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HomeMy WebLinkAbout2956 PEPPERTREE LN - Building Permits. , v (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 2956 PEPPERTREE LN Suite: Vicinity: Parcel Number: 13920316 Applicant: GARCIA,FRANK Address: 21681 IMPALA ST���Q� HUNTINGTON:BEACH; CA ��i�(�t-'.-� Owner: SCHWALBE�JEAN�E TR Address 531�SAN BERNARDINO P.VE�� r�°/�� � �%� . nR�ii N_EWP�BEA�,r�CA_� / \ / t \ i C///ontractor. �COAST ROOFING �� ress: 21681�IXMPALA ST � I/ ///Y/ HUNTINGTON BEACH, CA n �{�Zip: 92�646 4 � /ii; i �--, �/Arch�: �� �n.Y� Address:� �� � �'p'�a `� � yf c=i^',,,_PFione:`'r � o � �..�._ Zip: Jt� o �icense: i�� ( ��' I11"f_1 0 � � r �r 'EAR OFF BUR�AND INSTALL BUR ON�GARAGES ONL` ,� $0.00 � $ss.�s � $0.50 1� $o.00 SETBACK: MAIN STRUC' ACCESSORY PARKING NOTES: � o� a Zoning: R3 R3 ISSUED BV: Status: ISSUED Applied: OS/28/2003 Issued: 05/28/2003 —�� Phone: .714-968-8754 Zip: 92646� � t � � �'_�--�", � _aoo��� � �Phone: ��� � Zip: 92663-4812 ` (� 1� ��� Phone:� 714-968-8754 ��� / l.450393',� 1 \ . �' a,o , o , �.... : �, ,o ^ a ����,� � Valuation: � Valuation: ti`� � �� o u o°,PLANNING &/ZONING "• �� /„t ,.�4, �� � e o0 6 0 , �"� � r /�•• �, � m ~�.,� ��� 0 � � D 0 ��,-'�� �c' �J \Rea�c�0- 0 . � -,�Left = 0 0- 0��' !� Right` `0- 0�� ��<.��---�' ry �/� n�.��- �. °� / Rear 0. 0'— 6eft—"-0- 0 S � Right 0- 0/J vinc��� --,� �2,,0 v /O )�.,�� Re uired: �0 O ��� ProIposed: 0 \�'--,\� `—=J�L�U u ��~ i,�JD NOTICE: The work authorized by ihis 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 1 BO days, or if work is suspended or abandoned for a penod of /80 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 requlred Inspeetions 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 2C48�48(8/00) WORKERS' COMPENSATION DECLARATION: � - ' S I hereby eHirm under penalfy ot perjury one of ihe following tleclarations: ❑ have antl will maintain a certificate ot �onsent to self-Insure for workers' compensation, es provided for by section 3700 oi tha Lebor Code, for the pertormence ot the work for which lhis permit i5 issuetl. end will maintain workers' cwnpensation insurence, as required by section 3700 oi Ne LaOor Code, tor ihe peAormance of the work for which Nis pertnit Is issued. w rkars' Qom�e�nsatlon InSure,{�ce carrier and policy number ere: emer. �+W-f � o1✓r� poli Numbe � / / .���0 — � �� 3 s secfion need nof be conlpleted A the permit is valued et one hundred dollars ($700) or IessJ ❑ I certify Ihat in the pertormance of the Work for which this permit is issued, I shall not employ eny person in any manner so as to become sublect to Iha workers' co etion laws ot Cplif rnla, end egree that if I should become subject b the workers' compensation provisions oi Section 3700 of the Labor Cotle, I shall iotlhwith . I wi ihese pro Ysio s. plicflniSignet e: /'jL r 1i<.: Date: .S/z�/O r� RE TO SE URE WORKERS' WA�pENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMP IMINPL PENALTIES AND CIVIL FINES UP TOONE HUNDRED T/%)USAND DOLLARE (8100,000�. IN ADDITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 3/Ofi OF THE LABOR CODE, INiEREST, AND ATTORNE`fS FEES. LICENSED CONTRAC70RS DECLARATION: oi Chapter 9(commencing with Section 7000) ot Lic. # oFfi6 Business end Professions Code, and my licensa is in tull c�assa C-39 ggc�: s/�a%3 CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is a consiruction lending egency for ihe peAormance of Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle). Lentlels Name: Lenders Address: Siqneture: Date: OWNER•BUILDER DECLARATIONS: , I hereby aHirm Ihat under penelty of perjury that I am E%EMVT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or county which requires e permit to conslmcL aiter, improve, demolish, or repai� eny stmcWre, prior to its issuance, also requiras the epPlicaN for such permit b tile e signed statement that he or she Is licensetl pureuant ro the pmvisions of the Comractors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the