HomeMy WebLinkAbout2952 PEPPERTREE LN - Building Permitsr
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address: 2952 PEPPERTREE LN
Suite:
Vicinity:
Parcel Number: 13920316
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Applicanr. GARCIA,FRANK
Address: 21681 IMPALA ST��O�
HUNTI�NGTON�BE/AC�H�CA
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Owner. SCHWAL•BE�JEAN•E TR
Address 531�SAN8ERNARDINOAVE�
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O NEWPORT BEACH,:CAi
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Contractor. �COASTiROOFING
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�Address: 21681 1MPALA ST
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HUNTINGTON BEACH, CA
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Zip: 92646 O
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TEAR OFF
Perm
SETBAC
ACCESSORY
PARKING
NOTES:
DINSTALL
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1� $0.00
$38.75
$0.50
� $o.00
��„$o.00
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ON�GARAGES C
Zoning: R3 R3
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BV:
Status: ISSUED
Applied: 0528/2003
Issued: 05/28/2003
''Phone: 714-966-8754 —� o
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Zip: 92646j
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-Phone: �`��
Zip: 92663-4812 �Q
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Phone�I 714-968-8754 �� . /
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ddress:�
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License:
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✓� � � �
, �/� �
� ��� .i ,- - p0� n ``at'�::c.5
I: $39:25 .� a o �� � �o a o�'"" "
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�/� � � "�; e� o �,P.L`�ANNING_& ZONING
i� ��J f / ���� ��C / 7L� ` C„O o G � pJ . G
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NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under California statutes and re�ated
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. � �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaaaes �eroo�
WORKEfrS' COMPENSATION DECLAqATION: /
I hereby ettirm under Oenalty of periury one of the following declarations: � 1 r
❑ f have antl will maintain a ceniticate of consent to self-Insure tor workers' compensation, es provitled tor hy section 3700 0l the Labor Code, for IF:e pertortnance of the
Ork tar which Ihis permit is issueq.
I �ave antl will maintain workers' compensation insurance, as requiretl by seclion 3700 of the Labor Code, Por Ihe perfortnance oi Ihe work tor which Ihis pertnit is issuetl.
orkers' o pensation Insura ce cerder antl policy number are: Q
rri ��� '�� Polic umber: ���3��U— � �
(This secNon need nof be com leted i/ the permit is ve/ued af one hundred dollars ($f 00) or /essJ
❑� I certity thet in ihe peAortnance oi ihe work for which ihis pertni� is Issuetl, 1 shall not employ any Derson in eny manner so as to become subject to the workers'
compensation laws of Ca)ft�la, eptl agree that if 1 shoultl become subject ro ihe workers' compensation provisions ot Section 3700 of the Labor Cotla, I shall toMwith
ith these prov eTo . � /— /
plicent -� eture: .✓I/ �jJ<.v�- �te: ��2�L0 3
WARNING FAILLIRE TO SE URE WORKERS' �pMPENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBIEGT R TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
7FKKISAND OOI.URE (Si W,Q70�, IN ADDIiIQy TO THE WS70F COMPENSAiION, OAMAGES AS PflOVI0E0 FOF IN SECTIIXJ 3�OfiOF THE LABOR OOOE, IMEFEST. ANO ATTOflNEY'S FEES.
LICENSED CONTRACTORS DECLARqTION:
I hereb t�at I em licensad under provisions of Chaptar 9(commencing wi�h Section 7000) of Division usiness and Professlons Code. antl my license is in full
fa B.'C. k CI855 N —
o gnawre: Rya.�/f �e[,2t<�' 7.Y/� �
CONSTRUCTION�LENDING AGENCY:
❑ I hereby aflirm that there is e consiruction lentling agency for Ihe peAortnance oi Ihe work tor w�ich Ihis pertnit is issued (Sec. 3097, Civil Code).
