HomeMy WebLinkAbout539 PIERPONT DR - Building Permits� CITY OF COSTA MESA
° BUILDING DIVISION
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� DEVELOPMENT SERVICES DEPARTMENT
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4 � � PERMIT PERMIT NUMBER
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B98-01756
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 539 PIERPONTDR
Suite:
Vicinity:
Parcel Nunmber: 41802416
Applicant: LEE, VINNY
Address:
Ownec TRAN, TON"N "
Address 46 CHRISTAMON WEST
� IRVINE,CA -
Contractor: WEST ROOFING CO
Address: 09612 SUTHERLAND WAY
BUILDING PERMIT
Zoning: R1 R1
Phone:
Zip:
Phone: � ,
Zip: 92620
Phone:
� GARDEN GROVE CA Zip: 92844
' License: � - 694940
Arch/Eng: � ':.- - ' " � �
Address: �� . - � ` �.
/ -" '. � �Phone: � . . .
Zip:
License:
SCOPE OF PERMIT
, :T/o existing adn reroof the house and garage with comp. shingle, roof cert. attached
. to permit � - ,
Status: ISSUED �ivr�
Applied: 09/29/1998
Issued: 09/29/1998
FEE-SUMMARY '
Plan Check: - $0.00 - :_ - Calc Valuation: $s,�oo.00
Permit: $87.25 - ,� � Claim Valuation: 83,�00.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00 "
Total: $87.75
PLANNWG R ZONING
SETBACKS �
MAINSTRUCTURE Front 0-0 Rear 0-0
ACCESSORY Front 0-0 Rear 0-0
PARKING Existina: 0 Reauired: 0
NOTES:
Left 0- 0
Lek 0- 0
Pr000sed: 0
Right 0- 0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or it 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 inapectiona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATION DECLARATION: �
I hereby aKrm untler penalty of perjury one ol the tallowing declaretions: , —,
❑ I have and will meintain e certificate of consent to selFlnsure for workers' compensation, es providetl for by section 3700 of tha Lebor Cotle, for the peAortnerie ot the
work far whic� Ihis pertnit is Issued.
❑ I have and will maintain workers' compensetion insurence, es requiretl by section 3700 of the Lebor Cotle, for the peAortnance of ihe work for which this pertnit is issued.
My workers' compensa�ion Insurence carrler end policy number are:
Cartier: Policy Number:
(7his section need nat be comp/efed 1! the pertnlf is velued al ane hundretl tlollers ($100J or /ess.)
❑ I certiy ihat in the performance of the work for which ihis pertnit is issued, I shall not employ eny person in eny manner so as to become subject to Ihe workers'
compensetion laws Calitomla, entl egree that II I should become subject to the workers' compansation provislons of Section 370 f the bar Cada, I shell forthwtlh
comply with these r isi%o �. %%
ApplicantSignature: ' //,/ . (!// � • Date:
WARNING FAILURE TO SE E WORK 5' COMPEN TI RAGE IS UNL4WFUL AND SNALL SUBJECT AN EMPLOYER TO CPI I PENALTI AND CIVIL FI �S UP TOONE MIIN�RED
1FIOUSAN� DOLLARE (5100,000). IN AD�ITION TO THE COST OF COMPENSATION, DPMAC+ES AS PROVIDED FOF IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm that I em licensed untler provisions ot Chepter 9(commencing with Section 7000) of Division 3 of ihe Business end Protessions Catle, entl my license Is in tull
force and ettect. Lic. N Class N�
ContradorsSigneWre: � �—�—� Date: —9
CONSTRUCTION LENDING AGENCY:
❑ I hera6y aflirtn that there is e construction lending egancy for the pedortnence of Ihe work for whic� this permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lentler's Atltlress:
SignaNre:
oate:
OWNER-BUI�DER DECLARATIONS:
I �ereby eflirtn Ihat under penalty ot per�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sac. 7031.5, Business and Professions
Code: Any ciry or counry which requires e pertnit to construct, elter, Improve, tlomolish, or repalr eny structure, pnor to its Issuance, also reQuires the applicant for such parmit
to fila e signed statement that he ar she is Iicensed pursuent to Ihe proNslons ol Ihe Contrectors License Lew (Chapter 9(commencing with Sectian 7000) of Divlslon 3 of the
Business and Protessions Code) or thet he or sha is exempt �herefrom end ihe basis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicen� for a pertnit
subjects the applicanl to e civil penalry of not more then iive hundred dollers �3500).):
❑ I, as owner ol the properry, or my amployees wlth wages as thair sde compensation, WILL DO THE WORK, and the structure is not intantletl or oHered tor sale (Sec.
