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Home My WebLink About2931 PEPPERTREE LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jab Add�ess: 2931 PEPPERTREE LN Suite: Vicinity: ROOF Parcel Number: 13929312 Zoning: R1 R1 Status: ISSUED Applied: 03/31/2003 Issued: 03/31/2003 Applicant: PELLICIO,JEFFREY ,_ __----__�`, ISSUEDBY: Address: '1653SUPERIORAVE ��J "^djl''` ��`=�" �"--- s ' G� ^�----'-._'-._-_=---'-': - \ �' j�� '-,__f�Phone� (949)642-7222..,:.:��'��.� � �� COSTA MESA, C/A'�! � C.-. �` `I � Zip'� 92627 � ` ��G1 .� . �/��/v/ �� f (J� // ^`\`� } � � � / �/�l t V 1 �4�r� � � // V\�� . Owner. RYAN; GAIL�A,� ,� �� 1 � �_ _ �, � � � r- A _,�� Address 293bPEPPERTREE W-� � �"`---_=---.� t/ / i ' % l\. � `••� i�S�" —t:..: �.�C'�.ti.. �.,�,.,�v"`�-..�.,,,,�� )/"`�\� \\ / ✓ /� �-�'Phone: —"'---� . l ��'" 1 ' %� ;r...\.. � . �� ,�'COSTAMESA„CA%i'=�`� Zip: 92626 '-'`��` � ��. �l'y' i , ' i!,i //�j.� �,�A '� /� ��`�i'. 1 / i� � �� ,' �\� Convec or: �'LEE�ROOFING'OF COSTA MESA �` �� "� � � �1�� /Atldress: 1653 SUPERIOR AVE �� A ,/' \ ;.:,�� - � t' � l�) , -r„/ Phone � (949) 642-7222 \L``�� Z �, 1� / �� ,� � 1�a�1 � � � COSTA-MESA, GA -G: �i'�L�� ! � L, � i . i �� __ �� \ f/ Zip.� 92627/ j License�i349686 � � /— -""��, � / � , !/l� � —, .. i/1 . � ° n f i�'` i i�V�� A,� v t �'�� j��l'4jGh-.�� "J j I� ; �Address'` j � jlii� " 1 f y.�-' 1 `u � '' � ' % l; �' �f ��5� a. ; � ,� << -� ,� � �� Zip: � I / .,� ,/' � .; A`—. 'f�,i _ - = , 0 ,�_� J;�� n '---SGOPCVh'PtliMll—'--� �rt ' ✓ �s^vTrr--rvey ,rn �om..rv OFF EXISTING ROOF. INSTALL 20 YEAR, CLASS P;, COMPOSITION�SHINGLES, 30# FEL GE. ;., r� I � �i.i..:t �u .c: wv 1� 11. aa u u...: 11s.11, u:t S.i! �'� � ---- _---_-_----.� �--- _-- 1 �� '. t____, �� ,u� �: � � ��1 _i '',U� ' t�', ��:— �.:; ^�, l�„ 1 � Plan Check:��t � $0.00 j, �, 1 �i ,..Permit:�,, `'$139.25 ' " ��SMIF-Res:A��; $0.69 � t �SMIP Com: ��,$0.00 � � ��, �Other:� ��$0.00 { ACCESSORY PARKING � / ,,, �\ o � ��/J` i0- 0 '�-/ 1 „�' Existinq: � �..�� . . �.� :z��J.}1�� 9 4=�',;�-C o p �-o�� ,.�O�000 Q� o ° i�� ..�-" ,. .. =� �.," "�; :PLANNING'& ZO �c > ,, � ° � U �P. ,� ' o `��., U "� �'� �u'�-=- �_-=—""�en:fv^,v�„� .0 ' � Left, __0- 0 \ � � r �` i � � 0�� j �� Pr000sed:�„0 lJ � •- �- � Nnone: �� .---� j?� ��,,�� j � � �� y �� \) License: _.1 n , � i1 ' i 1 , 7 t-� � �I lS� � � �� ; ", ` �:,27 S�UARES INCCUDES ATTACHED�1 �! � J��'�I � I ` � � Il � , '�If �.' jy1 I �, � 31c Valuation: '� l�' ge aso:oo , r. � , ,�, aim Valuation: �/� (" ` 86,aso.00 ;� �� , , ��J 1 l // /� /�� S �' % �l�/ j / �., %, r�C"�'�!f _ �� //i � // �� '�� ,/ ' ,� i / Righ �\�0 O�v j 7 R\h�v� �;�f/ �� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 780 days, or if work is suspended or abandoned for a period of 180 days. � ' INSPECTIONS: In order for the work authorizetl under this permit to be considered tegal, such work must compfy with all applicable codas, and alf raqulred inspections and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 2aasas (aroo) WORKERS' COMPENSA710N DECLARA710N: � � , . . �� I hereby aHirm under penalry of perjury one ot the following tleclarations: � � � ❑ I heve antl will maintain e certi(icete of consent to self-Insure for workers' compensation, as