HomeMy WebLinkAbout558 PIERPONT DR - Building Permits(7ta) 75a-52�3 • Fax (7ia) �Sa-aess • www.ci.costa-mesa�DING PERMIT �� FAIfl OHIVE, GUS IA MtSA, GA y2ti2ti
Jobnddress: 558 PIERPONTDR
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE
Parcel Number: 41802324 Zoning: Rl R1
Appliwnt: NGUYEN, CUONG
Address: 14351 EUCLIDST#E
Phone: (714) 545-6994
GARDEN GROVE, CA Zip: 92843
owner: PECORA, THOMAS G& ANN M
Address 558 PIERPONT DR
Phone:
COSTA MESA, CA Zip: 92626
Contractor: VILLA ROOFING PROFESSIONALS INC
Address: 14351 EUCLIDST#E
Arth :
Address:
Phone: (714) 545-6994
GARDEN GROVE, CA
Zip: 92843 License: 758361
Phone:
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 08/21/2000
Issued: 08/21/2000
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: T/O COMP, REPAIR SHTG AS NEEDED, 1 LAVER 15# FELT, APPLY 25 YR COMP SHINGLES. 21 SQUARES.
Plan Check: $0.00
Rermit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Lefl 0- 0
Lek 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0-0
s2,aoo.00
$z,aoo.00
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, § i, 12-21-92)
�, EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or ii 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
requlred Inapectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
I� FOR INSPECTIONS CALL: (714) 7545626
?dd6�46(6I00)
WORKERS' COMPENSATION DECLARATION: �
I hereby eflirtn untler penalry ot perjury one of ihe tollowing declarations:
❑ I heve end will meintaln e certificate of consent to self-Insure for workers' compensation, es provided for by section 3700 of Ihe lebor Code, for ihe pertormenca ot ihe
work lor which this permit Is issued.
�I �ave antl will meintain workers' compensatlon insurance, as requiratl by section 3700 of Ihe Labor Cotle, for the peAortnence ol Ihe work for which this pertnit is issued.
My workers' compensa " n Insura�nce ca�r entl policy number ere: �� �— �
Cerrier. TL(iJ�% Policy Num�er.
(This sectlon need not be comp/eted it the permit is velued af one hundred dWlars ($100) or less.)
❑ I certify ihat in ihe peAortnance of the work tor w�ich �his pertnit is issued, I shall not employ any person in eny manner so as to become su6ject to the workers'
compensetion laws ot Calilomia, an agree Ihel II I houltl becomo su0�ect to the workers' compensatlon provisions of Sectlon 3700 of the Labor Coda, I shell forthwit�
comply with these provisions.
ApplicamSigneWre: Dete: �/����
i
WARNINGFAILURETOSECUREWOR BEN ATIONCOV pEISUNIAWFULANDSHALL5U9JELTrWEM%.OVERTOCRIMINPLPENALTIESANDCIVILFlNESUPTOONEHUNDPED
T}IOUSAND DOILARE (5100.000), IN ADO TO THE COST OF COMPENS4TION, OAMAGES PS PROVIDED FOq IN SECi1pN 3'!Ofi OF THE IABOR CODE, It�REREST, qND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirm that I em
lorce entl eMect. Lic. N_
Contrector's Signewre:
9(commencing with Section 7000) of Division 3 of the Business and Profe ions Code, antl my licensa is In tull
Class# C'' ��
1 Dete: ,�% �7 � C�-O
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm ihat Ihere is a consimction lentling agency for ihe pedormance ot Ihe work tor which Ihis permit is issued. (Sac. 3097, Civil Code).
