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HomeMy WebLinkAbout454 PRINCETON DR - Building Permits(�ia��sa-s2�s • Fa�c�»a��sa-aes� ' CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUII.DING PERMIT JobAddress: 454 PRINCETON DR Suite: Vicinity: RESIDENCE & ATTACHED GARAGE. Parcel Nunmber: 14137724 Applicant: COFFEY, BRIAN Address: 2428 NEWPORT BLVD 5 COSTA MESA,CA Owner: MULLIS, KARL J Address 454 PRINCETON DR COSTA MESA, CA Contractor: THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD 5 COSTA MESA,CA Zip: 92672 Arch ; Address: Zoning: Phone: 949-722-8846 2ip: 92672 Phone: Zip: 92626 Phone: 949-722-8846 License: 734068 Eng: Address: : , PERMIT NUMBER ✓ 699-00576 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 0412711999 Issued: 04Y27/1999 Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF: TIO EXISTING ROOF, APPLY ONE 30# PLY FELT, REROOF WITH 25 YR "ELK PRESTI�UE" COMP SHINGLES AND ALL RELATED FLASHING. 27 SQUARES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $11225 $0.52 $0.00 $0.00 $0.00 8112.77 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0. 0 PARKING Existinu: o NOTES: Rear 0. 0 Rear 4 0 Reauired: 0 FEE SUMMARY PLANNING 8 ZONING Lefi 0- 0 LeR 0. 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $5,200.00 $5,200.00 NOTICE: The work euthorized by ihis permit shall comply with all applicable handicep access requirements under Califomia statutes end related regulations. (Ord. No. 92-28, § 1, 1241•92) EXPIRATION: This pertnit shall eutomatically expire end become void if work is not commenced vnthin 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such wark must comply with all epplicable codes, and all requlred Inepectione end tinal epproval must be obtained. Failure to obtain inspections and tinel epprovel will result In ihe expiration of this permit. FOR INSPECTIONS CALL: (774) 7545628 WORKERS'COMPENSAnONDECLARAnON: - � I hereby aHirm under penalry oi per�ury ana o1 the tollowing Aeclaretlons: ❑ I have end will malntein a ceNficate at consent to self-Insure for workers' compensation, es providetl for by sectlon 3700 oi t�e Lebor Cotle, for the pertormance of Ihe work lor which ihis permil is issued. �I have enC will malntain workers' compensatlon Utwranca, as requlred by secUon 3700 oi Ne lahor Cotle, tor the peAortnance oi Na vrork for which ihis pertnit is iscued. My workers' compensation Insurence carder entl policy number ere: Q e Cerrier. h i Q;"� ��1 c� Policy Number. 2� 7 �` 7 (Thls sectlon neetl not be comp/etetll! Ne permif !s ve/�ed et one hunOred ddlers (5/00) or IessJ ❑ I certify that in ihe perfortnance of ihe work for which this pertnit is issued, I shall not employ eny person in any menner so es to Eecoma su6ject to che workers' compensetion laws oi Califomia, end agree t If I shoultl become subJect to Ihe workers' compensation proNsions ot Sectlon 3700 ot the Lebor Cotle, I shall tort�with comply with these prod � s. Appllcen� Signa�ure: ( � oe�a: �/ 2r �-s 5� WARNINO: FAILURE TO SECURE WORKERS' OD! 5 TION OOVERAOE IS UNLAWFUL AND SMALL SUBJECr rW EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDRED TYIOUSAND OOLLARE (5/00,OW), IN ADOfTIIXJ TO E CO6T OF COMPENSATION, OAANGES PS PROVIDED FOR IN SECTION 3]OB OF THE LPBOR CODE, INfEREST, ANO ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn Ihet I am �olce antl B1tBct. Lic. M_ Contrecrors Signature: of Chapter 9(commencing with Sectlon 7000) ol Divlslon 3 ot Iha Business end Professions Code, antl my Ilcense is In full � qass a L ?i i oete: N-27-SC CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirtn thet Ihere