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Home My WebLink About547 PIERPONT DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�r�DING PERMIT 77 FAIR DRNE, COSTA MESA, CA 92626 ,lobAddress: 547 PIERPONTDR Suile: Vicinity: FRONT OF HOUSE Primary Occ: R3 Parcel Number: 41802414 App�icant: ROCK, RUO Address: 2139 MONROVIA AVENUE COSTA MESA, CA Owner: CORDOVA, JOHN M Address 547 PIERpONT DR COSTA MESA, CA Contractor. Address: Zip: Type of Conslruction: V-N Zoning: R1 Phone: 949-722-6476 Zip: 92627 Phone: Zip: 92626 Phone: License: Arch : AUJAGHIAN AWADALLA CONSULTING ENGINEERS, INC Address: ... Phone: � Zip: License: Eng: ISSUED BY: Address: 2711 E COAST HWY STE 203 CORONA DEL MAR, CA 92625 Status: ISSUED Applied: 12/222005 Issued: 03/17/2006 Phone: 949-675-4103 License: C038570 SCOPE OF PERMIT ADD 497 SF TO A SfD. WORK TO INCUDE�. ADDITION OF A NEW LIVING ROOM TO THE FRONT OF A SFD. MINOR REMODEI TO (E) SFD. ALSO REROOF FRONT OF (E) STRUCTURE WITH CLASS C MIN. ASPHALT SHINGLES. EXISTING 3 BEDROOM, 2 BATHROOM SFD TO REMAIN. FEE SUMMARY Plan Check: $405.63 Permit: $624.05 SMIP Res: $4.79 SMIP Com: �0.00 Other: $0.00 Inspectian: $0.00 Total: $1,034.47 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 24-0 ACCESSORY Front P- 0 PARKING Existinq: a Rear 0- 0 Rear 0- 0 Left 0- 0 Left 0- 0 Reauired: 4 Pio�osed: 0 Calc Valuation: $a�,s2z.eo Claim Valuation: So.00 Right Right 5- 0 UII�] , .� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12�21-92) EXPIRATION: This pe�mit shall automatically expire and become void if work is not commenced within 780 days, or if 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 raqulred inspectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' CO�ENSA710N DECLARATION: I hereb�-afTm unn r penalry oi perjury one of the tollowinq declarations: ❑�1 have end will maintain a certificate of consent to self-Insure tor workers' compensation, as provided tor by section 3700 ot �he Lebor Code, for the pertormance ot the work tor which this permit is issuetl. ❑ I have and wiil maintain workers' compensation insurance, as required by section 3700 ot ihe Labor Cotle, br ihe pedormance of the work for which Ihis pertnit is issued. My workers' compensation Insurance carner and policy number are: Carrier: Policy Number: (This section need nof be completed il tbe permit is valuetl at one hundred dollars ($100) or less.) ❑ I cetlity ihat in Ihe pedormance ot the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Calitornia, and egree ihat if 1 shoultl become subject b the workers' compensation provisions of Section 3700 of ihe Labor Code, I s�ail forthwith comply with Ihese provisions. Applicant Signature: Data: WARNING: FAILURE TO SECURE WORKEPS' CAMPENSATION CAVEfiAGE IS UNLAWFUL ANp SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FINES UP TO ONE HUNORED THOUSAND DOLLARE ($10p,000), IN AD�ITION TO THE COST OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE L4BOR CODE, INTEREST, ANO ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl under provisions of Chapter 9(commencing with Sedion 7000) of Division 3 of ihe Business and Professions Code, and my license is in full , force end ettect Lic. x Class k '�I Comractor's5ignaWre: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby aNirm that Ihere is a construdion lending agency for the pedormance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Landers Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aftirm ihet under penalry ot perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to tile a signetl statement that he or she is licensed pursuant to ihe provisions oi the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coda) or that he or she is exempt tharefrom and ihe basis for the alleged ezemption. Any violation oi Section 7031.5 by any applicant for e permit sublecis tha epplicant to a civil penalty of not more than five hundred tlollers ($500).): ❑ I, as owner ot �he property, or my employees with wages as iheir sole compensation, WILL DO TME WORK, and the siructure is not intandetl or oRered for sale (Sec. 7044, Business and Professions Code: The Comractors Licensa