Lentlels Name: Lentlers Address:
Signature:
OWNER-BUILDER DECLARA710N5:
Date:
I hereby eNirm ihat untler penally oi perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protesslons
Cotla: Any ciry or county which requires a pertnit to construc�, elter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the applicant lor such permll
to file a signetl statemem that he or she is licensed pursuam ta the proNsions ol Ihe Comrecrors License Lew (Chapter 9(wmmencing with Section 7000) ot Division 3 oi Ihe
Business end Prolessions Code) or that he or she is exempt theretrom antl the basis for the allegeA azemption. Any violation of Section 7031.5 by any aOC���nt far a pertnit
subjecis Ihe applicant to a civil penalty of not more then tive �undrad dollers ($500).):
❑ I, as owner of lhe pro0erty, or my employees with weges es Neir sole compensation, WILL DO THE WORK, and the s(ructure is nat intended or ofleretl for sale (Sec.
7044, Business antl Professions Code: The Contraciors License Lew does not appty to an owner ot property who builds or improves ihereon, and who does such work
himself or herself or Ihrough his or her own employees, providad ihat such improvemems ere not intentled or otteretl lor sale. If, however, the builtling or improvemenl Is
soltl within one yser of completion, ihe owneo-builtler will heve the burden ot proving that he or she did not build or improve tor purpose ot sale.).
❑ I, a5 owner Of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to constmct lhe pwjecl (Sec. 7044, Business entl Profes5lons
Code: The conirectors LJcense Law does not epply to en owner ol pmperty who builds or Impmves thereon, end who wntracts tor such project wlth e contrector(s)
license pursuant to ihe Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reasan:
SlgnaWre: Date:
Owner ID venfied by drivers license. ❑ Yes ❑ No Driver's LiCenSe No. Expires:
Venfication af Ownership by (type oi document, i.e. - propeny taz DIII or deetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATION:
❑ I hereby certify ihel no excavation five (5) or mora teet in dept� into which a person is requiretl to tlescend, will be made in wnnection with work authonzetl by �his
pertnit, antl that no building siructure, scattolding, talsewoAc, or Oemolition or dismantling thereof, will De more than thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec.
341, Titla 8, Celifomia Administrative Code).
❑ As owneabuiltler, I wiil not employ enyone to do wark which woultl require e permit irom the Divisian of Intlustrial Sefery, es noted above, unless such person �es e
pertnit lo do such work trom ihe division.
Signature: Date:
Division of Intlustnal Saley Permit Number.
GOUE t. INSPECTIONTYPE
1616 Fixed System Final Fire Preven[ion
1268
200
201
202
203
Pool SOa Final
Finel Re-Rooi
Final BIocWRetaining Wall
Finel Factory Fire Place
Final Sign
204 Final Demolition
PAg 1t�6@
✓ I� �
COpE� INSPECTIONTYPE
206 Finel Mechenicel
208 Final Plumbing
210 Final ElecidCal
212 Finel Fire Preveniion
220 Final Planning Approval
222 Finel Site
250 Final Building/Occupancy
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UWNCK
JOB ADDR
GENERAL
AP No.
IN"'ECTII
5 �7TJ
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WATEF
ROUGH PLU�
PROP. SWR.
SPRINKLING
MISCELLANI
ROUGH HEA1
TEMPORARY
UNOERGROUI
ROUGH WIRI
TRENCHES �
FLOOR SVST
BONO 9EAM
SHEATMING
ND FIR CONOITIONING
ICE OR POLE
POWER {-}
STEEL REINFORCE
VO FLASHING
- IN �
.BROWN COAT
H" 'NG, VENT.
F JING, FINO
ELECTRIC, FINA
BUILOING, FINAI
DATE 1-17-6
BUILDING PERMIT
SUBCONTRACTOR
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COSTA MESA BUILDING-SAPETY DEPARTMENT
P.O. BOX 7Z00 � COSTA MESA, CALIFORNIA 92626
For Applicant fo Flll In Completo(y
TYPE OR PRINT
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COSTA MESA. CALIFORNIA
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AUTHORIZiD AO[NT
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APPLICATION FOR PERMR
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for Office Ute Only
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