� /��/) ,/%' .0-0 �R�i� 0-0;,��Left,��0--0� �� ght j��0-0%/y /��;� �,` �""-`_'; =`='_=—`�_.� �-��..-." ��!, \ C/ i i% � , V J`� � � ��/nCR,1ear��0-0 '�� Left��0y0.,� -'"� Righl ��' � 0-0 ;\ \�GO-0� v `cc-.�`,. `'i � V � �� j--�� o (((```r-��i1i'1 �+� `�'1 A �� /`�� `.�� Re uired: �0 �,, ��roposetl:� GO,� y�j� / � �� ,�� ^,- ,.; �—ti �-' �`, J„ �'/ ,.� �''^ ��c�� _ iJ- � %" ;,.- ��'`c�c�,rJ�-,ii,: ----` �� 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, 12-27-92) 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 of 180 days. '� INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 saas-as �broa� WORKERS' COMPENSATION DECLARATION: � I hereby aNirtn untler penalry of perjury one ot the tollowing declarations: ❑ I have and witl maintain e cenificata of consent to sel4lnsure for workers' compensetion, es provided tor by sectlon 3700 of the Labor Code, for Ihe performance of the ��work for which this permit is issued. I have and N My workers' section need nof be n Insuran�p as required by section 3700 of the Lebor Code, for the peAortnanca of the work for which this permit is issued. antl oolicl dumber are: !PolicyNumber.�OC�L7tr�� `6`7`� 2.ov3 oriess.) '.._'_""_,—,.•� s ❑ I certify Iha� in Ihe peAormance of the work for which Ihis permit is issued, I shall not employ eny person in any manner so as to bacome subject to Ihe workars' compensation laws of Califomia, and egr that it I should become subject to the workers' compensatlon provisions oi Sect��700 of Ihe Lebo� e, I shell forthwith comply with Ihese pro risions. / Q i Applicen`ISignaWre.� Date: �v—a..�� WARNINGFAIWRETOSECUPEW KERS'COMPENSATIONWVERAGEISUNL4WPULANDSHALLSUBIEGTANEMPLOYERTOCRIMINALPEN TALIESANDQVILFINESUPTOONEHUNDRED' THOUSANDOq1ARE(5100.000),I DITIONTOTHECOSTOFCOMPENSATION,DAh1AGESASPROVIDEDWRINSECTIIXJ3lO60FTHELABORCODE,IMEREST,ANDAiTORNEYSFEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirtn that I am.licensed under provisions ot Chepter 9(commencing wlih Section 7000) oi Division 3 of the Business and Professions Code, antl my license Is in full f01CB 3ntl BftOtt _LIC. k \ �_CIB55 p�'e� Coniractofs Signeture:- + i. Date: 7 7 11�� CONSTRUCTION LENDING AGEPICY: ❑ I hereby aHirtn that Nere is a construction lending agency for ihe pedormance of ihe work for which �his permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Nama: Lentlers Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I here6y aHirtn that under penalty of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl ProFessions Code: Any city or county which requires a pertnit to construci, alter, improve, demolish, or repair any siructure, pnor to i�s issuance, elso requires tha eppliwnt lor such pertnil to tile a signed sWtement that ha or she is licensetl pursuant to the proNsions ol ihe Contractors License Law (Chepter 9(commencing with Sectlon 7000) oi Division 3 of the Busineu and Professions Cotle) or that he or she is exempt therefrom and the basis for ihe alleged examption. Any violation of Section 7031.5 by eny epplicent for a pertnit sublecis ihe applicant to a civil penalry of not more �han five hundred dollars ($500).): ❑ I, as owner ot the properry, or my employees with weges es Iheir sole compensatlon, WILL DO THE WORK, end the structure is not inlentled or oNeretl for sale (Sac. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, antl who does such work himself or herself or Ihrough his or her own employees, provided ihat such improvements ere not intendetl or oHered lor sale. If, howevar, the building or improvement is sold within one year of completion, ihe owneo-builder will have the burden oi proving tha� he or she did not builtl or improve for purpose ol sale.). � ❑ I, es ownar of ihe property. am E%CLUSIVELV CONTRACTiNG WITH LICENSED CONTRACTORS to conStruCt Ihe project (Sec. 7044, Business end Professions Cotle: The contractors License Law tloes not epply to an owner ol property