provided tor by section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. . �' I heve antl will maintain workers' compensation in5urance, as required by section 3700 oi the Labor Code, for the pedo�ance of the work for which this pertnit is issuetl. M workers' c m n tion I rance carpEer entl oilc number are: ^�� ' ^ � � y' �P�� /I P Y . i Cerrier: < . PolicyNumber:CJv [j� (This section neetl not be comp/efed il the permit is velued al one hundred dollare ($100) or less.) �- ❑ I certify thet in the pertormenca of ihe work for which Ihis permit is issuetl, I shall not employ any person in any manner so es to become sublect to the workers' compensation laws oi {'allfomi nd gre �at it I shoultl become subject to Ihe workers' compensation pmvisions ot Sectio 3700 0l ihe Labor Code, I shalllorihwith complywiththesepr Gs,o��?„��Q,i� 3%,/ �/�� Applicant SignAture: � Data: �� c WARNING FAILURE TO S RE WORKERS' COMPENSATIQ4 CAVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMIN/L PEN�S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OOLLARE ($1 000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAN4GE5 AS GROVIDED FOR IN SECTION 31W OF THE IABOfl CODE, IMEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em lice j e r o isions of Chapter 9(commencing with Section 7000) of Division 3 of the Busine s d Professions Code, antl my license is in full to _rce antl aNect. Uc. q C1ass N'� i Contrector's Signamre: �,_. � oate: Q � �� 1 CONSTRUCTION LENDING AGENCY: ❑ I hereby eflirm ihat ihere is a constmction lending agency for the peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lendels Address: SignaNre: OWNER-BUILOER DECLARATIONS: Date: I hereby aRirm Ihat under penalty ot perjury ihat I am EXEMP7 FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any simcture, pnor to its issuance, also requires the applicant for such permit to file a signad statement that he or she Is licensed pursuent to ihe provislons oi ihe Contrectors License Law (Chapter 9(commencing wiih Section 7000) of Division 3 of the Business end Professions Code) or thet he or she is exempt therelrom and the �asis for ihe elleged ezemp�ion. Any violation oi Section 7031.5 by any applicant for a permit subjecis ihe applicant to a civil penalry of not more than Hve hundred dollars ($500).): , � I, es owner ot Ihe propeny, or my amployees with wages es Iheir sole compensatlon, WILL DO TME WORK, and Ihe stmcWre is noI intendetl or oflered tor sale (Sec. 7044, Business and Professions Code: The Contracmrs License Law does not apply to en owner of property who builds or improves ihereon, antl who does such work himself or herseli or ihrough his or her own employeas, provided �hat such improvements are not intended or oNered for sale. If, �owever, ihe builtling or improvement is sold within one year of completion, the owner-builder will hava the burtlen of proving ihat he or she did noI build or improve for purpose of sale.). � ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct fhe pioject (Sec. 70d4, Business antl Professions Code: The comractors License Law tloes not appy m an owner oi propeny who builtls or improves thereon, ana who coniracls tor such prolect with a contrectoqs) license