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
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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 $