Law does nol apply lo an owner of properry who builds or improves ihereon, antl who dces such work himself or harself or through his or her own employees, provided that such improvemems are not intended or oflered for sale. I(, however, �he building or impmvement is soltl within one year ot completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolect (Sec. 70d4, Business entl Professions oda: The coNractors License Law does not apply to an owner of propetly who builds or improves iheraon, and who contracts for such prolect with a contractor(s) icense pursuant to the Coniractors Licensa Laws.). I a exe t u r sec. Business and Pmfessions Cotle tor this reason: Si ature: Date: Ow r ve fied by driver's license. Ves ❑ No ' er's Licens o. Expir :�� —C � Verification o Ownership by (type Of documen , i.e. - propetly �ax bill or deetl): ___ _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlity ihat no excavation five (5) or more feet in tlep�h into which a person is requiretl to Oescend, will be made in connection with work au�honzed by Ihis permit, and ihat no building sWCWre, scattolding, falsework, or demolition or dismanUing thereof, will be more ihan thirty-six (36) teet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title 8, California Adminis�ra�ive Code). ❑ As owner-builder, 1 wili not employ anyone to do work which woultl require a permit fmm the Division ot Intlustrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Indusirial Safety Permii Number: CERTIFICA7E OF COMPLIANCE AND AIfTHORIZJITON OF ENTHV: I Certify under penalry of perlury ihat I have read this eppliration and State Ihat Ihe information given is correct. I agrae to comply with all state laws antl ciry ordinances relating to building cons(ruaion, and aulhorize representatives ol Ihe City ol Costa Mesa to enter upon the above-d� cri d property for insp� ection p p��_ �I agree not to occupy or allow occupancy of any builtling authorized by this p rmit until final inspection. !�, ("� „r.L�i /! �h'i abP�� Signature f Legal Owner(s Da1g� AntllOr Aulhorized Applican� Date CODE I, INSPECTIONTYPE 1616 Fixetl System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Ra-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition UA7E �jjjf84$ �Q� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Final Site 250 FinalBuildinyOccupanc on� irmruis (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: Address Contractor. Address: ISSUE FEE Temp service test Res, a(c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fi�As Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over t000a Motors to 1hp Motors to 10hp Motors to 50hp Morors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole 547 PIERPONT DR 41802414 CORDOVA, JOHN M 5q7 PIERPONT DR C05TA MESA, CA CORDOVA, JOHN M 547 PIERPONT DR C05TA MESA, CA OWNER-BUILDER Phone: 714-540-6893 Zip 92626 Phone: 714-540-6893 Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: 03/17/2006 Issued: 03/172006 � ISSUED BY: SCOPE OF PERMIT ADD 497 SF TO A SFD. WORK TO INCUDE: ADDITION OF A NEW LIVING ROOM TO THE FRONT OF A SFD. MINOR REMODEL TO (E) SFD. ALSO INCLUDES REROOF FRONT OF (E) STRUCTURE WITH CIASS C MIN. ASPHALT SHINGLES.REF 805-02368 2 LIGHTS 8 OUTLETS AND 2 SWITCHES AND 1 BATHROOM FAN $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $220 sa.eo $2.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 So.oO $0.00 50.00 Quantity 0 0 0 2 a 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / LigMing Busway /100 ft � Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Voll Wiring System / Ckt Misa Conduil Misc. Conduclor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E36.70 nn�u¢uro � onen�e� nnun 1 f 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, 72-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspend�d or abandoned tor 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 codes, and all required inepections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration'of �his permit. FOR INSPECTIONS CALL: (714) 7545626 2446�48(6/00) WORKERS'COMPENSArON DECLARAnON: I hereby aflirtn untl�� penalry oi perjury one of the following