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Home My WebLink About1703 NEW HAMPSHIRE DR - Building PermitsPHDJECT ADDRESS: 1703 NEW HAMPSHIRE DR 0#4ER'SNAME: HAEGER JUDITH M ADDRESS: 1703 NkW HAMPSHIRE DR COSTA MESA,CA 92626 546-7546 ARCH/ENGINEER: REG.ND.: ADDRESS: UNIT: CITY OF COSTA MESA - BUILDING PERMIT PhhM NO: is 'I7 '11117 PERMIT NO: B 059267 PLAN CHECK NO: N L>u J: N ZnurP: IN CONSTRUCTION TYPE: V -N PERMIT TYPE: SIR PURPOSE: ALT UNIT: PERMITTEE: DAVID HAEGER (-71.4)546-7546 ADDRESS: 1703 NEW HAMPSHIRE DR COSTA MESA CA 92626 LICENSED CONTRACTOR DECLARATION: 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. and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division Date: Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:IThiss 'forest not be completed it the permit is for one hundred(S1DD) or less). ermit I certify that in the performance of the work for which this pued. I shall not em toy any person in any manner so as to become subject to the yforners mpentation Laws of California. j7ale: y �� Signature: ell alter making this declaration• you should Idme subject to the orkers' Co cation provisions of the Labor Codeyou must forthwith comply with such provisions or this permit Shall be deemed revoked. 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 (Section 3097, Civ. C), LENDER: ADDRESS: JOB DESCRIPTION : T/OFF RESHT, REROOF W/COMP, SQ FT. 3,000 CLAIM VALUE: 3,000.00 CALC-VALUE: 3,000.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME 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 RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 13961214 7.NE: REF NO: PLANNING N TES> 54 .00 .50 I f"F ;y' ######x%9E#%,%,%�%#%####%%%�##x,##,#x,%%%%##,lE#,lE%%#%x,###%�%�%�x iE###',f iP #,#%,�7F %,%.#%%#.#%,W##%#%.N # # # i #######B(######3E1F%##3E###x##jE###########ie x##-##iF##iE##1(-iE#####x•#########jE#'###iF x9(-##ff lf 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 �y t' S ZONING APPROVED' BY ' for reason: ALL WORK BY 0"ER� TYPE QTY DATE: �✓ BUILDING APPROVED BY UNIT COST TOTAL COST mire: �Owner: ti SFR 3000 DATE: +a. VALUE RESIDENTIAL NOZONE 1.00 �. 3,000,00 1 do hereby certily that I am aware of and understand the requirements of C f ma Health and afe y Code Sections 25505, 25533, and APPLICATION ISSUED LEGALI7.ATION:N OWNER BUILDER DECLARATION: I hereby allirm that I am exempt from the Contractors' State License Law for the following reason BLDG PMT (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or PERMIT 54.00 repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that belshe is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7D00) of Division 3 of the Business PLAN and Professions Code) or that belshe is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ISSUE FEE an a licant for a ermh subjects penalty ects the a Indent to a civil enalt of not more than five hundred dollars ($500) DATE: Zt—f I .�..r. ar - It iu .x .py - ..x. .. .. ... - ft£�s'r��-x^i-t-x-�E ##'###9h#Bf-#x#ie +r-#:##########ie######i(•##ih###-Je####vi(-#iF##36.)p y,. x..x. F E E S U M M A R Y STRUCTURAL` SEGMENT:Y PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING SMIP /NONARES yto p pp BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE 1. as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ is intended for (Section 7044, Business and Professional Code: The Contractors' State License Law _ TQTALS-- —> S 4 , 5 0 0 , 0 0 0 , 0 0 54.50 54.50, 00 �; structure not or offered sale does not apply to an owner of a property who builds or improves thereon, and who does such work himself/hersell or through his or her awn employees, provided that such improvements are not intended or offered for sale. If, however the building or REVENUE DIVISION TOTALS--> COLLECTED: 54.50 OVER/SHORT: UO improvement is sold within one year of completion, the owner will have the burden of proving belshe did not build or improve for the of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP /TOT GRADING ?LAN-C$ECK purpose 54 .00 .50 I f"F I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7694, Business El and Professions Cade'. The Contractors' state License Law does not apply to an owner of propend who builds or improves thereon ######x%9E#%,%,%�%#%####%%%�##x,##,#x,%%%%##,lE#,lE%%#%x,###%�%�%�x iE###',f iP #,#%,�7F %,%.#%%#.#%,W##%#%.N # # # and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N '�• I am exempt under Section: B P 70 4 4 B. 8 P. C. ' for reason: ALL WORK BY 0"ER� TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST mire: �Owner: ti SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 �. 