HomeMy WebLinkAbout1699 NEW HAMPSHIRE DR - Building Permits CITY OF COSTA MESA
4 BUILDING DIVISION
H •
y .�1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
rira PERMIT
J4frg2kPoremisaF° B05-00268
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1699 NEW HAMPSHIRE DR Status: ISSUED
Suite: Applied: 02/11/2005
Vicinity: SLIDING GLASS DOORS Issued: 02/11/2005
Parcel Number: 13961215 Zoning: nriI
Applicant: VILE, JUDD M ISSUED BY:
Address: 1699 NEW HAMPSHIRE
Phone: 714-437-1841
COSTA MESA,CA Zip: 92626-2023
Owner: VILE, JUDD M
Address 1699 NEW HAMPSHIRE
Phone: 714-437-1841
COSTA MESA,CA Zip: 92626-2023
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License:' 000000 .
•
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT.
REMOVE&REPLACE 2 SLIDING GLASS,DOORS(SAME SIZES).
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,400.00
Permit: $97.25 ' __ Claim Valuation: $3,400.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 c.Rear 0-0 Left 0-0 Right 0-0 ,
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 - Right 0-0
PARKING Existing: 0 • . Required: 0 , Proposed: 0
NOTES: "
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 if 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 with all applicable codes, and all
required Inspections 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)754-5626
2446-46(6/00)
•
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and this ea is issuete of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.) I
„y-. certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Calif.nia,and agree that if I should becom subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
�co'm'''p with these provis'• .. C_�
Appncan Signature: - / _ patty%'' 72„ 6 J
i / /, //
WARNING:FAILURE TO 5E• R •'K - PEN$ATKTJ COVERA EIS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTI S AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(Si•,,••.,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRAC •RS DECLARATION: I
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license Is in full
force and effect.Lic.x Class N
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). •
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve.demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).): I
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • I
r—
I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,end who contracts for such project with a contractor(s)
license pursuan o the Contractors Licens. Laws .
❑ I am exem• .er sec I / / Business and Professions Code for this reason:
" ere: _vsanOBete�--�/ / O I
Owner ID ve di.• by•dyer's lic'nse. rules 0 No ase No.
Verification o • nership by(type of document,i.e.-property tax bill or deed): I
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division. j
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: •
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes ❑No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ore volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
"2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this apconstruction:
or agermit for such constructionr modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L-I No
(Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comp) with all state laws and city rdin ces relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described props for inspe w urpo es.I ree t to occupy or allow occupancy of any building authorized by thi permit u I final inspection.
,/i �.. 2/i//o-5 I
/ '14rOfCegal Owner(s) t` to— '•.
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE DATE INTITIALE CODE I INSPECTION TYPE DEE IHIIIlAU
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site T.
204 Final Demolition 250 Final Building/Occupancy 2.-2.6`cc
p512 9 CITY OF COSTA MESA
4 BUILDING DIVISION
F 1 4 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
v, a • PERMIT
'tw,,, s°se B04-02092
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1699 NEW HAMPSHIRE DR Status: ISSUED
Suite: Applied: 12/13/2004
Vicinity: ROOF Issued: 12/13/2004
Parcel Number: 13961215 Zoning:
Applicant: LEE ROOFING OF COSTA MESA ISSUED BY:
Address: 1653 SUPERIOR AVE
Phone: (949)642-7222
COSTA MESA,CA Zip: 92627
Owner: VILE, JUDD M
Address 1699 NEW HAMPSHIRE
Phone:
COSTA MESA,CA Zip: 92626-2023
Contractor: LEE ROOFING OF COSTA MESA
Address: 1653 SUPERIOR AVE
Phone: (949)642-7222
COSTA MESA,CA
Zip: 92627 License:" 349686
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL NEW 7/16"OSB,30#FELT UNDERLAYMENT,CLASS A SHINGLE FOR 17 SQUARES OF PITCHED ROOF.
INSTALL NEW CLASS A AND BUILT UP HOT ASPHALT ROOF SYSTEM FOR FLAT ROOF. 18 SQUARES.ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $11,485.00
Permit: $209.25 Claim Valuation: $11,485.00
SMIP Res: $1.15
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $210.40
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left , 0-0 - Right 0-0
ACCESSORY Front 0-0 Rear 0-0 , Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed:. 0
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(OW. 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
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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)754-5626
2448-46(6/00)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations: '
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
6rk for which this permit is issued.
