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HomeMy WebLinkAbout551 PIERPONT DR - Building Permits,...,.- --- - � • - - _-6UILDING F'tKMII Job Address: 551 PIERPON7 DR Suite: Viciniry: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41802413 Applicant: SKIRZYNSKI, JOHN Address: 10782 S MEADS qV ORANGE, CA'� . � Owner: HOSFIEL, KEI7H W TR Address P O BOX 2561 � NEWPORT BEACH, CA � Contracror: -SHARP ROOFING /Address: 10782 S MEADS AV ORANGE,CA Zip: 92869 Zoning: R1 R1 Phone: (714) 771-0118 Zip: 92869 Phone: Zip: 92659 Phone: (714) 771-0118 License: 571575 ISSUED BY: Status: ISSUED Applied: 11/18/2003 Issued: 11/18/2003 Arch : � . , � Eng: Address: , ' Address: • Phone: � Phone: Zip: - , License: License: � SCOPE OF PERMIT RE-ROCF OVER EXISITIP:G COM? SHINGLES WITH 30 YEAR COMP SHINGLES: INCLUDES P.TTACHED GARAGE. FEESUMMARY Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other. $97.25 Inspection: , $0.00 Total: . $195.00 SETBACKS MAW STRUCTURE Front 0-0, ACCESSORY ��Front 0-0 PARKWG Exisnna: o N6T'cS: Calc Valuation: $3,700.00 Claim Valuation: Ss,�oo.00 Rear 0- 0 Rear 0- 0 Re uired: 0 PLANNING & ZONING Left 0- 0 Right 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 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 automaticelly expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiralion of lhis permit. POR INSPECTIONS CALL: (714) 7545626 26463fi (N00) WORKERS'COMPENSATIONDECLAflAnON: I hereby aflirm under penelty of perjury one of ihe following tleclaretions: ❑ I heve and will meintain e ceniilcete ot consent to self-Insure for workers' compensation, as provided for by section 3700 oi the Labor Cotle, tor the pertormence of the wo k For whiCh this permit is issuetl. ave and will maintain workers' compensation insurance, as required by saction 3700 of the Labor Code, for the peAortnance of the work for which Ihls permit is issue0. My workers' compen�tlon Insurence carder end policy number are: CarriBr. PoliCy Number: (This section need nof be completetl il fhe permit velued ef one huntlretl tlallers,(8f 00) or less.) ❑ I ceniry that in the perto nce a wo hich Ihis permit is issued, I shall not employ any person in any manner so as to ecome subiect to ihe workere' compensation laws C if rnia r shoultl bacome su6ject to the workers' compensatlon provisions of Section 3 00 of Ihe, abor Cotle, I shell torthwith comply with Ihese p is s. � I �/ ApplicantSignaWre: Date: �` CJ WAPNING FAIWRE TO $EC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALfIES AND CIVIL FIN UP TOONE HUNDRED TFIOUSAN� DOLLARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310G OF THE LABOR CODE, IMEREST, ANO ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hareby aHirtn that I am licensetl untler prp visl force and ettect Lic. N n, n ll Contractors Signature: of Chapter 9(wmmencing with Section 7000) af Division 3 ot the Business and Pmfes�ons Cotl� and my license is in full � Class q Date: _ _ ._�. S( _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aftirm that there is a construction lending agency for the peAormance oi iha work for w�ich this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby eHirm ihat under panelty af perjury thet I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reasan (Sec. 7031.5, Business end Pratessions Cotle: Any ciry or counry which requires a permit ro construc�, alter, improve, demolish, or repair any siructure, prior to its issuance, elso requires the epplicant tor such pertnit to file a signed