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Home My WebLink About526 PIERPONT DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 . www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 526 PIERPONT DR Suite: Viciniry: ROOF Parcel Number: 41803316 Applicant: PEREZ, DAVID M Address: 526 PIERPONT DR COSTA MESq, CA Owner: PEREZ, DAVID M Address 526 PIERPONT DR COSTA MESA, CA Convacror. OW NER-BUILDER Address: Zip: Arch : Address: Phone: 2oning: R1 R1 ISSUED BY: Phone: 714-546-6703 Zip: 9262E3109 Phone: Zip: 926263109 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: O6/30/2003 Issued: O6/30/2003 Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING. INSTALL 30# FELT, REPLACE SHEATHING AS NEEDED, ASPHALT SHINGLES. 2,300 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-Q - PARKING Existin : 0 Rear 0. 0 Rear 0-0 Re uired: .0 FEE SUMMARY 9 PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 Sa,soo.00 sa,soo.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, 12-21-92) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable cotles, antl all required Inspactlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 75M5626 2aaba8 (B�W) WORKERS' L'OMPENSFTION DECLARATION: -� � I hereby aRirm unde� penalty of perjury one of the following declaretions: ❑ I have and will maintein e certiticate of consent lo self-Insure tor workers' compensatlon, es providetl br by section 3700 ot the Lahor Code, for the pertormence ot the work for which this permit Is issuetl. ❑ I have antl will maintain workers' compensetion Insurance, as requiretl by sectlon 3700 of Ihe Labor Code, for Ihe perfortnence of the work for which this pertnit is issued. My workers' compensetlon Insurance cerrler entl policy number ere: Carrigr: policy Number: �I certity thet in Ihe pedormenca of the work for which this permit is IssueQ I shell not employ eny person in eny manner so as to become suDject to the workers' compensatlon laws of Califomia, end egree t�at II I ahoultl become sub�ect b the workers' compensa�ion Dmvlsions ot Section 3700 ot Me Labor Code, I shall torthwith comply with these provislons. ? ApplicantSlgnaWre: � � '`�'(_ / Date: �'� Jv'� U� WARNING FAILURE TO SECURE WORNERS' CqAPEN$ATON COVERAOE IS UNLAWFUL M1D SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUN�RED THOUSAND DdlARE (5100.000), IN ADDfTIIXJ TO THE COST OF COMPENSATION, DPMAGES AS PROVIOED FOR IN SECTIQY 3]OB OF iHE LABOR WpE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS OECLARATION: I hereby eNirm ihat I am licensed under provlslons of Cheptar 9(commencing wit� Section 7000) of Divlslon 3 ot the Business end Professions Code, antl my license Is in full force antl aMecL Lic. N Class a Conirectols Signeture: Date: CONS7RUCTON LENDING AGENCV: ❑ I hereby aHlrtn thet there is a construction lending egency for Ihe pedormance of the work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business anG Pmtessions Code: Any ciry or counry:whkli requires e permit ta wnstruct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to tile a signed statement ifiat he or she Is Iicensad pursuent to the provisions oi Ihe Contractors License Law (Chepter 9(commencing with Sectlon 7000) ot DlNsion 3 of the Busineu end Professions Cale) or.thet he or she is exemp� therelrom end the �esis lor the elleged ezemption. Any violation ol Section 7031.5 by eny applicant for a pertnit subjects the applicent to a civil penalty ol not more than tive �untlretl tlollero ($500)J: ❑ I, es owner ol Ihe properry, or my