7044, Business flnd Profeulons CoOe: The Contractors License Law tloos not appty to en owner ot property who builds or improves thereon, and who does such work
himself or herseli or Ihrough his or her own employees, proNtletl thet such Improvements ere not intentletl or oHeretl for sale. It, however, the building or Improvement is
so10 within one year ot complation, Ihe owner-builder will have �he burdan of proving ihet he or she did not build or improve tor purpase of sale.).
❑ I, es owner of the properry, em EXCWSIVELV CONTRACTING WITH LICENSED CONTRACTORS ro construa the project (Sec. 7044, eusiness end Protessions
Cotle: TTe contreciors License lew does not epply to an owner of property who builds or improves thereon, and who contracts for such projec� wiih a conirector(s)
license pursuanl lo the Contracbrs License Laws.).
❑ 1 am exempt under sec. Business end Pmfessions Coda tor this reason:
Signature: Date:
Owner ID venfietl by tlnver's license. ❑ Ves ❑ Na Dnvefs Licensa No.
Vanfication oi Ownership by (rype of dwument, I.e. - properry tex Dill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIfICATION:
Expires:
❑ I hereby cetlily Ihat no excevalion flve (5) or more fbet In tlept� InlO w�lth e per5on 15 required lo descenQ will 6e made in conneclion with work eulhodzed by Ihis
permlt, enA thet no building siructure, sceflolding, lalsework, or demolition or dismantling thereol, will be more then ihirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle e, Celifamla Adminisiretive Code).
❑ A5 owner-Duiltler, I will not employ enyone to do work which would require a permit from tha Division of IndustAal Safery, as notetl above, unless suc� person has a
pertnit to do such work trom the division.
Signature: Date:
Division of Industnel Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTMOBVJITION OF ENTRY: I certity under penalry of perjury that I have reatl this application end state that the intormation given is
correct. I egree to comply with sll stete laws end ciry ordinances relating to building construction, entl authorize representatives of the Ciry ot Costa Mesa to enter uDon t�e
eDove-descnbetl properry tor inspection purposes. I egree not lo occupy or allow occupancy of any building authorized by this pertnit until fnal inspec[ion.
J � SigneWre LegelOwner(s) , , � � �J�
J� J 7
nNOr Aut�onzed Applicant ��— a e
GOOE t, INSVECTIONTYPE
1616 Fixea System Finel Fire Prevention
1266 Pool Spe Finel
200 Finel Re-Raof
201 Finel BIocWRateining Wall
202 Finel Fectary Flre Plece
203 Final Sign
204 Finel Demolition
zaaese
� It��
/ ii
LppE1 INSPECTIONTYPE
206 Final Mechanical
208 Finel Plumhing
210 Finel Eledncal
212 Finel Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupancy
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LOT
DATE
LDING PERMIT N0.
II :CTIONS Si nature Da�e GROUP TYPE
soi� —i2� SUBCONTRACTOR
�.� i -� �. �
ROUGH PLUMBING
PROP. SWR. LINE
MISCELLANEOUS
ROUGH HEATING ANO AIR
TEMPORARV SERVICE OR
UNOERGROUND � PO
ROUGH WIRING
THENCHES FOFMS I
FLOOR SVSTEM
BONO BEAM � STEEI
SHEATHING
FqAME AND FLASHING
LATHINf. - IN n
T
IONING
STEEL REINF.
8���
COSTA MESA BUILDING�SAFETY DEPARTMEPR
P.O. BOX 12M COSTA MESA, GALIFORNIA 92828
For App/!rnM to Fill In Complstoly
TYPE OR PRINT
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oneae
COSTA MESA, CALIFORNIA
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DESCRIPTION OF WORK
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3� 3
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1q PLY
8I6NATUR! OR
PBRMI7TH
AUTH0111Z8D A0[N'C
J�'.iB�—�`�'QQ 649* **t�85.50
APPLICATION FOR PERMR
BUILDIN�
For Offic� Us� Onfy
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