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HomeMy WebLinkAbout223 PRINCETON DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci,costa-mesa.��MBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 223 PRINCETON DR Suite No Vicinity: Parcel Nunmber: 14139402. ApplicanC Address: Owner: Address SCOTT LITTLEFIELD LARIMER, STUART RICHARD TR COSTA MESA, CA 223 PRINCETON DR Phone: 661-259•0520 Zip: Phone: Zip: 92626-6124 Coniractor: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA WATER HEATER CHANGE-OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwaler Drain, Roo( Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) � AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 so.00 50.00 Qrv Phone: 66�-259-7731 Zip: 91321 License: 627368 SCOPE OF PERMIT FEE SUMMARY AMT LaundryTub/Washer $0.00 Landswpe Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 N) ._ $0.00 Receptors $0.00 Septic Tank $0:00 Sewer Cap for Demo $0.00 Sewer ConneIX $0.00 Sewer Private Line $0.00 Shower " $0.00 Sink, bar $0.00 Sink, wmmercial � - $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) $0.00 Spa (public) .. $0.00 � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS ,:-:rr �;= N -. �',. 'f'r' '3 Slatus: ISSUED Applied: 09/26/2006 Issued: 09/26/2006 ISSUED BY: �-' Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Sel Waste and Venl System Water Closet (Toilet) Water Healer I vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PIAN CHECK , REINSPECTION AMT 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 $0.00 50.00 $12.30 30.00 50.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: E35.80 � 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. ` INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply vnth all applicable codes, and all requlred Inapectlona end final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 ILr.:S.L�1:�F.01 WORKERS' COMPENSATION DECLARA710N: - I hereby eHlrm under penalty oi perlury one of the followinp tleclaretlons: ❑ I heve entl wlll meinteln a certlficete of consenl to selbinsure for workers' compensetion, es provided for by section 3700 of Ihe Lebor Code, for the pertormence of the �k tor whicli this permit is issuetl. �I have antl wiil maintain workers' compensatlon insurance, as requiretl by section 3700 of tlla Lebor Cotle, For Me peAormance oi ihe work for which this permit is issuetl. My workers' compensation Insurance carner end policy number are: r� Certier. � e ��✓l� �h Policy Number. �Q b 7 S i�%O I (lhis section neetl not be comp/etetl i/ the pertnit /s velued et one huntlred dollare ($700) or /ess.) ❑ I certify thet in ihe performance of Ihe work for which this permit is issued, I s�all not employ any person in any manner so as to bewme suhject to the workers' compensation laws oi Califomia, entl eg e that if I should become subject ro the workers%compensation provisions ot Section 3700 ot the Labor CoOe, I shall fotlhwith comply with ihese provisions. ` Applicent Signature: eQ�i oe,a: g- a�- e b � 7 WARNING FAILURE TO SECURE WORKERS' OMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUflIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNDRED THOUSAND�OLLARE($10D,OOO�,INADOIT TOTHECOSTOFCAMPENSATION,DAhWGESASPROVIDEDFORINSECTION3]O60FTMELABORCOOE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I 1 here6y affrtn that I em licensed untler Er,ovisions oi Chapter 9(commencing with SectionJ600) of Division 3 0l ihe Business antl Professions Code, and my license is in full force end attect. Lic. k � 1 S b � Class # C 3�e -� ContractoYs Signature: �,� �� oe�e: 4- a L- a� -.� CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm thet Ihere is a consimction lending agency tor the peAormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: LenOer's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn that under penelry of perjury Ihat 1 am EXEMPT FHOM 7ME CONTRACTORS LICENSE LAW tor the following reason (SecJ037.