Lentlels Name: Lendefs Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS: -
I hareby aHirtn that under penelty ot perlUry that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professlons
Cotle: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires fhe epplicant for such permit
to tile a signed statemant thet he or she Is licensed pursuant to the pmvisions oi the Contraciors License Lew (Chepter 9(commencing with S9ctlon 7000) oi Division 3 oi the
Business antl Professions Code) or ihat he or she is ezempt therafrom and the besis for the elleged exemption. Any violetion of Section 7031.5 by any applicant for a pertnit
subjects the epplicant to a clvil penalry o� not more than five hundred dollars ($500).):
❑ I, as owner oi tha property, or my 9mployees with wages es their sole compensation, WILL DO THE WORK, antl ihe structure is not intended or oHered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or improves theraon, and who does such work
himself or herself or ihrough his or her own employees, provitled that such improvemenis ere not Intended or oNered for sale. If, however, the building or improvement is
soltl wiihin one year ol completion, ihe owner-builder will have.ihe burden ol proving Ihat he or she did not build or improve for puryose ot saleJ. �
❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and Professions
Code: The contrectors License LeW does not appty m en owner of propeny who bullds or Improves ihereon, and who wntracts tor such project with a contractor(s)
license pureuant to the Contractorg License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID verified by drivers licensa. ❑ Ves ❑ No
Business antl Protessions Code for this reason:
Verifica�ian of Ownership by (type oi tlxument, i.e. - property teu bill or deed):
DIVISION OF INDUS7RIAL SAFETV PEpMiT CER7IPICA710N:
Driver's License No.
Date:
Ezpires:
❑ I hereby cehify that no excavation (ive (5) or more faet in depth imo which e person is required to descend, will be made in connection wlih work authodzed by Ihis
pertnit, and lhat no building structure, sca%oltling, falsework, or demolition or dismantling t�ereof, wiil be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, California Adminis�ra�ive Cotle).
❑ As owner-builtler, I will not employ enyone to tlo work which would require e pertnit from the Division of Industnal Safery, es noted above, unless suc� person hes a
permit to tlo such work from the diyision.
Signature: Date:
Division oF Intlustrial Safaty Permit Number.
CERTIFlCA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenity under penalty of perjury that I have read this epplication and state ihat the information given is
correct. I agree to comply with all stete laws entl ciry ordinances relating to building consiruction, and authorize represeni:.�tives ot iha Ciry oi Costa Mesa to enter upon �he
above-described propetly for inspection purposes. I agree not to occupy or allow occupancy of any building aNhorized by this permit uMil final inspection.
COUE 1, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
Pool Spe Finel
Final Re-Rooi
Final BIocWRe�aining Wall
Final Fectory Fire Place
Final Sign
—
� �_
LOOE 1 INSPELTION TYPE
206 �FinalMechanical
20B Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
204 Final Demolition . .. � � . 250 Final Building/Occupancy
PAIE II�IELi
(714) 754-5273 • F2X (714) 754-4058 • www.ci.costa-mesa.c��ILDING PERMIT �� FAIH UHIVt, GOSIA MtSA, GA 9"LtiZti
.lob Address: 2952 PEPPERTREE LN
Suite:
Vicinity: 4 PLEX
Parcel Number: 13920317
Applicant: SCHWALBE, JEAN E TR
Address: 531 SAN BERNARDINO AVE-
ow�er
Address
Perm
Other:
NEWPORT
! $o.00
�� $97.25 -��-
` $�.5� I
) $0.00 J
��'' $0.00 �
`\�$0.00 �
\��
$97\75
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06
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StaWs: ISSUED
Applied: 02/06/2003
Issued: 02/07/2003
Zoning: R3 R3
C�
_._._ —..�,_ ISSUED BY:
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Ph a n e: — 949-642-8125 �,��
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Z�: 92663-4812 4 /"�� ��..= �
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Zip: 92663-4812 ..'1- `` �� j�}�\-, .
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Calc Valuation:
Claim Valuation:
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\� � 2 '7`" "'t � � BLANNING & ZONING" ' '- ;
SETBACK� �� ��� ". � o � = � '✓Ci '� :� i �=�/i
/�
MAINSTRUCTURE Front /0-0� �Rear�� 0 0� ��l� Lek ., 0 0 _�%%Right„
4�`i(� � ��`-c_5.s-,--�...�- ` """`' ��(;7
ACCESSORY Front 0-0 O Rear 0-0`-� -=-='—Left-'.�0-�0 Right�
-},
PARKING Exs \Oe Re�ired �� �iJ1�Pioposetl' �Ol� �C
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NOTES:
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�fli�i � s4,00anoo
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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, 12-21-92) �
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days. . ��
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetlons 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
2dd6d6 (NW)
WORKERS' COMPENSATION DECLARATION: � ' � � � � , .
I �ereby attirm untler penalry of perjury one oi the tollowing tleclarations: ' � �� ♦, �
/
❑ I have cnd 'will maintain a certiticate of consent to selt-Insure for workers' compensaiion, as provitled for by section 3700 of the Labor Code, for the peAormance of the
work for which ihis permit is Issuetl. , ; ��
❑ I have and will maintain workers' compensetion insurance, as requiretl by seciion 3700 of ihe Labor Code, for ihe performance of the work for which this pertnit is issuetl. �
My workers' compansation Insurance carner and policy num6er are: ' �. .
