HomeMy WebLinkAbout336 PRINCETON DR - Building PermitsPERMIT TYPE
. CITY OF COSTA MESA
BlIILD/NG DIVISION
77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • w�wi.ci.costa-mesa.w.
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER. B07-00899
B_ROOF2
JOB ADDRESS: 336 PRINCETON DR CM
Vicinity: HOUSE AND GARAGE ROOF
SQ. FT: 2500
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Const Type:
Valuation:
ISSUED
0 811 512 0 0 7
RMD
��
$0.00
SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL A MINIMUM OF 1 LAYER OF 15# FELT ON A 4:12 PITCHED ROOF, REROOF
WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE
AND GARAGE, APPROX 25 SQUARES. REPAIR AND REPLACE SHEATHING AS NEED. �_ a(,I'��
OWNER: HUCAL, THEODORE P
PHONE: 7�4-966-5300 City/State2ip:
Address: 336 PRINCETON DR Unit:
COSTA MESA, CA
APPLICANT: COHAN, LAWRENCE Address: 22365 EL TORO RD Unit:
PHONE: 949-770-7663 CitylState/zZip: LAKE FOREST, CA
CON7RACTOR: BEST VALUE ROOFING License No. 678356
Address: 22365 EL TORO RDUnit: PHONE: 949-770-7663
CitylState: LAKE FOREST, CA ZipCode: 92629 CELL:
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
TOTALFEES
$o.00
$18125
50.00
5�8�•25
License No.
License No.
PHONE:
PHONE:
NO710E: The work authorized by this pemut shall comply with all applicable handicap access requirements under Califomia sWtutes and related
regulations. (Ord. No. 92-28, § i, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the vrork authorized under this pertnil to be wnsitlered 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 expiratlon of this permit.
COpE� INSPECTIONTYPE DA7E I �L CODE� �NSPECTIONiYPE D�IE �N7111AL5
1816 Fixed System Final Fire Prevention 206 Final Mechanical
12fi6 Popl Spa Final ,,, 208 Final Plumbing
200 Final Re-Roof �,� Gri� 210 Final Elechiwl
I
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Fadory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition �_ 250 Final Building/Occupancy
�NORKERS' COMPENSA710N DECLARATION: .
� here6y aKrm under penalty of perjury one of ihe (oilowing Oeclarations:
[] I have antl will maintain a certificale of con5ent to 5e1f-Insure for workers'
ctlmpensation, as provitletl for Dy seccion 3700 ot the Labor Code, (or the
pertormance of the work !or which this permit is issuetl.
❑ I have and will maintain vqrkers' compensatbn insu2nce, as required by
section 3700 ot Ihe Labor Code. fw the peAormante of lhe v.ork fa vfiich this
pertnit is issued. My vrorkers' compensation Insurance cartier antl policy
number are: C' r q� ��(�
GarrierJ ��� C�
(��usertionneetlmty�eC c/wnpFYIeE-dt�Le�^(' �n"'sr�hmtlalone�u�rM+1redao9ars(51W)alassJ
iP�licy Number: '"l rJ U� J 7S —?�/ Q6�
❑ I certify that in the pedormance o( the wnrk for which this permit is
iasued, I shall not employ any person in any manner so as to bewme subject
to the workers' compensation law5 of California, and a9ree that if I shoul0
become subject ro the ork rs' compensation pmvisions of Section 3700 0l
�he Labor COde`s al rt ilh comply vrith these provisions.
�Pp nl's Si9�lure �.. Date .
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE
IS UNLAWFUT AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DpLLARS
(5100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
� here�y affirm that I am licensed untler pmvisions o( Chapter 9(commencing
witb Section 7000) of Division 3 ot I�e Business and Professions Code, and
my license is in f II force and eRect.