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucNre, prior to its issuance, also requlres ihe epplicant br suc� permit to file e signetl statement that he or she is Ilcensed pursuent to ihe provislons ot ihe Contractore License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is e:empt therefrom and the basis for the allegetl axemption. Any vlolation of Section 7031.5 by any appllcaN for a pertnit subjecis Ihe applicant �o a civil penalry cf not more than five hundred dollars ($500).): ❑ I, es owner oF ihe property, or my employees with wages as their sole compensatioq WILL DO T1E WORK, antl the structure is not intended or ofteretl tor sale (Sec. 7044, Business and Professions Coae: Tha Contractors License Law dces not apply to an owner of property who 6uilds or improves thereon, antl who tices such work himself or herself or thwugh his or her own employees, provitletl that such improvemems ere not intended or oflered for sele. If, however, ihe building or improvemant is sold within one year ot completion, ihe owner-builder will heve the burden of proving that he or she did not builtl or improve for purpose oi sale.). ❑ I, as owner of the property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, Businass and Pmfesslons Cotle: The contrectors Licensa Lew does not apply to en owner of property who builds or Impmves thereon, and who contrecls for such project with a conirector(s) license pursuant to the Contractors License Laws.). ❑ I am eaempt under sec. Signature: Business and Pmlessions Code for this reason: Owner ID verified by ddvefs license. ❑ Ves ❑ No DnvefS LicenSe No. Verification of Ownership by (type of document, i.e. - property taz bilt or tleed): DIVISION OF INOUSTRIAL SAFETY VERMIT CERTIFICATION: Date: Expires: ❑ I hereby certify ihai no excavation five (5) or more faet in tlepth into which e person is requiretl to descend, will be made in connection with work euthonzed by this permit, and that no building siructure, scaHolding, falsework, or demolition or tlismantling ihereof, will be more than thirty-siz (36) feet high. (Chap. 32, Grp 2, Ari 2, Sec. 341, Title B, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit from ihe Division oi Intlustrial Safety, as noted ebove, unless such person hes a permit to do such work from the tlivision. Siqnature: Date: Divisian af Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJiHORIZA710N OF ENTAY: I catlity under penalty ot perjury that I have read this apD�ication anA state Ihat the informafion given is correct. I agree �o comply wlth ell state laws end city ordinances relating �o building cons�ruction, and euthonze representatives of the Ciry ot Costa Mesa to enter upon ihe above-descri6ed property for inspection purposes. I egree not to occupy or allow occupancy ot eny building authorized by ihis permit until final inspection. COOE I. INSPECTIONTYPE 1616 Fixetl System Pinal Fire Prevention 1266 Paol Spe Finel 200 Final Re-Root 201 Final Block/Retaining Wall 202 Finel FeCtory Fire PlaCe 203 Finel Sign 204 Final Demolition DATE IN RL CODE� INSPECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupancy PdI€ INTRI�lS 'J , �( (714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 JobAddress: 223 PRINCETON DR Suite No Vicinity: Parcel Number: 14139402 Applicant: HOWARD PHILLIPS Address: 2952 CENTURY PL , - COSTA MESA, CA MECHANICAL PERMIT Phone: 714-546-1653 Zip: 92626 Owner HUNTER,JOHN M AND NICOLE A Address: 223 PRINCETON DR � � � . � � � , " - Phone: 714-641-7374 - " COSTA MESA, CA Zip: 92626-6124 Contractor: DEPENDABLE GRAHAM AIR CONDITIONING Address: 2952 CENTURY PL . COSTA MESA, CA Phone: 714-546-1653 Zip: 92626 License: 472690 "' SCOPE OF PERMIT NpW A/C UNIT LOCATED IN THE REAR OF PROPERTY. Status: ISSUED Applied: O4I05/2007 Issued: 04/05/2007 �: / �/ / ' ,� MECHANICAL INCLUDES: 1 COMPRESSOR/ABSORPTION SYSTEM UP TO 3 HP/t00K BTU. ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair/All CoolinglHeat ins� / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU, Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Ducl Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < t0000cfm AirHandlers> 10000cfm Floor Fumace � Floor or Suspend Healer �' Quantity� � 523.50 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 - 50.00 ' 0 $0.00 0 50.00 0 $0.00 0 50.00 0 £0.