HomeMy WebLinkAbout298 PRINCETON DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4&56 • www.ci.costa-mesa.g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2JH PRINCETON DR
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 14138319 Zoning:
Applicant: LAUNDERS, LES
Address: 657 BEACH ST
COSTA MESA, CA
Owner: O'BRIEN, PHILIP J
Address 298 PRINCETON DR
COSTA MESA, CA
Contractoc ROOFING CONCEPTS
Address: 657 BEACH ST
COSTA MESA, CA -
Zip: 92627
Arch :
Address:
Zip:
Phone:
License:
Phone: 949-285-9568
Zip: 92627
Phone:
Zip: 92626
Phone: 949-645-7518
License: 441271
Eng:
Address:
Siatus: ISSUED
Applied: 11/03/2006
Issued: 11I03/2006
ISSUED BY: K-�� l l
Phone
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF, REPAIR/REPLACE SHEATHING AS REQUIRED, COVER WITH 30 YEAR COMP. INCLUDES RESIDENCE AND
ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: Ss,3oo.00
Permit: $125.25 Claim Valuation: Ss,3oo.00
SMIP Res: $0.53 �'
SMIP Com: $0.00 � �
Other: $0.00
Inspection: $0.00
Total: $125.78
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0
ACCESSORY Front 0- 0 Rear 0- 0 Lefl 0- 0 � Right 0- 0
PARKING Existin : 0 Reauired: 0 Pr000sed: 0
NOTICE: The vrork authorized by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
�� br e period of 180 days. .
INSPECTIONS: In order for the vrork authorized under this permit to be consideretl legal, such work must comply with all applicable codes, and all
, requlred Inepectlona end flnal epprovel must be obtained. Failure to obtain inspectfons and tinal approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
tesa+e la'oo)
WORKERS' COMPENSATION DELLARATION: ,
I hereby eXirtn under penelry of Derjury one of the following declaretions:
❑ I heve entl will meintain e cenificate of consent to self-Insure for workers' compensatlon, es pmvided for by section 3700 of Ihe Labor Code, for Ihe peAormence ot ihe
ork far which this permit is issuetl.
I have end will maintein work s' c mpense ion in5uran e, es required section 3700 of ihe Lebor Code, for the peAortnence of the work for which this pertnit is issued.
My workers' compensetl nsure arn�and poli umber era: I, r��� �-7 ���/ _
Cerrier. Policy Number:
�.t- Ju y�
(This secfion need n�d 1! f e permit is velued et one hundred dollers ($100) or less.) '
❑ I certity Ihat in the pertormance of ihe work for which ��is Dertnil Is issued, I shall no� employ any person in eny manner so as to become subl�� �o the workers'
compensatlon laws at Calilamie, entl egree that tl I should 6ecome subjact to the workers' wmpensation pmvisions ot Sectloi �700 o�e Labor Cotle, I shell forthwith
comply with these provlsi s. /' � / %�( �
A,y�rd�'Signelure�� � ��/J Data: ' � V �Y
WFRNING: FAILURE TO SEWRE WORKERS' OOMPENSATION COVEPAGE IS UNLFWFUL PND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTES AND CML FlNES UP TOONE HUNDRED
TMOUSlWD OOLLARE (5100.000),IN A�DIiION TO THE COST OF COMPENSATION, UAMAGES AS PROVIDED FOH IN SECiIIXJ 3�O60F THE UBOR WDE, IMEREST, M10 ATiORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm ihat I am licensed un e�ry rpvi on�5 ot Chaptar 9(cnmmencing with Section 7000) ot Division 3 of ihe Business
torce antl eHed. Llc A i' `�/, � Class a
GontrectofSiSly0a6lre;"� Date:
and my license is in full
CONSTRUCTION LENDING AGENCY:
❑ I hareby aflirm ihat ihere is e consimction lending agency for Ihe pertormance ol the work br which ihis pertnit is issued. (Sac. 3097, Civil Gode).
Lender's Neme: Lender's Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn that under penelry ot perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe tollov.ing reason (Sec. 7031.5, Business ena Professions
Code: Any ciry or counry which reQuires a permit to construct, elter, Imprwe, demolish, ar repair any sirucWre, prior lo its issuance, elso requires the apD�iwnt for such permit
to file e slgnetl stetement that he or she Is licensed pursuent to t�e pmWsions ol lhe Contrettors License Lew (Chapter 9(commendng wilh Sectlw 7000) ot DiviSion 3 ot lhe
Business end Profe55ions Code) or that he or she is e:empt therelrom and the basis tor the allegatl exemption. Any Nolation of Section 7031.5 by eny eOPllcanl for a pertnit
sub�ecis ihe applicant to a civil penalry ot not more ihan five hundred dollers ($500).):
❑ I, es owner ot ihe properry, or my employees with wages as t�eir sole compensatlon, WILL DO THE WORK, and ihe structure is not intended or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not epply to an owner of properry who huilds or improves Ihereon, end who does such work
himsell or herselt or through his or her own employees, provided ihat such improvements ere noI intended or oNereO for sale. II, however, the huilding or improvement is
sold wilhin one year ol completion, the owner-builder will heve the burden ol proving ihet he or sha tlid not build or improve for purpose oi sale.).