statemenl thet he or she Is Ilcensed pursuant to the pmvisions of lhe Contreclors License Lew (Chapter 9(commencing wllh Sectlon 7000) of Dlvlsion 3 of the Business and Professions Cotle) or ihat he or she is e:em0� �herefrom and Me basis tor the allegetl e:emption. Any violation ot Section 7031.5 6y eny epplicent tor e permit subjacis ihe applicant to e civil penalry af not more then five huntlred dollers ($500).): ❑ I, as owner of ihe property, or my employees with wages as iheir soie compensation, WILL DO 7HE WORK, and ihe siructure is not intended or oHeretl for sale (Sec. 7044, Business and Professlons Code: The Contractors License Law dces not apply to an owner of propeny who 6uilds or improves thereon, end who does such work himself or harselt o� ihrough his or her own employees, provided Ihat such improvemenis are not intended or oHered for sale. If, however, Iha building or improvemen� is sold within one year of com0�etion, the owner-buildar will have.the burden of proving that he o� she did not build or improva for purpose of sale.). � ❑ I, es owner ol the propetly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projact (Sec. 7044, BuSiness end Professions Code: The contrectors License Lew tloes not apply �o en owner ot propetly who builds or improves ihereon, and who con�racts for such pro�ect with e contractor(s) license pursuant to the Contraaors License Laws.). ❑ I em exempt under sec. Business and Protessions Code for ihis reason: Signa�ure: Date: Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (type of daument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify ihet no e:cavetion tive (5) or more feet in depih into which a person is required to tlescentl, will be matle In connection with work authonzed by this permit, and Ihat no building stmcWre, scaHolding, falsework, or demolition or tlismantling ihereof, will be more ihen thirty-six (36) faet high. (Chap. 32, Gry 2, Art 2, Sec. 341, 71tle B, Californle Administretive Gode). ❑ As owner-builder, I will not employ enyone lo do work which woultl reduire a pertnit from the Division oi Intlustnal Satery, es noted ebove, unless such person has e pertnit to do such wark tram ihe division. Signature: Date: Division of Industnel Sa(ery Pertnit Number. CER7IFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRY: I ceeify untler penalry of perjury that I have read this epplication antl stata that the iMormation given is correcl. I agree to comply with ell state laws and ciry ortlinances relating m building consimction, entl authonze representrtives of the Gity of Costa Mesa to enter upon Ihe above-descnbed proparty for inspection purposes. I agree not to occupy or allow acupancy ot any building aufhorized by ihis permit until tinal inspection. � r OfLegalOwner(s) � ` + � /�� _� l I l AnNOr Authorizatl Applicant �� COUE �. INSPELTIONTYPE 1616 Fizetl System Final Fire Prevention 1266 200 201 202 203 206 Pool Spa Final Final Re-Roo} Flnal BIxWReteining Wall Final Factory Fire Place Finel Sign Final Demolition �g �{ei �I ' � � ..I COpE� INSYECiIONTYPE 206 Final Mec�anical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency Q� INTIfI�tS JOB ADDRESS GENERAL CONTF D" 40. � cCTI0N5 SOIL� GAS WATER ROUGN PLUMBING PROP. SWft. LINE (i SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND TEMPORARV SERVICE UN�ERGROUNO � ROUGH WIRING TRENCHES FORI FLOOR SVSTEM BON� BEAM � S SHEATH�NG 1�lGUK DGS1lIP+fl LOT AIR CON�ITIONING OR POLE POWER I-I STEEL REINF. FRAME ANO FLASHING LATHING - IN !m OUT � PLASTER,BROWN COAT 5�":;'7URAL, FINAL Hi."