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Home My WebLink About265 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 JobAddress: 265 PRINCETON DR Suite: Vicinity: ROOF Parcel Number: 14139304 App�icant: VASQUEZ, AGUSTIN Address: 2402 W BROOK ST SANTA ANA, CA Owner: FELLBAUM, ARNOLD E Address 242 JOANN ST . COSTA MESA, CA - Contrector. FIRST QUALITY ROOFING Address: 2402 W BROOK ST Arch : Address: SANTA ANA, CA Zip: 92704 Zoning: Phone: (774) 571-0120 Zip: 92704 Phone: Zip: 92626-6455 Phone: (714) 571-0120 License: 776969 Eng: Address: Phone: Stalus: ISSUED Applied: 07/03/2002 Issued: 07/03/2002 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30 YEAR, COMPOSITION AND 892 S.F. OF HOT MOPPING (BREE2E WAY). 1920 S.F. RESIDENCE ONLY. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $� 11.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 Sa,sa2.00 $a,sa2.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes antl related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codas, and all required inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 _ ?aa�aelrvoo� WORKERS' COMPENSATION DECLARATION: I hereby eftirm under penalty of perjury one of lhe following tleclarations: - ❑ I hev and will maintain e certificete of conspnt m setl-Insure tor workere' compensetion, es pmvided for by sedion 3700 of Ihe Labor Code, for iha peAormance ot ihe w tor which �his permit is is5uetl. I�have and will maintain workers' compensatipn insurance, as requiretl by section 3700 of the Lebor Code, for the pedortnance of Ihe work For which Ihis pertnit is issued. " My workers/' c�om� n/sa�tion nsurence wrrier and p�ol/ic�y n ber are: �+ �y I Ceirier: \ TL � �� V \ � iP01iCy Numbar: � � T� � � � �— ! T 1 (Thfs sechon nee�nof be com0�efed il (he ermrt is valued et one hundred dollars ($f 00) or Iess.J -- `T ❑ I cetlity ihat in the pertormance of the work tor which this Dermil is issue4 I shall not employ any pereon in any manner so as to become subject to the workers' compensation laws ot Celifomla, a i uld become subject to lhe workers' compensation provislons of Section 3700 of the Labor Cotle, I shell Forthwith comply with Wp,�pravi 'a:s� /�� iy _i�� Applicent Sig� {�e:.� � �� '� � f �_ WARNING:FAIW WRE KE COVERAGEISUNIAWFULPNDSHALL5U61ECTANEMPLOVERTOCRIMINALPE� NALTIESANDdVILFINESUPTOONEHUNDRE� iHOUSAND OOLLARE ($100,000�, IN A T OF COMPENSATION, DPNAGES AS PROVIDED FOR IN SECTION 310G OF THE IABOR CODE, IMEREST, ANO AiTORNEI^S FEES. LICENSED CONTRACTORS DELLARATION: I here6y aflirm ihat I am lice`sed uwder pro�sions of Chapter 9(commencing with Section 7000) ot Division 3 Cade, and my licensa is in full CONSTRUC710N LENDING A66N6Y� � ❑ I hereby aHirm ihat ihere is a consiruc�ion lending agency for Ihe peRormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: LendeYs Address: Signelure: OWNER-BUILDER DECLARATIONS: oate: I hereby aHirtn that under penalry of perjury ihat I am EXEMP7 FROM 7ME CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit m consiruct, alter, improve, demolish, or repeir eny siructure, pnor to its issuance, also requires the appliwnt for such pertnit ro tile e signed statement ihat he or she is licens9tl pursuant to Ihe provisions ot ihe Contrecbrs Ucense Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Busineu and Professions Code) or that �e or she is exempt therefrom and Ihe basis tor the alleged exemption. Any violation oi Sectlon 7031.5 by any applicent for e pertnit sublecis the applicant to a civil penalry of not morg Ihan five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO Tf1E WORK, and ihe structure is not intended or ottered tor sale (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not apply lo an owner of propetly who builds or improves thereon, and who does such work himself or herself or ihrough his or her own employees, providetl t�at such improvemenis ere not intended or offered for sale. If, however, the building or improvement is sold within one year of completioq the own�r-builder will heve the burden of Oroving ihet he or she did not build or improve tor purpose of sale.). ❑ I, es owner of Ihe property, am E%CLUSIV�LY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The coniractors Llcense Law tloes not epply to an owner of property who builds or Improves thereon, antl who contrects for such project wiih e contrecmr(s) license pursuant to ihe Contractors License �ws.). ❑ I am exempt under sec. Business and Professions Cotle tor this reason: Signature: Date: Owner ID ventied by dnver5licen5e. ❑ Yes ❑ No Dnvefs License No. Verification oi Ownership by (rype oi document, i.B. - propeny tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFEN PERMIT C�RTIFICATION: ❑ I hereby ceniry that no azcavation five (5) or more feet in tlepth imo which e person is required to descend, will be made in connection with