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Home My WebLink About1722 NEW HAMPSHIRE DR - Building Permits 4�* ''lift_ CITY OF COSTA MESA :t'E-•I. BUILDING DIVISION PERMIT NUMBER • '�'� � DEVELOPMENT SERVICES DEPARTMENT / °• PERMIT , / M99-00526 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 1722 NEW HAMPSHIRE DR Status: ISSUED Suite No Applied: 11/19/1999 Issued: 11/19/1999 Vicinity: Parcel Number: 13961124 . ISSUED BY: A s Applicant: BELL, RALPH / Address: 11801 MAC ST. Phone: (714)534-2593 GARDEN GROVE,CA " Zip: 92641 • Owner KORCZAK, JOHN J Address: -1722 NEW HAMPSHIRE DR . Phone: _ ', COSTA MESA,CA Zip: 92626 Contractor: CRYSTAL AIR Address: 11801 MAC ST. Phone: (714)534-2593 GARDEN GROVE,CA Zip: 92641 License: 655036 Arch/Eng: -, Address: • Phone: . Zip: • License: -SCOPE OF PERMIT • REMOVE 8 REPLACE EXISTING FAB WITH NEW 75,000 BTU UNIT. - .. FEE SUMMARY Quantity _ - Quantity ISSUE FEE $23.50 - - - Repair/Alt Absorbtion Unit $0.00 0 Inst FAU <100 k BTU ' $14.80 1 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler . $0.00 0 , Inst/Rep. Recess Wall Htr $0.00 0 - Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 - Up to 3 hp/100 k BTU - $0.00 0 Factory Fireplace . ' $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1.000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 • 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee, $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS/SPECIAL CONDITIONS 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: 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. 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. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS, . Li • U 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 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 permit Is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed i/the permit is valued at one hundred dollars($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 if and agree that if I should become subject to the workers'compensation provisions of Section/ 3700700of the Labor Code, I shall forthwith comply with these pr vld 'sjdrl� ( (fr/q Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5104000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business d Professions Code,and my license is in full force and effect.Lic.s I O�A,„j Class k Contractor's Signature: Date:I .. Date: / /f' —''.9 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.(Sec.3097,Civil Code). Lender's Name: Lender's 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 properly 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 driver's license. ❑Yes 0 No Driver's 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 8,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: 1 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 California 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 and 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 0 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 ❑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? 0 Yes 0 No (Section 65850.2 of the California 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 ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and 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 California 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. S' re Legal Owner(s) D}tg; And/Or uthZ'zed Applicant ` Date/ CODE 1 INSPECTION TYPE INTITIALS CODE INSPECTION TYPE 2)NTTIIRAIIS 2-74-V9 1616 Fixed System Final Fire Prevention 206 Final Mechanical i � Cb7d 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 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 2446-46 `oytan,F9: CITY OF COSTA MESA ...c.,.' CALIFORNIA 92626 P.O. 6OX 1200 Y'oz. " _,:� . : 0 ' •` •� a _. .,. ryco AG:t`gs*,:' FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY November 7, 1972 Mr. John J. Korczak 1722 New Hampshire Drive Costa Mesa, California Dear Sir: When the residence at the above address was built, there was no requirement for a pressure and temperature relief valve on a water heater. Very few existing houses have such valves and the danger has, in the past, been considered rather remote for such a valve to be plugged or not installed. Recently, however, relief valves are being required by more and more jurisdictions and will be required here in Costa Mesa in the very near future, as an added safety precaution, even though there are already two safety devices on the heater, and the pipe to the water main is normally not equipped with a check valve, so that excessive pressure will be relieved when the water expands back toward the main. These particular valves were installed after the Building Depart- ment had inspected and approved the plumbing. They were installed be- dense of F.H.A. requirements, we believe. The piping away from the valve is intended only to convey a small . amount of hot water to a relatively safe disposal point. We would suggest that you keep the valve open so as not to elim- inate a safety device. Very truly yours, /7 *-I-Z-Cia'r RICHARD HANHART Director of Building Safety 4 RH:bh 1 • I 1. NOV -4-70140 118* ***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 REC/yEy V 9 TE RECEIVED DATE ISSUED BUILDING 1772 New Hampshire Dr. c "I / ?U ADDRESS PERM O OWNER Modular Technology, Inc. A.R. NO. ? :')? MAIL BUILDING z ADDRESS 1104 E41,. 