declarations: ❑ I have end wil� maintain a cetlificate of consent to selbinsure for workers' compensation, es provided for by section 3700 of ihe Labor Gode, for the pertormance of the work tor whicP lhis permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for ihe padortnance of the work for w�ich this pertnit is issuad. My workars' compensation Insurance carrier and policy numbar ara: Carriec Policy Num6er. (This section need nof be cromplefed i! the permit is valued at one hundred dollars ($100J or less.) ❑ I certify that in the pertormence of the work for which ihis permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws ot Celifomia, end agree ihat if I should become subjed to the workers' compensation provislons of Section 3700 of tha Lebor Code, I shall forthwith comply with tnese provisions. Applican� Signature� Date: WARNING: FAILURE T� SECUPE WORKERS' COMPENSATIdJ COVERAGE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNORED TlIOUSAND OOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSNTIIXJ, DAMAGES AS PROVIOEO FOF IN SEGTIdJ 31060F THE LABOR CODE, IMEREST, AND ATTORNENS FEES. LICENSED CONTpACTORS DECLARATION: I here6y attirm that I am licensed under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of iha Business and Professions Code, and my license is in full force end effect. Lic. # Class # Contracmr's SignaW�e: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn that fhere is a consWction lending agency for ihe pedortnance ot the work br which this pertnit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: Signature: Date: OWNER•BUILDER DECLARA710NS: I hereby aNirm ihat untler penelty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair any stmcwre, prior to its issuance, also requires the applicant tor such parmit to tile a signed stat�ment that ha or she is licensed pursuent to iha provisions of the Contractors License Law (Chapter 9(commencing with Saction 7000) of Division 3 of iha Business and Professions Cotle) or ihet he or she is exempt therafrom antl the 6asis lor ihe alleged exemption. Any violation oi Section 7031.5 by eny applicant for a permit subjects Ihe applicant to a civil penalry of not more ihan five hundred dollars (5500).): ❑ I, as ownar of ihe property, or my amployees with wages as Iheir sole compensation, WILL DO THE WORK, antl ihe structure is not intentled or oHeretl for sale (Sec. 7044, Business and Professions Code: The Contracmrs License Law does not apply to an owner of pmperty who builds or improves ihereon, antl who tices such work himself or her5elf or through his or her own employees, provided ihat such improvemems are not intended or oNered for sale. If, however, the building or improvement is soid within one year oi completion, ihe owner-builder will have ihe burden of pmving thal he or she did not bui�tl or impmve for purpose ot sale.). ❑ I, es owner of the propetly, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the prolect (Sec. 70M, Busine5s antl Professions Cotle: The con�ractors Licensa Lew tloes not appty to an owner of property who builtls or impmves ihereon, and who contracis for such prolect with a coniractor(s) icense pursuant to the Contractors License Laws.). ❑ e e t untl,e�r eAc. Business antl Professions Cotle for this reason: ' na :��-. -/f( at : � ner ID rified by dnver's license. es ❑ No Drive's Licens o. x ir : f-/ �,7 •- Iv DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I heraby catlity tfiat no excavation five (5) or more teet in depth imo which a person is raquiretl to tlescend, will be mede'm connection wiM work euthorized by [hls permit, antl thAt no building simcture, scaHolding, falsework, or tlemolition or dismantling ihereof, will Oe more ihen thiny-siz (36) feat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As ownervbuilder, I will not employ anyone to tlo work which would require a permit fmm Ihe Division of Indusiriel Satery, as noted a6ove, unless such person has e permit ta do su�h wark tram the tlivision. Signature: Date: Division of Intlustrial Safery Permit Number. CER7IFICATE OF CDMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify untler penalty