Carrier: Policy Number. '
(This sectian need nof be completed i( the permlf is valued et one hundretl dollers ($f00J or less.) . , . , ., ,
�I certify ihat in't�e pertortnance of the wark for whlch this permit is issued, I shall not employ any parson in any manner so as to become su6ject to ihe workers'
compensation laws of Calito�nia, and agree tha ii I should be ome subjact ro tha workers' compansation provisions ol Section 3700 of Ihe Labor Code, I shall fonhwith
comply with ihese provisio g� �f �
Applicant5lgneWre: �Qitl� ' �� �w�`�����/ Date: ��'� 7 —.Q.�
WARNING: FAIWRE TO SECURE ORKERS' COfAP NSATION COVE GE IS UNLAWFUL AND SHnLL SUBJECT AN EMPIOVER TO CRIM�NAL PENALTIES AND qVIL FlNES UP TOONE HUNDRED
THOUSANDDOLLARE�$100,000) NADDITIONTOTMECOSTOFCAMPENSATIIXJ,DAMAGESASPROVIOEDWRINSECTION31060FTryELABORCADE,IMEFEST,ANDATTORNENSFEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirtn that I am licensed untler provisions of Chap�er 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is In full
lorce and eRect Lic. q Cless N
Contrecrors SignaNre: Date:
CONSTRUC710N LENDING AGENCV:
❑ I hereby a%irtn ihat there is a consiruciion lending agency for Ihe peAormance of ihe work For which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lentler's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I �ereby aHirtn thet under penalty of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions
Code: Any city or county which requires a permit to consirucL alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe applicant for such permit
to tile a signed statement t�at he or she is licensed pursuant to the provisians ot the Contrectors License Ww (Chapler 9(commencing wit� Sectlon 7000) ot Division 3 ot t�e
Busineu and Professions Code) or ihat he or she is ezempt iherefrom antl the basis tor the ellegad ezemption. Any violation of Section 7031.5 by any applicant for e partnit
p5�(p�ects the epplicant to a civil penelry of not more than five hundred dollars ($500).):
�y I, as owner of the propeny, or my employees with weges as their sole compensation, WILL DO THE WORK, antl the siructure is not intended or oNered for sale (Sec.
� 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of pmperry w�o 6uilds or impmves ihereon, end who doas such work
himself or hersetl or through his or her own employees, provided thai such improvements are not intendetl or oHeretl tor sale. It, however, the building or improvement is
sold within one year ot completion, the owner-builtler will hava the burden of proving that he or she did not build or improve for purpose of sale.). �
❑ I, as owner of the propeAy, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 704a, Business antl Protessions
Code: The comractors License Law does not apply lo an owner ol property who builds or improves thereon, and who contracts for such prolect with a comractor(s)
license purg5�ant to the Contractors License Laws.).
❑ lam
Signature:
Owner ID v
Vedfication
end Ptofe55ion5 Cotle for thi5 re8son:
by dnver's licanse. j ❑ Y85 ❑ No
by (rype of tlocument, i.e. - properry tax bill or tleetl):
DIVISION OF INDUS7RIAL SAFETV PERMI7 CER7IFICATION:
Orivefs License No.
Expires:
❑ I hereby certity ihat no excavetion tive (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorizetl by ihis
permit, and ihat no 6uilding simcture, scaifolding, falsework, or tlemolition or dismantling thereof, will be more than ihirty�six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, California Administrative Cotle).
❑ As owner-builder, I wiil nol employ anyone to do work which would require a permit irom ihe Division of Indusinal Safery, as noted above, unless such person hes e
permit to do such work from Ihe division.