Is e conswctian lending egency lor Ihe peAortnence of t�e work tor which t�is permit is Issued. (Sec. 3097, Civil Coda). LenOer's Neme: Lendefs Address: Slgneture: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm thet under penalry of per�ury t�at I am EXEMP7 FFiOM 7ME CONTRACTORS LICENSE LAW lor t�e following reeson (Sec. 7037.5, Business end Protassions Cotle: Any city or counry which requires a pertnit to consWct, elter, imprwe, demolish, or repair any siructure, prior to Its Issuence, elso requires the epplicant for such permit to file e signed stetement that he or she Is licensad pursuem ro the proNsions ol the Contraqors LJcanse Lew (Chapter 9(commenCing wlih Section 7000) of DlNsion 3 ot ihe Business entl Protessions Coda) or Ihet he or she Is exempt therefrom and the basis far the elleged exemption. Any violation of Section 7031.5 by any epplicant for a pertnit subJects the epplicant to e civil penelry of not more ihan fve hundred dollars ($500).): ❑ I, es owner ot the property, or my employees with wages as Iheir sale compensatlon, WILL DO THE WORK, antl the atructure is not intended ar atteretl for sale (Sec. 704a, Business end Professions Gotle: The Gontrectors LJcense Lew does not apply to en owner ol property who builds or Improves thereon, antl who does such work himselt ar herself or ihrough his or her own employees, D�oNdetl Ihat such im0�ovements are nat intended or ottered tor sele. It, however, the building or improvement is sold within one year ot wmpletlon, ihe owner-6ullder wlll have the Ourden of proving thet he or she ditl noI bulltl or Improve for purpose of sale.). ❑ I, as owner of the pmperry, em E%CLUSIVELY CONTRACTNG WRH LICENSED CONTRACTORS to cnnsiruct the project (Sec. 7044, Business and Protessions Code: The contractors License Lew does not appty to en owner ot property who builtls or impmves thereon, antl who contrecLs for such prqect with a contractoqs) license pursuant m the Contractors License LewsJ. ❑ I am exempt under sec. Signeture: Ownar ID veritied by driver's license. ❑ Ves ❑ No Buslness and Professions Cade lar this reeson: Verificetion of Ownership by (type af dacumenl, i.e. - property tez bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: E�ires: ❑ I hereby certlty thet no excavetlon Iive (S) or more feet In depih Into which e perwn Is requiretl to tlescen0, will be made In wnnection with work authOrized by ihis permii, end Ihat no bulltling s�ructura, scaHolding, talsework, or demolitlon or dismantling Ihereol, wlll be more than �hirry-six (38) feet hig�. (C�ap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia AdminlstretNe Code). ❑ As owner-builtler, I wlll nm employ enyone to do work whlch would require e pertnit from the Dlvision of Indusirial Safery, as noteC flbove, unleu such Oerson has a permit lo do such work trom the division. SigneWre: Date: Division of Inaustrial Selery Pertnit Number: CER7IFICATE OF COMPLIANCE AND AUTHORQA710N OF ENTFiY: I certify untler penalty ol per�ury thet I heve read this applicatlon entl state that the information given is correct. I egree to comply with ell stete laws end ciry ordinences relating to builtling constructlon, end authodze represemetives ol the City of Costa Mesa to enter upon the ebove-descdbetl pmperty tor Inspectlon purposes. I egree not to occupy or ellow occupancy ol eny bullding authorizetl 6y this permit untll flnal Inspection. LegalOwner(s) �.!