HomeMy WebLinkAbout291 PRINCETON DR - Building Permitsf '� i :
(714) 754-5273 • Fax (714) 754-4&56 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 291 PRINCETON DR
Suite:
Vicinity: ROOF
Parcel Number: 14138517
Applicant: RINKLER, CHRISTINA
Address: 291 PRINCETON DR
COSTA MESA, CA
714-751-3505
Owner: RINKLER, GILBERT H
Address 291 PRINCETON DR
COSTA MESA, CA
Contractor: O W N ER-BU I LD ER
Address:
Zip:
Arch �
Address:
Phone:
Zoning:
Phone:
Zip: 92626
Phone:
Zip: 92626
Phone:
License: 000000
Eng:
Address:
Status: ISSUED
Applied: 11122/2004
Issued: 11/22/2004
ISSUED BY:
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 15# FELT, 30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS NEEDED. 2,000
S.F. INCLUDES ATTACHED GARAGE. �
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: 50.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existin : 0
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Lek 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
5a,000.00
sa,000.00
NOTICE: The work authonzed 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)
EXPIRATION: This permit shall automatically expire and become void if work is not commencad within 180 days, or if work is suspended or abandoned
for a period of 180 tlays.
INSPECTIONS: In order for the work authorized under this pertnit to be consideratl legal, such work must comply with all applicable codes, and all
requlred Inspections and finel epprovel mus� be obtalned. Failure to obtain inspections and finel approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (774) 7545628
taae-ae (srool
WOHKEHS' COMPENSATION DECLARATION: � • �
I hereby aflirm untler penalty of perjury one ol ihe fallowinq declaretions: ' '
❑ I have antl will maintain a certificste of consenl to self-Insure tor workers' compensatlon, as provided tor by section 3700 0l ihe Lebor Code, lor the peAormence of the
work tor whlth ihi5 permit is issueA.
❑ 1 have end wlll maintain workers' compensation insurence, as reqWretl by section 3700 oi Ne Lelwr Code, for Ne perfortnance of Ihe work for which this permit is lssuetl.
My warkers' compensatlon Insurence carrier antl policy number are:
Cartier.
neetl not be comp/eted i!
Palicy Number:
!�s I certily that in the pedormanca ol Ihe work for which this permit is Issuetl, I shall not employ any person in any manner so as to become subject to the workers'
compensatlon lews of Celllomia, end egree that it hould becomo sub�ect ro the workers' compensation provisions of Section 3700 of Ihe Lebor Cotle, I shell forthwith
cam I with these r is(iy,ns.�}-^ L/
�i�f.mv_�PYneure;�-�/Gi'.GL�HQJ � /A/�� �Oe[4:�3 //'�e'i �
WARNING FAILURE TO SECURE WORKERS' CAMPENSATI COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENQTIES AND GVIL FlNES UP TOONE HUNDRED
TVKKISAND DOLURE (5100,000), IN A�DITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3�O60F THE LABOfi CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTAAC70RS DECLARATION:
I here6y aNirm Ihat I am licensed under provislons of Chapter 9(commencing vilth Section 7000) ot Division 3 0l ihe Business and Protessions Code, and my Ilcense Is in full
force antl ettect. Lic. # Class N
Coniractor's Signa�ure: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that Ihere is a consiruction lending agency for ihe Dedormnnce of the work for which this permi� is issued. (Sec. 3097, Civil Code).
Lentlefs Neme: Lendets Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eNlrm that under penelry ot perjury Iha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business end Professlons
Cotle: Any ciry or counry which requires e permit b consimct, alter, improve, domolish, or repair eny structure, pnor to its issuance, elso requires the applicant for such pertnit
to tile e signetl statement that he or she Is Ilcensetl pursuant to lhe provisions oi the Coniractors License Lew (Chapter 9(commencing with SecOon 7000) 01 Divislon 3 01 the
Busine s and Professions Cotle) or ihat he or she is exempt t�ereirom end iha basis for the allegetl exemption. Any violatlon oi Sectlon 7031.5 by any epplicent for e permit
sub' ts the epplicent to a civil penalry ot not more ihan tive huntlred tlollars ($500).):
> I, as owner oi tha properry, or my employees with weges as iheir sole compensa�ion, WILL DO THE WORK, and the siructure Is not intentletl or ottered tor sale (Sec.
7044, Business antl Professlons Code: The Contraqors License Law does not apply to en owner of propeny who builtls or improves lhereon, antl who Ooes such work
himself or hersetl or Ihrough his or her own employees, provided that such improvements are not intendetl or oNeretl for sale. If, however, I�e building or Improvement Is
sold within one year of completion, the owner-builtler will have ihe burden ot proving ihat he or she did not �uiltl or improve for purposa oi sale.). '
❑ I, as owner of the properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Pro}essions
Cyda: The contractors License Lew does not apply to an owner of properry who builtls or improves theraon, end who contracts lor such project with a contrector(s)
/rcense pursuent to the Contrectors License Laws.).