pursuen� to ihe Coniractors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signeture: Date: Owner ID verifiad by dnvefs licen5e. ❑ Ves ❑ No Dnvefs License No. Verification of Ownership by (type of tlocument, i.e. - property taz bill or deetl): DIVISION OF INDUSTRIAI. SAFETY PERMIT CERTIFICATION: Expires: ❑�I hereby certity that no excavation five (5) or more feat in depih into which a person is required to descend, wiil be made in connection with work authonzed by this permi�, and that no builtling structure, scatfolding, falsework, or demolition or dismantlinq thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe Division oi Industrial Sefety, as noted above, unless such person has a permit to do such work from the tlivision. Signature: Date: Division ot Indusirial Satery Pertnit Number: CER11flCATE OF COMPLIANCE AN� AUTHORIZATION OF ENTRY: I certity under penalry of perjury Ihat I have read ihis application and state that the information given is correcL I agree to compty wIN all state laws and city ordinances relating to building consiruction, antl auihonze representatives of Ihe City of Costa Mesa to en�er upon t�e above-dascrihed property tor inspection puryoses. 1 agree oot to acupy or ailow occupancy of eny builtling authonzed by this permit until tinal inspedion. CppE �. INSPECTIONTYPE 1616 Fixed System Final Fire Preveniion 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Placa � 203 Final Siqn 204 Final Demolition . Ijlyjf ITI �_ (� � CODEN INSPECTIONTYPE ' 206 Final Mechanical 208 Final PlumDing 210 Final Electrical 212 Final Fire Pravention 220 Final Planning Approval 222 Final Site 250 Final Buildin<yOccupancy.; QeL IN .. ; .9� i0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O: BOX 31� COSTA MESA, GAIIFORNIA FOR APPL/CRNT TO F/LC /N COMP[ETELY .TYPE OR�PRINT AODRE55� 2 1 P e T e Lane �' � - COSTA MESA, CALIFORNIA ' MAIL ' �C� E• �.ftiil Sti�� AOORE55 . , . . '� TEL. CITV 5 M2 NO. ^ftC'_TECTve CH.PZSOiI_t% LI^' '�.� �� JUN 3 81g59 �`n�nc!n� [ • ii::�w� .� . - iv`. `i;: f�:}i.^. �i{�n C_:. . L . ... . __,, APPLICATION FOR PERMIT BUILDING FOR officE usF oNcr I RECEIPT NO. I PEFMIT FIRE AODRE55 '� 'IIZONE ��e & Colegrove� Inr�t� No. 167293 . I7i B�PRoveo CONTR I ADDRESS 1�19 F+• 1%wl Ste CO$t8�MpBS8 LEGAL I L�T ^^^ I I /�p�� ZONE �1 �ESCRIPTION NO. L.y} BLOCK TRACT A.P. NO. OF LOT V� �C 1�5 I�o. oF e�ocs. " NOW ON LOT ROrI USE OF EXISTING BLDG. ' ' sEiepcK LINE FROM �] , CENTEROFSTFEET SS� REARVARD �( SIDE VARD ILEFT 5� IRIGHT .5� ' DESCRIPTION OF WORK . REPAIR I II MOVING I BUILDING NO.OF SIZE �SO ROOMS' EXTERIOR WALL IROOF COVERING COVERING US OF UILDING AND WORK TO BE P �ing�le fanu.ly residence COSTA MESA. CALIFORNIA DATE ZONING I P AN9 I BVELDFNGEW ��y YARDS EVES REQUIRED ALLO (CENTEH LINE STJ FRONT j�� Ff. R. SI�E .`�� FT. 0 1 HEREBT pCKNOWLEOGE THhT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �NO AGREE TO COM- THE AMOUNT BHOWN UNOER VPLI1pTION 19 FOR THE pLV WITH ALL CITY ORDINANCES AND STATQ LAWS REGULATING PURPOSE OF ESTABLISMING R PEflMIT FEE ONLY. " BUILOING CONSTRUCTION. VALUATION M SIGNATURE OF �� PERMIT FEE � 3�.�.�w �PERMITTEE $ PLAN CHECK S 17�� AUTHORIZED AGENT Dike �& qlegrove� ytiC. ��552 TOTAL FEE S Z.00 e