❑ I, as owner of the property, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projett (SBc. 7044, Business entl Professions
Cotla: The conirectors License Lew does not apply to an owner ol property who �ulltls ar improves thereon, and who contrects tor such pro�ect wlth e crontractor(s)
license pur5uant to lhe ConirBctorS LicenSe LawS.).
❑ I am exempt under sec. Busineu end Protessions Code lor this reason:
Signeiure: Date:
Owner ID vorifiad Dy dnver's license. ❑ Yes ❑ No Dnver'S License No. Expires:
Verificatlon ol Ownership 6y (type oi tlocument, i.e. - propeny tax bill or tleetl):
�IVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify Ihe� no axcavetion five (5) or more taet in depih into which a person Is reqWred to descend, will be made in connection wiih work euthodzed by Ihis
permi�, end that no building s�ructure, scaflolding, talsework, or demolition or dismanlling Nereot, will be more than t�lrry-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title e, Califomla Aaministretive Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit Irom iha Division of Intlustrial SafeN. as noted ebova, unless such person has a
permit to tlo suc� work Irom the division.
Signature: Date:
Division ol Industnal Satety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVATON OF EHTRY: I cenify under penalry ol perjury Ihat I have reatl this epplication antl state that the iniortnation given is
correct I agree to comply with all state laws end city ortlinances relating lo building consiruction, end authorize representatives ol the City of Coste Mesa to enter upon ihe
ebove-described propany for inspedion purposes. I agree not to occupy or ellow occupency ol eny building authorized by ihis permil until Finel inspection.
Of leQal Owner(s) Date
CODE 1. INSPECTIONTYPE
7618 FIaeC System Finel Fire Preveniion
1266
200
201
202
203
204
Pool Spa Finel
Finel Re-Rool
Final BIocWReteining Well
Final Facrory Fira Place
Flnel Sign
Final Demolilion
PdIE It�15
i
/ll/ . �%
I� !�
CODE 1 INSPEGTION TYPE
206 Final Mechanical
20B
210
212
220
Final Plumbinq
Final Elecirical
Final Fire Preventlon
Final Planning Appraval
222 Final Site
250 Final Building/Occupancy
oate
�
��
�
�
Applicant to (iIl in a11 spaces exceo� those within heavy Gortler Iines and sign all approvriate declarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI O� � _ TFACT NO. LOT NO. UNIT NO.
Project Address �, 4
� Applicant's Mailing �hAd� rerr��ss��rr���� �
Owner's Name —LI�LY.L��Phone ��O �
_ LY.
Address �'�
Arch/Eng. License No.
Addres5
Convactor'sName .I{'IO�pho y �� 5
Address (ma 1'nal ��j '� �
� �
City License No
LICENSED CONTRACTOR DECLARATION
I hereby aftirm that I am licensed untler provi5ion5 ot Charte� 9(commencing
witn section ]000) of Division 3 of tne Business antl Professions Cotle, antl
my license is in f II o ce an0 effect.
� License Cla s � Licen ��
� e Signature
R� O PENSATION DEC R 10
..iereby affirm Ihat I have a certiticate ot mnsent to seli-insure or a certificate
� of Worken' Compensation Insurance, o� a certifietl copy the�eof (Sec ion
3800, Lab. ��� r q��
Policy No. Company
ertifietl c 0 i It reby tu�nishetl. ^��
Cer i letl with the city fS7 Itl' i n.
Date Applicant � -
EXEMPT N ROM WORKERS' COMPENSATION DECLARATION
(Thi55ection neetl nat be tompletetl it the permit is for one huntlred ($300) or
less).
I certify that in the pertormance o� the work for which this perm�t is issuetl, I
shall not employ any person in any manner 5o as to become subjec[ to the
Workers' Comoensation Laws of Calitornia.
Date Signature
NOTICE: If, after makin9 this tleClaration, you Shoultl become Subject to the
Workers' Compensation provisions of the Ldbor Cotle, you must forthwith
comO�Y `�'iih such provisions or this permit sM1all be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV
1 hereby affirm tha[ Ihere is a constru[tion lentling agency to� the peitormance
of the wo�k for wM1ich this permit is issuetl� (Section 309]��Civ. C.)