_,�,? OgJe� ��t � �/ �rizetl Applicant Date 400E �. INSPECTIONTYPE 1618 Fizetl System FIneI Fire Preventlon 1268 Pool Spa Finel 200 Finel Ra-Roof 201 Flnal BIxWRe�alning Well 202 203 204 zaabos Finel Fectory Fire Placo Finel Sign Finel Demolitlon . �g �� COOE I INSGECTION TYVE 208 Finel Mechanical 20B Finel PlumDing 210 Flnel Eleciricel 212 Finel Fl�e Preventlon 220 Finel Plenning Approvel 222 Finel Site 250 Finel Building/OCCupan� � �� Aoo���ant 10 llll In all spaees axcevt those witnin neavy eortler Ilnes ane sign all approDriatv aeelarallons. CITV OF COSTA MESA CONSTRUCTION PERMIcT ProjectAddress - �v� ����� Applicant's Mailing Address � ��g,����3Q.��i`Y Owner'sNa.�m7e �r-4�A A�Q�.-,2 Phon�y_a_L_(1—� Addreu 6.�(A� 1-� �Qil_Ud ���Q i�irsSA Arch/Eng. �� �� L� 1JPi E�? (� License No. Address �� S •!?' �"y� � Convactor'sName �.7SZ���- Phone � �ZZ"'L 1 Address (mA ������%?+ (!i� 7�2A�"( • � �3 q7.vn1 City License No. LICENSEO CONTRACTOR DECLARATION I hereby allirm that I am IicenieG untler prOviSIOnS Ot C�a�te� 9(commencing witn section 7000) ol Divlsion 3 ot lhe Busineu antl Profesilons Cotle, anG my license is in 1u111orce ane elfect. Licenae Class Licensa No. Oatc Si9nature WORKERS'COMPENSATION DECLARATION I hereby aflirm inat I �ave a certltiwte of consent to zeltansure or a certifiwte ' V�'orkeri' Comp¢nSa[ion Insu�ance, o� a certi(ietl copY lhareof (S¢CtiOn �oo, �o. c.� Policy No. � Company BCertifietl copy is hereDy�lumishetl. Certifietl copy is (iletl with the Ury Builtling Olvisian. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section n¢etl no[ be completetl If tbe parmit ii for one M1untlratl (E100) or lesz). I certily I�bt in the petfo�mant¢ Ot Ihe w0/IUO/ whlch [hls pe� R I5 Issuetl I snall not emo�oy any Oerson in any ma Er o as t ecom ubjec o t�e Worke pe ' n Ldws 01 Callt a. Date ��� Si9natur8 NOTieE: If, atter making thfs tleclarallon ou shoultl be om to h rompry wrtn Sucn provisions o� in parmi[ snan oaiaeomea ravoKea. CONSTRUCTION LENDING AGE I horeby af(Irm ihal Ihere is a const�u lon Ientling a9¢nty fOr [ha por/o�mance o/ thu work for wbic� this permit is isiuetl (Soctlon 3097 Civ. CJ Lentler's Namo Lenaer'S Atltlress OWNER BUILDER DECLARATION 1 Itereby allirm that 1 am oxampl lrom tho ConVactor'i Lltense Law for the tollowing reason (SacHon 7031.5 Buslness anU Profa55ional Cotle: Any tlty or county whlch reqWres a permlt lo conStruct, alter, ImDrovO, tlemoli5h Or ra0air any structura, prior to Its Issuanca, also requiros tho applicant for sucn oermit [o /ilc a signetl SfatemCnt Ihat h8/ShC Is IlcanSCtl pU/suanl to th0 pfovl51on5 Of the Contractor'i Ucenze Law (Chapter 9(commendn9 w��h ��tion ]000) ot {1„vision 3 of IhC Buslness antl Prolasslont Cotlo) or [hdl h0/she is oxBmp[ ,� ii%rAetrom antl the basls tor the allegetl exomo�lon. Any violation o/ SacHon -a, 1.5 by any applicant for a permit subjoc(S Iho applicant t0 a tivll '�� �' Yalty of not mom tnan five huntlratl Gollars (E500). � I, as ownar of tha proOo��Y o� my amployeos with wages as t�olr solu compensation, will tlo lhe work, antl tne itructure I5 not IntonOeC or offerotl for sale (Section 7044, Businass antl Professional Cotlo: Tno Contractor'S LlcenSe Ldw tloes not appty to an ownar o/ a Droporty who bulltls ur Improves lpereon, antl who Ooes Such wo�k hiTselt/hOrSClt o� tnrough his Or her own employees, provitletl inal su<h ImDrovaments are not Intentlatl or offaretl tor zale. II, however, the ouiltling or improvement Is soltl wi[hin ono year of com- ple[ioq tne owner wlll nave [ho burtlon ot proving he/she altl not bulla or im- lorthe purpose ofsal¢). I�, as owner oi the prooerty, am exclusively contracting wlth Iicenzetl con- ra tors to comtruc[ `ne proj¢ct (Sectlon �044, Buslneis antl Proleizlons Cotle: The'Conlraclor's LiLns¢ Ldw dOeS nOl apply to d0 Ownor OI ploper[y wh0 builtls or improves thtreon. antl who tontratli �or such orolects witn a con- tractor(s1 hcense purshan[ [o ene ConVactor�s License L.aw). I am aware that proof o( their WO/ker'S Compensalion insu/ance Shoultl be AprOvltleE to me. 