I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued.,
'My worker 'co pensatlon ssurrerplpe carder and policy number are:
Carrie-re :0faP-e •.•-r�r./ PolicyNOmbe'`r'.--•,.-
I(Thk'secl/on need not be completed I the permit Is valued at one hundred dollars 0100)or less.)
❑ I certify that in the•erformance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compen•.••.•..( L1•S r,:_ •mla,an 7.• _- sat I I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall fdrihwith
comply with these pro/p••ns
_Appllcant'Signeture:�. 1 !/ r---Date:--/�r /'Qcy .
C-WARNING:FAILURE TO SECURE w•- RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affir thaLl.am.licensed under pryyvisions of Chapter 9(commenting with Section 7000)of Division 3 of the Busineshand P4ofesions Code,and my license is in full
r._forte and effect Lic.» •'3 y41 GXb Iasa.p__'l o
k. -Contra tt as Signature: �.QZy Date: /i"j- — /;—b--/
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address: •
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation o1 Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
❑ I,as owner of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health end Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
._..pesn _ . regis__...i_ __..__�_,___
2 Does or will the applicant or present or future building occupant need to fill.registration form for acutely hazardous materials? ❑Ves 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
_._ _.__.d . _ __.maerrias)?_._
3 Does or will thea applicant or present cur future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0 N -
(Section 25534 of the California Health and Safely Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP Is presently required,has Section 25534 of the California Health end Safety Code been fully complied with? 0 Yes 0 No
oes..._..__l. _.__ ._h_ .. __.
5 Does or will the oast Air present a future building occupant at other
for thel work Which is the subject age of this application a0eNnil for such construction or modificetlon
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? Yes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
— —"' —"'—...._..d__..ofaschoo?___.... ...__..._..
6 —Will any pert of the facility to be constructed under mis permit be within 1000 feet from the outer boundaries of a school? ❑Ves 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other lair pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes-,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
L Owner(s) Date
, - .— — /2 i 3
r— Oro cervi+ _ cam_
MEL INSPECTION TYPE lag IBTmbLS SODE/ INSPECTION TYPE. Q;!¢• MALE
1616 Fixed System Final Flre Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof /2'zt_f/i 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy '
G
ADDRESSOFBMLDRIO: 1699 NEW HAMPSHIRE DR uw-.
OIl%ERSNAMEIFAIDNN:YAO, ERIC M FLOOD: AE -37
ADORE53:25 WARMSPRING
IRVINE, CA 92714
714) 786-8318
. APPL. MARINO ADDRESS:
ARCHITECT OR ENGNER: I.C. NO,
ARCS OR ENG.'S ADDRESS: UNIT:
COItTRMTORSNAME PAUL CHAUN PAN (714)991-0118
carGRA,,CnMARna 1790 W CHATEAU AV
ADDRESS. ANAH E I M CA u,w_. 665564
92804 may,
LICENSED CONTRACTORS DECLARATION: I hereby eI I. us ar purely of perjury Ohtl I we 5,weed urgr provisions of Cheam P
(ooeamencin0 with Ser3Mn 7000) d Divvion 3 of the Business ala Prolssaw Cods, and�my losers is b hA brio and ~.
cmuc..NLro.:06/'53366Q/ LIC.CULSt: uc.No.: '^; 4 EXP: 00/00
Det,: �//'� / / /,/] Comredor. �!
OWNER BUILDER DECLARATION: I hmeby Whim urder penalty of prjry Ihtl I am emmpl Iron the comma. Umrus Law for the
'•iWwnp mason (Sad= 7031.5 Business and Pramebm Code: Any cay or oma, wNirA re u'um a Penni to wmhoat. saw. inpow.
enol sh, or repel my stntctum, prim W As hsumosr. also re,twee the applicant for such permit to Re a sighed alaMnhess OW he or she
s Imeromr, panuml to the provisions of Rhe Conhectma License Law (Chapter B (eommencinp vdh Section 7000) of OLvhbn 3 of IM
Business and Pralamiom Coeel or that he o she is mempl Iherdrmn end the Mais Ins IM WMyed =*motion. Ary vblwort of Section
7031.5 by my applicsnl to a prompt subjects IM apphows to a da penalty of not mase than five Wndred dalans (55001).