of perjury ihat I have reatl t�is application and state ihat ihe information given is corred. I agree to comply with ell sSate laws and city ordinances relating to building consimction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon the above�described property for inspection puryoses. I agree not to occupy or allow occupency of any building authorized by ihis permit until final inspection. —� Signat Ot er(s) LBefe� � \_J And/Or Authonzed ApP�icant Date COOE 1. INSPECTIONTY3E PaIE 1676 Fized System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re�Roof Finel Block/Retaining Wall Final Factory Fire Place Final Sign Final Demolition INi1T14L CiD�E� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 FinalElectrical/,b,r.p�� r- 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �g �� m. (714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Number: Applicant: Address: Owner: 547 PIERPONT DR 41802414 CORDOVA, JOHN M 547 PIERPONT DR COSTA MESA, CA CORDOVA, JOHN M Address: 547 PIERPONT DR COSTA MESA, CA Contractor: OW N ER-B U I LD E R Address: MECHANICAL PERMIT Phone: 714-540-6893 Zip: 92626 Phane: 714-540-6893 Zip: 92626 Phone: Zip: License: 000000 ISSUED BY: Status: ISSUED Applied: 03/17/2006 Issued: 03/17/2006 SCOPE OF PERMIT ADD 497 SF TO A SFD. WORK TO INCUDE: ADDITION OF A NEW LIVING ROOM TO THE FRONT OF A SFD. MINOR REMODEL TO (E) SFD. ALSO INCLUDES REROOF FRONT OF (E) STRUCTURE WITH CLASS C MIN. ASPHALT SHINGLES.REF BO5-02368 1 GAS PIPING 1 FACTORY FIRE PLACE 1 VENT FAN FOR BATHROOM AND 1 ALT DUCT SYSTEM ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat� Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace � Floor or Suspend Heater $23.50 $0.00 $0.00 $13.70 $0.00 $0.00 $0.00 $6.15 $10.65 $0.00 $0.00 $7.25 $0.00 $0.00• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 1- 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 Repair / Afl Absorbtion Unit Repair / AIt Refrigeration Unit � Ventillation System � - � - � Evaporative Cooler Com mercial I nci nerator Domestic Incinerator Comoressors / Absorotian Svstems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU ., 15 To 30 hp / 1,000 k BTU � 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 l0 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $61.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali�ornia regulations. (Ord. No. 92-28, § 1, 12-21-92) .; � �: and ielated EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if 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 inspections and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(6/00) WORKERS' COMPENSA710N DECLARA710N: I here6y aNirm under penalry of perjury one of Ihe following tleclarations: ❑ I have antl Will maintain a certificate of consent b selt-Insure for workers' compensation, as provided for by section 3700 of ihe Lahor Cotle, for ihe pertormance ot Ihe work for which Ihis Oermit is issued. ❑ I have and Will maiNain workers' compensation insurance, as requiretl by section 3700 of the Labor Cotle, for ihe pedortnance of ihe work Por which this pertnit is issuetl. My workers' compensatlon Insurence carner and policy number are: Carrier. Policy Number: (This section need �of be complefed il the permit is valued at ane hundred dollars ($100J or less.) ❑ I certify that in ihe pertormance of the work for which this permit is issued, I shall not employ any pereon in any manner so as to become subject to the workers' compensati0n laws oi Celifornia, end agree that if 1 should become subjact to Ihe workars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with ihese provisions. Applicent Signe�ufe: Da�e: WARNING FAILURE i0 SECURE WORKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES NND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLAFE (5100,000), IN AODITION TO THE COST OF COMPENSFTION, DAMAGES AS PPOVIDED FOR IN SECTION 3]OS OF THE LABOR CODE, IPfrEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLABA710N: , I hereby aHirm tha� I am licensetl untler provisions of Chapter 9(commancing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full fome antl eNect. Lic. # Class a Contractors Slgnature: Date: CONSTRUCTON LENDING AGENCV: ❑ I hereby aHirt� ihat there is a consiruction lentling agency for the pertormance of the work tor which this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn fha� untler penalry of perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or County which requires a permit to constmct, alter, improve, demolish, or repair any sWCWre, prior to its issuance, also requires ihe applicant for such permit to file a signed statement thet he or she is licensed pursuant to �he provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot ihe Business and Pmfessions Code) or that he or she is exempt therefrom and the basis tor ihe aliegetl e:emption. Any violation of Section 7031.5 6y eny applicant for a permit subjects the applicanl to a civil penelty of noI more Ihan five huntlretl dollars (5500).): ❑ I, as owner oi ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WORK, antl �he structure is not intended or oHered for sale (Sec. 7044, Busin855 and Pmfessions Code: The Contractors License Law does not apply lo an owner of property who builds or impmves thereon, and who tices such work himself or helself or through his or her own employees, provided that such improvemems are not intentled or oRered for sale. II, however, ihe builtlinq or improvement is sold within one year of completion, the owner-builtler will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner o� �he property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct t�e prqect (Sec. 7044, Business and Professions Code: The c0��actors License Law does not apply lo an owner of p�operty who builds o� improves thereon, and who coniracts br such project with a contracior(s) � license purs�ant to the Contractors LicenSe Laws.). Verification sec. by (type ot Business and s ❑ No i i.e. - propetly taz bill or deed): Code for this reason: No. DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity ihat no excavetion tive (5) or mora feet in tlepih in�o which a person is required to tlescend, will be matle in connection with work authorized by this permit, and Idat no building slmcWre, scattolding, lalsework, or demolition or tlismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Title B, Galitornia Atlminisiralive Code). ❑ As ownerbuilder, I will not employ enyone to do work which would require a permit imm ihe Division ot Indusirial Safety, as notetl ahove, unless such person has e permit to do buch woB irom the division. SignaNre: Date: Division of Intlustrial Satety Permit Number: CERTIFICA7E OF GOMPLIANCE AND AUlHORIZATION OF ENiRV: 1 certify �nder penalty of perjury thal I have read ihis appllcation and state ihat ihe Information given is correct. I agree to comply with ell state laws antl ciry ortlinances relating to building constmaion, antl authonze representatives of Ihe Ciry of Costa Mesa to enter upon Ihe above- es bed propeny to�r"j'specti purposes. I agree not to occupy or allow wcupancy of any building emhorized bX this permit unfil final inspection. �� 7%1 (�.�,� r.R_n/L !�7 ..�.vv �o Signa e Of egal Owner Da AnNOr Authonzed Applicant Date COOE 1, IN ORTE 1616 Fixed System Final Fire Preverttion 1266 200 201 202 203 Pool Spa Final Final Re-F�� Final Blocl�/Retaining Wall Final Factory Fire Place Final Sign 204 Final �emolition IMRIA� 1�1F� INSPECTIONTYPE � � /� a/��a 206 FinalMechanical,diA.'��'rn T 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final5i�8 250 Final Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Jobnddress: 547 PIERPONTDR Suite No Vicinity: Parcel Nunmber: 41802414 Applicant: Address: Owner: Address Contractor: Atldress: CORDOVA, JOHN M 547 PIERPONT DR COSTA MESA, CA CORDOVA, JOHN M 547 PIERPONT DR COSTA MESA, CA OWNER-BUILDER Phone: 714-540-6893 Zip: 92626 Phone: 714-540-6893 Zip: 92626 Phone: Zip: License: 000000 ISSUED BY: Status: ISSUED Applied: 03/17I2006 Issued: 03/17/2006 SCOPE OF PERMIT ADD 497 SF TO A SFD. WORK TO INCUDE: ADDITION OF A NEW LIVING ROOM TO THE FRONT OF A SFD. MINOR REMODEL TO (E) SFD. ALSO INCLUDES REROOF FRONT OF (E) STRUCTURE WITH CLASS C MIN. ASPHALT SHINGLES.REF 805-02368 2 TOLIETS FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub / Washer 50.00 0 Sump Pump 50.00 0 Backflow irrigalion 50.00 0 Landscape Irrigation 50.