I am examo�under sec.
eusiness end Professions Cotle tor t�is reeson:
Owner ID verilied by dnvefs licensa. Ij�Ves ❑ No DuverrL•ieanae:No.
VerillceUon ol Ownership by (type of tlocument, I.e. � property taz blll or tleed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTiFICATON:
❑ I hereby certity that no exwvation five (5) or mora feet in tleD�h into which e person is requiretl to descend, will be made In connection with work authonzed by this
permi6 end that no building swcWre, scatlolding, falsework, or demolition or tlismantling thereol, will be more than Ihirry-sia (38) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, 71t1e B, Califomia Administretive Cotla).
❑ As owner-builder, I will not employ enyone to tlo work which would require a permit trom the Division ol Indusirial Safery, es noted ebove, unless suc� person hes�e
permit to do such work from t�e Oivision.
Signature: Date:
Division of Industrial Safety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF EMAV: I certily under penalty of per�ury that I have read this applicatlon an0 siate Nat ihe information given is
correcL I agree fo comply wlih ell steta lewrys end ciry ordinences relating to building consiruction, end euthotlze represen�atives ol the Ciry oi Costa Mesa to enter upon the
abav - e cribe p�operty foa spe pu oses. I ag�ee not to occupy or ellow occupency of any building euthorized by �his permi� until finel inspec�ion.
/!1J r ! �si =- /�-�i� �' y
�Of.�•L�gel,owp,e_ s �Dare�.
Aut�onzetl
cooe �, iNsvecnoxTrve
7618 Fixed System Final Fire Prevention
1268 Pool Spe Final
200 Finel Re-Roof
201 Finel BIocWRelaining Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
PAg II�1dL5
i�— �
COUE� INSiECTIONTYGE
206 Finel Mec�anical
208 Final Plumbing
210 Final Elecirical
272 Final Fire Preventlon
220 Finel Planning Approval
222 Final Site
250 � Final Building/Occupency
Psff. V�Lfl
OW NER - COLLEGE PARK " DATE 3_lp_c7 -
JOBADDRESS 291 Princeton Drive BUILDINGPERMITNO. #IyS%I
GENERAL CONTRACTOR Harbor Construction VALUE $].Z�µ��•(1�
�oT B BLOCK TRACT 3166 Res. w/att. �ar.
INSPECTIONS
Footing Trench
Foundation Forms and Grade to
Plumbing, Rough to Slab �,/}r(i
Ptumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
�ewer, Hause Sewer, St.
Septic Tank or Cesspool
Lathing, In Out
Plastering
Plumbing, Final, Fixtures Comple�
Plumbing, Fin,al Gas Test /.�
Wiring, Final
Occupancy �
iOHM 210 3M 10�•v5
t
GS
DATE
�
1
SUBCONTRACTOR
PERMITSISSUED
DATE I NUMBI
��
✓
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COSTA MESA BUILDING DEPARTMENT
P.O. BOX 317
GOS7A MESA. CAI�IFORNIA
FOR APPLICANT 70 FILL IN
BUILDING
ADORESS
OWNER CI
MAIL 2
nooREss
cirv SANT�
ARCHITECT
OR ENGINEER
�il. PRINCETON DRIVE
COSTA MESA. CALIFORNIA
LEGE PARK 1�I0.
C� SO. �VIA I N ST ,
ANA, CALIF. T�oKI
LIC.
NO.
LEGI�L LOT p
oescaivnorv NO, V
A.P. NO.
���E 6o X i o�
OF lOT
USE OF
EXISTING BLOG.
SEiB4Ctt LINE FROM O
CENTER OF STREET
SIDE YARD RIGHT
FE RECEIVED
��,.,►, ��lr� �
FlNANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
AECEIpr NO. pEB���
in
E��o�r� �A.E.7.,��E� MAR 1�2E195�
BUI�DING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
rv Llc. I � zorve ['� I
� NO. 462 K
TEL APPROVED
NU. BY
rRA�T i 66
NO.OF BLOGS.
NOW ON LOT
REAR YAR� LH
DESCRIPTION OF WORK
NEW X A�TERATION IAO�ITION
REPAIR MOVING DEMOLISH
BUILDING NO.OF
SIZE S2 ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING
BUELDINGEW RESIOENCE ix ATTACHED
STATE THAT THE ABOVE IS COR(iECT iNO AGREE TO COMPIV WITH wLL �
CITY ORD�NANCE$ AND $TFTE LI�WS REGVL<TING BVILOING CONSTRVC-
Torv. VA�UATION
SIGNATURE OF
PERMITTEE� PARK NO.