LenCer's Name
Lentler's Aatlress
OWNER BUILDER DECLARHTION
1 hereby affirm that 1 am exempt from the Cantractor's License Law for [he
following reason (Section 7031.5 Business and Professional Cotle: Any city or
counly which requires a permi[ to construct, alter, improve, tlemolish or �epair
-�y SVucture, prior to its issuance, also �equires Ihe applicant for such permit
fiie a signetl statement that ne/she is licensetl pu�suant to the provisions of
Contractor's License Law (Chapter 9(commencing with Section 7000) of
.vision 3 of tM1e Business antl Professions Cotle) or that he/She is exempt
therefrom antl the basis for the allegetl exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
'' penalty of not more than five huntlretl tlollars ($500).
�❑ 1, a5 owner of tM1e property or my employees with wages as their sole
� compensation, will tlo the wo�k, antl Ihe structu�e is not intentletl or afferetl
, for sale (Sec[ion 7044, Business antl Professional Cotle: The Contractor'S
I License Law tloez not apply to an owner of a property who builtls o� improves
thereon, antl wM10 tloes such work himself/hersolf or IM1rough his or her own
� employees, provitletl that such improvements are not intentletl or otfe�etl Por
I sale. It, however, [he builtling or improvement is sold within one year of tom-
pletion, the owner will have the buttlen ot proving he/she tlitl not builtl o� im-
�rOve for tlle purpose of sale).
I, as owner o/ the property, am ezclusivery coniracting with licensetl con-
Vactorsto consVuct the project (Section ]044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner o( property who
builtls o� improves [hereon, antl wM10 contracts for such projects with a mn�
Iractor(s) li<ense pursuant to the Cont�actor'S Litense Law). I am aware that
proof of their Worker'S Compensation insurance shoultl be providetl ta me:
�� I am exempt untler Section B. & P. C. fot IhiS �eason
Date
I hereby certify that
information is correct
antl state laws relatin
sentatives of thi ci1
inspection p p
Signature
Drivers' �icense or 55
, �CMF 0865-46, rev. 10/84
owner —
have reatl this
upon
above
ances
TYPE OF CONSTRUCTION LJ NEW LJ noo
❑ CONVERSION ❑ DEMOLISH ❑ OTHER
DESCRIPTION OF WORK/USE OF BLDG. —
ALTERATION �LJ REPAIR
TY,PE OF PERMIT 'LJ GRA�ING LJ FOUNDATION LI STRUCTURAL
❑ TENANT ❑ ELECTftICAL �PLUMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCRIPTION 54. FT. oCCVaarvCV—
CONSTRUCTION TVPE VALUATION $
ZONE GRADING CV. VDS. ACRES—
Remarks:
Sink
Preventer
Irrigation
Drinking Fountains
Floor Drains
Floor Sinks
Gas Service OuUets
Interceptors
Kirehen Sink
Lavatories
P—Trap
Roof Drains
Reinspection Fee � $15
Boiler
Duct- UnderGround
Duct - Structural
Duct - Ventilating '
ExhaustSystem ❑ MWtiple
FirepVFacc Blt. ICBO #
Heating System & Ducting
❑ 0-100,000 BTU O 100,000
Reinspection Fee � $75
White - Builtling; Canary - APPlicant; Pink - Accounting; Goltlenrotl � Assesso�
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Auto-Wash
Laundry Trays
Issue Fee
Hood or Type I ❑
Canopy Type I I ❑
Refrigeration System
❑0-100,OOOBTU ❑100,000
System Repair/Alteration
Fire Dampers
Registers
Issue Fee
EES
$ 3
FEES
$ 3
A.P.. �i`-
S Main Buildi
E
T Front
B Rear
A
C Right
K Left
S
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Su6.
Cooking Unit
D ishwasher
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator DO-5 KW OS-15
5486 9/17/87 5000 ��
Zone
Accessory Building:
Z
O
N
I
N
� G
R
Parking Req./Provided E
Q
� M
T
S
ELECTRICAL
Transformer ❑ 15-50 KW
❑ 50+KW
Meter ❑up to 100 amps
Meter ❑over100amps
Sub Panel �
Motors DO-1 HP 01 %- 8
InaSolar �9-15 HP �16-15+
Microwave
Pole Li9ht
Range
Sign
Standing Sections
� Trash Compacror
Fee �$15 � � Issue Fee
DEVELOPMENT SERVICES REQUIREMENTS:
Zaning Approved By
Building Approved By
Appliwtion luued Bv �
FEES
$ 3
�
SUMMARV OF FEES
BUILDING PERMIT $ SMIP $
PLAN CHECK $ PERMIT
PLUMBING $ � O ISSUANCE $
PLAN CHECK 25% $ ENERGY P.C. $ -
ELECTRICAL $ GRADING $
PLANCHECK 50% $ MICROFILM $ �r
MECHANICAL $ TOTAL FEE $ r\ � .