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap . $0.00 0 Trap Primer $0.00 0 Bathtub 50.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) 50.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect Qce,Soda,etc) 50.00 0 Receptors $0.00 0 Vacuum Brkr BkFlow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect 50.00 0 Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet (Toileq 519.60 2 Drain,Roof $0.00 0 Shower $0.00 0 WaterHeater/venl $0.00 0 Drinking Founlain $0.00 0 Sink, bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink, commercial 50.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor 50.00 0 Water Service 50.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe 50.00 0 Spa (private) $0.00 0 VIOLATION 50.00 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHEGK $0.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 COMMENTS / SPECIAL CONDITIONS TOTAL CALCULATED FEES: 543.10 r 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: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions end 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 WORKERS' COMPENSAnON DECLARATION: I hereby attirm under penalty of perjury one of the tollowing tleclarations: ❑ I heve and wiil maintain a certificate ot consent to self-Insure lor workers' compensation, as provided for by section 3700 of the Labor Coda, lor Ihe peAortnance ot Ihe work for which this permit is issued. ❑ I have antl will maintain workers' componsation insurance, es requlred by sectlon 3700 of Ihe Lebor Code, for the peAormance of the work for which ihis pertnit is issued. My workers' compensation Insuranca carrier antl poiicy number are: Carrier: Policy Number: (This section need not be complefed i! fhe permit is valuetl at one hundred dollars ($100) or less.) ❑ I cehify that in Ihe performence of �he work for which this permil is issued, I shall not employ any person in eny manner so es to 6ecome subject to ihe workers' wmpensation lew3 of California, and egrae Ihat it I shoultl become 5ubjacl Io Ihe workers' compensation provisions of Section 3700 ot the Labor Code, I shall torihwith comply wit� t�ese p�ovisions. Applitan� SigneWra: Dale: WARNING: FAILURE TO SECURE WORKERS' LOMPENSATION CAVEfiAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FINES UP TOONE HUNDRED THOUSAN� OOLLARE (5100.�). IN ADDITION TO THE CQST OF �MPENSATION, DAMAGES AS PHOVI�ED FOR IN SECTIIXJ 3')Ofi OF THE IABOp CODE, INTERESi, AN� AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby attirm that 1 am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmtessions Code, end my license is in full force end elfect. Lic. q Class a Gontractads Sgnawre: Date�. CONSTRUCTON LEN��NG AGENCY: ❑ I hereby aHirm Ihat ihere is a consiruction lending agency for t�e pedormance of l�e work br which ihis permit is issue0. (Sec. 3097, Civil Coae). LentleYs Name: Lentler's Address: Signa�ure: Date: OWNER-BUILOER DECLARATIONS: I hereby eMirtn Ihet undel penalty of perjury ihat I em EXEMPT FROM THE CONTRAC70RS LICENSE LAW for lhe following reason (Sec. 7031.5, Business antl Professions Coda: Any ciry or counry which requires e permit to construcC atler, improve, demolish, or repair any siructure, pnor to its issuance, also requiraz the epplicant for such pertnit to file a signetl stetement that he or she Is licensetl pursuant b the provisions ot Ihe Comractors License Lew (Chepter 9(commencing with Saction 7000� of Division 3 ot the Business and Prolessions Cotle) or that he or sha is exempt theretrom and ihe basis for the alleged exemption. Any violation of Section 7031.5 by any epplicant for a permil su6jects lhe applicant to a civil penalry oi not more than tive hundred dollars (5500)J: �❑ I, es owner of the property, or my employees wiih wages as Iheir sole compensation, WILL DO 7HE WORK, and Ihe struc�ure is not intended or oHered tor sale (Sec. 7044, Busineu and Professions Cotle: The Contractors �icense Law tloes not apply to an owner ot property w�o builds or improves Ihereon, and who tices such work