work authorized by ihis permit, and that no building stmcWre, scattolding, talsework, or demolition or tlismantling (hereof, will be more ihan ihirty-six (36) teei high. (Chap. 32, Gry 2, Art 2, Sec. 341, Titte 8, Calitornia Adminisiretive Code), ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safery, as noted above, unless such person has a permit to do such work from ihe tlivision. SignaNre: Date: Division of Indusirial Safery Permit Number: CERTIFlCA7E OF COMPLIANCE AND AUTHOR17p710N OF ENTRY: I cetlify under penalty ot perjury ihat I have read ihis epplication antl state that Ihe infortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to builtling constmction, antl authoriza representatives of Iha Ciry ot Costa Mesa to en�er upon ihe above-described property for inspection purposes. I agree not to occupy or allow occupancy oi eny building authonzed by this permit until final inspection. 1676 1266 200 201 202 203 204 Legal Fixed System Final Fire Prevention Pool Spa Final Final Re-Root Fina! BIocWRetaining Well Final Factory Fire Place Final Sign Final Demolition QL1j� IMRIALS �-/6-o L � COUE I INSPELTION TYPE 206 Final Mechanical 208 Finel Plumhing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval ' 222 Final Site 250 Final Building/Occupancy �� OWNER DATE JOBADDRESS 265 Princeton Drive BUILDINGPERMITNO. I�LISSL GENERAL CONTRACTOR Harbor Construction VALUE � 1].�pp0.00 LOT _].3 BLOCK TRACT 3166 Res, w/det, g2T. GROUP I Bc J TYPE V ZONE FIRE DISTRICT 4663 INSPECTIONS DATE� SUBCONTRACTOR � DATE PIRMITS�NUUMBER Foundation Forms and Grade to G Rough Frahiing �� Plumbing,AoughtoSlabyy�p. � Plumbing, Rough Complete� Temporary pole "/ Wiring,Rough y(�hii�d. Heating, Rough Heating, Final Sewer, House ,(� Sewer, St. Septic Tank or Cesspool Lathing, In Out Plastering Plumbing, Fin�al, Fixtures Complel Plumbing,Fin,alGasTest /$� Wiring.Final � Occupancy cnwu a�n 'aM �U.�S �- S- $-57 4s 7� ✓ �mn:., N_•�o-C7 r'%/�'7 .i � �. � _ �663 COSTA MESA BUILDING DEPARTMENT P. o. eox 31� COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN COSTA MESA. CALIFORNIA OWNER COI.LEGE PARK NO, M A I L .� . � / n . � � _ _ n _ CITV ARf OR CONTRACTOR LEG4L OESCPIPTION A.P. NO. SETBACK LINE FROM CENTCR Oi $TREET TEL. No. K LIC. NO. TEL. NO.OF BL�GS. NOW ON LOT REAR VARD DESCRIPTION OF WORK NEW X AITERATION `ADDITION REPAIR MOVING I DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES E%TERIOR WALL ROOF EW FEE RECEIVED �or,.��, �`��"1 � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY BUILDING nooRess COSTA MESA. CALIFORNIA FIRE APPROVEO ST�TE TMaT TME .�BOVE IS COPREQ �NO �GREE TO COMPLV WITN �LL CITY OP�INwNCES �ND STATE LAWS REGVL4TING BIIILOING CON$TflVC� T�ON. VALUATION SIGNATURE OF /�_. . �...- �..... �I.. Z I5��2��. AUTHORREO AGENT �� 4�`—' CORRECTIONS PERMiT FEE 5 p�� PLAN CHECK S � TOTAL FEE 6 iL� — `4M� r F � W G. a � � F G m COSTA MESA BUILDING-SAFETV DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT r.V.OV/� CV� E PERMIT N° � 49362 For Applicant to Fill in Completely — Use Ink Only BUILDING S "P�,/.c/C,$70.V �R . A.P. r+o. /v/— 393 — dy ADORESS Z� 1 T�ENA TOR ��5. wQTs ADDRE55 2�os PR/.VCE7bN ,DR \ UNITOR — MAILING SPAGE NO. aooaEss ZEs /�'Ri�"� 7ou � ( T$� NO. LOT , 3 BLK. Cps7iy M�A Cq 9Ll.�L6 TEL.�S( — '�`/6�p CITV � NO. 'JSOG COKSiRUCfION NEW ADD LTER REPAIR MOVING DEMOLISH LENDER / BRANCH 7� OWNER �rl=,t�.�//s WOTS ADDRESS '-' VALUE / ARCHITECT TEL. USE S C/ OR ENGINEER ADDRESS 20NE �—� TVPE GROUP o APP } � CONTRACTOR D�Wf/EiC fj4o�P��` BV T G� � � ADDRESS PAT/O CO✓E/� TEL. CITV NO. STATE CITV APPROVEDSETBACKS LIC. NO. LIC. NO. SI2E NO.OFBLOGS. (FROMC/LSTREE�T) OF LOT �� x ��y"� � NOW ON LOT � RONT AT7A FT. �� Exir�i,.r� USE OF xj�G F.¢i'1 R6 S� EXISTING BLOG. � 3 Separate permits are required for L SIDE 3� vr. 6' � electric, plumbing and heating work: REAR /y =Fr. VSE OF BUILDING �+ND WORK TO B RF MED PLANNING ACTION �A7io cvvE �'s�G �„� APPROVED � z� APPROVED Q�� ,Z „�, � � N I hereby ecknowle49e that I heve reatl this epplication antl state �ti� that the above info�mation is correct and apree to comply with ,..� all lews repuleting building construction, antl 1 shall not employ '�� any parson in viotat�on of the wmkmsn's compensation laws oS m. t�e Siate of Califor��a. =:� m1 I hareby certify tha< I am proDerly Iicensed as a contractor untler SQ. FT. �`+ t�a Siate of Califor��a Business and Professiona CoGa, �ivision 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR m Chaptar 9, antl thas s�eh licens¢s are in full forca antl affect, or I THE PURPOSE OF 6TABLISHING A PEFMIT FEE ONLV: � am exempi from the provisions of the Staie of California Business y antl ProtessionSCo e, DiviSion 3, Chap[ar 9. VALVATION PERMIT FEE S �� N m PLAN CHECK E �" SIBnBturB Of A/ /��j' 4 Parm�fttee � . v $� j Z�� TAX f �Sl% V] A�thorizetl Agant Oate % TOTAL PAID b � r �