❑ 1, m owner of the property or my employees with wapm as ther We mmpeneetion, will da IM work, artd the arnhmhrs is not ImendW
or oDered for safe (Section 7061, Buiners end Prdmsiom Coda: The Cmmactols Licame Law don M appy to an owner of property
arM Wide or inpm»s Ihemoo. and w does such wok himself or herself or thmu h M or her pass pl,.. provided Ihtl such
improvemema are M intended or offend for sale. N, however, the buidirp or inprommem is 9W within err year of mmpbtbn, the
owMr-0 inter will Mie IM Wrdm of prov'uhp he or she dol M WiM or improve for IM purpose of sale).
❑ I. as owhw of IM properly. ern exclusively ocarbactiq with licensed opremortms so oonstrud the project (Section ](M4. Damsels encs
Proleaebne code: The Contmdon License Law dose M apply to m owner of property wdho WiW or improves IMrson and whe
conhaole for sash "We with A caamcta(r) Iicerned punuma to IM Commctam Liarsa Law).
❑ 1 arts exempt upshot Section: B. 8 P.C., for Nn roeeon:
Otls: 0w ..
I do hereby ceniy that I em aware of and underslerhtl the racpinmeM of Galion /Math athd Salary Code Solids PE505, PS51T, mad
?5531. eM that I or mry Its. dnldvp occpw wM I wR M (dmis one) pas! to atopy with sad Me codes end IM rnlmameM for
a passes formmmcdan or modification ham the A'r hMi Ta Rip mheprmm D'atM. RasidemielmWMkn appirmioroenaxemfA hoer tMu
proviabm.
DAN: Applicsm:
WORKER'S COMPENSATION DECLARATION: I hereby affirs, uMr penalty of perryy one d IM ldbwdp declarations:
❑ I hem and coil meimen a mriKicare d Wneml to ee5inwn for ovaken' cmnpermlhn, m prorided for M Salim 3]00 d the Lebo
Code, for the pefformmaa d IM wak Ins which this permit is issued.
❑ I haw erhvr coil coalman workers' el. My workers'
compensation
at reposed by Section 3 and
d rix Label Coda. br IM padmmand d IM
weak to wNiNh dhh pemhi a esued. My wmkels compmetlbn inwpanca harrier erd pdiy washer we:
Gerlier:
Pdiy Number:
(This section need no M somwM 1 tis perms is for m, huMred do0am ISIWI or Ams)
❑ I mole $w n the the
w.,k. d weak which This perm h wanted, I slhel M mob/ alhp Deraco so arty to the w ru to
became wbhod It,ss MM warkms' compensation 7WofIMove d Costs,
I de, h r tl ouM bmanhe wbject to the worker'
coat/penaetionlgovisbne d/S}ect%bn 3700 d Rhe Labor Cade. I aneU Ions ' eon ea pro.�Ltom.
Date: / —/ g._ J.r1 AppOcsm:
WamMp: Fallon rornIs uaMn ryWall sW/sct leym ro cthrlod psnaMn ane
dill ff. W to ane hlatdrsd Vxpv an0 dollars ($1040001 At sdd7tlon ro ma cast of compru
tUn prash
pn derstspes dad Aar In
Section 3106 of tits Labor Cods, moss(, +tori eOomwa /s n.