PLAN CHECK 25% $
CONSTRUCTION AIVD�PLANNING POOL & SPA
APPROVALS Permit,.# Date Inspector p�ppROVALS Permit# Date Inspector
i. Temporary Electrical�Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �'�:
5. Steel Reinforcement 56. Rough Plumbing & Pressure est
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-('iUNITE
7. Footings � 58. �Electrical Conduit-Undrgrrid? �
>
8. Foundation C..1 59. Gas Pipe, O Undrgrnd., T��j �
f
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ,C�Undrgrnd.
�:
10. Structural Floor System 61. APPROVAL TO DECK ����
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Fin�(s
i2. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing Sys[em - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electriral-Conduit 66. SOlar SyStem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace � APPROVALS Permit # _�
21. Ducts, in Structure . 70. Underground Hydro -
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil �
23. Gas Pipe-Rough & Test 72, Underground Flush
24. Roof Framing 'J73. Undergmd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) -& Monocoat , 75. Dry Chemical ,
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. .F�IXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION ' '
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -
33. Final Electric Notes: -� :
34. Final Heating & Air Conditioning '�
35. Final Gas Pipe-Test - •
36. Hood or Canopy
37. Final Factory Fireplace � i '
38. Final Plumbing . 9•Zy.yT (, (jD . . , � I
I
39. Water Service-Final � � . '
40. Gas Service-Final : -
� �
.41. Solar pomesticFinal • ' , � ' �
� 42. Backflow Preventer . � , ' •
43. Backflow Irrigation • ' I �
� 44. Landscape Irrigation SYstem . ' , • � � , �
i
� 45. Sound Attenuation � , ; i � � �
� 46. Handicap Regulations � ' . �
47. FINALSTRUCTURE&BUILDING ' , , � '
48. Special Requirements Completed • � . •
49.:Electric Release to Edison � - . . ��
50. Gas Release to Southern California Gas Co �-
51. CERTIFICATE OF OCCUPANCY , - /
No. Date _ �
, �` _ �
OW NER COLLEGE PARK DATE 3-1Z-57
JOBADDRESS 298 Princeton Drive BUILDINGPERMITNO. ��y5(�(�
GENERAL CONTRACTOR HBTbOT' Construction VALUE a 1?�f,iQ�.�Q
LOT Q5 BLOCK TRACT �166 Res. w�att_ aar_ _
GROUP I 8t J TVPE V ZONE FIREDISTRICT �(�%5
PERMIT$ ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
._��/ !.__.—_ _______
Footing Trench
Foundation Forms and Grade to Ga
Rough Framing � —�
Plumbing, Hough to Slabi,�i,���
Plumbing, Rough Complete i
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
��8twer, House L Sewer, St.
Septic Tank or Cesspool
Lathing, In Out
Plumbing,
Plumbing,
Wiring, Fii
Occupancy
7
�
r�nai�ruaureswn�p�ece rqG7 (v'I�'Q'/
FinalGas7est /J h16S �D•i�S9 C�vOO../_ .Q._./ /t�_
FONM 210 3M IO�vS
.� I m_i�-_. I 1..�
- - ',.
�.�` .
' � 46'75
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR
FILL IN
V rIY1IVliLIVIV VY(1VL
COSTA MESA. CALIFORNIA
OWNER COLLEGE PARK NO
ADDRESS 2 I I O SO. MA I N S
ARCHITECT
OR ENGINEER
ADDRE55
LEGI�L
DESCPIPTION
A.P. NO.
USE OF
E%ISTING BLDG.
SETBACK IINE FflOM
TEL.
NO.
LIC.
NO.
LIC.
NO.OF BLDGS.
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING OEMOLISH
5 ZIE DING I �� NO. OF
ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW
BUILDING (ZL'Cincnirc rQr CTTGCIJC!)
FEE RECEIVED
�,,�.,�,►�� ---�
fINANCE DEPT.
APPLICA'CloN ��oTR MPERMIT
BUILDING
FOR OFFICE USE ONLY
�wT�R=C\VE� I �.4ARE�SLEI'
II
COSTA MESA, CALIFORNIA
APPROVED
BY DATE
CORRECTIONS
ST1TE TH�T TNE �BOVE IS CORRECT 1ND 1GREE TO COMpLY WITM 1LL
CITY OROIN4NCE5 /.NO $TwTE L�W$ NEGULATING BUILOING CONSTRUC�
T���� VALUATION
SIGNATURE OF PERMiT FEE S �� —
PERMITTEE C L EG E PaR K NO
5 I G �Ll.00 � P�AN CHECK 5 � S
�rf
eiirunancn er.rr�r � � . TOTAL FEE $ ��
