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HomeMy WebLinkAbout1774 NEW HAMPSHIRE DR - Building Permits • • . r' 's r r CITY OF COSTA MESA 05",^p� BUILDING DIVISION FAµ'f.,: I 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: BC09-00232 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 06/25/2009 . ISSUED BY: RMD JOB ADDRESS: 1774 NEW HAMPSHIRE DR CM Suite/Unit: APN: 13957225 • Zoning: , , • Vicinity: FAMILYROOM AND LIVING ROOM • - -" Primary Occ: .R-3, Const Type: V-B SQ:,FT: . 0 : Valuation: $11,000.00 SCOPE OF WORK: REMOVE (E) FIREPLACE, REPLACE WITH A 4'X4'WINDOW (FAMILY ROOMF),.REMOVE AN (E) 8'X6' SLIDING GLASS DOOR WITH A 5'X3'WINDOW(LIVING ROOM).ALSO REMOVE (E) ROOF MATERIALS AND INSTALL 2 LAYERS OF 15#FELT AND REROOF WITH 30 YEAR DIMENSIONAL SHINGLES ON A DETACHED HOUSE AND GARAGE, APPROX 22 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED.ALL WORK TO BE DONE CONCURRENTLY. OWNER: TENNANT, PATRICK Address: 1774 NEW HAMPSHIRE DR - Unit: Phone: 714-708-2511 City/State/Zip: COSTA MESA, CA , • APPLICANT: STEWART FISHER '- - - Address: 12533-DESTINO ST -, Unit: : Phone: 582402-6226 • ' ' • ' .City/State/zZip: CERRITOS,CA , CONTRACTOR: STEWART FISHER.GENERAL CONTRACTOR License No. 308545 Phone: 562402-6226 Address: 12533 DESTINO STUnit: Cell: City/State: CERRITOS, CA - ZipCode 90703 ARCHITECT: License No. - PHONE: ENGINEER: License No. PHONE: COMBINATION PERMIT FEE SUMMARY Building Plan Check: $126.91 Building Fees: - $195.25 Electrical Fees: $0.00 • . Mechanical Fees: $0.00 Plumbing Fees: - $0.00 SMIP Residential: $1.10 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $324.26 "Refer to fee receipts for all fees paid for project 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE a INSPECTION TYPE DATE INTITIALS CODE r INSPECTION TYPE DATE IN1T AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof itfgt/9 l - 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Signm 222 Final Site , e 7/n � 204 Final Demolition 250 Final Building/Occupancy 6 // 111 r . . ., WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a ,number are: 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 L Carrier /T' Tja rr Fur✓n or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This sedion need not be completedmepermit u valued at one hundred dollars(5100)or less.) 2,Art 2,Sec.341,Title B,California Administrative Code). Pol Number: 1217lrc TG -49 ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Coe I shall forthwith comply with these provisions. -z f-09 Division of Industrial Safety Permit Number: Appliram`s Sippawre DateHAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No (8100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons.or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes El No tzi#_.- 30 ti rar c_Class.#,=,.n 1 (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by 2✓6LL/-/.r r.l.-.- Cc -Zr-Or each business which at any one time has on hand a quantity of acutely C_Contraaofs'Slgnalure Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ElYes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044.Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is corect.'I agree to comply with all state laws and O I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec. 7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. /'� S,i/pnature of Legal Owner(s) Date Signature Dale / / ` / 3057.46(3/07) �i1 `� (C- Cq 9 amour AURrMZEC APp��Unt. Date-�,a OWNER APPOLLO DEVELOPMENT DATE 1-22-70 JOB ADDRESS 1774 New Hampshire Drive BUILDING PERMIT NO. 31289 GENERAL CONTRACTOR SR DESCRIPTION of Residence W/AiLiebe d Garage AP No. - LOT 7 TRACT 6694 FIRE ZONE VALUE $21 ,850.00 INSPECTIONS Signature Date GROUP I 4, S TYPE y ZONE R-1 SOIL (11-- /-3e.7a SUBCONTRACTOR PERMITS ISSUED GAS Et�, �' r2 DateI � Jf� 2-14,770 // 4 Number Signature WATER M `-' (R— '/ , PI biog ROUGH PLUMBING l �T�1 5 _�� ' (�/}//nW'���} i-r731-7e ,�c-,egi /f���// PROP. SWR. LINE [HOUSE CON. Tr 64/.