� $ i2,400
AUTHORIZED AGENT
. - - '�
PLnNS
DATE
CORRECTIONS
PERMIT FEE S
PLAN GHECK S
TOTAL FEE 8
OWNER VAUGHN� DAVID DATE 1-y (7
JOB ADDRESS �1 Princetan Dr. BUILDING PERMIT N0. �9h75
GENERAL CONTRACTO—R �er r. DESCRIPTION of WORK Remove Patip Cover
AP No.1Y1-��7�11 LOS
INSPECTIONS
SOIL
GAS
W ATER
ROUGH P�UMBIMG
PROP. SWR. LINE � MOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING RN� 41R CONDITIONING
TEMPORAFV SERVICE OR POLE
IINDERGROUND � POWER �
ROUGH wIRING
TRENCNES FORMS STEEL REINF.
FLOOR SVSTEM
BONO 6EAM � STEEL REINFORCE ❑
SMEATHING
FRAME AND FlASHING �
LPTHING — IN � OIIT [�
PLASTEft,BROWN COAi
STRUCTURAL, FINAL
NEATING. VENT., REFpIG. RNO A.C., FINAI
PLUMBING. FINRL ANb GRS TEST rI
�I:7�Zi7:«7_«II#�Sil� �.�
SUBCONTRACTOR
�
� im�-9-75f�tJoo LJ��� ��.A�..}.�.J�/
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.0.80X 1200 COS7A MESA, CALIFORNIA 92626
for Applicant to Fil! in Comp7etely AP LI TION FOR BUIIDING PERMIT
R C I ED DATE RECEIVED pATE ISSU D�
BUILDING �
ADDRESS � W�_ � �
�
/� EFMIT NO.
OWNEP . \V7 V �b\:A'IJ A.P. NO.I ��/ �/
MAIL �,{ `^- BUILDING ��
Z �j
ADDRESS � 1� \�SSJ� iZ� `' P.DDRESS /�
d U CIT1�0 �W. '�']� NOL �- _�ZC� TFACT JI LOT BLOCK
ZZ
Q CONSTFVC710N W A
O � LENDER
a m
J N BRANCH /�/,
J OWNER. /-/��.(
m � ADDRESS `��/y UE �
m ARCHITECT TEL. ' S � U �) lU' �
J a R ENG�NEER
U Q FIRE �
w(L ADDRE55 ZONE VPE � GROUP
a w APPROVED
W z CONTRACTOR ' BV � DATE �
J Q
mz
J a ADDRE55
w w TEL. ZO NO.OF USE OF N
� z CITY NO. PlANS BUIL�ING �
z �-
Wp STATE CITY VARDSAPPROVEO YAROSAPPROVED
N a LIC. NO. LIL. NO. MAIN BUILDING AGCESSORV BUILOING
� p SIZE NO.OF BLDGi. (FROM C/L STREET) �
OF LOT NOW ON LOT ONT FT. FT. �
VSE OF
EXISfING BLDG.
i �
F^ SIZE OF NO. OF
'� NEWBLOG. ROOMS STOfiIES L SID FT. FT.
a EXTERIOR WALL ROOF
V COVERING COVERING REAF FT � FT.
J USEOF BUILDING AN ORK TO B PERFORME� DISTANCE BET. BET. MAIN &
a � Vh � ii-T\D � O ��L.. MAIN BLDGS. ACCE�, BLOGS.
o-
Q VAR,qW DATE
� C.U.P.$ APPROVED
r APPROVED G
N _ �
�
Q
UI hereby acknowletlBa that I hava reatl this applicallon antl staxe
� [�at the abova information is torract entl eprea to cOmply wi[h ��
a ell lews regulatlnp builtllnB construc[ion, antl I eholl not employ
r eny parwn in vlolatian of the workma� s companmtion lawa of
N tha Stata of Celifornie. m
� 1 �ereby certlfy that 1 em prOpBrly Ilcenaetl as a contractor untlar $Q. FT. O
the State of Californla B�sinesa and Profeasions Cotla, Oivlaicn 3, THE �+MpVNT SMOWN UNDER VALVATION IS FOR
Cnapter 9, antl chet such lieanses ere In full force entl effect, or I THE PVRPO6E OF E57ABL6HING A PERMR FEE ONLv: o
am exempt from tha provisions of the Sta[e ot Calltornia Busineas ¢
antl Pr n tle, Division 3, Chap,{ f 9. VALUATION
PERMR FEE S r— �'
Sipnature o Q� � / � �
% m
Parmittee C L� ,�� (NXY� $ /� I PLANCHECK S E
/ V
� � LL
Authorized Apant TOTAL FEE $ �