HomeMy WebLinkAbout1687 NEW HAMPSHIRE DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. 4S-82— DATE 4- - Z
LOT N0. 7)
ADDRESS /4(S7 %,,i- -7,4.rd-L2 a , C_7/1
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
Purcha r
�/
BY � /
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RECEIVED Developer and/or au'th• ized
WY OF COSTA MESA representative
PI."MNMG PER
APR 2 0 1972 BY Lender
AM PM
71819110illi121112131415i6
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- - _ .- _ . - .Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - . -
CITY OF COSTA ME//SApp' CONSTRUCTION PERMIT. P MEI NU TRACT NO. - LOl NO. UNIT NO. .
Project• Address �(U O�/J�V C�j�./�/(r/�N4 ���}}} �y�/e �� � �� �'• � ��� '
' Applicant's Mailing Address Q[.?r7Ta ,/€ [/ TYPE OF CONSTRUCTION•
❑ NEW U ADD ❑ ALTERATION LSREPAIR
--/,. S ,n 97 --3370 ❑•CONVERSION ❑ DEMOLISH ❑ OTHER _ A p #- Zone
Owner's Name P Phone DESCRIPTION OF WORK/USE OF BLDG.. ' .
Address ; c_c �e . - . - S Main Building: Accessory Building:
Z
Arch/Eng. - License No. TYPE OF PERMIT ❑ G RAD!NG FOUNDATION ❑ STRUCTURAL T Front 0
Address ' • •,, ❑ TENANT ❑ ELECTRICALS PLUMBING ❑ MECHANICAL B Rear N
� �✓I„1// r /490II ❑.OTHER - - . .A _ I
Contractor's Name L .�'Phone C Right N
7 p �i r V PROJECT DESCRIPTION Sq:FT. - OCCUPANCY ,K G
Address l mai ling) -�"=J `-�t� JT '
- • 0AC-p� / C O N ST RUCTION TYPE • VALUATION $ S Left R
City License No. V/ ZONE - GRADING CU.YDS. ' ACRES
LICENSED CONTRACTOR DECLARATION - Y' Ping. Ref. # Parking Req./Provided • E
CI
I hereby affirm that I am licensed under provisions of Charter 9 (commencing RemarksJ, - Planning Notes: - M
•
with section 7000) of Division 3 of the Business and Professions Code, and T
• my'license is in full f•r s . d effect. e415 1 •
_ , • • _
S
Date �- '��. Signature ....°42 �J i ' •'' PLUMBING FEES
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WORKERS'COMPENSATION DECLARATION
I hereby affirm that have a certificate of consent to self-insure or a certificate Bar S—ink Showers ELECTRICAL FEES
of Workers' Compensation Insurance, or a certified copy thereof (Section _
Backflow Preventer - Service Sink
3800, Lab. C. Automatic Washer Transformer 0 15-50 KW
Policy No. �9/yr�q-p & Company C J/ �A {�IL�j�/// Backflow Irrigation Sewer Cap . - . 0 50+ KW
ert ified copy is hereby furnished. „"t✓ I Construction Pole Sub
Date„certified/die o 5 filed with the city B i 9 e'.�(i•r. Bathtubs Sewer Connection • . Cooking Unit • Meter nip to 100 amps
Date flO 6-r Applicant L// ,._ • _ ;
EXEMPTION FROM WORKERS'COMP NSATION •CLARATION Clarifiers - Solar Collectors - Dishwasher Meter ❑over 100 amps '
(This section need not be completed if the permit is for one hundred ($100) •
less). Dishwasher Solar Piping - Dryers ❑Gas ❑Electric Sub Panel
I certify that in the performance of the work for which this permit is issued, I - - • '
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan '
Motors 00-1 HP 0114-8
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15n.
' NOTICE:If,after making this declaration,you should become subject to the - - -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave - '
comply with such provisions or this permit shall 'be deemed revoked. -
CONSTRUCTION LENDING AGENCY )- s Gas Service Outlets Water Closet Device Boxes .