CONS111111CTION LENDING AGENCY: I lhembY waste rattler per ahy of Perjury that them h a co atntoion MnI aOruy br dhe
pedwer. d the work for wfiidh the perm is hatted (Section 3047, Ca. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify Ihet I haw mad his application ahhd state that the above kforn ation Is conal. I epme 1. comply with oil shy athd coumy adhhmom
ala slate Mars misting to WiMehp corestoom n ala hereby aulhobereprasenlarivm of Ihh city to serer upon the abo mentioned property
to, inepeotion purposes PAUL PAN
Dare: //_ /— 7!^
(5151_m6.WP) 1111ote41ohldehp 5 Safety. Greeo-Fle: Wrwy-AppF'am: Fnk-Ravmnw; G-Wea sf-Aswesor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B OSOSU4
PERMIT NO: B 080504 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: OTH
JOB DESCRIPTION T/OFF FALT ROOF W/BUR 6 PITCHED W/COMP SQ FT: 3,300
CLAIM VALUE: 3,300,00 CALC—VALUE: 3,300.00 GROUP OCC: R-3 /
COMMENTS: FINALIZE EXPIRED PERMIT #B73544
iE ih ih iE iF ♦E dE ih iF IE iE iE lE lE lE iE ♦E 1E * ih * * dE dE dE it iE 1E iF dA * dE dE * ih if # # iE dE iE 1E dE 3E # iE lE lE 1E # * * * iE 3E (E!f !E 1E iE lE 1E iE iE de ib 1f iE dE iE 1E iF iE fA 3E * de fE i('
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN
BUILDING
----------
---------
ACCESSORY
BUILDING---------
FRNT: FT IN
REAR:
FT IN
FRNT:
FT IN
REAR: FT IN
LEFT: FT IN
RGHT:
FT IN
LEFT:
FT IN
RGHT: FT IN
PARKING REQ:
PROV:
PARCEL:
13961215
ZNE:
REF NO:
PLANNING NOTES>
>
,t
df 1E dE iE * * IE * iF iE dF N-fA ♦E iE'IF iE iE
* dE lh 1E lE iE ih 1E lh * iE 1E iF tit 1E iP iE ik iE iA k dE dE 1A iE lF 1E fE iE 3f iE iE
1E 1E iE iE if iF * iA dE df
3E 3f iE fE 9E lE iE iE 1ERE 1F iF iE if iE 1E dE 3E iE
D E V E L O
P M E N
T S E R V I
C E S R
E Q U I R
E M E Nr•T S
ZONING APPROVED BY
BUILDING APPROVED BY
APPLICATION ISSUED BY:
1E 3E 1F 1E fE if !f iE 3E iE 1E �F iE iF iE * iE 1E 3f 1E * M
LEGALIZATION:N
BLDG PMT PLUMBING
PERMIT 87,25
PLAN
ISSUE FEE
F E E S U M M A R Y
ELECTRIC MECHANIC FIRE
DATE:
DATE: '
DATE:
3E iE iF iF if iE *!E!F iF iE iE * * iE dE 3E * iE iE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
50
SMIP/NON—RES
BUILDING—DIV—> PERMIT
ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- > 87,75
0.00 0,00
87,75 87,75
,00
REVENUE DIVISION TOTALS-->
. COLLECTED:
87,75 OVER/SHORT:
.00
BLDG PMT PLUMBING ELECTRIC
MECHANIC
FIRE SMIP/TOT GRADING
PLAN—CHECK
87,25
,50
i! iE * iE k * 1i dE 3E * * 3E M * * M lE 3E ff * * IF ff 3E ik 3f ff 3E fE 3E iE iE il-iE lE lE iE ik iA 1L ik * iE * * dE iE 1F lE * 3E IE jE if 4 iE 1E iE iE iE iF 1E iE it iE * fE lE 1E 3E lE DE iE if iE iE if )( iE
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
SFR 3300 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 3,300,00
END OF FEES
01 00219459-00219460 TIOIT 87.75
DATE: 11/19/95 TINE: 09:37
CONSiRUCT10N AND PLANNING
APPROVALS Permit # Date
Inspector
PC . SPA
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or -Poole
52. Pool & Equipment Location
-
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement-
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
i
4. Electrical Conduit-Undrgrnd.
55, Electrical Bonding'
r
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
S. Foundation
59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines,.P-Trap, 0 Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap .'
