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Home My WebLink About2959 PEPPERTREE LN - Building Permits' � � ' ' Y � .:i ' �-� ` - '' CITY OF COSTA MESA ; ' � „'"r , , * "'E BYILDING DIV/SION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us � � FOR INSPECTIONS CALL: (714) 754-5626 � .4�� . . PERMIT NUMBER. P07-00582 PERMIT TYPE . PLUM 6 JOB ADDRESS: 2959 PEP Vicinity: EXTERIOR CLOSET� SCOPE OF WORK: WATE OWNER: Sl PHONE: 71 APPLICANT: SI PHONE: 7' CONTRACTOR: Address: City/State: � PLUMBING PE PLAN'CHECK FEE: PERMIT FEE: $ TOTAL FEES: f�` :� �' .r� ,��: t 208ERT, F Ir _ :(� � �OBERT F� 1 � *� ":a �fi!. 2-BUILDEI �� :x� ,i Iz{. f �t� � a . �. I MMj ��i� STATUS: DATE ISSUED: :'-:ISSUED BY: , SAMELOCATION Ciry/State/zZip: .___`�_y.:i�£ ..,�+�' -.�.......�{;�, s5.8o��a { ~�s'5;;� t�y�`'��a�.�..., s� � � k i��` f�r : $35 80 � � �' �' s= Y. A.p 4 � t '.....'P nfial ?S� .�. ��:� � ��1 � r �r,� �,�:,('"� ; �. —_ �:�,�� c ;, ?�a� ;:4 ; � — �..._•,: `'�zG''��r _. ,. ISSUED 11/14/2007 RMD SFD. 0 € r• NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) • � � , , EXPIRATION: ��PERMIT EXPIRES 180 DAYS FROM DATE OF'ISSUE OR DATE OF�LAST INSPECTION. � � 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODEk. INSPECTIONTYPE , DATE INTITIALS CO�Ep INSVEC110NTYPE �ATE INTITIRLS 1616 Fixed Sysiem Final Fire Prevention 206 Final Mechanical � [��/ 1266 Pool Spa Final . 208 Final Plumbing �Q,Q�� J� 07 /J/� 200 Final Re-Roof 210 Final Electncal � 201 Final BIocWRetaining Wall 2t2 - Final Fire Prevention ' 202 Final Factory Fire Place 220 . Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition ' 250 Final Building/Occupancy � � :S WORKERS' COMPENSATION DECLARqTION: � I hereby afGm�unde'penal[y o( perjury one of Ihe following declarations: ❑ I have antl will maintain a certifiwte qf consen[ to sel4lnsure for workers' compensa[ion, as provitletl for by section 3700bf lhe Labor Code, (or ihe pertormance of ihe vrork for which this perMit is issued. ❑ I have and will maintain workers' compensation insurance, as required by sectbn 3700 0( the Labor Code, fw the performance of the work for which this pertnit is issued. My workers' compens8tion Insurence wrrier and policy number are: Carriec (IDis secfion neeC rat be mmde�� he pemrR ls valued at one hunCretl tloliars (E100) or�ess ) Policy Number: �� I certify iha[ in the peRormance of the vrork (or which [his permit is iss d, I shall not employ any person in any manner so as to become subjecl [o ihe workers' compensation laws of California, and agree that if I should become subjec[ lo the workers' wmpensation provisions of Section 3700 of the Lahor de, I shall forthwi comply with these provisions. �.%'_ ll-� y-o� �"AOPIi t�.i naWre Dale ! WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby atfrm that I am licensed under provisions of Chapter 9(commencing with Seclion 7000) of Division 3 of the Business and Professions Code, antl my license is in (ull force and eflec[. Lic. # __ Class # Coniractor's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm tha[ ihere is a cOnstruction lentling agency for Ihe pedormance of the work for v.fiich this pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lender's Addre� Signature oate I hereby affirm that under penalty'oPpery'Ury'thaPiSam'EXEMPT`.FROM THE CONTRACTORS LICENSE LAW for Ihe' following:�eason �(Sec. 7031.5, Business and Professions Cotle: Any city or county wFiich