HomeMy WebLinkAbout222 PRINCETON DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Joba.ddress: 222 PRINCETON DR
Suite:
Vicinity: ROOF, RESIDENCE 8 GARAGE
Parcel Number: 14139536 Zoning:
Applicant: CRANK, JIM
Address: 126 COMMERCIAL WAY
- , Phone: (949) 548-5569
COSTA MESA, CA ' Zip: 92627
Owner: MAC GREGOR, RICHARD V TR
Address 222 PRINCETON DR
Phone:
COSTA MESA, CA Zip: 92626
Contractor. CRANK BROS ROOFING CO INC
Address: 126 COMMERCIAL WAY
Phone: - (949) 548-5569
. COSTA MESA, CA
Zip: 92627 License: - 794724
Arch : � . . . Eng:
Address: . � � Address:
Status: ISSUED
Applied: 04/25/2002
Issued: 04/25/2002
�
ISSUED BY: � -
Phone: � . � . ' Phone:
Zip: � License: License: �
SCOPE OF PERMIT
" TEAR OFF, INSTALL 2 LAVERS�15# FELT, INSTALL 30 YR ELK SHINGLES. 2600 S.F. RESIDENCE AND ATTACHED
GARAGE. - � �
FEE SUMMARY
Plan Check: $0.00
Permit: $125.25
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
ACCESSORY Front � 0-0 - Rear 40
PARKING Existing: 0; Required: 0
NOTES:
Lek 0- 0
Left 0- 0
" Proposed: 0
Calc Valuation: 55,2�3.00
Ciaim Valuation: Ss,2�s.00
Right 0- 0 " ,
Right 0. 0 "
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or iF work is suspended or abandoned
for a period of 1B0 days.
INSPECTIONS: In order �or the work authorized under Ihis permit to be considered legal, such work must Comply with all applicable codes, end ell
requlred Inepecliona and flnal approval must be ob�ained. Failure to obtain inspections and final approval will resul� in.�he expiration of ihis permi�.
FOR INSPECTIONS CALL: (714) 754-5626
taa5�ae ��007
WORKERS'COMPENSAnON DECLARAPON:
I hereby aHirtn under penalty of perjury one of the following declarations:
❑ I have end will maintain e certifiwte ot consent to self-Insure for workers' compensatlon, as pmvided for by section 3700 of ihe Labor Code, for the peAortnance of the
work for wNch ihis permit is issued. -
�1 have and will mainlain workers' compensation insure ca, es required by section 3700 of ihe Labor Code, for ihe pertortnance of Ihe work for which Nis pefmit Is issued.
�_My.woflcers' cglnpensatlo���nce cartier and po cy number are: / r /
Cerner:-� C��_ �� b Policy Number,_ // I L X � Zi
(11iis seclion need not be comp/efed i� permu is va/ ne hundied tlollars (S100J or less.) ��V' �� �
❑ I certity that in p rtnance of the work lor which Ihis
compensation ws of alifomia, and agree thatjl.LsJfoul
THOUSAND DOLUAE (Srib,000), IN ADDRIIXJ Tp THE C0.5T OF
s J
LICENSED CONTRACTORS DECLAHATION:
I h.�reby aflirm.thall.am licensetl untler provisions o h�a
i0lCB 8fitl BHBCL LJC. N� /� _i w_ A/ --�
ertnit is issued, I shall not employ any person in any manner so as to become subject to t�e workers'
become sub�ect to the workars' compensetion pmvisions ot Sectlon 3700 oi the Labor Cod s�all lo hwith
i De__le: L �L � � �O �
GHS'UNLAWFUL PNO SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDqED
NSATION, OANAGES AS PROVIDED FOF IN SECTION 3]OB OF THE UBOR CAOE, INTEREST, AND ATTORNEI^S FEES.
7000) of Oivision
entl my licanse Is in tull
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm Ihet there is a conswction lentling agency tor the performance ot ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lenders Name: Lendef5 Address:
Signature: � Date:
OWNER-BUILDER DECLARATONS:
I hereby aNirm that under penalry ot perjury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reeson (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires a parmit to construc6 elter, impmve, demolish, or repair any structure, prior to its issuance, also requires 1he epplicant br such permit
to ille e slgned statement ihat he or she is licensetl pursuant to ihe provisions of the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) oi Division 3 of Ihe
Business antl Professions Cotle) or that he or she is exempt therefrom and the basis for the elleged enemption. Any violation of Section 7031.5 by any applicant for a permit
su6jecis ihe apP�icant [o a civil penalry of not more than fve hundred dollars (5500).):
❑ I, as owner of Ihe proparry, or my employaes with wages as their sole compensation, WILL DO THE WORK, and the structure Is not iNended or oHered tor sale (Sec.