Cic _# �� �Cla'ss # � �
S-
�nVa<lor's iry�aWre �_ Dale
CONSTRUCTION LENDING AGENCY:
❑ I hereby a(�um that there is a consWction lending agency (w the
Per(ormarice of the vurk for vAiich this pertnii is issued. (Sec. 3097. Civil Codei.
lender's Name:
lenders Address:
Oa�e
OW NER-BUILDER DECLARATIONS:
I hereby a�rm that under penalry o( perjury that I am EXEMP7 FROM 7HE
CONTRACTORS LICENSE LAW for the following reason (Sec. 703t.5,
6usiness and Professions Code: Any ciry or county which requires a permit to
ConsWct, alter, improve, demolish, or repair any 5trucWre, prior lo its
issuance, also requires the appliwnt tor such pertnil to !le a signed statemenl
that he or she is licensetl pursuant to tha provisions of the Cont2ctore
License Law (Chapler 9(commencing vrilh Section 7000) o( Division 3 0l Ihe
Business and Pro(essions Code) or lhat he or sha is exempt therelrom and
the basis for the allegetl exempiion. Any violation of Section 7031.5 by any
8ppl'rcant for a permit suCjects the applicant to a civil penatty o( not more than
five hundretl dollars ($500).): �
❑ I, as owner of the propeAy, or my employees with wages as iheir sole
Compensalion, WILL DO THE WORK, and the slructure i5 not intendetl or
olfered for sale (Sec. 7044, Bosiness and Professions Code: 7he Contrectore
License Law does not apply to an owner of propeny vmo builtls or improves
thereon, and who does such wark himself or-herself or through his or her ovm
employees, provided Ihat such impmvements are not infended or offered for
sale. If, however, t�e building or improvement is sold within one year of
completion, the ovmer•6uilder will have lhe burden of proving that he or she
tlid nol builtl or improve for purpose of sale.).
❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH
UCENSED CONTRACTORS to construct the prqect �Sec. 7044, Business and
professions Code: The contractors License Law dces not appry to an pwner of
property who builds or improves thereon, and who cont2ct5 for such project with
e wntracta(s) license pursuant to the Contractors License Laws.�.
❑ 1 am exempt under sec. �
Business and Professions Code for this reason:
S�gnaWre Date
305Pa6 pl0])
Owner ID verifed by drivt ense. ❑ Yes ❑ No
Driver's License No. Expires: '
r
Venfication of Ownership by (type of document, i.e. - property Wx bill or deetl�:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certAy that no excavation frve (5) or more feet in tlepth inro which a
person is requiretl to tlescend, will be made in connection with wnrk auihorized
by this pertnit, antl lhat no building sWcture, sca((dding, falsewurk, a demolition
or dismantling Ihereof, will be more than thirtysin (3G) (eet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Trtle 8, Califomia Administralive Cotle).
❑ As owner-builtler, I vrill not employ anyone to do vrork which would
require a permit Irom the Division of InUustrial Salety, as rroted aDove, untess
such person has a permit to Oo such vrork from the division.
Applicam's SignaWre Oam
Division ot Industnal Salety Pertnit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will Ihe applicant or present or future building occupanl neetl to file and
certify a Business Plan (or emergency response lo release or l�reatened
release of a hazardous material7 ❑ Yes ❑ No
(Section 25505 ot the Califomia Health and Salety Code requires. with some
ezceplions, Ihat a Business Plan be filed with lhe Casta Mesa Fire
Oeparimenf by every business which has at any one [ime during a reportetl
year a quantity of hazardous materials equal to or greater lhan a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eel o( compressed gas
al standartl temperaWre and pressure�.
2. Does or will the appticant or present orluture GuilAing occupant need to fife
a registration fortn fOf aCulely hazartl0u5 malerial57 ❑ Yes ❑ No
(Section 25533 of the California Health and Sa(ery Code, with some
exceptions, requires regislration with Ihe Costa Mesa Fire Department by
each business which a� any one time has on hand a quaniity of acutely
hazartlous materials equal to or greater than a weight of 500 pounCs, or a
volume of 55 gallons, or 200 cubic feet of wmpressed 9as a� standard
temperature and pressure�.
3. Does or will Ihe applicanl or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matenals)? ❑ Yes ❑ No
(Section 25534 0! the Califomia Healm and Salery Cotle provides that lhe
Costa Mesa Fire Departmenl may require the preparation, certification and �
filing with the Fire Department o! an RMPP by husinesses which are required
to regisler awtely hazardous materials with the Fire Department.
