HomeMy WebLinkAbout522 PIERPONT DR - Building Permits�
CITY OF COSTA MESA
o�""'s, BI/ILD/NG DIVISION
>�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Fax (714) 754�856 • wvaw.ci.wsta-mesa.ca.us
� � FOR INSPECTIONS CALL: (714) 754-5626
'�°°•��°"" PERMIT NUMBER. E11-00056
PERMIT TYPE ELEC
APN: 41803315
JOB ADDRESS: 522 PIERPONT DR CM
STATUS: ISSUED
DATE ISSUED: . 03/2212011
ISSUED BY: KJB
Suite/Unit:
Viciniry: . . �
SCOPE OF WORK; CHANGE OUT EXISTING PANEL. NO UPGRADE TO 100 AMP SERVICE. RE-WIRE ALL PLUGS, LIGHTS AND SWITCHES
FROM ALUMINUM TO COPPER. 12 LIGHT FIXTURES, 29 OUTLETS, 24 SWITCHES.
OWNER: JENSON, STANLEY
PHONE:
APPLICANT: ROBERT RAYMOND ECHT
PHONE: 951375-6602
CONTRACTOR: ROBERT RAYMOND ECHT
Address: 33946 WAGON TRAIN DRUniI:
City/State: WILDOMAR, CA ZipCode: 92595
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $120.69
Reinspection Fee $0.00
TOTAL FEES $120.69
e
�
Address: 522 PIERPONT DR Unil:
CitylState/Zip: COSTA MESA, CA
Address: 33946 WAGON TRAIN DR Unit:
City/State/zZip: WILDOMAR, CA
�License No. 843826 ' � ��
' . � � PHONE: 951375$602 � �
� ' � CELL: ' ' � �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California staWles and relaled
regulalions. (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 inspectio�s and final approval will result in the expiration of this permit.
G 0 t. INSPECTIONTYPE DATE INTRIAL GOOEt INSVELPONME OATE INTIPAL
1616 Fizetl System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 20B Final Plumbing
� �-� m
200 Final Re-Roo/ 210 Final Electntal � �J� �
201 Final Blwk/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
2W Final Sign 222 Final Site
�204 Final Demolition ' 250 Final 0uilding/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalry ot perjury one of the following declaralions:
❑ I have and will maintain a certificate o( consent to selGinsure for workers'
compensation, as provided fOr by section 3700 ot the Labor Cotle, for the
performance of Ihe work tor which Ihis permit is issued.
❑ I have and vrill maintain workers' compensation insu2nce, as requiretl by
section 3700 0! Ihe Labor Cotle, for the pedortnance of the work (or which this
pertnit is issuetl. My workers' compensation Insurance carner and policy
number are:
Carrier
/T�RsetYionneedriotbewmpl dIDe /1anRisvaluetlat e�u Collers/SIOJ)oilessJ
Policy Number: y
I certify that in the peAormance of the ork for which this permit is
iss d, I shall not employ any person in any manner so as to become subject
to the workers' compensation lavrs of Califomia, and agree that i! 1 shoultl
become subject to the vrorkers' compensation provisions of Section 3700 of
the Labo , I h II (prt� Co y�th these provisions.
��_ / 1 � Z%i ( l
' ' Ap0licanl's5ignaWre Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPI.OYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
(5100,000), 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 bECLARATION:
I hereby affirm lhat I am licenged under pmvisions of Chapter 9(commencing
with Section 7000) of Division 3 of Ihe Business and Professions Code, and
my license is in full force and @ffect.
Lic. # Class #
3-22-I
\ COnUactor4Sig�ldlure Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby af(mn lhat t�ere is a consWctbn lendinq agency (w the
performance at the work fa vfiich this pertnit is issued. (Sec. 3097. Civit Code).
Lender's fJame:
Lender's Address:
Signalure Da�e
OWNER-BUILDER DECLARATIONS:
I hereby aKrm Iha� untler penal�y of perjury lhat I am EXEMPT FROM THE
CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Cope: Any ciry or counry which requires a permil to
conshuct, alter, improve, demolish, or repair any strucWre, prior to its
issuance, also requires the applicant for such permit to file a signed statemenl
Ihai he or she is licensetl pursuant ro the provisions of the Contractors
License Law (Chapler 9(commencing with Seclion 7000) o( Division 3 of Ihe
Business antl Professions Code) or Ihat he or she is exemp[ therefrom antl
the basis for lhe alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant ro a civil penalry o( not more than
five hundred dollars ($500).):
❑ I, as owner ot the property, or my employees vnth v2ges as their sole
compensation, WILL DO THE WORK, antl the structure is not intendetl or
oifered (or sale (Sec. 7044, Business and Professions Code: The Coniractors
License Law does not apply to an owner of property who builtls or improves
thereon, and who does such work himself or herself or through his or her own
employees, pmvided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold vnthin 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 sale.).
❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRAC70RS Io conslruct the project (Sec. 7044, Business and
Protessions Cotle: 7he wntractors License Law dces not apply to an ovmer of
property who builds or improves thereon, and who contracts for such prqecl with
a cont2cta(s) license pursuant to the CoNractors License Laws.).
❑ I am exempt under sec.
Business and Professions Cotle for this reason:
]OS)-a6�3101)
Owner ID verifed by driver's license. ❑ Ves ❑ No
Dnver's License No. Expires:
Verification of Ownership by (type o( tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certi(y that no excavation frve (5) or mOre feel in tlep[h inlo whiGh a
person is required to descentl, will be made in connection with work authorized
by this pertnit, and that no building stmcWre, scaffdtling, falsework, a tlemolition
or dismanlling thereo(, will be more than thirty-siz (36) feet high. (Chap. 32, Grp
2, M Z, Sec. 341, Tiife 8, Califomia Administralive Code).
❑ As owner-builder, I will not employ anyone to do vrork which would
require a permit from the Division of Intluslrial Sa(ety, as noted above, unless
such person has a permit to tlo such work from the tlivision.
Apphcanl's S9naWre Date
Division of Industrial Safery Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or fuiure Duiltling occupant need to file antl
certify a Business Plan tor emergency response to release or threatenetl
release of a hazardous malerial? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, thal a Business Plan be filetl with ihe Costa Mesa Fire
Department by every business which has a� any one time during a reporte0
year a quantiry of hazardous materials equal to or greater than a weighl of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard tempereture and pressure).
2. Does or will the appliwm or present or fuWre building occupant need to fle
a regislration (orm for aculely hazardous materials? ❑ Yes ❑ No
(Section 25533 of ihe Califomia Health and Safety Code, with some
exceptions, requires regis[ration with Ihe Costa Mesa Fire Department by
each business which at any one time has on hand a quanlity of acutely
hazardous materials equal to or greater than a weight of 500 pounds. or a
volume of 55 gallons, or 200 cubic (eel of compressed gas at standard
temperaWre and pressure).
3. Does or will the appliwnt or present or IuWre building occupant nee0 ro
prepare an RMPP (Risk Managemenl and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(SecliOn 25534 of the CalifOmia Health and Safety Code provides that the
Cosla Mesa Fire Department may require Ihe preparation, certifcation and
filing with the Fire Department of an RMPP by businesses which are requiretl
lo register acutely hazartlous materials with the Fire Department.
4. If an RMPP is presently required, has Section 25534 of Ihe Califomia
Health antl Satery Code been fully complietl wi�h? ❑ Yes ❑ No
5. Does or will the appliwnt or present or future building occupant require for
�he wOrk which is the subject of Ihis application a permil for such construction
or modification from the South Coast Air �uality Management District or from
any other air pollution control disMct or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Govemment Code requires that the requestetl
infortnati0n be fumishetl on applicatbns tor rarnresitlential builtling permits).
6. Will any part of the facifty to be constructed under this pertnit 6e vnthin
1000 (eet from the outer boundaries of a school? ❑ Yes ❑ No
Qf yes", the faciliry must meet the requirement of Sections 25534 and 42303
of the California Health and Safety Cotle).
7. If a permit from the South Coast Air Quality Management Distnct or other
air pollution conlrol district or agency is required for the work which is the
subject of Ihis application, have all o/ the disclosures prescribea by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Q( "yes". atlach certificate oi compliance from the appropnate air pollution
control of(cer�.
CERTIFICATE OF COMPLIANCE: I certify that under penalty o( perjury the
information given above is CorrecL I agree ro comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
SignaWre Date
CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRY: 1
certify under penalry of perjury that I have read this appliwtion and state that
the intormation given is wrrecl I agree lo comply wilh all state laws and city
ordinances relating to building construction, and authonze represeNatives of
the Ciry o� Costa Mesa to enter upon the above-described pmperty for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorizetl by Ihis permit until final inspection.
