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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 $ �� �