4. If an RMPP is presenlly required, has Section 25534 of t�e Calitornia
Heallh antl Safety Code been (ully complied with? ❑ Yes ❑ No
5. Does or vnll the applicant or present or (uture building occupant require for
the work whicn is the subject of this application a pertnit lor such construction
ot mOdifiGB�ion from Ihe Soulh Coast Air Ouality Management District or from
any oiher air polWtion control disMct or agenty9 ❑ Ye5 ❑ NO
(Section 65850.2 0/ the Calitomia Govemment Code requires that the requestcd
information ba fumished on applications for nomresiden�ial builtling pertnits).
6. Will any part of the facilily �o be constmcled under lhis permit 6e within
1000 feat (rom the oNer bountlaries of a school7 ❑ Ves ❑ No
p('yes", the lacility must meet tfre requiremenl o! Sections 25534 and 42303
of the Calilornia Health and Safery Code).
7. If a permit from the South Coast Air Quality ManagemeN District or other
air pollution control district or agency is required for t�e work v+hich is the
subject o( this apptication, have all ol the d'rsclosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No
B. (If "yes", attach cenificate of compliance from the appropriate air pollution
control offcer�.
CERTIFICATE bF COMPLIANCE: I cerlify that under penalty of perjury the
information given above is correct. I aqree to wmply with all state laws antl
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify untler penalty of perjury that I have read this application antl state that
the intormation given is correa. I agree to tomply with all state laws and ciry
ordinances relating to builtling construction, and authorize represenWtives of
the Ciy of Costa Mesa to encer upon the above�described property tor
inspection purposes: I agree not to occupy or allow occupancy ol any building
authorizetl by lhis permit until final inspectioo.
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OWNER COLLEGE PARK DATE 1'Z_pp_r,(, -
JOBADDRESS 3�6 Princeton DT'iVP BUILDINGPERMITNO. ��52
NERALCONTRACTORH32'bOT' i�.0715}.
VALUE
L �i3 BLOCK TRACT p7�(� Rw9•_V�dt+t.__oar_
GROUP I 8c J TVPE V ZONE R� FIRE DISTRICT ��
INSPECTIONS I DATE I SUBCONTRACTOR I PERMITSISSU
BER
Foundation Forms and Grade to
Rough Framing
Plumbing, Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wirinp, Raugh
L vg,ln
Plumbing, Final, Fixtures
Plumbing, Final Gas Test
Wiring, Final
Occupancy
FOflM 2�0 3M IO�v3
Gosta Mesa Building Department :1PPLICA7'ION FOR PERMIT
- P.o.Bo.3�� ,��.n� RIIIL�ING '
� ,�,� COSTA MESA, CALIFORNIA " � ''� � � - — � y � � — �
FOR OFFICE USE ONLY
� APPLICANT TO FII,L IN Receipt No. Permit No.
BY��d4�9
Addf�ess 6 PRI NCETON DRI VE I �� �
Costa, Mesa, California Received by Date Redd. Date Issued
Nearest -rt. ia a7 �s � r�-z�-s6
CrassSt. �-{ARBOR BLVD Building
Address
Owner C P Costa Mesa, California
Mail
Address 2 � � 6 $O . MA I N $T Nearest
Tel. Cross St.
CItySANTA ANA CALIF. No.KI Zone No.oi Type/� Group"�
Arohitector Lic. I Plans I U l�
Engineer No. Approved
b Date
Address CORRECTIONS
Cfty Lic. / I
Contractof{qR80R CONST,CO No. o
Address $AME
Legal Lot I .,/
Descript7on I No. 63 I Block I Tract2%m
(Attach Metesand Bounda)
No. oi Bldgs
Size ot Lot EjQ Q Now on Lot
l�seot I No.of I No.of A
Existing Bldg. Families Rooma �
Setback Line from Rear VaM Z
CenterotStreet � SldaVard y
DESCRIPTION OF WORH �
New I X I Alteretion I I Addition I
Repair I I MOving I I Demolish I
Bulldin No. of
Size � Rooms Stories
Exterior Wall Roof
Coverinq Covering ApPROVAT G
Use ot New Foundation Loeation Inspector � Date
Building f�ES 1 DENCE 8c DETACHED Forms,Materfals,
G�A R A G E Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have mad this ApplicaUon 1
and state that the abwe is rnrreM end agree to rnmply Lath. Int.
with all Clty Ordinances and State Laws regulating
bullding rnnshvction. Lath. Ex4
9ignature
Perm�ttee�ARBOR CONSTRUCTION C0. Plaster,lnt
Authorized Agt. plaster, Ext -
Valuatlon Permlt Fea $��� Masonry Reiniorced
Pian Check $ �y — Bond Beam
$ � � �200, Total `,
Fee $ l02 FINAL
FORM 309 10��3 O. P. 0 S.