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 so.00 0 50.00 0 50.00 0 $0.00 0 FEE SUMMARY ` �Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit ventillation System Evaporative Cooler � Commercial incinerator Domestic Incinerator Comoressors / Absomtion Svstems Uplo3hp/100k8TU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Uplo3hp ,. 3To15hp . 75 to 30�hp �- 30 to 50 hp Over SO hp Other Mechanical Fee - � � Investigation Fee"_ - � - � � Plan Check Fee � � � Reinspection Fee � � TOTALCALCULATEDFEES COMMENTS I SPECIAL CONDITIONS �uantity $0.00 0 $0.00 0 30.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 514.70 7 50.00 0 50.00 0 50.00 0 so,00 0 � $0.00 50.00 50.00 538.20 NO710E: The work authorized by this permit shall comply with all appllcable 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 tor a period of 180 days. INSPECTIONS: In order tor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaa+s �a�oo� WORKERS' COMPENSATION DECLARATION: I hereby eMirtn untler penalry of perjury one oi the following decleratlons: ❑ I have antl will malntaln a certificete of consent to setl-Insure br workers' compense0on, es provitled for by sectlon 3700 of tha Labor Code, for tha pertortnance ot Ihe �wark for which ihis pertnit is issuetl. antl will maintain workers' compensation insurance, es reduired by section 3700 of the Lebor Code, for the peAormance ol the work lor whlch this permit is issued. y workers' corppensation Insuranca cerrier end poll�y number ere: � 6� y�� 3 Q •artieo -i l��%%I.JJt7Y %�vlfL r G�u(rc Poli `�Numbe_-.. -J '7 is secbon need not be cam0�eted d Me pemiu is valued ef one hundred dolle (S 100) or /essJ ❑ I cenify that in the peAormance ol the work for which this parmit Is issued, I shell not emplay eny person in any manner so es to become sublect ta the workers' compensetion laws of Calllomi entl egree Ihat if I hould become subjact to the workers' compensation provislons ol Section 3700 o Ihe Lebor Cotle, I shall torthwith comply with lheSB prON5i0 . , `//�r ' e:� Date"'�"'� �/ / � � �"d;., AR I O:�FAILU % SEGl1AE� RKERS'CAMPENSATIONCAVERAGEISUNUWFULPNDSHALLSU&IECTPN VERTOCRIMINAL�PEN4LTIE5ANDGVILFlNESUPTOONEMUNDRED D DOI.LARE (1100.000), IN nDDRION TO THE CQST OF COMPENSATION, DAMAGESlS PROVIDED FOR IN SECiION 31080F THE IABOR CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: 9(commencing with Sectlon 7000) at Division �e- tiSlnass�end Professions Code, and my license is in lull �G'1 eis 'r a'''1�---f G, ZC7 CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn ihat there is e consiruction lending agency for the pertormance of ihe work lor which this pertni� is iuuetl. (Sec. 3097, Civil Cotle). Lender'S Neme: Lender'S Address: Siqnature: D8�9: OWNER•BUILDER DECLARATIONS: I hereby aHirtn Ihat untler penalry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Buslneu and Professlons Code: Any ciry or counry which requires a permit to consWc6 elter, improve, demolish, or repeir eny structure, pnor Io its Issuence, elso requires the applicaN for such permit to file a signetl statement thet he or she is licensed pursuant to the provislons ot the Contreclors License Lew (Chepter 9(commendng with Section 7000) oi Divislon 3 of ihe Business end Professions Code) ar ihet he or she Is exempt there�mm and Ihe basis lor the ellegetl exemption. Any violation oi Sectlon 7031.5 by eny applicant for e permii sub�ects the appllwnt to e civil penelty of no� more then tive hundred tlollers ($500).): ❑ I, as owner ot the property, or my employees with weges as Iheir sole compensetion, WILL DO THE WORK, end Ihe sirucmre is not Intended or oHered for sele (Sec. 7044, Business antl Protessions Cotle: The Coniractors Licensa Law does not epply to en owner of properly who bullds or improves ihereon, antl who tloes such work himseit ar herself a Ihrough his or her own employees, provided Ihet such ImprovemeNs are not