I hereby affirm that there is a construction lending agency for the performance Pole Light
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of the work for which this permit is issued (Section 3097 Civ. C.) • D
Lender's Name Interceptors i Water Heater t. Outlets Range
Lender's Address - - Kitchen Sink ' ' Water Service Switches 'Sign
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License^Law for the Lavatories - Auto-Wash
following reason (Section 7031.5 Business and Professional Code:-Any city or Garbage Disposal Standing Sections
county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTrays
any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0-5 KW ❑5-1$KW Trash Compactor
to file a signed statement that he/she Is licensed pursuant to the.provisions of Roof Drains .
the Contractor's License Law(Chapter 9 (commencing with Section 7000) of - . -
Division 3 of the'Business and Professions Code) or that he/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). _
3 '
I
I, -as owner of the property or my employees with wages as their sole I Reinspection Fee $15 Issue Fee $ _
compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee - $ 3 - •
for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES - •
-
License Law does not apply to an owner of a property who builds or improves
thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS:
employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By , Date
•
prove , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved BY Date
prove for the purpose of sale). /�/� 7 /
' ❑ l, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By I—/--�,♦ Dat
tractors to construct the project (Section 7044,Business and Professions-Code: `L��
The Contractor's License Law-does not apply to an owner of property who Duct-Ventilating' ❑0-100 000 BTU ❑100,000 BTU SUMMARY OF FEES .
builds or Improves thereon,and who contracts for such projects with a eon-
tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ .SMIP $
ofExhaust System 0 Multiple 0 System Repair/Alteration
Proof a their uworker's Compensation insurance should& P.
C.
fothisded to me. •
PLAN,C HE CK $ PERMIT r
0 am exempt under Section B.& for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ �� ISSUANCE $ - . •
•
Date Owner- ' Heating System& Ducting Registers - PLAN CHECK 25% $ ENERGY'P.C. • $
l hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize repre- , MICROFILM - $
sentatives of IN city to-enter upo• the above-mentioned property for PLAN CHECK 50% $
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inspection pure, • / // yA MECHANICAL $ - TOTAL FEE $ Soy
Signature A ,/
,l TOT 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 01 00008515-00008515 s-OT 5,00
CONSTRUCTION ANC/PLANNING - - POOL&SPA
APPROVALS Permit# - Date 'Inspector APPROVALS Permit Date Inspector
1. Temporaryl'Electrical;Service or Pole ' 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. ,Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. . 57. APPROVAL TO COVER-GUNITE
7. Footings (?. (9-• • 58. ElectricalConduivUndrgrnd. •
8. Foundation) •�_' 59. Gas Pipe, 0 Undrgrnd., Test
• 9. Water Pide-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 •
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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 .
20. Rough Factory Fireplace • , APPROVALS ' Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil '
23. Gas Pipe-Rough & Test 72. Underground Flush -�
24. Roof Framing 73. Undergrnd.Storage Tank ❑IIi 0 Oil
25. Roof Sheathing 74. Overhead Hydro 1;i .
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 11
27. Frame and Flashing 76. Dry Standpipe _ ..1.
28. Lathing & Siding 77. FIXED SYSTEM FINAL I it .
29. Insulation78. FIRE PREV.'FINAL • ,! I
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION I,A i ;''.•
_
32. Electrical Power Meter-Final - 80. FOOD CERTIFICATE ISSUED C'
33. Final Electric Notes:7-/3 88 LEFT Cert. L.F.D - (r
34. FinaLHeating & Air Conditioning
. _./..22
35. Final Gas Pipe-Test _ - _
36. Hood or Canopy
37. Final Factory Fireplace - .
38. Final Plumbing 74Y-W LED -
39. Water Service-Final r .
-
40. Gas Service-Final .
• 41. Solar Domestic-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. Electric Release to Edison
50. Gas Release to Southern California Gas 0 •
51. CERTIFICATE OF OCCUPANCY .
No.- Date '
( -1 -Z .'.
OWNER MODULAR Technology, Inc. DATE 7-15-71
JOB ADDRESS 1687 New Hampshire Drive BUILDING PERMIT NO. 33309
GENERAL CONTRACTOR Same DESCRIPTION of WORK Res.w/att.gar.