SignaNre: Date:
Division of Industrial Satery Permit Number:
CERTFICATE OF COMPl1ANCE AND AUTHORIZA710N OF EN7AV: I certi(y under penalry of perjury Ihat I have read this appliwtion antl s�ate Nat the infortnation given is
correct. I egree to comply with ell sta�e laws end ciry ortlinances releting to building consiruction, entl euthonze representatives of the Ciry ot Coste Mese to enter upon ihe
ebove-describe propeny for in�pection pur ses. I agree noUo ccupy or a0ow occupancy of any building aufhorized by Ihis permif until (inal inspec ion.
a r < e �?— D �� ��
' Signature LegalOwner(s) ate
—� AnNOr Authorized Applicant Date
COOE t. INSiELTIONTYPE � �
1616 Fiaed Sysiem Final Fire Prevention
1266 Pool Spa Final ,
200 Finel Re-Raof
201 Finel 81ocWRetaining Wall -
202 - Final Fadory Fire Place �
203 Final Siqn
204 - Final Demolition - ' - '
�j� . I IR
� < -t9 T �
OE INSiECTIONTYPE
206 Final Mec�anical
208
z, o
212
220
222
� 250
Final Plumbing ,
Final Elecirical
Final Fire Prevention
Final Planning Approval �
Final Site
Final euildinryOccupancy��
� . INTRIALS
� ,- : - ����.� ����'R�C��,U���
COSTA MESA BUILDING-SAFETY DEPARTMENT � �'uJ
j /�� �❑—,��
P.O.B0X317 � �COSTAMESAiCALIFORNIA' f�ilF� kICL �7[j-��'
- FOR APP[/CANT TO f/LC./N COMPLETELY� ,aPP��ca,TioN�`FOR�= PEFtMIT
TYPE OR PRINT BUILDING �
BUILDING 2952 pepper Tree .Lane � � � � ' � '
ADDRE55 . , .
;, COSTA�MESA, CALIFORNIA,. � � �.rOR OFFICE USG, ON�Y
' �I PECEIPT NO. �I PERMIT NO.
owNER Dike & Colegrove, Inc. �,�.� �
MAIL �C1 E♦ ��Idl SL• RECEIVF�D,BY OATE NECEIVED I OCTi 'g UED '
ADDRESS _ � ' I✓ I'• JLJ� .
CITY •�� COSta�Me$'d. TNW'`�o�59 BUILDING ' , . �
ADDRESS
wR� -cr , CSPZSOri Sc. ���� � COSTA MESA, CALIFORNIA
OF NEER .NO.
ii a ro �/' r
FIRE /
ADDRESS ZONE. TYPE /"�GROUP� �
j� q & Colegrove� Inc STATE 1�j7'2C� APPROVED
CONTIY�6R LIC. NO. gy� -DATE
ADDRESS 419 E. 17th St�.� Costa hiesa - . , ZONING � - ^
IEGAL I LOT �� I • ' I /..H22 ZON I NO.OF I'USE OF NEW �,
DESCNIPTION NO. BLOCK TRACT 'PLANS BWLDINp
A.P. NO. . " . � . APPROVED / � _ -�
BY W L DATE
SIZE . (� 'rvo.ove�oc9 ypRDS - VES
OF LOT "" X�OS. „ -�I Ha�"/ orv �o, none REqU1RED - ALLOWED � ,
USE OF . ' ' (CENTER LINE ST.) / �
E%ISTING BLDG. FRONT ' FI'. " � IN.
SETB�CK LINE FFOM n � -
cEr+ieRof'sin[er S�� REARYARD 17� R.SIDE �� FT. IN.'
SIDE YAHD � I LEFT S' � I RIGHT S' L.�SIDE ' FT. IN.
� DESCRIPTION OF WORK '� REAR F'r. �G 1 irv.
NE\ I XII�ALTERATION �I II AD�ITION �- I' �
REPAIR' � I II MOVING �, � I II DEM�OLISH I ' . � ,�
5 ZIE OING �'jS1V � ROOMS � � STORIES 2
EXTERIOR WALL � R �.{ . ,
COVERING COVERING ' � �
�USE OF BUILDING AND WORK TO BE PERFORMED . � '- - .
' Multi le famil dwellin 4F. d p
attached garage. (Four'living units) �
� 1 HEftEBY ACKNOWLEDGE TMAT 1 HAVE READ.THIS �PPLICATION THE AMOUNT SNOWN UNUER VALUATION IS FOH THE
•ND STATE THFT THE ABOVE IS CORREQ AND AGREE TO COM- ppRPOSE OF:-ESTABLIBHING� / PEtiMIT FEE ONLY.
PLY WITH ALL CITY OFOIN.�NCES ANO STATE LAWS REGULATING
BUILOING CONSTRUCTION. � � ' ' VALUATION M �
SIGNATURE� OF � � � � PERMIT FEE s 5�� W
PERMIiTEE — .
a . ' ' $ 30,.97�'i�y� PLAN CHECK $.25�QQ
AUTHORIZED AGENT D],}C@ &, O].8 roXe IRC. , ' TOTAC FEE $ 1/���