himself or herself or through his or �er own employees, providetl that such improvemen(s are not intentle0 or oMered for sale. If, however, ihe building or impro�ement is sold within ono year of completion, Ihe owner-builder will have Ihe burden of proving that he or she ditl not Duild or improve for purpose of sale.). ❑ I, es owner of the p�operty, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of propeny w�o builtls or Impmves ihereon, end who contracts for suc� project with a coniractor(s) wonse pursuant to �he Contractors License Laws.). _ I a exempt under sec. Business antl Professions Code tor this reeson: �D venfietl by ddvers license. � ❑ No� Vetlfication oi Ownership by (type oi document, i.e. - properry tax bill or No. xpires OIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hareby cetlity ihat no excavation five (5) or more feet in dapih into which e person is required to descentl, will be made in co��ection wit� work authonzetl by Ihis permit, and Ihat no building stmctura, scattoltling, falsework, or demolition or dismamling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Celiforqia Atlministretive Code). ❑ As owner-builder, I will not employ enyone to do wo�k whic� would raquire e permit fmm the Division ol Industrial Sefety, as notetl above, unless such person has e pertnit ta do suc� Work irom the tlivision. Si9neture: Date: Oivision of lodustnal Satery Permit Number. CER7IFICATE OF COMPL�ANCE AND AUTHOfiIZATION OF EMRV: I cenify under penalty of perjury that I have reatl this applica�ion end stete Ihat the information given is correct. I agree to comply with ell state lews and ciry ordinances relating to builtling consiruction, end authorize representatives of the Clry of Cos�a Mesa to emer upon �he ebove-descnbed properry for inspection purposes. I agree not to occupy or allow occupancy ol any builtling authorizetl by this permit until linel inspection. Sign ture f Legal Owneq B c And/OrAUlhorizetl Applicant Da1e CODE �. INSVELTIONTYGE 1616 Fixed System FiPal Fire Preventlon 1266 Pool Spa Final 200 Final Re-Roof 201 Final B1ocWRetaining Well 202 Final Factory Fire Plece 203 Final Sign 204 Final Demolition 0� IMRI�LS C� INSPECTIONTYFE Q�jg �$ 206 Final Mec�anical 208 Finel PlumOing 11p �,�,Q� a/� � P—' 210 Finel Elecirical 272 Final Fire Prevention 220 Final Planninq Approval 222 Final Site 250 Finel Building/Occupancy s�F7 ��o,�r /-� �� .a�S Q' L 3p$-o 23� $ 1,= O 6- OO L2`F �OSD- tJ0(3� �op�,�adt�� 8 f �Z% � �� V urrnerc MESA BER JOB ADDRESS 547 Pier GENERAL CONTRACTOR � A LOT INSYECTIONS SOIL �� GAS W ATER ROUGM PlUM91NG PROP. SWR. LINE OUSE CQJJ. r.rY SPRINKLING SVSTEM y(j<,(J�) MISCELLlNE0U5 ROUGH NEATING AND A�R CONOITIONIM TEMPORARV SERVICE OR POLE UNOERGROUND � POWEp � ROUGH WIRING TftENCHES /Q FORMS � STEEL R FLOOR SYSTEM BONO 9EAM [� STEEL REINFORCE SNEATHING FFAME ANO FLASHING LATHING — IN � OUT ,1� Pl:,-'�".;cR, BROWN COAT 5��-'.',�-&-�URAL, FINAL HEATING. VENT., REFRIG. AND A.C., F PLUMBING, FINAL ANO GAS TEST � ELECTRIC, FINAL 6UILOING, FINAL enci`in� ocnii�nc��cJTC unit 1-17-b� �71:[elJ '�7SIii�[�l SUBCONTRACTOR 280�9 COSTA MESA BUILDINCrSAFETY DEPARTMEM P.O. BOX 7200 COSTA MESA, GALIFORNIA 02E2E For AppllmM ro FIII In Complefaly TYPE OR PRINT "°�N� 54-'I "��P o�`T or+eaa COSTA MESA. CALIFORNIA � F ADDRBit \/IOA ,� 1� CITY � '' ` 9TATH ` Z � T6L LIG. NO. NO. 612E �^ O� OO No• o� etDo�. OF LOT w' NOW OM wT USE OR E%IHTINO BLDO. B6TBACK LIN6 PROII � Ceerten o� ornasr 116AR YM � GD6YAR0 LEFf RIOliT DESCRIPTIAN OF WORK BUILDINO \�O s�ze E%TERION WALL� ., � � 1 X! ANG PLY � AUTM01112[D AO[NL HO. OF ROOMH BTON �O COV[RINO W1 WORK TO B[ P[RPORM[D Y11fAD T1�1/ AP►L�GTOtI [R AND AOp6[ M CAY. RATt LA1M� RLOYMTINO JM 78-6�°08 647+ +***85.50 A�PLICATION FOR PERMR BUILDINa f0� �lt� �IH �II� em�o�Na ADDRG99 PIR� cfi' IONING '/ NO. O� U�[ OI XI �LAN� �� OUILDINO '8: NOEAVBOVERHANOBHALL�HLl88THAN T081D8lREARP.L E8 .OWED (U. B. C. RHQUIRBM[NTI YARDOMPROVlD YARDBAPPROVHD MAINBIIILDINb ACC6880RYBUILDINO vwR. tt 1'II6 /�MOUM �I �UNPoLi O! ! VAWATION :/� G�/' DATB � qy I � v��u�nox �e ron n�a � A PUIMIT I[[ ONLY. � `�J � IT RH6 f V / � i W ��_.� .Pfi& i