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Home My WebLink About1667 NEW HAMPSHIRE DR - Building PermitsPt. C. M CITY OF COSTA MESA 4 BUILDING DIVISION F el ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER O PERMIT B01-01992 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa..cc UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1767 NEW HAMPSHIRE DR Status: ISSUED Suite: Applied: 12/26/2001 • Vicinity: HOUSE ONLY Issued: 12/26/2001 Parcel Number: 13957309 • Zoning: Applicant: MC NEIL, TOM ISSUED BY: Address: 1835 WHITTIER AVE - • UNIT F12 - -Phone: (949)645-39 17 - - - COSTA MESA:-"CA ' • Zip: 92627 - - �� - - Owner: KREWSON,'EVAN TR - , , - Address KREWSON,EVAN` - /CCOSTA.MESA,CA ." - Phone: A .1767 NEW HAMPSHIRE DR - Zip: 92626 Contractor: '21ST CENTURY ROOFING .Address:, 1835 WHITTIER AVE '� �'7/1 1 UNIT F12 Phone: (949)645-3917 \ COSTA MESA,CA - Zip:,, 92627; License: .750385 - ' �'� i - . - - Arch ,- - _ - _ - - Eng: - Address: - Address: - " - " - Phone: -7- // Phone: - Zip: License: • ""License: . N \ �, SCOPE OF PERMIT _ ' / REROOF EXISTING SINGLE FAMILY,RESIDENCE(1750).TEAR OFF EXISTING, RESHEATH WITH 7/16"OSB,, INSTALL 30#FELT UNDERLAYMENT, &REROOF WITH 40 YEAR COMPOSITION SHINGLES. ' _ N ,, FEE SUMMARY. " _ Plan Check: , $0.00 - -- - - ' -_ -r4=-- Calc Valuation: `$3,740.00! Permit: $97.25 - Claim Valuation: .' $3,740.00 SMIP Res: • $0.50 - -. SMIP Com: $0.00 Other: $0.00 Inspection: .' -$0.00 , Total: $97.75 . i ��A�� " - „ • _ i " . 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 Ism i. PARKING Existing: 0 Required: -0 , Proposed: 0 . NOTES: - " - . . 1 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) IEXPIRATION: 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. 1 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. I FOR INSPECTIONS CALL: (714)754-5626 2446-06(6/00) DECLARATIONS U t j WI 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 rk for which this permit Is issued. 1'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' mpensatiion Insur nce carrier end policy number are:cyo Cartier:~". 72-41 L sr /(�� /Policy Number:� _ 1-• -(7-his section d not be completed if the permit is valued of one hundred dollars($100)or less.) I�- �—_ ❑ I 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 Californi- ..T• ..re- at s ould become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the +_. !_� Appli�,Signature: a _ . / a C: J - Z5-c)> WARNING:FAILURE TO SECURE WORKERS'COMPE ABM •A - . et WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE MST OF••"MPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that.l am licensed u der p�v�gsions of Chapter (commencing with Section 7000)of Division 3 of the Busi_nesstnd Prof sions Code,and my license is in full force and effec..Uc..#_— 50 S}3 Class_a a /J < 7 Contractors Signature: [� -L / / Date: /2 '- C'70 • 7 i CONSTRUCTION LENDING AGENCY: --(J ❑ 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 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,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.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,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 drivers license. 0 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 B,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 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,or a 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? 0 Yes 0 No (Section 25533 of the Califomia 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 end 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? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the Califomia Govemment 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? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end 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 Califomia 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. Of Le:al ••wner(e) /2 _01 en Date0 ( -la •uthon :d ',pr'i'nt ( Date _ - CODE 1 I)1sn enol TYPE P.A.II MALI CODE• INSPECTION TYPE PATE RALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing .. 