63. Heater & Vent -Final -
13. Roof Drains
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
17. 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
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping 0Gas 000
23. Gas Pipe -Rough & Test
72. Underground Flush
24, Roof Framing
73. Undergrnd. Storage Tank O Gas 0011
25. Roof Sheathing
74. Overhead Hydro
26. T -Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
27. Frame and Flashing
76. Dry Standpipe
28. Lathing & Siding
77. FIXED SYSTEM FINAL
29. Insulation
78. FIRE PREY. FINAL
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter -Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
34. Final Heating & Air Conditioning
Notes:
M (', C,
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 Domestic -Final
42, Backflow Preventer
43. Backflow Irrigation
i
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
qq
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas 0D
51. CERTIFICATE OF OCCUPANCY
No. Date
A �ysaF awt.Dva: 1699 NEW HAMPSHIRE DR umf:
OWNERS NAME IF KNOWN: YAO ERIC M FLOOD: AE -37
ADDRESS 25 4ARMSPRING
IRVINE CA 92714
714) 716-8318
ADPL. MAIUNO ADORES'
ARCHITECT OR ENONMR. UC N0:
ARCH. OR ENO'S ADDRESS: UNIT:
CONTRACTORS NAME: PAUL CHAUN PAN (714)991-0118
CONTRACTORSMARmD 1790 W CHATEAU AV
AooREss ANAHEIM CA ixim, 665564
92804 UNIT:
LICENSED CONTRACTORS DECLARATION: I Mreby a ir. income pehWy of perpey the I an yomegsd tmdce prwitime d Chep. P
(oommerhdnp mh Saadnn 70001 d Didsbn 3 of Vie Bednam em Pntmeipu Cab, end In 'Deem b b top bra and apetl.
Crry LIC. NO.; LIC. CLASS: uc. NO, 6 " 6 EXP:
ale'�� Connecta:
OWy SUILOER DECLARATION: I It, Ic
lweby.Nom wqw pwly d pw�uy 1 em anmp tmm IM Comradoa Licenea law to Un
'Gw+q neaon (Sedion ]031.5 Soren end Rdaviaw Cod: AM dy a ownry which r Id m a p ft to muUup. alter, npwe.
mien, a repair ony stnama. prior b b bounce. abo rmuin IM appiwnt fw autlt p.rtta to Ne a dyed.memanl that M a SM
.I.d PUAhant to tM poViebn. of IN ('MIIAd. Licenaa L. (Chep. 9 (mnuntint" wah Sect. ]000) of Mison 3 d the
duairnam end Prdeniom CoM) a 1M1 M w dhe b bx g aerdrOm and or Mab to Dn wohw namplion. Any v 0. d Section
]031.5 W any apPpranht la a iamb admin Ohs apPEcara to a dp peneay d nix man Ihen five hundred tla0en jfSODD.
❑ I.mowrwtllhe papenya my empoysm w.h wpm mNei elle oompamdipn, weld tM Werk. end Uu.Oudtue'u nct'edended
improvmeante mee nol wg,gde0. tl1Mea la ala. It. howeyw.Im dal0ap a inptwemen b cold Within aro yea of oohnplaion, the
ownr-0uddme Will hove IN Wnw dim* M a m did npf dek or enpote t. the pwpo.a of sab).
❑ 1. m ormer of Inc, mop", nn.&.bW "Inciaing wph Sonne cmaraaa, b cahmup du Project (Section ]Oaa, Efmuhen and
Pfdeadorn Code: TM Cwanctm Loenm law coon mt apply b m own. of properly wM deka a kWmm thmeem and Who
wninab la pch palecte w%h a mwado,(.j b.,*.d pa.uara to It. Cp0.taaa. Liosma Law).
❑ ) em vamp urdx SecOm: S. A P.C.. to Ulla neem:
Dale; Owner:
I d hereby o I* dot I am.wan Of mco ondntend tM teadnmaN. of Cdpomla NaaM nd Safety Code Sadbm 25M, 25513. and
25 . and tMt 1. enY Mure Wtkip oaupant coil y wM nD1 (omb aw) row b aoraDfl wen mid coda Dodo med 1M repuksrrimb fp
e parch1pmnnruclionpmoddhmionhomtMai'D�ile�t Ey %npmrpd Dic Rseidwdi looMnolmappicd'dm em "..pit. Nsae
pod.gn..
Oda: AppinM:
WORKER'S COMPENSATION DECLARATION: I hereby afdnh coder perMpy d pally pu d du faflowLy datlmd'oea:
❑ Ihaw endWmdntaihecMdcdsaammegb Wtimaa laf wokai mrrgerupbn,n PrPyidw for by tlacian 31110dIM labpr
Code. W IM Wormmene of Uhit ii d for wl ch ds pampa a Mood.
n 1 have end wD meintdh Wplun'oomt»mmlohh lr r . n rmu4ed by Section 17(0 of IM Lab. Cod. M (M pedamuhm of dm
}� wM lin WnkA 4hb Dmeab Mrhed. MY waken'ow��a�hwion4Wumh0. urtir.nd Dolly comb...'.