reQuires a�permit lo construct, alter, improve, demolish, or repair any structure, prior to ils issuance, also requires the applicant for such permit to fle a siqnetl statemeN that he or she is licensed pursuant to the pmvisions of the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or ihat he or she is exempt ihere(rom antl [he basis for ihe alleged exemp[ion. Any violation of Sec[ion 7031.5 by any applican[ for a permit subjects the applican[ to a civil penalty of not more �han five hundred dollars ($500).): ❑�I, as ovmer of the property, or my employees with wages as their sole �compensation, WILL DO THE WORK, and the strucWre is not intended or oftered for sale (Sec. 7044, Business and Pmfessions Code: 7he Conhactors License Law does not apply to an owner of property who builds or improves thereoq and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have the burtlen of proving that he or she did not build or improve for purpose of sal�.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS b construct the pmject (Sec. 7044. Business and Professions Code: The contractors Licens� Law dces not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) Ncense pursuant to the Contrac[ors License Wws.�. ❑ I am ezempt under sec. ' � Business and Professions Cotle for this reason: - 1 1-l� ~�� ign Wre - pa�e. , 305]-06 (3/0�) - Y ' T s a Owner ID verified by driver's I�, _. es ❑ Na Diiver's,License No. Expires:a Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby certAy that no excava[ion frve (5) or more feet in tlepth into wfiich a person is required to descend, will be made in connection with work auttrorized by this permit, and ihat no building sWcture, scaffdding, falsework, or tlemolition or dismantling thereo(, will be more than thirty-sia (36) feel high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-6uilder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permi[ to do such work from the division. Applirant's Signalure Oale Division of Industrial Safety Pertnit Number HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. � Will the applicant or present or future building occupant neetl to fle and ceAity a Business Plan for emergency response to release or threatened release of a hazardous matenal7 ❑ Yes ❑ No � (Section 25505 of the Califomia Health and Safety Cotle requires, wi[h some excep�ions, [hat a Business Plan be fled with Ihe Costa Mesa Fire Depanment by every business which has at any one time tluring a reported year a quantity of hazardous matenals equal lo or greater than a weigh[ of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas al standard tempereture and pressure). 2. Does or will the applicant or present or fWure building occupant need to file a regis�ration form for acu�ely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, vnth some exceptions, requires regis[ration wi[h [he Cos[a Mesa Fire Deparlment by each business which at any one time has on hand a quantily of acutely hazardous materials equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200�cubic feet of compressed gas at standard temperaWre antl pressure). 3. Does or will the applicant or present or fu[ure building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with Ihe Fire Department o( an RMPP by businesses which are requiretl to register acutely hazartlous ma[erials wi[h the Fire Departmen[. 