//9 re L,/qtJ/3I er( Date
i IFTfOwrAWM1onze�APP� nl � Da��— I I
� M i C
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COS7A MESA, CA 92626
Job Address: 522 PIERPONT DR
Suite:
Viciniry: HOUSE & ATTACHED GARAGE
Parcel Number: 41803315
npp�icant: NGUYEN, CHONG
Address: 14351 EUCLID ST
UNIT E
GARDEN GROVE, CA
Owner: STARR, CONSTANCE L
Address 522 PIERPONT DR
BUILDING PERMIT
Zoning: R1 R1
Phone: (774)545-G994
Zip: 92843
Phone:
C05TA MESA, CA Zip: 92626
Contracmr. VILLA ROOFING PROFESSIONALS INC
Atldress: 14351 EUCLID ST
UNIT E Phone: (714)545-6994
GARDEN GROVE, CA
Zip: 92843 � � License: 758361
Arch :
Address:
Phone:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: O6/21/2000
Issued: O6/21/2000
Phone:
Zip: License: License: .
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (22 SQ). INSTALL 1 LAYER OF 15# FELT �
UNDERLAYMENT & 1 LAYER OF 25 YEAR COMPOSITION SHINGLES OVER EXISTING LAYER OF COMP SHINGLES. �
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Frant 0- 0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING 8 ZONING
LeR 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
sz,aoo.00
$z,aoo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
'� regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSVECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required fnspeetlone and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
J ��
M
WORKERS'COMPENSAnON DECLARArON:
I hereby aHirtn untler penalry of perjury one of ihe following tleclarations:
❑ I have and will maintain e certifirate ot consent lo setl-Insure tor workere' wmpensation, as providetl for by section 3700 of tha Labor Cotla, for ihe pertormance of ihe
work for which ihis permit is issued. .
f.Y I have and will maintain workers' compensation insurance, as required 6y section 3700 oi the Labor Cotle, for the perfortnance of ihe work for which this permit is issued.
�� My workers' �comp�ensa�ti Insure�n'° �ce,rn9r d policy number are: �j
Carrier: �'/.O/ ! C= /!ti/�� � Policy Number. � tJ �— �d
(This section need not be completed it the permit is velued et one hundred dollers ($f 00J or lass.)
❑ I certify thal in the pedormance oF the work for which this permit is issued, I shall not employ any person in any manner so as to bacoma subject to the workars'
compensa�ion laws ot Celifomia, a agree ihat if I should become subject to the workers' compensation provisions of Section 3700 ot ihe Lebor Coda, I shall fohhwith
comply with these provisions As' y�
Applicant Signature: Date:
WARNWG FAILURE TO SECURE W ' C MPENSATIO COVEFiAGE IS UNLAWFUL ANO SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN�RED
THOUSAND DOLLARE ($100,000), I ITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O6 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm Iha� I am licensetl under provis s o Cha r(commencing wi�h Section 7000) of Division 3 ot ihe Business antl Professions Cotle, and my license is In full
force and eRect Lic. k J�� � Class # �-3%
Contrectofs Signature: fi�/ Date: �' /� i C.i-O
--7
CONSTRUCTION LENDING AGENCY:
� I �ereby aHirm that there is a consimction �ending agency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
LentleYs Name:
Signature: _
Lendars Address:
Date:
OWNER-BUILOER DECLAHATIONS:
I hereby aHirm ihat under penalry ot perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protessions
Code: Any city or county which requires a permit to consWct, alter, improve, demolish, or repair any s�mcWre, prior to its issuance, elso requires �he epplicant for such permit
to file a signetl statement Ihet he or she is licensed pursuant to the provisions of the Con�rectors License Law (Chap�er 9(commencing with Section 7000) of Division 3 ot Ihe
Business and Professions Code) or ihat he or she is e:empt iheretrom end ihe �asis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit
sub�ects the applicant to e civll penalry of not more than five hundred dollars ($500).):
❑ I, as owner of ihe propany, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, antl the structure is not intended or oNeretl for sale (Sec.
7044, eusiness antl Professions Code: The Contractors License Law tloes not apply m an owner of property who builds or improves ihereon, and who tloes such work
himself or herself or through his or her own employees, pmvided that such improvements are not intended or oHered for sele. If, however, the builtling or improvement is
sold within one year of completion, ihe owner-builder will have the burtlen oi proving that he or she tlid not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRAC70RS to construct t�e project (Sec. 7044, Business and Professions
Code: 7he coniractors License Law does not apply Po an owner ot property who buiids or improves thereon, and who contrects for such project with a contractor(s)
licensa pursuant to Iha Contractors License Laws.).