'L7 I am exempt untlel5ectlon—�-- B. & P�y br fJ�is reason �_ Owner tnat I have r¢a �recL I agree lo Iating to builtlir � �+Rv ro enter Signature Driv¢rs' Licen r 55 � _ 0865-46,r .5/88 Wnite TVPE OFCONSTRUCTION IJ NEW IJ ADD '1Q ALTERATION LJ RE�AIR O CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPERMIT GRADING FOUNDATION STRUCTURAI ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PR0.IECT DESCRIPTION 5Q. F oCCuoAraCv '� CONSTRVCTION TVPE VALUATION 5 ZONE GRADINGCU.YDS. ACRES Remarks: Sink Preventer Irrigation Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets Interceprors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fae � S75 Boiler Dutt� UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact Blt. iC80 # Heating System & Ducting ❑0.700,000 BTU �100,000 Reinspection Fee Canary - Applicant; Plnk - Accounting; Goltlenratl - Assessor $15 Shawers Service Sink SewerCap Sewer Connection Solar Collectors Solar Piping � Solar Tank Swimming Pool wlSpa Urinal Water Closet Wa[er Heater Water Service Auto�Wesn laue Fae Hood or Typel ❑ Canopy Typell ❑ Refrigeration System �aioo,000eTu Oioo,000 System Repair/Alteration Fire Dampers Registers Issue Fee S 3 FEES $ 3 A.P. qW S Main Buildi E T Front B Rear A C A�9ht K g Lett Ping. Ref. # Plannina Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Fan F.A.U. Fixtures Device Boxes Outlets $WitChES Garbage Dispoul Generetor OO-5 Reinspection fee 1 Zone Accessory 8uilding: — Z O N I N G R �arking Req./Provided E O M T S. ELECTRICAL Trensformer ❑ 15-50 KW ❑ SO+KW Meter ❑up to t00amps Meter ❑over100amps Sub Panel Motors �41 HP � 1'/h - 8 Inc. Solar �9-15 HP �16-15+ Miuowave Pole Light KW LJ5-15 KW $15 S[anding Sections Trash Compactor luue Fea �DEVELOPMENT SERVICES REQUIREMENTS: 2oning APProved By �Building Approvad By ^ r FEES SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE 3 PLAN CHECK 25% $ ENERGV P.C. 5 ELECTRICAL S � GRADING . $ PLAN CHECK 50% $ MICfiOFILM $ MECHANICAL $ TOTAL FEE $ �� ^ PLAN CHECK 25% $ Ol 000?7Q�,7-04D27047 TUT %F.07 OATE: �2/21�/89 TiHE: IZ�34 CONSTRUCTION AND PLANNING �pr ;pq ' APPROVALS Permit # - Date Inspector qppROVALS Permit # Date ; Inspector .� 1. Temporai y Electrical Service or Pole .. -. � 52. Pool & Equipment Location ' � �� 2. Soil Fipe,-Und�grnd. 53. Steel Reinforcement ' , , 3. Electrical, Conduit Utility-Undrgrnd. ' 54. Forms ,r ,,s�t .� � �� 4. Electrical Conduit-Updrgrnd. � 55. Electrical Bonding • 5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test ' r - 6r�Electricel UFER Grtid. 57. APPROVAL TO COVER�GUNITE , �, 7. Footings ' - '�- 58. Electrical Conduit-Undrgrnd. ' r' ' 8.•Foundation • 59. Gas Pipe, O Undrgrnd., Test � �; � � 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. � � 10.-Structural Floor System '' 61. APPROVAL TO DECK � i t. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final • 12. Sewer Cap � � 63. Heater & Vent-Final • 13. Roof Orains ' - l. 64, Plumbing System - Final 14. Rough Plumbing• � 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval AT. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough-Heating & Air Conditioning � FIRE DEPT. REQUIREMENT .20: Rough Fectory Fireplace / APPROVALS Permit # 21'. Ducts, in'Structure ��' 70. Underground Hydro 22. Ducts, Ventilating , -� 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & T�st ' 72. Underground� Flush � 24. Roof Framin0 � 73: Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing ' 74. Overhead Hydro ` 26. T-Bar Ceiling (Structural) &�Monocoat � . 