AP No. LOT 40 TRACT 65$2 FIRE ZONE VALUE $26.000.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE R-1
SOIL f4:14j/ 0-77 SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER / I/,y.',,',,
ROUGH PLUMBING ,,4 j7/ ii*/Y "y�y��{��� �/
Sf' VVV 9� yt^ / sr --/.41
PROP. SWR. LINE HOUSE CON. // '�/ 2g-7/ .3-
❑ ❑ �:f i4 Fr ��-�-t�! /,O.G4 /�lg-� J lam/
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ./ Y /X/� V�
TEMPORARY SERVICE OR POLE /77 -, G7, �.7/
UNDERGROUND ❑ POWER ❑ �/�///,�..� �//
ROUGH WIRING HA° /i'ke/r7 r Heating an Vent
TRENCHES �' FORMS " STEEL REINF. ❑ (44/r A/C-7/ 1/ �� ,,, �Q,/.-/-�//JX'
li
FLOOR SYSTEM 1 u's72 /.L/ • id i4--/-//,/ lJ
BOND BEAM n STEEL REINFORCE In /
SHEATHING �kfl) Weil/
FRAME AND FLASHING ^/ '062217Z-C2/1+
C.CC / C2 l/t
LATHING - IN [p-' OUT 1� Yy p(J"�_ /�sS/y
PLASTER, BROWN COAT _ %/� /// •
STRUCTURAL, FINAL /� / ///q Electric
HEATING, VENT., REFRIG. AND A.C., FINAL / / q 7; tali � / (5 �// tj/ gte'
PLUMBING, FINAL AND GAS TEST Or // '/A4�t/7. i a_ cum('>l4/� ;( ;2/ J-3%3
ELECTRIC, FINAL U .'4' / f
.,,." ''''.. ''...' - ,VL/sc ).La•'7f
33309
JUL 20-71M-,-°,;001 4g *** 137.25
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECElVED BY /pATE RECEIVED DATE ISSUED
BUILDING ,1 6.-2 ^ 7 7-/S- 7/
ADDRESS 16117 New Hampshire Dr. �Q•L��✓p�I rry�
OWNER Modular Technology, Inc. A.P. N V PE 12 7 71 1,9
MAIL BUILDING
Z
ADDRESS 110)4 E. 17th Street ADDRESS 1687 New Hampshire Dr.
Li,ai
0-0 CITY Santa Ana TEL
547-9673 - TRACT 6582 I LOT 40 BLOCK
ZQ CONSTRUCTION NEyH
W I ADD 1ALTFR REPAIR (MOVING DFMOI1S
a •
m LENDER
J D BRANCH
J N OWNER Modular/Technology, Inc.
CO J ADDRESS % VALUE
-CO ARCHITECT TEL. USE Reside ce/ ti $26,000
J c OR ENGINEER Kermit Dorius, AIA N 644-7111 . 1..
U0FIRE v `J` i
w cc ADDRESS 3111 2nd Ave. , Corona Del Mar ZONE TYPE j_ GROUP J 11
2 W APPROVED U
J O CONTRACTOR Owner BY DATE
CO
J Er ADDRESS • SameU/�giti
W W Z E I NO.OF USE OF NEW/0V ffff
ZCITY Same NOL PLANS -L./BUILDING
L.0 STATE 25254 CITY 16 YARDS BUILDING ACCESSORY B ILDING
to Ir LIC. NO. 9 LIC.NO. 9
_0 SIZE Na OF BLDGS. (FROM C//LSTREET)
OF LOT 50 x J 00 I NOW ON LOT FRONT 33 FT. C `4-----. FT.
USE OF
EXISTING BLDG. __ R.SDE /°FT, FT.
I- SIZE OF NO.OF
Z NEW BLDG.1770 SF ROOMS 5 STORIES 1 L.SIDE 0 FT. FT.
Q EXTERIOR WAi,LROOF
V_ COVERING rer Plans ICOVERINGWOOd Shingles REAR _AC\)
FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
C
a MAIN BLDGS. ACCESS. BLDGS.
DATE
Th
O Construct new residence with CURP.# S—(� APPROVED S-�,�jo
I—
attached garage. —ELY
/„ i� �—/ �/
Z a410/110
OI hereby acknowledge that I have read this application and state HOLD FOR SPECIALUI EMENTS
rthat the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employV/,/ n
F- any person in violation of the workman's compensation laws of --*( /
Ci) the State of California. .1220 /�� ca
b
Z I herebycertifythat I am l SQ. FT. G9 / o
properly licensetl as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; e
am exempt from the isions of the State of California Business �. It
and Professions Co rvisiopter VALUATION
PERMIT FEE $ /� S w
„ 75 B
Signature ofC m
Permittee /.�' $ at V •\M PLAN CHECK $ v • E
•
.5 0
Authorized Agent ) LL
TOTAL FEE $J3 7 ''`�'