0
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PLOT PLAN
Show Ioeation and distaneea irom
pr'operty Iine and between buildinga
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OWNER n�,F,y p
JOB ADDRESS ZZ(� prinreton
GENERAL CONT�f ACTOR . p,._A„
A � � i !�i -�3-�R LOT ti3
i 1. -CTIONS
� 501 L
Gas
W PTER
ROUGM PWMBING
PROP. SWR. LINE � HOUSE CON.
ySPRINKLING SYSTEM
MISCELLaNLOLS
ROUGM NE<TING �NO �IR CON�ITIOHING
TEMGOF�RY SERVICE OR POLE
UNDEAGR�UNO � 1 GOWEP Cj
ROUGM `N�A�NG
TRENCNES FORMS STEEL REINF.
FLOOA SYSTEM
BOND BEnM r STEEL REINFORCE n
SHE�THING
FRqME <ND FL>SHING
L/•TH�NG — IM� OUT n
PLnSTER. BRO'�/N COAT
5�
•.C.. F
PLUMBING. FINAL �ND G4S T
ELECTRIC, FINFL
oiiii niur. civai
DATE
`:1ll��Il:[�I'l�
SUBCOHTRACTOR
n�7�.:,�
COSTA MESA BUIIDiNG-SAFETY DEPARTMENT
R.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
'„RFSS ��� A�INc�'raU.C.M•
OwNER
MAIL
ADDRESS
CITV
BRANCH
ADORESS
APCHITECT
TEL.
NO.
CONTRACTOR (/ �
ADDRESS
TEL.
CITY NO.
� STATE CITY
� LIC. NO. LIC. NO.
{A SIZE NO.OF BLDGS.
a OF LOT NOW ON LOT
a USE OF
� EXIS7ING BLDG.
�
FSeparate permits are required for
C electric, plumbing and heating work.
(.�. USE OF BUILDING AND WORK TO BE PERFORMED
Q
La
a �" 0 /L
7 �
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a ! LL $ Qn'L
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R
OWNER r '
FIRE
ZONE
APPROVED
� 3372 2/.13/79
3372 2/I'3/79
� 3372 000044745I
�R STRUCTURAL PERMIT
DATE RECEIVED nGTF I[SUFt'
ZONE �'` J NO.OF .
� PLANS
VARDS APPROV ED
MAIN BUILDING
VAR. �
DATE I ��� �
N/ 4 �- i � .
USE OF NEw
BUIIDING�b AiAfl-
rr
YARDSAPPROVED
ACCE350FV BUIIDINC
DATE
APPROVEO
� I heraby acknowlatlpa that I heve roatl tnis opplleation entl state
q� that tho eCova Informotion ia correct and epreo to compiy with
� ell laws repulating builtlin8 conrtruction, ontl 1 shell not employ
Weny perwn In violotion ot i�o workman'a compensation lawa oi
,s tha Stem of Celifornie.
3 I �eroby cartify thot I am propariy Ilconaetl us u contractor untlor � SQ. FT.
the Stam ot Cnlltarnia Busi�ess ond Professions Cotla, Dlvlsion 3, THE AMOUNT SMOWN UNDEfi VALU
Chapiar 9, antl thot such Iitlenses oro In full forca nnC otioet, or 1 THE PURPOSE OF ESTABLISHING A PERI
am exempt from the ptovislo�s of [he Stata of Calllornie Busineas VALUATION
antl Profecslone Code, DlvislP� 3, Chnpter 9. PERMIT FEE E
Sipnaturo o J(J� t/� (�,�/y� � PLAN CHECK E
Parmlttee ' �`� '� C ' $ / / (J � TAX S
�
Authorizetl Agant TOTAL PAI� E
FT.
23.00 TL
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