7044, Business and Protessions Code: Tha Contractors License law dces not apply to an owner of property who builtls or improves thereon, antl who does such work
himself or herself or Ihrough his or her own employees, provitled ihat such improvemenis are not intanded or oNeretl for sale. If, howaver, the building or improvement is
soltl within one year of completion, the owner-builtler will have the burden of proving that he or she did not �uild or improve for purpose of sale.).
❑ I, as owner ot the D�o�erry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Prolessions
Cotle: The contractors License Law does not apply to an ownar of properry who builtls or Improves thereon, entl who contracis for such prqect with a contracror(s)
license pursuant to the Contrecmre License Laws.).
❑ I am exempt untler sec.
Signa�ure:
Owner ID verilied by drivers license. ❑ Ves ❑ No
Businass antl Professions Code for Ihis reason:
Venfication ol Ownership by (rype of document, i.e. - property ten bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Driver's License No.
Date:
E:pires:
❑ I hereby cenify ihat no encavetion five (5) or more teet in dapih into which e person is required to descand, will be metle in connection with work euthonzed by Ihis
permit, end ihat no building siructure, scattolding, falsework, or tlemolition or dismentling thereoi, will he more then thirry-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title 8, Celifamie Aaminlstrative Code).
❑ As owner-builtler, I will not employ anyone to do work which would require e pertnit from the Division ol Induslnel Sefety, as noted ebove, unless such person hes a
pertnit to tlo such work from the tlivision.
Signature: Date:
Division oi Industrial Sefety Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHOROJITON OF ENTAY: I certify under penalry of perjury ihet I have reatl this application and state that Ihe informelion given is I
wrrect I agree to comply with all sate la ¢nd city oMinances relating to building consWction, and authonze representatives of Ihe Ciry of Casta Mesa to enter upon the
, ve- nbed property for inspec' purpy4es. I aylp6 not to occupy or allow occupancy ot eny building authorizetl by this permit until final inspectlon.
7616
1266
200
201
202
203
INSPECTION TYPE
Fiaetl System Final Fire Prevention
Pool SDe Final
Finel Re-Roof
Flnel BIaWRetaining Well
Final Factory Fire Place
Finel Sign
204 Final Demolition
f7�i�G�iuFl4y
-6-oZ .�i
GOOE� INSPECTIONTYVE
206 Final Mechanical
208 Final Plum6ing
210 Finel Electncal
212 Final Flre Preveniion
220 Final Plenning Approval
222 Final Sl�e
250 Finel BuiltlinryOccupancy
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eoonrssaew�ou+o: ?LZ pRINCETON DR
OlMEASNAYEIFp10MN:MAC GREGOR, RICHARD V TR
���%222 PRINCETON DR
COSTA MESA,CA 92626
�rr�. �m�a+� �ooness:
ApCXRECT OP ENOOIFfH:
1RCN.Ofl E14'4 dWPE55:
uxT: CITY OF COSTA MESA - BUILDING PERMTT
i PERM NO: M 081034
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PERMIT N0; M 081034 PLAN CHECK NO: N� GOVT: N SUPP: N
CONSTROCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH
ucw: JOB DESCRIPTION : CHANGE OUT SOK HTU FORNACE SQ FT:
UNT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: /
wNm�crarswu�GEORGE HRAZIL PLMH, HTG, (714)541-9753
cwrn�croxa�uv�a 3022 N HESPERIAN WAY COMMENTS: NO OTIiEA WORK RELATED TO THIS PERMIT
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BUILDZNG APPROVED BY : DATE:
APPLZCATION ISSUED BY: �- �
IE1FfhlEifiEiflkiflfiFifiEkiEfEfFlEIFiEiEiE��iF���E�iF�3f�E��E������������ ��
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMZT 13.55
17:1
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
. 2 Y SMIP/NON-RES
PLAN �
ISSUE FEE �; 22.00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
TOTALS----> 13.25 22.00 0.00 35.25 35.25 .00
�. -
REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
_ 35.25
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I N D I V I D U A L' F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O-,N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV:FURN <= 100 K BTU 1.3.25 13.25
;END OF FEES
B1-A3-1997/A2:52 PM/f35.25
RCPTq:�I-8�8a02B
PERMIT:081034
CONSTRUCTION ANDPLANNING - POC .SPA
qPPROVALS Permit # -Dete Inspecior pppROVALS Permit # Date Inspector
i. Temporary Elec�rical Service or Pole 52. Pooi & Equipment Location
2. Soil Pipe•Undrgrnd. 53. Steel Rein(orcement
3. E�ectrical Conduit Uti4ity•Undrgrrtd. 54. Forms
4. Electrical Conduit-Undrgrnd. ` 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. E�ectrical UFER Grnd. 57. APPROVAI T0 COVEF�GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
6. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash lines, P-TroP, d Undrqrnd.