BuSiness antl Professions Code) or thet ha or she is eaempt therefrom and the basis for the alleged e:emplion. Any violetion oi Sectlon 7031.5 by any epplicant for e pertnit subjects Ihe epplicant to e civil penalry of not more than five huntlre0 dollars ($500).): ❑ I, es owner ot Ihe property, or my emplayees with wages es Meir sole compensation, WILL DO TME WORK, and the structure is not in[ende0 or oHereO Por sale (Sec. 7044, Business and Professions Code: The Contraciors License Law dces not apply to an owner ot property who builds or improves ihereon, and who does such work himself or herself or through his or her own employees, provitletl that such improvements are not intended or offered for sele. If, however, the 6uilding or improvement is sold within one year of complotion, ihe owner-6uilder will have.tha burden ot proving ihat he or she did not build or improve tor purpase of sale.). � ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Protessions , Cotle: The contrectors License Lew does not apply to en owner of proparty who builds or Improves ihereon, and who contrads for such project with e coniractor(s) license pursuant to the Comrectors License Lews.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signawre: Dete: Owner ID ventietl by tlriveYs license. ❑ Ves ❑ No Drivers License No. Vediication oi Ownership by (type of tlocument, i.e. - pmperry tex biil or deed): � Expires: DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cehify that no ezcavetion five (5) or more feet in depih into which a person Is required to descend, will be made in connection with work authorized by ihis permit, and that no building stmcture, ScaHolding, falsework, or demolition or dismantling �hereof, will be more ihan thlrty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Galitomia Administretive Gotle). , ❑ As owner-builder, I will not employ anyone to do work which would require a permit trom the Division ot Indusirial Safety, es noted above, unless such person has e permit to do such work from the division. Signature: Date: Division ot Indusirial Safery Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certity under penelty of perjury iha� I have read ihis epplication and state that the infortnation given is wrrect. I agree to comply with ell state laws antl ciry ordinences rela�inq to �uilding conslruction, antl authonze representetives of Ihe Ciry of Costa Mesa to enter upon Iha ebove-described properry tor inspection purposes. I agree not to wcupy or allow acupancy ot eny building authorized by this permit until final inspection. COUE �, INSPECTIONTYPE 1616 Fi:etl Sysiem Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BIocWReteining Wall Final Fectory Fi�e Place Finel Sign 204 Final Demolition COOE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical - 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Buildin Occupency Date :S"�2X� 3 D� Qdff 1tIIIDAL9 � (714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.caB. UILDING PERMIT n FAIR DFIVE, GOSTA MESA, GA 92626 Job Address: Suite: Vicinity: 2956 PEPPERTREE LN 4 PLEX Parcel Number: 13920316 Applicant: SCHWALBE, JEAN E TR Address: 531 SAN BERNARDINO AVE— Owner: Address Perm ACCESSORY PARKING NOTES: NEWPORT Zaning: R3 R3 0� �U�;. � �Phone:-949-642-87. Zip: 92663-4812 �� � � 1 _s� t���, �"--,��—���>` —�' �Phone:------�`; , Zip: 92663-4812 00 ��c � $0.00 ��-�y 0 $97.25 ` $0.50 �F",.� 1 $0.00 ; $0.00 ��$0.00 � ����\ � fe. •.�ee Eng: FEE SUMMARY � �=���.�'�' . _,� ��_S`�' ,. �,.,:,v:;;�•... �ti��; �� w43T� , 'sr . v�i\3��.,r;r il �, � ti _ ���' �� "O c o G� r ' �L Status: ISSUED Applied: 02/O6/2003 Issued: 02/07/2003 ISSUED BV: � - �", � � � ��������t � '� ��`�� 1 t1 Phone: � � 1k1P� �{ �� r::���_ � - ,� ��Cicense: ���� � � � �,, _ , 1 �l i _ i . . �. (� 'OMP;SHINGLES. REPLACEFASCIA AS�NEEDED: '`�', � f lrl!'i '�__: ill r � � ,�rp; � -� ��� � t i!! . ` ,� � i� � �r�Calc Valuation: ,��j)� � �Sa!000.00 � � �Claim Valuation: S� %� �`=--Sa,000.00 A �"� V,,; �� � v PLANNING & ZONING � Gj'� i �� .