CaMef: STATE FUND EXPIRES
Perky Numb.: — 04/01/96
frM..act)ph mad nd M oanplebd r du pmerttp b for ohm hundred down ISIMI a Ina.)
�] I only M,, b Uu padomwNa d LM wok to colon od. p.ma 4 bawd. I tlW tV eI amy Pinson In dry manna n n to
Mcorne .ut P to IN waken' i, 37M amlpn hWe d dko. I d pn 'I ; .Muk -.icon sugact w 1M Wprken'
I'VOMpehnKlian DM'iedm d SeCiplh 3]DD d ill lobo CDM.) Or11h t � py nt thoe. pMdph..
APII.v r
Wambhp: Firm" W as eon rohaa' cpmPa^mpon eararaye I. un n, .nd�rr.wl ar.P aryrroFer to c rWmI Par mm end
C/O Dnaa w n ora Mndr.d Wmu..nd dWkN t$101110WA At eDW Wn m M. emr of eanp.uerbn, darmge..e atovrd.0 for In
CONSTRUCTION LENDING AGENCY: 1 Mreby drown W d. psmhy of perjury Ilw thme's a mndmctian WIMM panty M Uh.
Mr(o manes of IM work for wihkd the pe b snnd (Sewim M. Ce. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I panty Ifw 1 Mva reed this aWandion all ode ihm PIs ahom idammixh b oorrw. I epos n oomply wah a0 raynd oWnry ordhnanaee
aM.mabin. nldih0 to Wilding MnatrWion and hereby aphabe Ms mtatM.d tMMyro~ tpon IM d gnigntl.nd m"rty
to tnapeaan pawe+s. PAUL PAN
(5151da0P) Mt. -8 -WN A Sddy; Om --Fie; Canry.Appfmnt; Pnk-Nxmue; Oddemod-aaeemor
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 073544
PERMIT NO: B 073544 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION T/OFF FALT ROOF W/BUR & PITCHED W/COMP SQ FT: 3,300
CLAIM VALUE: 3,300,00 CALL—VALUE: 3,300.00 GROUP OCC: R-3 /
COMMENTS: T/OFF FLAT PART ONLY& REROOF W/BUR & PITCHED ROOF W/COMP, SHING
dE*rtiE*1EiE3EdE*1E*dE)EiEiETEiE7EaEiEkEiEiEipaEdclEipiEiE*iE*SE 1EdtdEdESEipdEiEpElEdtdpiE)p**iFiFTE1E#dE*%*TEiE)EiEiesE)fiEiE*ko-*IE )E 1E SF )E SE 1F
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13961215 ZNE: REF NO:
PLANNING NOTES>
>
*dE*dE AE***)E ih M:iF**1E 1E*iF♦EiE♦E****dF*dt dF iE*df*SE 1E dE♦EK*if iE dF dE dE 1E 5f Kif**if*dE dE iE*iE 1E iE***dE lE***1E**iF*dF 1E iE*dE 1E df
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY: DATE: T
***IE)E)F+E*)r)E*)b1E)E)E)r)EkiF)EdE)E )E*)E+p*kESEdEit* iF*
LEGALIZATION:N F E E S U M M A R YL STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC'% FIRE SMIP/RES GRADING
PERMIT 63.00 SMIP/N.50
ON -RES
PLAN ° 1
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK ';q =TOTAL PAID DUE
TOTALS ---- > 63.50 0,00 0.00i ,. 63.50 63:50 .00
REVENUE DIVISION TOTALS--> COLLECTED: / X63.:50 OVER/SHORT: 00
BLDG PMT
PLUMBING ELECTRIC MECHANIC /�'tFIRE SMIP/TOO GRADING PLAN—CHECK
1EeF 1F 5F*1E SF SE SF)E dE SF SFfir*Sb♦E 1b SE iE*iF**IE•SF)E*)E3f***k**)EiF**iE*ib iF iE irk*1t Sb 9E eF ib iEie*kpE)trtdtkirk pE irkiErt)E et kip )t it it it*if iF**
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•-" "�,- .9\ UNIT COST TOTAL COST
SFR 3300 REROOF BY VALUE RESIDENTIAL rNOZONE 1.00 3,300.00
END OF�FEES,. y
S�4KE
El
61
R "�� 4D 01 00187439—;)51874`0 TQ T 6M D
OATE. 019 02M TIME: 0F'f=0
> rT
CONSTRUCTION AND PLANNING
f
Date
Inspector
PO SPA
Date
Inspector
Y
APPROVALS Permit #
APPROVALS Permit #
1.