employees wlih weges es thelr sole compensatlon, WILL DO THE WORK, entl the structure is not intended or aftered for sale (Sec. 7044, Business and Prolessions Code: The Contrectors License Law does not apply to an owner of properry who builds or improves thereon, antl who tloes such work himself or herself or through his or her own employees, provitled Ihat such improvements ere not Intendetl or oflered br sale. If, however, the builtling or improvement is sold within one year oi completion, the ownerbuildor will have.the burden ot proving that he or she did not build or improve br purpose of saleJ. ' ❑ I, as owner of tha propeny, am E%CLUSIVELY CONTRAG7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, eusiness and Professions Code: The contracmr5 LicenSe Law does noi apply to an owner al properly who Dulltls or Improve5 lhereon, end who contracis for such projeci with a coniractor(s) �/ license pursuant ta the Camractors License Lews.). y� I em exempl undar sec Business end Professions Code tor Ihis reason: Sgnature: Expires: 3'+ 3-0 Venflwtion of Ownership by (rype of doc t, i.e. - property tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY ❑ I hereby certity lhat no ezcavatiori live (5) or more feet in depth into which e person is required ro tlescenq will be matle in connection with work authonzetl by this parmit, and thet no huilding structure, scafloltling, felsework, or demolllion or dismemling Ihe�eot, will be more than thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, Ttle B, Califomia Administrative Cade). ❑ As owner-builder, I will not employ anyone to do work whic� would requlre a pertni� from the Division ot Indusirial Safery, as noted ebove, unless such person has e permit to tlo such work from Ihe division. Signature: Date: Division of Intlustrial Sefery Permit Numher: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I cenity under penalry of perjury ihat I have read thGs appliwtion antl state thal ihe information given is corract. I agree to comply wit� all stele laws entl ciry ortllnances releting to building consWction, antl authonze representatives ot Ihe City W Costa Mesa to enter upon Ihe ebove-tlescribed properry lor inspaction purposes. 1 egree not to accupy or allow occupancy of eny building authorized by this permit until final inspection. � .t �,/`�, i 6 -s�_ �3 Signawre O Legal Owner(s) Date AnNOr Authonzed ApDliwnt CODE �. INSPECTONTYPE 1676 Fixetl System Final Fire Preventlon 1266 200 201 202 203 204 Pool Spa Final Finel Re-Roof Final BIocWRetaining Well Final Fectory Fire Place Finel Slgn Final Demolition Qdj( �$ 4QpF,! INSPELTIONTYVE 206 Final Mechanical r � ' '.,"'✓ 20B Final Plumhing G �210 Finel Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Building/Oxupancy / I I � / ' � / 1 � ' • � OWNER-BUILDER VERIFICATION A city or counry, which is reyuired to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the comple[ion and require the retum of, an ownervbuilder verification. Atten[ion Property Owner: An 'owner-builder' building permit has becn applicJ for in your name and bearing your signamre. Please 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 oertni[ will be issued until [his 0 2. personally plan to provide e major labur and materials for construction of the proposed ropertyimprovement. [vf�Yes ❑ Nn ( av ave noQ _ ie proposed work. signed an application for a building permit for 3. 1 have cuntracted with the following persun (lirm) to provide the proposed conswction: Name Address Phone ( ) City _ Contractor's Lic. No. 4. 