who bullds or Improves �hereon, end who contrects for such project with e contractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exempt under sec. SignaWre: Owner ID verified by dnvers license. ❑ Ves ❑ No Business and Professions Code for ihis reason: Verification of Ownership by (type ot dwument, i.e. - property fas bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hareby certify ihat no exwvation tive (5) or more teet in depth into which a person is requiretl to descend, will be made in connection with work authorizad by Ihis permit, antl that no building structure, scaHolding, talsework, or tlemolition or dismantling thereof, will be more ihan thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitornia Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require e permit from Ihe Division of Indusiriel Safery, as noted ebove, unless such person has e pertnit ta do such work trom the division. SignaNre: Dale: Division of Industrial Safery Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certiy under penalty of perjury ihat I have read ihis application and state ihat ihe information given is wrrect. I agree to comply with all state laws and ciry ordinences relating to builtling consiruction, end authorize representatives of t�e City of Costa Mesa to enter upon ihe ebove-described property tor inspection purposes. I agree not to xcupy or allow occupency of eny building authorized by ihis permit until final inspection. COUE II. INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 200 201 Pool Spe Final Finel Re-Roof Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitian P9IE INTITIpLS ' / Y .e/.�� aa CODE11 INSPECTIONTYPE � 206 Final MeChaNcal 200 Finel Plumbing 210 Finel ElecUical 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Si�e 250 Finel Building/Occupency PAIE INTRIRlS .,�_ . ��4)'i C057A MESA BUILDING-SAFETY DEPARTMENT • �a�� ll�C��V[� � P.O.BOX 317� COSTA MESA. CALIFORNIA �� a�_�� fOR APPL/CANT TO F/CL /N COMPLETECY. = APPLICATIONiFOR�FPERMIT - ' TYP� OR PRINT . ('�r�✓ �'r ^r�^',-n ��:CQ . BUI!_DlIVG -- Aoo E'S5 29� Pepper-Tree Lane i • - COSTA MESA.�CALIFORNIA .� rVq OFFICL USL ONCJ � rove� nc. I RECEIPT NO. I�� yRMtIT�a � OWNER ' v�t/ MAIL � 1�, (� 1 � ' FECErvE BV � DATE REC�E1IV � �� OhTE ISSUED n ADDRESS 4�] E• 17th St• � � I � e�-�:,' I! T 7 r �irl'l CITY COSti2. MeSa TNO.��S pDDRESS ' ' ARf 'CT Carlson Bc � ��c. � � - COSTA MESA, CALIFORNIA OR .YEER NO. ADDRE55 Gall+@ll GTOYB 'FIRE �. ZONE TYPE� GROUP jil]C@ SL CO].B&Y`pV2� Il]C.6TATE 167'ZC� qppROVED - CONTRACTOR p LIG.NO. BY DATE ADDRESS �/ E•� ],7'F.]i S{l�� Costa Mesa ,- ZONWG . ZONE NO. OF U9E OF NEW I /7 PGNS �/ BUILDING ! r.� /�� oescRiP'r�orv INOT 1' IBLOCK ITRACT /^\ �I ///{'''� I .�{.—L((/yLGI (.l'/p�y A.P. NO. L BYPROVEO/I! �J .'IY �, ��ATE �G -oZ/�`-� % 512E q/ X.�.Orj � I�a. aF a��. non Yi1RD5 � � EVES � OF LOT rvow oH Loi REQUIRED ALLOWED USE OF ICENTEfi LINE ST.1 EXISTING BLDG. - � FRONT ' •��FT. � IN. � SETBACK LINE FROM [�J � l� - ' CENTER OF STNEET � l^'' REAR YARD y' R. SIDE .� FT. " IN. � SIDEYARp ILEFT S� IRIGHT S� L.SIDE ' � FT. ,,� IN. DESCRIP710N OF WORK �� REAR �G%cr: C7� !LLG[�iA. NEV I n II ALTERATION I II ADDITION I ' , � �' . REPAIR I II MOVING _�I II OEMOLISH I '' 5 Z'E �'"G 3516 ,�adS STORIES 2 EXTERIOR WALL _IROOF _1- COVERING � St.UCCI�COVERING i'O�in USE OF BUILDING AND WORK TO BE PERFORMED �h ..73� p hiultiple famil dwellin with i ' attached garag�, Four livirig units. 1 HEREBY ACNNOWLEDGE'�HAT I HAVE REAO THIS APPLICATION � THE AMOUNT SHOWN UNUER VALUATION I6 FOR THE TND STNTE THRT THE A60yE IS CONRECT RND RGFEE TO COM- pUftPOSE OF ESTABLISHING A PEFMIT FEE ONLY. PLY WITH ALL CITY OROINqNCE9 FND STATE LRWS REGULATING BUILOING CONSTRIICTION. VALUATION ' nn SIGNATURE OF � . PERMIT FEE S�O�W ' PERMITTEE , $ �O'��•�N: � PLAN CHECK. $25�QQ /}� �AUTHORIZED AGENT � O 2 O . TOTAL FEE $�TS�� . , � , . . -... s. _ .. � , . . �