Temporary Electrical Service or Pofe
-
52. Pool & Equipment Location
I - -
2.
Soil Pipe-Undrgrnd.
53. Steel Reinforcement
- •3.
Electrical Conduit-Uriitity-Undrgrnd.
54. Forms
'4;• Electrical Conduit'Undrgrnd.
55. Electrical Bonding l
Steel Reinforcemegr'
56. Rough Plumbing & Pressure Test
1' Electrical UFER:Gcnd.
57. APPROVAL TO COVER-GUNITE
Footings _
58. Electrical Conduil,Undrgrnd.
" 8.
Foundation =-
59. Gas Pipe, 0 Uirtl.jrnd., Test
9.
Water Pipe-Undrgrnd,
60. Backwash Lines; P-Trap, a-llridrgrnd.
10.
Structural Floor System _
61. APPROVALT(iQECK
11.
Property Sewer Lineousitniriacton
i..& Hdi
62. Backwash & Receptor-Final i
12.
Sewer Cap *
63. Heater & Vent-Final `
1.3.
Root Drains _
64. Plumbing System - Final
4(4.
Rough Plumbing -1
65. Electrical-Final
l
15.
Rough Electricat-Coriduit
66. Solar System-Final
1�6.
Rough Electric Miring
67. Fencing & AccV s Approval
17.
Rough Wiring Sign
68. APPROVED F-R PLASTERING
'
78.
Rough Electrical-T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19.
Heating& Airy Conditioning
FIRElaEPT_R EQUIREMENT
_Rough
#
_ r_
APPRIOVQ �i-i-, Pbrmit # 4 ^^
20. Fy.ttorj FiraRlace
tRough
c
21.
Ducts; in Structures • -•• �,�-
-
'^
S
-%
-' +
'� ;
70. lnderW'ro�r`�d kT_ydro i
�.
!. r,
r'l+,
22.
Ducts, V�t?tilaring:,.' -
_
-`
71. Prod uct,'Oi piing �6as DOil
23.
Gas Pipe:Rough & Test '!'
r : '
"
a'
rc w
72. Undergr�U71d R1 ;U T J
_
24.
Roof=Fra`55ing" 4.
7Bj Undergrnd. Stolage:�anq. 0 Gas 0'& 1
25.
Roob_Sheinhing p'4
J
''
a +
7q. Overhead Hyd6i z
26.
T-BaTCeiling (StrtAs�ural) & Ao'n aciat
r,
:=„
75-.clry Chemical I-_; r J
27..
Frame and FtashingM D_-
-
- r
76. Dry Sta plpe�,^ x �- a
_
28.
Lathing&,Siding jr= G
`�
",
"�
771 FIXEDtS tTt'+eq-"FIN4.
29.
Insulation c
c
7 FIRE PREY. F L
` 30.
Drywall Nailing �' `
r,
�ALTTDE '. REQUIt�EMENT
' 31.
Plaster Brown-Coat
79. FINAL IMNRPECI"ION ' -
_
32.
Electrical Po.Yer AIeIe f nal '
;
'
8' FOOD CERTIFICATE ISS(JED.
s
-_ 33.
FinafElectric `
a
r •
Notes: "� T a = _% •+ ` -
34. -Final Heating_& Ail ntlitioning5 ;r
x
x r xk jJ ��
35.
Final Gas=Pi e-.Test-.
- 36.
-
,Hood'or Canopy G* - _ _ `_'
- _ - -
' •
t
�// /(,6 •/� ~ " t-\
lam' � C� �U'''S» � �•`-� .� O-
_
Final-Factory Fireplace
n
,7L
*ny
_37.
- 38.
Fina(•PluTbing p% �•
.a _
_�'/
^ � - vw
W /i �r7 •o
' 39. Wates SeWice_Final
__• 40.
Gas Servrce-Final z= .T. �• r. ,r -•
,. tq
J� -
.., r.��-
^
41.