�`�: .,� �� c �''�% A� � � � � J i , ��� � \t /0�0�`ear� 0 0 -' 0�-Left y 0 0.� j�,. Right �� �, ��� r ,,_ ,,., �,;� �� ��— ������ ,Fronl�0��`Rear 0- OL� -Left: _ 0-�0- Ri9h6!% 0- �.`J ��I �` r-- � �`�S/ G, � ,� � ,�" '\ �. Existlnq:=--.0� Re uired:it 0�'� r-.—` �Pioposed:� 0�_. �� �����,, `�-�-�����t v ���� �� '�,�jc��/ � � C'�O�-J/��� � �/J� ��I��% 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 daya ,. �� � .� INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 � 2aas-as (e�ao� WORKERS'COMPENSAnON DECLARAnON: " � ` � I herehy attirm under penalry of perjury ona of the following tleclarations: � � - . ' ❑� I heJe entl will melntain a certificate of consent to selt-Insure tor workers' compensation, es provided for by section 3700 oi ihe Labor Code, for the peAormenca of the work tor which this Dermit is issued. , - ❑ I have antl will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the peRortnance of ihe work tor which thls pertnit is issued. My workers' compensation Insurance cartlar antl policy number ere: �. � Carrier. Policy Numbec (Thls section neetl nof be completed i/ the permit is valued at one huntlretl tlollars ($f 00) or Iess.J . , � I-certify that in the pertormance oi ihe work for whlch this pertnit is issueq I shall not employ any Derson in any manner so es to become subject to the workers' compensation laws oi e�fomia, entl a ee that i I should become subject to Ihe workers' wmpensation provisions oi Sectlon 3700 of the Lebor Code, I shell forthwith comply with these pro isi s. �7 Applicant SignaNre: ' - Date: ��� � �'� ✓ WARNING: FAILURE TO SEC R WORKERS' COMPEN ATION COVERAOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSANDDOLLARE($100, �,INADDITIONTOTH�COSTOFCOMPENSATION,OAMAGESASPROVIDEOFORINSECTION3]OBOFTHEL400RCADE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: . I hereby a8irtn Ihat I am licensed under provislons of Chapier 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull force and eXed. Lic. x qass M Contrectors�Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a construciion lending agency tor the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). LendeYs Name: Lenders Adtlress: Signeture: � Date: OWNER-BUILDER DECLARATIONS: I �ereby aXirtn Ihat under penalty of perjury Ihet I am E%EMPT FROM THE CON7RACTORS LICENSE LAW tor ihe following reason (Sea 7031.5, Business end Professions Cotle: Any ciry or counry whic� requires a pertnit to consiruct, alter, improve, demolish, or repair any siructure, Dnor �o its issuance, also requires the applicant for such permit to file a signed statement thet ha or she is licensed pursuant to the provislons of the Contrectors License Law (Ghapter 9(commencing with Sectlon 7000) of Division 3 of the Business end Protessions Code) or ihet he or she is exempt Iherefrom end the basis tor the alleged ezemption. Any violation of Section 7031.5 by any epplicant for a permit �su ecis the applicant to a civil penalry of not more than fiva hundred dollars ($500).): , I, as owner of the propeny, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe strucNre is not intanded or otteretl tor sale (Sec. �` 7044, Business and Professions Gode: The Contractors License Law does not apply to en owner of property who 6uilds or improves thereon, and who does such work himself or herselt or ihrough his or her own employees, provitletl that such impmvemeNs are not imentletl or oHeretl for sele. If, however, Ihe building or impmvement is sold within one year ot completion, ihe owner-builder will heve the burden ot proving ihat he or she did not build or improve for purpose ot sele.). ' ❑ I, as owner of ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business end Professions Code: The contractors License Lew does not apply to an owner ol property who builds or improves Ihereon, end who wntracts for such pro�ect with