3,000,00 1 do hereby certily that I am aware of and understand the requirements of C f ma Health and afe y Code Sections 25505, 25533, and END OF FEES �r 25534 and that I or any future building occupant wi11/will not (Circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Oddity Management District. Residential construction applications are exempt from these provisions. r Date: Applicant: /s hereby certify that I have read this application and stale that the -ve information is correct. agree to comply with ell city and county a ordinances and state laws relating to building construction and her "Chorize representatives of this city to enter upon the above-mentioned property for ins croon purposes. , —Date: y/ v Signature: r - ""'�G : • . _ i .. _ _ _ . Driver's License or Social security a: 7 T 1641 46 White—Buildmg' Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor �� 'APPROVALS Permit CONSTRUCTION AND'PLANNING - # - - Date - - i- Inspector _ - i APPROVALS Permit POOL & SPA_ # Date Inspector 1. Temporary: 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. Electricat Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd- - 57. APPROVAL TO COVE R-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, El Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60, Backwash Lines, P -Trap, O 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 OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank 0 Gas C1 Oil 25. Roof Sheathing ! ., / �2 t a.�// 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 j 78. FIRE PREY. FINAL 30. Drywall Nailing 7 HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final j 80. FOOD CERTIFICATE ISSUED 33. Final Electric I ' Notes: 34. Final Heating & Air Conditioning i 35. Final Gas Pipe -Test '� 36. Hood or Canopy t I 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final i 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING i 49. Electric Release to Edison f 50. iGas Release to Southern California Gas Cc 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING DIVISION OWNER -BUILDER VERIFICATION A city or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner -builder verification. Attention Property Owner: An 'owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the pro- posed property improv ment. X Yes ❑ No 2. 1 (have/have not) signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name — Address City Phone ( ) Contractor's Lic. No. 4. 1 plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City Contractor's Lic. No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to pro- vide the work indicated: Name Address Phone Type of Work I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of California Health and Safety Code and have completed the above information to the best of my per- sonal knowledge, in co liance wit State law. Signed: 1 �- Date: Name: (Printed or Typed) C.D.L. # or S.S. # 1042-46 754-5273 CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. DATE IAT NO. �f%7 ADDRESS /'/D 3 /0&07 P"/L//C . 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 Qagreement, acknowledges that (he-she-they)��/ (was or were) advised that this tract has OF 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 conditi RECEOVED CITY Or COSTA MESA PL ".CI IP!9 DEPT. MAY 2 1972 AM PM 718191011? 11211 1213i4151F A 33313-7 g PA]C` COSTA MESA BUILDING -SAFETY DEPARTMENT ilii 20-7' Oi! I �`�' { P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 CATION FOR BUILDING PERMIT For Applicant to Fill in Completely V ATE RECEIVED 2,A%J/ �nT//pp�//E ISSUEDBUILDING �7/ADDRESSOWNER PE1'3MAIL Modular Technolo Inc. ADDRESS 1104 E. 1 th Street�nTEL.CT N W Ha shire Dr. CITY SantaAna NO. 4 _ 6582 rAN LOT 44 BLOCK CONSTRUCTION A PLENDER BRANCH Modul /TADDRESS W VALUE ce 6 OOO ARCHITECTTEL.ide OR ENGINE R Kerml N - FIRE ./¢- TYPE V, ADDRESS 111 2nd Ave r ZONE GROUP -Y- APPROVED CONTRACTOR Owner BY DATE ADDRESS Same TEL. - ZO NO. OF PLA N$l� USE OF NEW CITY Same NO. t BUILDING STATLIC. 252549 O. 1690 YARDS YARDS NO LI CYN BUILDING ACCESSORY B ILDING SIZE NO. OFBLDGS. (FROM C/L STREET) OF LOT O X ZOO NOW ON LOT RONT FT. L� FT. USE OF EXISTING B1,DG. -- R SIDE FT. FT. SIZE OF NO. OF NEWSLOG. 1770 SF ROOMS 5 STORIES 1 /OSI t� L. SIDE FL FT. EXTERIOR WALL ROOF ^� COVERING Yer P1an5 COVERING Wood Shin REAR V FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. Construct new residence With VAR # / C.V.P.# DATE ,• / APPROVEDS� -t) attached garage. APPROVED DATIF HOLD FOR S 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 workman's compensation laws of / rf �70SO. FT, V� �G the State of California. 1 hereby certify that I am properly licensed as a contractor under THE AMOUNT SHOWN UNDERIVALUATION IS FOR the State of California Business and Professions Cod., Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the pr ions of the State of California Business VALUATION S U antl Prof essibns Code, i Psbion 3,EC�tVr 9. PERMIT FEE Signature of Permittee $ M 1+t 6f PLAN CHECK $ Authorized Agent J TOTAL FEE $ J