17th St. ADDRESS 1722 New Hampshire Dr. LLILLI a O CITY Santa Ana TEL. 547- 9673 TRACT 6695 I L013-7 BLOCK I- Z ZQ CONSTRUCTIOt S. National Bank NEW IADD ALTER REPAIR MOVING DEMOI ISH O N LENDER X a m Main Office J D BRANCH J(n OWNER Modular Technology, Inc. ADDRESS 190 S. Broadway, San Diego CO m ARCHITECT TEL USE Residence VALUE 13,300 N< OR ENGINEER Kermit Dorius N .675-1164 U FIRE w CC ADDRESS 3111 2nd Ave. Corona Del Mar ZONE TYPE </ GROUP aUzi W Z APPROVED J O CONTRACTOR C-wner BY DATE CO Z JCC ADDRESS Same '- / ,r W W TEL. ZOO,. NO.OF USE OF ' NeUf�w• ZF CIT,, Same NO CITYp I IPLANS 2--BUILDING �y W O STATE 252549 LIC. NO. 1690 YARDS BUILDINGD ACCESSORY BUILDING N K LIC. NO. D O (FROM C/L STR ET) SIZENO.OF BLDGS. OF LOT 52 X 98 I NOW ON LOT -- FRONT 9 FT. FT. USE OF EXISTING BLDG. -- R.SLIDE FT.FT. FT. I— SIZE OF NO.OF Z NEW BLDG. 1440 Sf ROOMS 7 STORIES 1 L.SIDE / 6 FT. FT. Q EXTERIOR WAL ROOF ✓ COVERING per plans! Wood 'Shingle REAR ?'/ FT. _ FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL. a MAIN SLOGS. ACCESS. BLOCS. Q Construct new residence with attache . VAR. #V-a 5.� APPROVED 5--7-o-(q7 /DATE O - - F APPROVED 27- -7___.7/J !/) garage. _flY (6,„)-272 /`� BATE - l l D v Z HOLD FOR SPECIAL REO1ItpraT,,, , O U ,..-.4‘.• I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of fn the State of California. /fr15 ) of 7TC/ y I hereby certify that I am properly licensed as a contractor under SO. FT. /�� o the State of California Business and Professions Code, Division 3, THE AMOUNT OWN UNDER VALUATION IS FOR 5 Chapter 9, and that su enses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the .,• isions of the to of California Business CC VALUATION /� and Professions Cod ivislon Ch r N (PO m //^ \A2 PERMIT FEE $ O N Signature of // !, , •74�rU // 2 l Permittee /M9 $ •..l PLAN CHECK $ �7 E 0 Authorized Agent /a0 LL TOTAL FEE $ P PAID • 39895 'aPR z2-7:-5L—x. *****5.5000 819 *****5.50*5.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING / 72. 2 Ai Lo /4 / /j / -Gto-a /4rAr-ipS1,1(21( ) I 1 OWNER SS Z •�•O 12 L' A A.P. NO. J y PERMIT NO. MAIL S 1'•f et-t Q. BUILDING ADDRESS /-7^^�� // Z _ ADDRESS / / G Z N/E w )Tsl�"2.^'t PS �(a W W TEL. TRACT 6 C91 1 LOT /1 BLOCK. a Z CITY NO. l R z~ - CO DEUUCTION Na NIC, NEW I App ALTER I REPAIR t MOVING DEMO'ISH a co J 7 BRANCH //�- ,r� ` /r _i CD OWNS �\O ICO Zs� s� a W ADDRESS 11J,//"/ 00J �'�t (^�/ , /)VALUE c�/}/mop ' m r ARCHITECT TEL. USE I LQ Csz v GILD-$ L 1D J ctOR ENGINEER N O co - FIRE `Vj T w Q ADDRESS ZONE TYPE ..... GROUP V [LB, APPROVED m Z _CONTRACTOR .311-c.. kSu LTJc r GFU -• 6A)& BY DATE Z Jc ADDRESS /d'L'/Z ?nil-eh Lit.y W W - TEL( ZONE NO.OF USE OF NEW ZCITY 1..,0S Tr./ No, t3/-fw 21/1 `j PLANS _ BUILDING GQ col v.., W� ^STATE CITY � � YARDS ED YARDS APPROVED 7 O _LIC. NO. 2L /ca.?3 - LIC.NO MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BL S. (FROM C/L STREET)�nn� OF LOT I NOW ON LOT FRONT ta.)FT. FT. USE OF EXISTING BLDG. R,SIDE • FT, 1 S I- IZE OF Q ! , NO.OF 4 �yj, / /{ Z NEW BLDG. G /� ,J7 ROOMS STORIES L.SIDE 4 FT. 105 -h " -RT, _ Q EXTERIOR WALL ROOF _V _COVERING COVERING REAR �yj FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BE,T- BET.MAIN& Q. -1 MAIN BLDGSACCESS. BLOCS. Q Pv o n ��r O �� -r/� (�s7 VAR.# DATE I✓ (J �• C.U.P.# /�/� APPROVED/ / O APPROVED two to, ••TE T - -�J 2 BY IA��LN O ISSp PI hereby acknowledge that I have read this application and statet that the above information is correct and agree to comply with ,� CC all laws regulating building construction, and I shall not employ ✓ f F any person in violation of the workman's compensation laws of H the State of California. it . '/ ! -/ w ZI hereby certify that I am properly licensed as a contractor under (/��/J `'y` SO. FT. o 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: n am exempt from the provlsio t of the State of California Business CC VALUATION I and Pr• de, Divisi• 3,Chapter 9. S-1:7"-•22--- o PERMIT FEE $ 5ignat• , m Permittee ... $ `39•.5 (/ PLAN CHECK $ E / `o AuthZAgent u. TOTAL FEE $ I