75. Dry CAemical 27., Frame �nd Flashing 76. Dry Standpipe 28. Wthing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing .; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE �SSUED � 33. Final Electric , � Notes: � 34. Final Hea�ing & Air Condjtioning � ,j� , � � � t �' r � r � 35. Final Gas Pipe-Test � � 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer - 43. Backflow Irrigation �► - �, 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electrie Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY . � - No. Date • ' � LIMITED STATEMENT OF RESPONSIBILITY Bldg. Permit q TO WHOM IT MAY CONCERN: This Permit # .. . . � � � l �-�Qll1n'}�(° �� Street Address AP Number I, (� .Pi� � rL(r'� /,��� , as Owner in Title of the above referenced property, do hereby authorize: �— s��iy> ����iaa� Name Telephcne No. � i n to obtain permits in my behalf, as owner/builder, for ��`' �' /11� �FX -� X�-�.eU "� atthe above referenced property. Should gpy oerson become an emolovee engaged in the improvement of the property, I shail immediately provide Worker's Compensation Insurance coverage and cause a certiticate oi that coverage to be filed with the Building Division of the Ciry of Costa Mesa, as required by State ot Califomia laws. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties. �.�� 1 �l /a �� � � � � �d Name Date \��C.�-%ZIJ I uV Tv7C.Uv� Signature 0]i4.�6. rev. NB) ,Oosta Mesa Bwtuuig Uepartment � APPLICATION FOR ��1f.m1� � ''� � 177 EAS7 20th STREET B� ' L D J� N G � COSTA MESA. C -ORNIA �3� P'OR APPLICANT TO FII.L IN FOR OFFICE USE ONLY Receipt No. Permlt No. Building AddYeas 454 PR I NC ETON �R , oTo� / y Costa Mesa, iifl��017ll& Receiv by Date Rec'd. Date Issued Nearest � '"t� " �� �o%'Z' —�S� CrosSSt. HARDOR B�VD. Bullding / Address Owner COLLEGE PARK CO. Mau Costa Mesa, California ndaress2 I I i SO. MA 1 N S1 . rvearest Tel. Cross St. CftySANTA ANA� CALIF. No!�� 5� i39 2one `/ No.of I Type '/ Group`� Arohitector -- Lic. `Y ( Plans ` (� Engineer No. Approved b Date Address CORRECTIONS c�tY uo.376 � ContfactorHARBOR CONST.COWo. Address Le9al I Lot 3 V I��y i.�. t I/_�,�� E f� 1�:,�. Desaript�on Nu. Block � r .� i � ���r� �i:��, (Attach Metes and Bounds) �' - ! �—� �L �� No. of Bldgs SizeofLot 8�z SQ.FT� NowonLot -- '�F�'. �Q'i0�'C 0 Useof I No.of I No.of �V`V � Existing Bldg. Familles Rootns � Setback Linefrom Rear Vard � /�ITi ...- _ _ — Center oi Street 5� Side Yard I O�— � VI 1[ �J'' �UJ I� `�F�+� � DESCRIPTION OF WORH --• � New I X I Alteretion I I Addition I � RepaR I I Moving I � Demolish I Build�ng No.of RMS Size � 5 � S Q. F T Rooms tories Exterior Wali Roof Covefi�g Srucco Covering RocK APpROVALS Use oT New Building �WEL L I NG Ec XWQXIXWC;N-0EJO Foundatfon Location Inspector Date Forms, Materials. G AR A G E Under-Pinning Frame: Ffre Stops, Bracing, Bolts I hereby aclrnowledge that I have read this Application and state that the above is correM and agree to rnmply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath. Ext. Permltee� HARBOR CONSTRUCTION C . Plaster, Int. Autharized Agt. / plaster, Ext Valu�ation Permit Fee $��Q. �� Masonry Reinforoed Plan Check $ . �� Bond 8eam siz,400. To�� 5.00 Fee $ FINAL FORM 20� S-BP 2M e-55 ri.a�i ra�iv Bhow Iocation and tlistances from property Iine and between buildings. ' , � �. � rr_ �-- ' _ t � n . , .i . p cosrr '1 n f :C 29-5�1 DryEc:.' ��� '� :'�`:}45.�'J � I . . .' I .-_ :C .T'. " IJJ" u