❑ I am exempt untler sec. Business and Professions Cotle tor ihis reason:
Signamre: Date:
Owner ID verifietl by tlrivar's license. ❑ Ves ❑ No Drivers Licensa No.
Verification of Ownership by (type of document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Ezpires:
❑ I hereby certity ihat no excavation five (5) or more faet in tlepih inm which a person is requiretl to tlescend, will be matle in connection with work authorized by this
permit, and that no building slmcWre, scattolding, falsework, or demolition or dismantling thereof, will be more than thirty-sia (36) teet high. (Chep. 32, Grp 2, Atl 2, Sec.
341, Title 8, Calitornia Atlministrative Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Industrial Safery, as notetl above, unless such person has a
permii to da such wark irom the division.
Signawra: Date:
Division ot Industrial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTfiY: I cehity untler penalry of perjury ihat I have read ihis application and stata that the infortnation given is
correct. I agree to comply wi�h all stata laws and ciry ordinances relating to builtling construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the
above-tlescnbe�d pyr�e rty tor i�nspeic Durposes. I agree not to occupy or allow occupancy oi any building authorizetl by this pertnit until tinal inspection.
il�/itiN fF�C.sr�l
Sg f Legal wner(s ata
/�i�m.d� �Gu��� 6 /�l o a�
� And/OrAuthorized Applicant � � Date
COpE 1, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
2606-46
QL1TF, �$ fQQ�1 INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
� r�-� 210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
p$jf N nL
U�nCK
JOB ADDRE:
GENERAL C
P � ' �o.
L _CTION
soi�
GAS
WRTER
ROUGH PLUMBI
PIiOP. $WR. LI
SPPINKI.tNG 5'
MISCELLANEOI
ROUGM HEATIN
TEMPORARV 51
UNOERGROUND
ROUGH WIRING
AND FIR CONDITIONING
VICE OH POLE
, POWER (,
TRENCMES � FORMS �J STEELI
FLOOR SYSYEM
BON� BEAM_❑ STEEL REINFORCE
SNEATMING
FRAME ANU FLASNING
�ATMING - IN m OIIT n
PLASTER,BRaWN COAT
5' 'URAL. FINAL
H!. .�G, VENT., REFHIG. AN� A.C., f
PLUMBING FINAL AND GAS TEST
ELECTRIC,fINAL
6UILOING, i�NAL
TRACT 5698 FIRE
DATE
ILDING PERMIT N0.
SUBCONTRACTOR
- 28097
STA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX tP00 COSTA MESA� CALIFOflNIA 92E2B
!AH ig-68°�;00 665* *4**90.00
SOIL
GNS
WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
FOIIGH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
LATHING - IN OUT
PI T_R, BROWN COAT
5- fURAL, FINAL
HEATING, VENT., REFRIG. AN� A.C., FINAL
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BWLOING_ F�NAL �
DATE 4-14-70
BUILDING PERMIT N0.
SUBCONTRACTOR
�; --- 31 �2�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant ta Fill in Completely
hPR 75-70P�i�OO 892� ��**16.50
CMSA
APPLICATION FOR BUILDING PERMIT
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ADORESS I
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OWNER
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�� LIC. NO. � IIC. NO. � MAIN BVILDING ACCESSORV BUILDING
�� SI2E NO.OF BLDGS. (FROM C/L STRE T
OF LOT NOW ON LOT qOfYT ./L FT.
USE OF �
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aEXTERIOR �'�'�+LL ROOF
COVEFING COVERING FEAR FT. FT.
USE OF B LD AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN B�OGS. ACCESS. BLDGS.
Q p VAR.:ib DATE
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VI heraby ecknowletlBe that I have raatl this applicetion entl ztete
� thet tho apovo informallon is correct entl aBree ro romply wit�
� all Inws re6ulotinp builtling consttuction, antl I shall not employ
F, nny Darson �� �Iolation ot the workman's compensatian lawc of
y Ma State tlf Celifornia. m
z1 hereby certtly that I am properly licensetl as e contracror untlar S�. FT. o
[he Sta[o of Californie Buziness end Profauions Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, nntl tha[ such licenms are in (ull forca anG effeet, or I THE PURP06E OF ESTABLISNING A PERMIT FEE ONLV: Q
om exempi trom ie provlsionsof the State of Celifornla Bvainacs VA�UATION
antl Profos4�o s e, Division 3, Chapter 9. N
�/� PERMIT FEE S • ]
� /�v m
Slpne[uro o � �
Permlttoe $//� PL.AN CHECK 3�• � E
� `o
Aulhorize Bent LL
TOTAL FEE S / �