�;��'iG, VENT., REFRIG. ANO A.C., F PLUMBING FINAL AN� GAS TEST ��J/ ELECTRIC, FINAL BUIL�ING, FINAL '� 1 l� Vv BUILDING PERMIT � RIPTION of WORK Residence W ZONE VALUE$18.888.0 )UP I & J TYPE V SUBCONTRACTOR P� ' .28078 COSTA MESA BUILDING-SAFE7Y DEPARTMENT P.O. BOX 7208 COSTA MESA� CALIFORNIA 82828 For AppITmM fo FIII In Comp►Noly � TYPE OR PRINT COSTA MESA, CALIFORNIA 0 s�ze OF LOT UHH OR F.XISTIN6 BLD6. OHTBACK LIN[ lPOY DE4CRIPTIOPI OF WORK � 1 N6PEBY AGKNO DI AND BTAT6 TXAT VLY WITX ALL CITY BUILDINOCONBTRY < 816NATURHOP P8RMITTH AUTMORIZ[D AO[N'[ la� 18-ba°�°00 6a6• �**�90.00 ArPLICATION FOR PERMR BUILDINti Por Offlc� Ure Only ZONINfi xo. o� usa o� w runs y em�owa L o% �! G SHALL EE Ll88 THAN YARDBAPPROVED I YAHDBAPPROV6O MAIN BUILDINO ACCBH80RY BUILDIN6 o�srwNce esr. I eEr, i MAIN BLDOB. ACCE VAR.JP DAT6 l P�110 TMIY APILIGTON � TM[ AMOUHT DXOWry UNOLR VALUATON IH IOP TH8 6CY AND AOR66 TO COY• PUPPOBI O� (DTI1pLIDNINO A P611MIT F68 ONLY. YTAi[ tAW/ RiOYtATINO Q ve� ��.r�.... i a w � � � 0 � 7 W W UWNtK GAS ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. ROUGH HEATING AND AIR CON�ITIONI UNDERGROUNO U POWER ROUGH WIRING FLOOR SVSTEM BONO BEAM ❑ STEEI FEINFORCE SNEATHING FRAME ANO FLASNING LATHING - IN [� OUT PLP�TER, BROWN COAT S' "URAL, FINqL HE,,.,NG, VENT., REP0.1G. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST I-I BUILDI uAit 5_�_6 BUILDING PERMIT SUBCONTRACTOR �_, �� �0258 PAID �.oa "�AY-9-6Scrasa�0 595 0****� � COSTA MESA BUILDING-SAFETY DEPAflTMENT �� -�%� P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 ForApplicant tn Fillin Completely APP�ICATION FOR BUILDING PERMIT BUILDING � � FlEC ED/8 D!{y�-R�V� prF �Sydt� � ✓ u% °C _ s� ADDRESS J q �.{� PERMIT NO. OWNER ��(/ .S '/ ; • A.P. NO. .. � 7(1 MAIL BUILDING Z . ADDRESS •- ADORESS wa U TEL. CITV • ` NO � TRACT LOT BLOCK Z Z Q CONSTflVCT10N � W A O N LENDER am _ BRANCM OWNER m � ADORESS ' J VALVE m ARCHITECT TEL. S �L" -%�4 S J � OR ENGINEER V Q FIRE w� A�DFESS � ZONE TVPE GROUP d w ' APPROVE� W Z CONTRACTOR (�� � � BY DATE J Q m Z J � ADDRE55 w w TEL. ZO NO.OF USE OF NE �= CITV NO. PWNS BUILDING Z � '� yo W � STATE CITV YARDS APPROVED VARDS APPROV D (/� CC L4C. NO. I.IC. NO. MAIN BUIIDING ACCESSORV BUILDING � � SI2E NO.OF BLDGS. (FR/p/� �r��yc7[q/.1� - )!�. OF LOT NOW ON LOT FROKT " T� FT. USE OF T ExISTING BLDG. S� r FT. � SIZE OF NO.OF b %_ Z NEWBLDG. ROOM$ STORIES L.SIDE O FT. FT. a EXTERIOfl WALL ROOF COVERING COVERING REAR � D FT. FT. VSE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & y MAIN BLDCaS. ACCESS. BLDCS. Q � r VAR..$ DATE O G C C.U.P.�{'+ APPROVED � APPROV Ef�v p J ln � O `� Z O VI hareby acknowlatlBa tha[ I have reatl thia appllcatian entl ctate � [ha[ xha abore informetion is correct antl aB�oe to comply with � ull laws reBulating builAing co�sttucHon, entl I shell not amploy r ony porson in violetion ot the �+orkmen's compansetion laws of m y Me Staro of California. b Z I horab cer[if [hat am � SQ. FT. o V y p/oPe�ly Ilcensatl o Ont ctor untlor the Stnta of Cnllfor ia B iness end Pro(a ona o; Dlvisicn 3, THE AMOUNTSHOWN VNDER VALUATION IS FOR Chopter 9, entl N s�e� ieenses ere In II to ntl aftact, or I THE PURPOSE OF ESTABLISNING A PERMR FEE ONLV: ¢ amozemptfrom hepr isionsotthe ete IfornioBualnass VALVATION �y ontl Profossiona otle, vision 3, C a er 9 � �/ j N PERMIT FEE 5 O ] SIB^eturo of m Perminea r �� � 3 � Y PLAN CHECK 5 E �//y `o A�[horizotl Apant lt / LL TOTAL FEE $ V