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Home My WebLink About555 PIERPONT DR - Building Permits� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 555 PIERPONT DR Suite: Vicinity: ROOF Parcel Number: 41802412 Applicant: CENICEROS, SOCORRO Address: 555 PIERPONT DR COSTA MESA, CA Owner: CENICEROS, SOCORRO Address 555 PIERPONT DR COSTA MESA, CA Con tra c to r: O W N E R- B U I L D E R � Address: Zip: Arch : Address: Phone: Zaning: R1 R1 Phone: 714-751-8627 Zip: 92626 Phone: Zip: 92626 � Phone: License: 0 Eng: Address: Status: ISSUED Applied: O6/04/2002 Issued: O6/04/2002 Phane: Zip: License: License: SCOPE OF PERMIT TEAR OFF ROOF AND INSTALL 25YR COMPOSITION SHINGLES. REPAIR DAMAGED AREAS. 1200 S.F. WITH ATTACHED GARAGE. Plan Check: $0.00 Permit: $8325 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left , . 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 S2,soo.00 $2,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 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 obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , !at�-afildao) WORKERS'COMPENSATION DECLARATON: . � I hereby anirtn under penalty of perjury one ot the tollowing tleclarations: . ❑ I have entl will maintain e certificate of consent to seli-Insure for workere' compensetion, as provided for by section 3700 of ihe Labor Code, for the pedormance of the work for which lhis pertnit is issuetl. . ❑ I have and will maintain workers' compensation insurence, es required by section 3700 of the Labor Cotle, for ihe OeAortnance of ihe work tor which Ihis pertnit is issuetl. My workers' compensatlon Insurence wrner and policy num6er ere: Carner. Policy Number. (This secfion need nat be cromplefed il the permit is ve/ued et one hundred dollars ($100) or Ie55.J �I certity thal in the peAormence of the work for which this permit is issued, I shall not employ any person in any manner so as to 6ecome suhject to ihe workers' compansation laws of Calitornle, end agree that ii l shoultl become subject to the workers' compensatlon provislons of ction 3700 of the Labor Cotle, I shall torthwlth com I wi�h ihese �`,�'�( iion5. - �/ -7 App04�Signeture: iCJ�n � Ep� .�- �% Data? � ^-e- `1— U"` WARNING FAILURE TO SECURE WORKERS' CAMPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OqlARE ($t00,OW), IN AODITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eRirm that I am licensetl untler provisions oi Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code, and my license is in full torce entl eflect. Lia x Cless x Contrector's Signature: CONSTRUCTION LENDING AGENCY: Date: ❑ I hereby aHirtn that there is a construction lending agency for Ihe performance oi the work tor which this permit is issued. (Sea 3097, Civil Cotle). Lenders Name: Lendefs Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby eNlrm iha[ under penelty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha tollowing reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or county which requires a permit to construd, alter, improve, demolish, or repair any SlrucNre, prior to its issuance, also requires the applicant for such permit to tile a signed stetement that he or she Is Ilcensed pursuaN ro the provisions of the Comrecmrs License Law (Chepter 9(commencing with SecHon 7000) of Division 3 of ihe Busin855 entl Professions Code) or Ihat ha or she i5 e:empt theretrom end ihe ba519 lor the elleged exemption. Any violation ot Saction 7031.5 by eny applicant for a permit subjecis ihe epplicant to a civil penalry of not more ihan five huntlretl tlollars ($500).): ❑ I, es owner ot ihe property, or my employees with wages as their sole compen5ailon, WILL DO THE WORK, entl ihe siructure is not intendetl or oHered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner oF property who builds or improves thereon, and who tloes such work �imselt or herself or ihrough his or her own employees, provided that such impmvemenis are not intendetl or offered for sale. tl, however, the builtling or improvement is sold within one year of completion, ihe owner-builder will hava the burden ot proving that ha or sha did not builtl or improve for purpose of sale.). ❑ I, as owner of iha properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct the project (SecJ044, Business and Professions Code: TTe contractors Llcanse Law does not apply to en owner of property who bullds or improves theraon, and who coniracis tor such project with a contractor(5) license pursuant to ihe Contractors License Laws.). em exemotyqtler sec. Owner ID