10. Structural Floor System � 61. APPROVA� TO DECK ,
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' 63. Heater & Vent-Finai
73. Roof Drains � 64. Plumbing System - Fiiial
14. Raugh Plumbing 65. Electrical-Final . .
/5. Rough Electrical-Conduic 66. Solar SVstem-Finai
16. Rough Electric Wiring 67. Fencing & Access Approval' '
17. Rough Wiring Sign 68. APPROVED FOR PlA$TERING
18. Rough EVectrical-T 8ar Ceifing 69. POOUSPA SYSTEMS FINAL
79. Ruugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21 , Ducts, in $tructure 70. Underground Hydro
22. Ducts, Ventilating 71. Product P�ping O Gas ❑ Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. AooS Framing 73. Undergrnd. Stora9e Tank O Gas � Oil
25. Roof Sheathing 74. Overhead Hydra
26. T•Bar Ceilinq (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing&Siding 77. FIXEDSYSTEMFINAL
29. Insulation 76. FIRE PREV, fINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster 8rown Coat 79. FINAL INSPECTION
32. Electrira� Power Meterfinal 80. FOOD CERT�FICATE ISSUED
33. Final Electric Notes:��?�C�, Ft NAI.IZ L-.D ��
3a Final Heaiing & Air Conditioning I_T_l_7 � I+
35. Final Gas Pipe-Test - �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Fi�al
40. Gas Service-Final
41. Solar �omestic�Final
42. Backflow preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Ca
51. CERTIFICATEOFOCCUPANCY
NO Date
owhER COLLEGE PARK N0. !t DATE 9-�6-57
JOB ADDRESS 222 Pi'iaceton Drive BUILDING PERMIT NO. S%63
GENERAL CONTRACTORHaT'bOP Construction VALLIE $ 12��{00.00
AP. No. LOT Z9 � TRACT 31a7 FIRE ZONE DESCRIPTION OF WORK RBS. W�B�i.t, g8I',
GROIIP I�t J TVPR V ZONE R] PLAN Nn. �i7lili
INSPECTIONS I DATE I SUBCONTRACTOR I___ PERMITSISSUED
S�f
Gas Test /
„, :.� ” ��z��
COSTA MESA BUILDING DEPARTMENT
P. O. 80X 31']
'' COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55 Z2z PR I NC,ETON Do I VE
COSTA MESA. CALIFORNIA
OWNER
cirv SANT�.
ARCHITECT
OR ENGINEER
ADDRE55
�EG/�l
DESCRIpiION
A.P. NO.
512E
OFl
E%ISTING BLOG.
SET9ACN LINE FROM
CENTER OF STREET
NO.
LIC.
NO.
' LIC.
� NO.
TEL.
rvo.ov a�ocs.
NOW ON LOT
REAR VARO
SIDE VARD RIGHT C) I.EFT C�
DESCRIPTION OF WORK
NEW �( ALTERATION qODITION
REPAIR �MOVING DEMOLISH
S�ZELDING ' �I ROOMS STORIES
LL
EXTERIOR WA�L ROOF
COVERING COVERING
NEW
IG
�EE RECEIVC�
��p 1 3 1957
FINA(VCE DEPT.
CITY OF COS7P, M_SA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
neceivr rvo. ([Hi+q'Ln�
J/V�
ECEIVED BY DwTE RECEIVED OATE ISSUf
aui�niNc
ADDRESS
COSTA MESA. CALIFORNIA
APPROVEO
BV DATE
CORRECTIONS
I MEFEBV ACKNOWLE�GE THAT 1 M4VE REiO TIIIS APPLICTTION FNO
STFTE THFT TNE ABOVE IS CORRECT RND AGREE TO COMPLY WITN RI.L
CITY OFOINPNCES /NO STATE lRWS REGULRTING BIIILOING CONSTRUC�
rion. VALUNTION
si�NnruRe OFL+O�LEG E PAR K N0.
PERMITT E�
/i%�/1/ti/�fi/ $ f 2 , �.0 0 .
PERMIT FEE $ � Q �
PLAN CHECK S lS�
TOTAL FEE $ S — �°�"�
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