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