venfied by dnvers license. Vanfication af Ownership by (type of DIVISION OF INDUSTRIAL SAFETY 8usiness and P�ofessions Code tor this reason: �b'ate -L. '`� — o ❑ Na oAvets'ucense'ruo� � Exp� e� (n � rj i.e. - property t� bill or tleetl): ❑ I hereby certify that no excavation tive (5) or more teet in depth into which a person is raquired to descend, will be made in connection with work authonzed by this permit, and ihat no building stmcture, scaHolding, taisework, or demofition or dismentling ihereof, will be more then ihirry-siz (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title e, California Adminisiretive Code). ❑ As owner-builtler, I wiil not employ anyone to do work which wauld raquire e permit from the Division of Industriel Setety, as noted abova, unless such person hes e permit to do such work from ihe tlivision. SigneNre: Date: DiviSion of Industnal Satety Pertni� Number: CERTIFlCATE OF COMPLIANCE AND AUhiORIZATON OF EMRY: I certity untlei penalry oi perjury ihat I have reatl this application and state ihat Ihe information given is correct. I agree to comply with all state laws and ciry ordinances relating to building consiruction, and authorize representatives of the City ot Casta Mesa to enter upon ihe ebove-descri ropeny for inspaction purposes. I egree not to occupy or allow occupency of any building authonzed by s permit until final inspection. v- oa � e (__p�Le , wner(s)_� LDate> AnNOr Aulhonzad Applican� COUEI, INSPECTIONTYPE 1616 Fixed System Final Fire Preven�ion 7266 Pool Spa Final 200 201 202 203 204 Finel Fe-Root Final BIocWReteining Wall Final Faciory Fire Place Final Sign Final Demolition � QbjF INTITULS // Pi�irsu....� �—� d..._ COpE l INSPECTION TYYE 206 Final Mechaniwl 20B Final Plumbing 210 Finel Electrical 212 220 222 250 Finel Fire Prevention Final Planning Approval Final Site Final Building/Occupancy � lt� \\ �� °� �� %�'%a.� S'u�� u�CaiOcs OWNER-BUILDER VERIFICATION A ciry or county, which is reyuired to give notice pursuant ro Section 19830, shall attach to such notice, and, as a condi[ion precedem to issuing a building permit, require the completion and require the retum of, an owner-builder verification. Attention Property Owner: An 'owneo-builder' buiWing permit has bcen applied for in your name and bearing your signature. Please complete and retum this infortnation in the envelope pmvided at your earliest opportuniry to avoid unnecessary delay in processing and issuing your building permit. No buildine oermit will be issued until this verification is received. � 1 personally plan to provide the major labor and materials for construction of the proposed propeny improvement. � Yes ❑ No <2�(have/have not) � A'�E signed an applicatian for a building permit for the proposed work. 3. I have contracted with the following person (lirm) lo provide �he proposed conswetion: Name Address Phone ( ) City — Contrac« �r's Lic. No. 4. I plan to provide portions of the work, but 1 have hired the f'ollowing person to coordinate, supervise and provide the major work: Name Address Phone ( City — Contrac�or's Lic. No. 5. I will provide some of the work but 1 iiave contracred (hired) the following persons to provide lhc work indicated: Name i012�a6 (REV.99B) Address Phone Type of Wnrk UrvNCK JOB ADDRESS �. LOT �q T SOIL /� L GAS WATER ROUGH PLUMBING PROP. $Wft. LINE SPRINKLING SYSI MISCELLANEOUS ROUGH HEATING FND AIR CONDITIONING � S' - TEMPORARY SERVICE OR POLE UNDERGROUND � POWER [] ROUGH WIRING - T(iENCHES FORMS � STEEL pEINF. � FLOOR SVSTEM ' BOND BEAM STEEL REINFORCE SHEATHING a j.4- FRAME AN� FLASNING LATHING — IN � PI "�TER, BROWN COA TURAL, FINAL AL /�! VAI[ 1�17�� BUILDING PERMIT N0. RtPTION of WORK Residence W, ZONE VAWE$17,679•00 7UP TYPE 1� Z SUBCONTRACTOR PER 28077 COSTA MESA BUILDINCrSAFETY DEPARTMEPR P.O. BOX 7208 COSTA MESA, CALIFORNIA 92828 For App11mM fo F(11 In Complet�ly TYPE OR PRINT oR� S s s P� �2 Ror.rr_ COSTA MESA. CALIFORNIA � etrr C- r •�Tecr i\ 1 8TAT8 LIC. NO 61ZE OF LOT U9E OR BII ILDIN6 i xsacer �¢K AND 6TA'R TX PLT WITH �LL euao�xo eoxi c ��Z DESCRIPTION OF WORK AUTHORIZ[D AGLNL 30 wrruunon R6[ M COY- n�auunna !� 18-6�00 845+► *** �85.50 A►PLICATION FOR PERMR BUILDIN6 for Offics Uas Only �.�.,.� �o. 2�'7'% VARDH APPROVED MAIN BUILDINO 0 VAR. �' n�¢ �xouert �� ■YPPoBI O! i VALUATION s/7G �9 ZONING usaorn� G � �suamna �� /�'^ - 3 y -�� r� � HANO BMALL �H Ll88 TXAN '. L. (U.B.C.RHQUIRHMHNT: YAHCe MPROVED ACCfi980RY BUILDINO DAT6 a w � / � vw�u�nox ie ron n�e � A PlPMIT IE[ ONLY. � �-+ � IT FEE S ✓ �� 6 a ..3- o w