4. I( an RMPP is presently required, has Section 25534 0/ the Cali(omia Health antl Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for lhe work which is lhe subject of lhis appliwtion a permit for such conslruction or modifcation (rom lhe South Coast Air �uality Management Dislrict or from any olher air polWtion control disMct or agency? ❑ Yes ❑ No (Section 658502 0( the Califomia Govemmenl Code requires that Ihe requestetl information be fumished on applications for nornresidential builtling pertnits�. 6. Will any part of the facility to be consWcted under this pertnit be wi[hin 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If'yes", the facility must meel lhe requirement of Sections 25534 and 42303 of [he California Health antl Safety Code). 7. I( a pertnit from the South Coast Air �uali[y Management Disinc[ or other air polWtion control district or agency is required for Ihe work which is the subject of this application, have all of the discbsures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropnate air polWtion contml oKcer). CERTIFICATE OF COMPLIANCE;I certify�that under,penalty of perjury the information given above is wrrect I agree to comply with all state laws,and city ordinances regarding Hazartlous Materials and Emissions: . SignaWre uate � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty o( perjury that I have reatl this application and stale tha[ the information given is cortecl. I agree to comply with all sta[e laws antl city ordinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy ot any building authorized t is permit uJr til nal inspection. �_ � _ 1!-1 y-o� i��t, eg Owne� r�� Oale An0/o� Aul�onieE AOVlicanl Da(e ( � ''r . � ` � "D" ��Qd� �lGeau� buG'A� L/GfLGdl.4�t' � OWNER-BUILDER VERLF[CAi'ION , � f_Address: .�- 1 Sq � QPiYI'QLF� L� Permit #: A city or county, which is required to give no[ice pursuant to Section 19830; shall attach ro such no'tice, and, as a condition precedent to issuing a building permit, require the completion and require the retum of, an owner- builder verification. - Attention Property Owner: An `owner-builder' building pem»t has been applied for in your name and bearing your signature. Pl�ase complete and retum this information in the envelope provided at your.earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildine permit will be issued until this vetification is received. '� �.,.�1.� 1 personally plan to provide the major labor and matenals for conswction of the proposed property improvement. � Yes ❑ No � I(have/have not) C R'�V � signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone ( ) City _ Contractor's Lic. No. 4. I plan to provide portions of the work, bu[ I have hired the following person [o coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name 1042.46 �Rev.11lOd) Address Phone Type of Work PACZFIC INSTALLEBS, I\C. 7541 Anthony Avenue Garden Grove, Californis 92641 P. 0. Box 728 WesCminster, Calif. 92683 Dirzctor Cept. o£ B ildiag.and S�a� Cito of P �-� �c �a � Deas Sir: Dat e o� - `� �/ — �� Permit tio. �s o7(i � TyF� Q£ Permit �!'i(�C.c..- Dated �� %� Ylease be advised that as of ��n7 �e -%-3 ouz work on above- nan�d permit has been cancelled, and as of that date we vould like the permit ca lled; so that our responsibility for any work aecompli.shed at:Q2 93 � for custom>_r: � a�wi11 be ended. Vezy truly yours, For: Pecific Installera, Inc. 7541 Anthony r,venae Gazden Grove, Cali°ornia State Lic. � o?