200 Final Re-Roof /iI 49-02- 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 _ CITY OF COSTA MESA REQUEST FOR OCCUI“.vCY TRACT NO. (54. 5- - 5 S - Z— DATE 2 6 ^7 Z LOT NO. 7)- ADDRESS /64 7 /(/i�r' 4? as A p 42A r The developer ofthe 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) Wm.,/ (was or were) Zc/v-t z , 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 _��.1// 1C . Purchaser C/ I? ECE. IVED / C., O` Cif,' MESABY ��I e _ •;::'ilt.;u OPT. Developer and/or .uta, zed representative MAR 1 1972 BY Pik Lender .,161'd1'LRiii?;,ili2!3icliDi6 a OWNER MODULAR Technology, Inc. DATE 7-15-71 JOB ADDRESS 1667 New Hampshsire' Drive BUILDING PERMIT NO. 33304. GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar. AP No. LOT TRACT 6 82 FIRE ZONE VALUE $21 •• _ INSPECTIONS Si•nature Date GROUP TYPE ZONE SOIL nallirden SUBCONTRACTOR PERMITS ISSUED GAS Date Number Si•nature WATER / PI yv•d., ROUGH PLUMBING L/�� i��s on,n y�� ..�� rAI I,- PROP. SWR. LINE HOUSE CON. [Z�� %Ii/"�(/.� s.i_ J' I;o�� a +�Ai SPRINKLING SYSTEM MEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING Ir�/�� == + TEMPORARY SERVICE OR POLEFr UNDERGROUND ❑ POWER ❑ ..t4ROUGH WIRING f`C • r7/ tHeatin• a • Vent TRENCHES 2- FORMS rd STEEL REINF. ❑ " if2 / ArenJe�n/�rarpy oss�/`Tn■ FLOOR SYSTEM P ifrfaF- •' .I J rAIIe/ffn7I4'2 O�Ln/�JP.'A_/•r'L BOND BEAM • STEEL REINFORCE U SHEATHING /./- FRAME �� FRAME AND FLASHING f��1�� -- LATHING - IN J OUT `�ruriar`c, ;a PLASTER, BROWN COAT �arrliIP - STRUCTURAL, FINAL I- tric q _ HEATING, VENT., REFRIG. AND A.C., FINAL . Ll . r• L 'I .. 744,,/ 1/ eg3 7/�"fl ' ''' PLUMBING, FINAL AND GAS TEST In • .A'� U ELECTRIC, FINAL 7 Fi l- aUUnINr. cruel in i t�.h_ 33304cul. 20-7,7F,T0O, 71.l .** 170.f10 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely - RECE/f/EDJ SATE REC4I1DI DATE ISSUED BUILDING �� 7 6 .2- - ',/ JJ 7/-2-L'J i ADDRESS 1S 7 Wow Hampshire nr. PE RMI37pI O0y OWNER Modular Technology, Inc. A.P.NO. 3JJ04 BUILDING MAIL ADDRESS 1104 E. 17th Street ADDRESS 1667 New Hampshire Dr. zt CL O TY CISanta Ana NO.547-9673 TRACT 6582 1 LOT 35 BLOCK Z I- C CONSTRUCTION NEW (ADD ALTER REPAIR (MOVING DEMOIISH ON LENDER X am _ID BRANCH J N OWNER Mor7�u)lar Technology. Inc m J ADDRESS W VALUE �J -CO ARCHITECT _ .� J < OR ENGINEER Kermit Dorius, AIATEL. 644-7111 .NO. VSE Resid c $ 5 Lip FIRE lir W l ADDRESS 3111 2nd Ave. , Corona Del Mar ZONE (TYPE GROUP._./_ "4)" °-W APPROVED W Z CONTRACTOR Owner BY DATE JO M Z J cc ADDRESS Same _ yN u/ W W TEL. ZON/6�) NO.OF USE OF NEW" ,p/J H Vt / O= CITY Same NO. ( F�/ (PLANS BUILDING µ+�/- Z O STATE CITY / YARDS APPROVED YARDS APP VED Li w K LIC. NO. 252549 - 'LIC. NO. 1690 MAIN BUILDING ACCESSORY ILDING D O (FROM C/L STREET) SIZE NO.OF BLDGS. / OF LOT 50 x 100 I NOW ON LOT FRONT 3 J FT.`/+ G.--.- FT. USE OF __ • EXISTING BLDG. • R.SIDE /0 FT. FT. H SIZE OF l)l)IQ SF NO. OF 1 Z NEW BLDG. ROOMS 5 STORIES L.SIDE 0 FT. FT. Q EXTERIOR WrL ROOF ^, _V COVERING er Plans COVERINGWOOd Shingles REAR (J FT. FT. . J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLDGS. ACCESS. BLDGS. • // Q Construct new residence & garage. C URP#V;S G g DATE S_�r/ O APPROVED 6 F APPROVED / r��I CO) • BY 1 D TE 71 r L / 0 V I hereby acknowledge that I have road this application and state ' • P. FOR SPEC REQUIREMENTS ✓ that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of // Ci) the State of California. _ l '/1/ /f , 94 to ? I hereby certify that I am properly licensed as a contractor under 1 y 7 ,f SQ. FT.L7/ o the State of California Business and.Professions Code, Division 3, THE AMOUNT SHOWN UN R VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: d CC am exempt from the p sions of the State of California Business and Professions Code inion 3 Chapter VALUATION (o Hrco PERMIT FEE $ o V� N D Signature of• (%/ ///_/J/ /� {'�— B Permittee / !1/7.41/ GI/�� $ PLAN CHECK $ jit// E V.:01/7.41/ P /// ^/ h.� `o Authorized Agent a) 3/ / aD1 LL TOTAL FEE $/