1 plan to provide portions of the wurk, but I have hired the following person to coordinate, supervise �nd provide the major work: Namc Address Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but 1 iiave contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work i0G2-a6 (REV.99B) UWIVCK MESA SER JOB ADDRESS 526 Pie� GENERAL CONTRACTOR AP No. LOT I! '.CTIONS s� GAS W ATER ROUGN PLUM6ING PROP. SWR. LINE ' HOUSE CON� SPRINNLING SYSTEM ��(1, MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGROUNP ❑ POWER � HOUGN WIRING TRENCHES FORMS � STEEL RE FLOOR SYST6M BONO BEAM ❑ STEEL REINFORCE j SHEATHING FRAME AND FLASHING LATHING — IN y� OUT [R] PLASTER, BROWN COAT STa'�CTURAL, FINAL H IG, VENT., REFRIG. FNO F.C., F Ple.•�91NG FINA� ANO GAS TEST ELECTRIC, FINAL BUILOING, FINAL TRACT 5698 FI DATE 1-17- BUILDING PERMiT SUBCONTRACTOR 2809� COSTA MESA BUILDING-SAPETY DEPARTMEPR P.O. BOX 1T110 COSTA MESA� CALIFORNIA 92828 JAN .18�00 666• +** *85.50 I ��urvrv�K �App vHi� 5-15-70 JOB ADDRESS 526 Pierpont Drive BUILDING PERMIT N0. 31844 GENERAL CONTRACTOR Air Vent DESCRIPTION of WORK Patio Cover APNo. 418-033-16 LOT 180 TRACT 5698 FIRE ZONE VALUE$800.00 �II ;CTIONS $i nature Dafe GROUP TYPE ZONE — so�� o`�,. n�` �R PERMITS ISSUED GAS I Da�e N�mber $ianat�re WATER I Pl�imf.inn PROP. $WR. LINE U HOUSE CON. SPRINKLING SYSTEM ROUGH HEATING AN� AIR CON�ITIONING UNDERGROUNO U POWER ROUGH WIRING FLOOR SYSTEM BOND BEAM � STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING — IN n OUT ❑ PLASTER,BROWN COAT ST 'TURqL, FINAL H. �G, VENT., REFRIG. ANO A.C., F PLUMBING, FINAL ANO GAS TEST � ELECTRIC, FINAL BWLOING, FINAL 31844 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTP MESA, CALIFORNIA 92626 Fo� Applicant m Fill in Completely onnaccc �'� r �1t�..�pn,s� OWNER MAIL CITV CONSTRUCTION LENDER BRANCH ADORE55 ARCHITECT CONTRACTOR ry.�Z V /"' AD�:7ES5 �ZC{ �� c. ` CITY STATE L1C. NO. l'L p� O�� SIZE OF LOT USE OF � - ; I� EXISTING BLDG. �i SIZE OF M� NO. OF NEW BLDG. 'J G O ROOMS EMERIOR WALL ROOF COVERING GOVERI USE OF BUIIDING ANO WORK TO BE �� TEL. M�Y 15-70�N�pQO 693 V*****8.00 APPLICATION FOR BUILDING PERMIT '�EIVEO BY DATE RECEIVED DATE ISSUI � _.� � /ir % A.P. NO. �� `1 � V SSJ BUILDINGr ADORESS TRACT C / G !l � OWNER �� p � � (� � VALUE TE l. S. u J M+Kfr CD.J �L..�, $ NO. FIRE �`� �A. ZONE TYPE GR( APPROVED J�� TEL. No.� 2 $ - CITY IIC. NO. NO.OF BLDGS. NOW ON LOT 1 . � ZON NO.OF l- I P�.� � VARDSAPPROVED MAIN BUILOING (FROM C/L STPEBT) VSE OF NEW �yY<✓ BUILDING � L U H � %� � VARDS APPqOV ED ACCESSORY BUILDI ci i FT. �ORIES L.SIDE �FT. FT. REAF �� FT.� FT. EO DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.i1E DATE 0 �.��^ C.U.P. #'- APPROVED APPRO D �,. __ ____ \ -I�' I hereby atknowledBe that I Peve reatl this application and stare ffiet the above intormetion is correct antl agree to comply with all laws re8ulatin8 builtling ca�siruction, antl 1 shall noi employ any person in viole[lon Ot th0 wOrkman's compensation laws ot th¢ Sxate of California. � � e I hereby certi(y that I em proGerly licensetl as a contractor untler SQ. FT. o Me Stata of Californin Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl that such licenses ere in tull force antl effect, or I THE PURPO6E OF ESTABLISMING A PERMfT FEE ONLV: � am exempt from the ptovisions ot Ne State of Calitornia Business VAIVATION ana Professions Cotle, Division 3�hapter 9. � N PERMIT FEE 5 ] SiBnat�re of m Permittee � � � 5 d"d PL,AN CHECK S� E �\ �� LL Au[horized Agant '� TOTAL FEE $