Solar Domest c.Fid'a :.t
;
t,.42.
Backflow:Preyentea `
s
43.
Backflow Irrigation
Ir4.
1W---
Landscape Irrigation System T
45.
Sound Attenuation:
l`96.
Handicap•Regulatiorts
X
¢7.
FINAL STRUCT4)E & BUILDING
48.
FINAL PLANNINRr;
49.
Elect-ric Release to Edison
50.
Gas Release to Southern Califorpj�{Gas Co
o ;.
51.
CERTIFICATE OF OCCUPANCY
t'
• - -
No.
Date
Z
dUuI
U
Z
Z_C
� N
am
J V)
J to
Q W
m J
•m
J Q
UN
Za
W Ly
aW
WZ
JO
M
J
W W
Z
Z H
W0
F -
Z
Q
U
J
a
a
Q
O
I—
en
Z
O
I—
L) U
N
Z
33312
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.0. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
ADDRESS
OWNER Modular Technology, Inc.
MAIL
ADDRESS 1104 E. 17th Street
TEL.
CITY Santa Ana NO. 547-9673
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECT Kermit Dorius AIA No -644-7111
OR ENGINEER
ADDRESS 1111 2nd AveCorona Del Mar
CONTRACTOR Oymer
"Same
ADDRESS
TEL.
Same
CITY NO.
TY
LIC. No. 25254 LIC. NO. 1690
SIZE NO. OF SLOGS.
OF LOT 50 X 100 NOW ON LOT
VSE OF
EXISTINGBLDG. '--
ZE OF NO.OF
SF 7 1
NIEW B DG.1782 ROOMS STORIES
EXTERIOR WAPL
COVERING er Plans
ROOF
COVERING Wood Shingles
USE OF BUILDING AND WORK TO BE PERFORMED
Construct new residence with
attached garage.
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workmen's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and affect, or I
am exempt from the pro ipons of the State of California Business
and Professions Cod,i on 9.
/3,Cpter
Signature of
Permittee
Authorized Agent
P",000 0 �� ***157.7.5
APPLICATION FOR BUILDING PERMIT
IVED B PATE REP I ED DATE ISSUED
U/ �� 7/
BUILDING
ADDRESS
TRACT
OWNER
FIRE
ZONE
APPROVED
DATE
ZO NO.OF USE OF NEVkj{ W
._ PLANS ,/ BUILDING
YARDS APPROVED YARDS APPROpED
MAIN BUILDING ACCESSORY BUYYLDI
(FROM C,L.1 REET)
FT.
VADATE
CURP.#`V_;)S-6, IAPPROVEDS
APPROVED (e A ./� ... __ rl , l .
tIOLD FOR
T SQ. FT. ✓ ! ✓ H
THE AMOUNT SHOWN UNDER V
THE PURPOSE OF ESTABLISHING A
VALUATION
S
r\ I TOTAL FEE
m
0
JATION IS FOR
iMIT FEE ONLY:
a
� S
E
E
Z�
/
o`
LL
OWNER MODULAR Technology, Inc. DATE 7_15_71 _
JOB ADDRESS 1699 New Hampshsire Drive BUILDING PERMIT NO. 33312_
AP No. LOT 4'A TRACT 6582 FIRE ZONE VALUE $20_ gnn_m
INSPECTIONS
Si not re Date
GROUP I &
J
TYPE V ZONE -1
SOIL
-
SUBCONTRACTOR
PERMITS ISSUED
GAS
Date NumberI Si nature
WATER
PI
bi
pq 11
ROUGH PLUMBING
7-VAl- 7Y
PROP. SWR. LINE 'HOUSE CON.
I
'
SPRINKLING SYSTEM
MISCELLANEOUS
_
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
, 0.7
UNDERGROUND POWER ❑
ROUGH WIRING
N�G
•%
eatin
and
Vent
�
TRENCHES FORMS ISTEEL REINF. 0
(CJ rtl
FLOOR SYSTEM
4z
'
BOND BEAM STEEL REINFORCE
SHEATHING
5'
FRAME AND FLASHING12,7171
LATHING — IN OUT
PLASTER, BROWN COAT
_
STRUCTURAL, FINALric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST
/
ELECTRIC, FINAL
- 7- 7