�cLy7- io ��%(. ' J(_.e 2-te�J I�7G oii�.%d/'-..--- SPRINKLING SYSTEM /7 MISCELLANEOUS / / ROUGH HEATING AND AIR CONDITIONING IL- 41-7-7C/ TEMPORARY SERVICE OR POLE (� / UNDERGROUND gJ POWER ❑ t ' L'yi/OROUGH ���{{{rrr'''JJJ /p/� /� / 4 p TRENCHES WIRING FORMIS STEEL REINF. 0 ` ,471 -711 AA/43o'�(�fj�i/�yn'(�q/�',/�`J IG"ir4n ''/-- COl�lO .� "...-- FLOOR SYSTEM /T ,�r�; V 'fl BONG BEAM [ STEEL REINFORCE n 7 SHEATHINGt 3 -17-TO FRAME AND FLASHING�G•µcM2P 'I4" ' /'lit A, st—/p^70 LATHING — IN OUT BE ' • 'L i-1.10-ifPLASTER, BROWN COAT 4dt" 1-t$-10 STRUCTURAL, FINAL n E c//}ric y HEATING, VENT., REFRIG. AND A.C., FINAL _ 4."{7.'70 ,I /� y'/i,// L% G ./�/'✓7-/X PLUMBING, FINAL AND GAS TEST �L�� 07- C / ..7v ✓` 67 ✓� "V ELECTRIC, FINAL � BUILDING, FINAL 6/-.fa 31289 r1 ,,,,/AN 2474$n00 730* ***120.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE DPTE/,R EIVED DATE ISSUED BUILDING �// ---*.„),a,,/ //// t r, A_7 7o _ /7 /1-70 ADDRESS / /Y ---*.„l .t4.{i.(2U.Q YT / 2. / / PERM T (()'1 OWNER Apollo Development Corp. A.P. NO. .� "J MAIL BUILDING / 7-7({),,,uu � Z ADDRESS 1104 E. 17th Street ADDRESS p/g� �( �� 0- U CITY Santa Ana TEL.. 547-9673 TRACT 669L I LOT 7 BLOCK Z < CONSTRUCTION U. S. National Bank NEW ADD ALTER REPAIR MOVING DFMOLISH 1 LENDER O X w D BRANCH Main Office J N OWNER Apollo Development Corp. a w ADDRESS 190 S. Broadway, San Diego VALUE °?m Dwelling 13,300 a ARCHITECT TEL. USE $ OR ENGINEER Kermit Dorius No. 675-1164 - . N, U CtFIRE '�///te WCC ADDRESS .3111 2nd Ave. , Corona Del Mar ZONE TYPE {� GROUP-Ttr W ct- APPROVED WZ CONTRACTOR Apollo Development Copr. BY DATE In Z , n , W ¢ ADDRESS 1104 E. 17th Street /vK/ Wu, TEL. ZOI1E NO.OF USE OF NEW Gv/A-.-Wi ZCITY Santa Ana No. 547-9673 )2 IPS^S BUILDING w O STATE CITY YARDS APPROVED YARDS APP VED to CC LIC. NO. 252549 LIC. NO. 1690 MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BL S. (FROM C/L STflE ET) OF LOT 50 x 126 I NOW ON LOT -- FRONT 75 FT. FT. USE OF ___ �I EXISTING BLDG. _B.SIDE Q FT. FT. I— SIZE OF NO.OF 2 NEW BLDG. 1440 S.F. ROOMS 7 STORIES 1 L.SIDE /0 FT. FT. a EXTERIOR WALL ye r ROOF c) COVERING Y1anS COVERING Shingle REAR 3�FT.L FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a a MAIN BLDGS. ACCESS.BLOCS. a Construct new with vAR.# ! DATE // dwelling C.U.P.# ��—�$-tl APPROVED S'—_'�—t2 0 Nattached garage. APPROVED ( //,�y/ DATE P-/k A9 2 Aiv!'/ 0 I hereby acknowledge that I have read this application and state HOLD FOR SPEi..IAL, xt-VEITREMEItn Dthat the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of CO the State of California. J�/(//� �'// `� to Z / / 7!/ SO. FT. }Vets io I hereby certify that I am properly licensed as a contractor under o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the provisions of the State of California Business CC VALUATION and Profession/JI( Division 3,Chapter 9. FA_ N PERMIT FEE $ D Signature of //{lam//� yA �Permittee L $�!� O c.r PLAN CHECK $ /e7� E Authorized Agent u. N TOTAL FEE $ CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. ‘‘94L-- DATE 70_ LOT NO. �— ADDRESS_ e A/ / / CM The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. BY / C ' / n ,,�/ Developer an. or au horized Pr Q)/2-- a DIY(� tragiSillik ^ representat' e � ' I\\�\II BY qfr cipiri Lender V B