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Home My WebLink About1707 NEW HAMPSHIRE DR - Building PermitsCITY OI' COSTA MESA REQUEST FOR OCCUPANCY TRACT 'NO.�� DATE22- 7/ LOT NO. l� ADDRESS 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 Masa 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 under5i.gned by reason of the.aforementio d uncompleted condition. BY a i Purchaser B& Developer a d or authorize represents. i.ve Lender Applicant to fill in all spaces except CITY OF'COSTA MESA CONSTRU TION PER IT _ Project Address Applicant's Mailing Address Owner's Name so J Phone Address Arch/Eng. License No. Address Contractor's Name Phone Mqxc Address (mailing). City License No l LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full jqr� ntl effect Lices la �(� DalefriTcsignature ns 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 c pY thereof (Section 3800, Lab. C II/� ��}} ��jj I �(1 IIPolicy No. !2,3 `�/' —Q � Company, HCl "TIO copy is f'I�act wiihreby rt hehc tY tl/' n Date Applicant✓�//�/`\ EXEMM TIO,RKE RS' COMPENSATION DECLARATION (This section need not be completed it the permit is for one hundred ($100) or less). 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 California. Date Signature NOTICE: If, after making -this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you 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:: Clv. C.) Lender's Name Lender's Address - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the provisions of 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 enalty 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 (Section 7044, Business and Professional Code; The Contractor's License'Uw 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 employees, provided that such improvements are not intended or offered for sale. If, however, thebuilding or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts -for such projects with a con- i' tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have read this application information Is correct. I agree to comply with all r and State laws relating,to building construction al sentatives of this city ,to en r on the above inspection p ose Signature - Drivers' License & SS 9 _ - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System - - 00-100,000 BTU 0100,000BTL System Repair/Alteration Fire Dampers Registers Issue Fee FEES Reinspection Fee I $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Ap plicirtion Issued BY I Dam 9_/i SUMMARY OF FEES BUILDING PERMIT - $ SMIP $ PLAN CHECK $ PERMIT - PLUMBING - $ - ''�•. �y ISSUANCE - $ PLAN CHECK 25% $ ENE RGY P.C. $ ELECTRICAL $ GRADING , $ PLAN CHECK 50% $ - - MICROFILM $ MECHANICAL $ TOTAL FEE $ `✓"" PLAN CHECK 25% $ ',------ $ 3 CONSTRUCTION AND.PLANNING APPROVALS Permit''# ,Date -Inspector POOL & SPA APPROVALS Permit # 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. t 55. Electrical Bonding 5. Steel Reinforcement. 56. Rough Plumbing.& Pressur.Test, i 6. Electrical UFERGrnd.o 57. APPROVAL TO COVER -9 -UNITE _ 7. Footings (', .. 58. Electrical Conduit-Undrgrnd. , 8. Foundatiori 59. Gas Pipe, 0 Undrgrnd., Test: 9. Water Pipe=1Jndrgrnd.60. Backwash Lines, P -Trap, E3,bndrgrnd. 10. Structural Floor System, 61. APPROVAL TO DECK 11. Property Sewer Linei&.House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent-Finalf 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. APQROVED 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 El Oil - 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0Gas 0Oil 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. �NED SYSTEM FINAL ' 29. Insulation 78. FIRE PREV. FINAL - 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT- - 31. Plaster Brown Coat 79. FINAL INSPECTION fir, 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: 34. Final Heating &Air Conditioning r , 35. Final Gas Pipe -Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 1„`,$9 Larfiv ' 39. Water Service -Final 40. Gas Service -Final - `- I " 41. Solar Domestic -Final i 42. Backflow Preventer. i 43. Backflow Irrigation 44. Landscape Irrigation System - - - I'45. Sound Attenuation - 46. Handicap Regulations - - 47. FINAL STRUCTURE & BUILDING - •� I ,. 48.'Special Requirements Completed - 49. -'Electric Release to Edison' - - -- r 50. Gas Release to Southern California Gas Co 51. -CERTIFICATE OF OCCUPANCY No. Date - _ - Z . WW aZ Z Z� Oto am J7 JN m J Jm Q Z Zm W aw JO to —1 (r Ww D Z_F w0 N 2 D)O Z Z Cl U J CL CL Q O F- F - L) HU H Z NOV-4-70PA00 114# ***1?0.00 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill i7Completely RECE V cT-x-vgo OO.•ii ,X111 D��EJ$$IjBVILDING %/JJADDRESS hPERMIT NO.OWNER Modular TechnolA.P. NO.MAIL ADDRESS 1104 E. 17th SADDRESS BUILDING 1701 New Hampshire Dr.CITY Santa Ana o9 TRACT 66 LOT1 BLOCK CONSTRUCTION LENDER U. S. National Bank W ADDREPAIR X BRANCH Main Office OWNER Modular Technology Inc. ADDRESS 190 S. Broadway, San Diego VALUE SE Residence $ 13,300 ARCHITECT TE L6 OR ENGINEER Kermit DOrlUS NO 1J75-1164 FIRE ZONE TYPE GROUP ADDRESS 3111 2nd Ave. Corona Del Mar CONTRACTOR Owner APPROVED BY DATE ADDRESS Same QJ TEL. CITY Same NO. ZO NO. OF PLANS Y USE OF N BUILDI r STATE LIC. NO 252549 CITV O. 1690 LIC. N YARDS MAIIN BUIILDIING ACCE SORY BUILDING SIZE NO. OF BLDGS. OF LOT 52 x 96 NOW ON LOT -- (FROM C/L STREET) FRONT T. FT. USE OF EXISTING BLDG. 'F T.� FT SI ZE OF 11} 0 Sf NO.OF 7 1 NEW BLDG. ROOMS STORIES L. SIDE OFT. FT. EXTERIOR WAIPer Plans COVERING ROOF Wood Shingle CVERING D REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS. SLOGS. Construct new residence with attache C UR #P �' naPRoveD garage. APPROVED i,9 I /ATE! .�._7T I hereby acknowledge that I have read this application and state HOLD FOR SPE .IAL REQUIREMENTS 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 / �OSQ. FT. 4� the State of California. I hereby certify that I am properly licensed as a contractor under THE AMOUNTS WN UNDER VALUATION IS FOR the State of California B ss and Professions Code, Division 3, Chapter 9, and that su li mass age in full force and effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the ro Bions o rtha of California Business antl Professions Co visipn 3, h to Signature °' VALUATION $ �� PSD f/GJ PERMIT FEE $ O PLAN CHECK $ -7 _ Authorized Agent TOTAL FEE $ a D —