�l �� City Lic. �_ P.I. 254 Rev. 1/7I 9��3 . COSTA MESA BUILDING-SAFETY DEPARTMENT . P.O: BOX 31'7 COSTA MESA. CALIFORNIA ' fOR APPC/CANT TO F/CL /N COMPLETELY TYPE OR PRINT BUILDING ADORESS 2 9�Pe er Tree�Lane CO5TA MESA, CALIFORNIA CITY liOSt$ j�eS$ - NO Jyf AF� 'ECT C$T1S011 BC LIC., ' OI INEER NO. ADORESS Garden Grove � Dike & Colegrove, Inc. sTare CONTRACTOR � LIG NO. � ADORESS � 1't�j St Costa r LEGAL LOT OESGflIPTION No. 286 I 9LOGK I TR NO. OF aLOG. NOW ON LOT USE OF EXfSTiNG BLOG. SET6TGK LINE FROM CENTER OF STREET SO� ' REAR YARD � SIDE YARD I LEFT S� I RIGHT 1O� DESCRIpT10N OF WORK - NF\ � X II�Y� TFRGTION I II GhfIITION BUILDING [c NO.OF SIZE � 1�0J ROOMS EXTERIOR WALL IROOF GOVERING stur.ro COVERING attached garage. �� I MEREBY ACKNOWL�OGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS COFRECT AND RGREE TO COM- PLY WITH ALL CITY OROINANCES ANO STNTE LAWS FEGIILpTING BVILOING CONSTflI1CT�ON. � //� � SIGNATl1RE OF ��p{ //J_/J ' PERMITTEE /�T�+r� e /+ AUTHORIZED AGEN7 D]1Se •t,t COle rOVe - C BU `' �.. �, �.IH�t'��19,�� .IM1CnF'iL�' l'�FL. t: �,��: l`:� i';,�'iJ: f:{�_C.��. APPLICATIOIY FOR PERM(T BUILDING faR offic� usF oNu� I RECEIPI' NO. I P�� IVED BY OpTE RECEIVED DATE ISSI � I ��./!. ��-C/� I �� COSTA MESA. CALIFORNIA APPROVED BY DATE ZONING ZONE - INO.OF IUSE OF NEW PlANS BUILOING APPROVED o / BY �/' DATE (� YARDS " � ' EVES REOUIRED ' ALLOWED (CENTER LINE STJ , L.SIDE FT. -- - _ �-� — 1 IIJ TXE FMOUNT 3HOWN UNOER VALIIATION 18 FOR THE "PURPOSE OF ESTABLISMING •F PEFMIT FEE ONLY. VALUATION PERMIT FEE S '3'�� 13�715 � PLAN CHECK $ 16�00 TOTAL FEE $ L}$�OO .., - � � . . E� ��`��' � �:��;� � �t� �, �9�► COSTA MESA BUILDINGSAFETY DEPARTMENT FINANCE DEPT. �. ,. o..B,X ,,, • �o�� M��. �,Po�.,,� CITY OF COSTA MESA � r Fo� Applieanf fo Fill.ln. Compleiely APPLICATION FOR PERMIT � � � TYp6�OR PRINT.� � . ' BUILDING . su��otHc � 95 ' . . aooeess � �COSTA M A. CALIFORNIA - � FOR=OffICC US@ �II�y RECEIPT NO. P MIT NO. 'OWNER �` � a � �-11 Fv � 000� �� 3.s d-� MAIL - RECHIV D BV DATEqNEC V O � T•E/ ISSU�E/D ADORESS ' ' I a.G '� '� �O` �/'� cin . No`: dt3lD BULLDING ' ADORESS • A' �EG7 rE�. � COSTA MESA. CALIFORNIA O aINEER � NO. " - ' ADORE6S FIRE . � . ZONE - TYPE GROUP CONTRACTOR � (/// 6 " APPROVED ' � BV DATE ADDRE6S ' � � ' ' '. ZONING � ' ' � � � • ZO E NO. OF II6E OF NE � Q�T' ' I PLAN6 2' I,BUILDING &TATE. ' TEL.� ' tecw� '/j� \ LIC. NO. � NO. DEBLRIPTION .O / J- ��L OF LOT W/X i�S / . I NOW oN oTe. �i a ` A. P. NO. USE OF � YAROS EVES � - EXISTING BLDG � APPROVED ALLOWED BBTBACK L�N< PROM , (CENTBH LINE BTJ • I CGNTew'01 eTf[eeT REAR YARO FRONT / . F % ir ' IN. SIDE YARD LEPT' ' �I�RIGHi ' 'q,SIDE O FT. IN.:' DESCRIPTION OF WORK " � L.SIDE � �FT.' W. NE I IIAI.TE�TION I � IIADDITION I REAR FT. IN. REPAIR I IIMOVIr1G - I IIDEMOLISH I BYPROVED + � � � �/ DATE BUILDING � � ' NO: OF ' � - � � ( j,�j� SIZE ' ROOM6 STORIES O ��I 1 ' • EXTERIOR WALL' 'I ROOF �� - ' • ' . COVERING - COVERING ' ' USE OP'BUILDING AND�1(ORK T9 BH PERPORMED 7 G -/r!/ �/ ,• " � � .. . �� . 3 ; � ; ,. � � - 1 HERBBY ACNNOWLBDG! THAT 1' XAVB R6�D�TXIB MPLIWTION TMB AMOUNT eHOWN UNDER V�LUATION IB FOR TME ANO 8TAT8 TXAT TXE AB01/e��B�CORRBCT.AND AGPH¢�TO COM- pUWOBE OP, E9TABL�BHING w PeqMIT FEE ONLY. � PLY WITX ALL OTY OIiDINANGEB AND BTATH IAWe.R¢pULATING Bu1tDINa CON6TRUGTI N.� �� -- � VALUATION �� SIGNATURE OP �� . �¢(j PERMIT FEE $ �� PERMITTE � � , - � , _ $'/�� C PLAN CHECK $ AUTHORIZE�.AGENT � " ' ' �'�... TOTAL FEE