e comracror(s) license pu uant to ihe Coniradors License Laws.). ❑ I am eae under sec. Business and Professions Code for �his reason: SignaWre: De e: — � � Owner ID ve fi d by drivers license �/-��( Yes ❑ No Oriver's Licensa No. Expires: — Ventication nership by (rype of daurfient, i.e. - property tex bill or deed): DIVISION OF INUUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work euthorized by Ihis permit, and ihat no building simcWre, scaHolding, falsework, or demolition or dismantling thereof, will be more than ihirty�six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sac. 341, Tltle 8, Califomia Administrative Cotle). . ❑ As owner-builder, I will not employ anyone to do work whic� would require a permit irom ihe �ivision of Indusinal Safery, as noted above, unlass such person has a permit to do such work irom Ihe division. Signature: Date: Division of Industrial Sefety Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF EN7RV: I certify under penalry of perjury that I have read ihis epplication and state that the information given is correcL I agree to comply Ith all state laws end city ordinances relating to huilding constmdion, and authorize representatives of the City ot Gosta Mesa to enter upon the above-des ribed properh, ar inspecti p�u/rpose�s. _I ag�rjee not to occupy or allow occupancy of any building authonzed by ihis permil until final inspection. �lIA/ f��,KA,L,�-LL.I�� i- �"A'f"��.3 So ature Ot Legal Owner s Date AncllOr Authorizetl Applicant Data COUE t.�. INSPECTIONTYFE ,. „ , .� f7LL� p� - , 59��.2 INSPECTIONTYVE 1616 Fixad System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 `' Final Demolition ' ' --l�l-0 7-�- 208 Final Plumbing , 210 Final Elecirical 212 finel Fire Prevention 220 . Final Piznning Approval ' � 222 Final Site , 250 Final Builtling/Occupency o�re 1t�44 -:.. , ' � . :��' - � .. ` ���'c�u� , .. ` . COSTA MESA BUILDING-SAFETY DEPARTMENT . �. �� ��j����D . P.O. BOX 31] COSTA MESA. CALIFORNIA ��°-a3 S� . fOR APPL/CANT TO f/LL /N COMPLETELY \ APPLic,aTior311'FOR PERNIIT .. TYPE OR PRINT .. . ' Y ' �'�T�• r "` T,, R ' ' . BUILDING�„1 ,9F�A , eu��o�N� . 2956 Pepper Tree Lane • ADDRE55 �- r ' . " ' - ' COSTA MESA. CALIFORNIA . ~ FOR OFFICG USE ONLY � owNeR . Dike. & Colegrove� Inc. I ""`�°' "�. �') `p""���. i f• MAIL p t� ' RECEN� �_0Y DATE RECENED DATE ISSUEO � ADDRE55 41J E• 1��.31'Sti. � ,�,(X I IQ ^ I.• OCT �% ' ciTr COsta Mesa TNo: LI8ll59 AooRe�ss iNGENEER Carlson Rt No: �- -'COSTA MESA. CALIFORNIA . • e roo F�Re � ADDRESS � ' ZONE TYPE � GROUP D�Ce & Colegrove� ZIlC6TATE lbq2(]� ' pppROVED CONTRACTOR LIC.NO. f � BY DATE ADDRESS 4�-] E• 1(titl Sb. Costa Mesa_ q . � ZONING � " LEGAL .' , I LOT � 22 I I� ��ZF. - ZO NO. OF � I USE OF NEW '� DESCRIPT�ON' NO. BLOCK TRAGT� LqNS Bl11LDING A.P. NO. . . ' APPROVED 1 .' �{ BY �t/� D TE ��yl. �/� SIZE CO X lOG �, I No. oF e�ocs.nOne yqRDS . EVES OF LOT l l rvow oH�oT REQUIRED AILOWED USE OF � � '" „ , , . I�ENTER LINE STq - " ' , � EXISTING BLOG. FRONT � FT. � - IN. ' SETBTCK LINE FROM 50+ . � 19� � cerviers.OF STnEEr REAR YARD � R. SIDE ' '� FT. ' IN. 1 '' . t L/ SI�E YARD ILEFT � IRIGHT �- L.SIDE ' ). FT. IN. . DESCRIPTION OF WORK � '` /� v REAR �/ FT. �/ / IN. NE I�n�IIALTERATIONI � IIADDITION I ' // '� REPAIR I� IIMOVING I IIDEMOLISH I ' -' BUILDING � NO.OF . . � �SIZE Zb� S - STORIES 2 ^ . EXTERIOft WALL 1q OOF � - COVERING $ tuC¢gpVERING r0 - . USE OF BUILOING AND WORK TO BE PERFORMED � . . - ' ' ' Multinle £amil dwellin_ with 3 d zJ attached garage. (Four living units). " '_ I HEREBY qCNNOWLEDGE THqT',I HqVE REAO THIS APPLICATION qHE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT qND AGPEE TO COM� pURPO3E OF 'E9T�IBLISHING A� PEFMIT FEE ONLY. PLY WITN ALL CITY OpO1NANCES ANO STqTE LAWS REGULATING BUILOING CONSTFUCTION. � VALUATION - SIGNATURE OF , , . � PERMIT'FEE $ SO�OO "• PERMITTEE '� �� � � 30,97�'i�� • • PLAN CHECK $ 2rJ�OO AUTHORIZEDAGENT D].�Ce Bc C01.0-T'O � TOTALFEE.S ����