Intentled or oflered lor sele. If, however, ihe builtling or improvement is sold within one year ot completion, Ihe owner-builder will heve the burtlen of proving ihat he or she did not builtl or improve for purpose ot sale.). ' ❑ I, as owner of ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe Oro�ect (Sec. 7044, Business and Professions Catle: The contractors License Law tloes not appy to en owner ol pmperty who builds or Improves thareoq and who contrams tor such project with a contrector(s) licen5e pursuan� �o �he Contrat�ors LiCense Lews.). ❑ I am exempt under sec. Business and Professions Cotle tor this reason: SignaNre: Dete: Owner ID ventled by dnvers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (rype of document, i.e. - property tas 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: ❑ I hereby certify that no excevation tive (5) or more feel in depih into which e person is requirea to descentl, will be metle in connection with work euthonzed by Nis pertnit, entl that no huiltling sWCNre, scaHolding, talsework, or demolition or dismantling ihereof, will be more then Ihirty-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title 8, Celitomla Adminlsirative Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permit from the Division oi Intlustnel Setety, es noted ebove, unless such person has a pertnit ta do such wark from Ihe division. Signature: Date: Division of Industrial Setety Permit Number. CERTIFlCATE OF COMPLIANCE ANU AUiHORVA710N OF EMRV: I certlty under penalry of perjury thet I have read thls application and state that the infortnatlon given is correct. I egree to comply wit� all state laws end ciry ortlinances raleting to building construction, entl euthonze representatives of the Ciry of Costa Mesa to enter upon Ihe above-Aescribetl prqderty tor inspection purposes. I egree not to occupy or ellow occupency ot any building euthorizetl by this permi� until finel inspection. COpE I, INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition COOE I INSPECTION TYPE 206 Finel Mechanical 200 Finel Plumbing 210 Finel EleClrical 212 Finel Flre Preventlon 220 Final Plenning Approval 222 Final Site 250 FinalBuilding/Occupancy y-ki-o"1 .� f�ltAnl��I'L � �a3 �,�;ti��N ,�'� ; - - -, a� k Y�o, � N�w � A-1c url� � -, - - -, - . e� �— - . - � ' -( � --}— K �����-� --- -;�--�- -- — - � - --- � - I - --- - � - _ �' I . _. � I_ . . GA'Y- � . �xi5�_N�-- - - � - - - ---- . ....:-'- -- -', APPIZOV��� . - � -- -�GA�a-c�- CITY OF COSTA MESA PLANN[NG DNISION "" ' - - - - - � - SUBJECT TO BLDG. DEPT. REG. - -- -- - NOTE: ADDITIONS, DELETIONS, GR CORRECTIONS SHALL BE - I APPROVED BY THE PLANNING�y�p �� I �c- � l- - i I BY: �v. DATE: .S O I - _.. - - -I . . _ __- . .. . . � - - �---- : ; ��,�a,�- �`�-�' - , -- OWNER � COLLEGE PARK NO. I� DATE 9-26-57 JOB ADDRE$S 223 �'inceton Drive BUILDING PERMIT NO.' JrYS ^ GENBRAL CONTRACTOR HaPbOr Construction VALUE S 11.200.00 . INSPECTIONS Beam and LOT ZO TRACT 31B']FIRE ZONE DESCRIPTION OF WORK ReS. W ! DATE I SUBCONTRACTOR I DATE �",ni • PERMITS ISSUED I NUMBER Gas Test a=a 7d' �''/�/.fz � ' � � /� ��/ .. ;, � 5'�35 COSTA MESA BUILDING DEPARTMENT � P.O. BOX 31� COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CAL1FORhfA I OWNER IARCHITECT OR ENGINEER �Ec^� LOT OESCFIPTION NO. A.P. NO. SIZE OF LOT USE OF E%ISTING BLDG. SETBACN LINE FNOM 'CENTER OF STHEET SIDE YARD RIGHT G TEL. NO. �IC. NO. TEL. NO.OF BLUGS. NOW OH LOT REAR YARD DESCRIPTION OF WORK NEW Y ALTERATION ADDITION REPAIR MOVING DEMOLISV BUILDING 5�=E 13' EXTERIOR WALL COVERING USE OF NEW BUILDING STORIES FEE RECEiVED SEP 1 3 1957 FINANCE DEPT. • CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIVT NO. �YF.01y}w�p ��r�;� RECEIVHO BY [�ATE RECEIVEO OATE ISSUF � g_ �a_.r FP � !; 19 BUILf]ING ADDRE55 COSTA MESA. CALIFORNIA APPROVED BV STnTE TMnT iME �BOVE IS CORRECT ��'O /.GRE! TO COMPLV WITN AlL CItY OftDIN�NCE9 �NO ST�TE L�W6 qEGULATING BUII�ING CONSTFUC� iiON. VP.LUATION SIGNATURE OF PERMITTEE �= �q � iCA� ' $ � � �2��. CORRECTIONS PERMIT FEE S PLAN CHECK $ 70TAL FEE $