HomeMy WebLinkAbout1727 NEW HAMPSHIRE DR - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. i
ESA CONSTRUCTION PERMIT -- PER�yT NO. TRACT NO. LOT NO. UNIT NO. A P # 12pne
(7 /7 ///w i5'-4rr/°5/y46 (3277 O (o
'L L/Lr([ Ld, GoS7A 7ESATYPE OF CONSTRUCTION U NEW U ADD ❑ ALTERATION U REPAIR / EMain Building: Accessory Building: Zling Address .�slSY_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHERTFront 0
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er's Name `TSN V. Krt S S l-fi( • Phone J 7 Z� DESCRIPTION OF WORK/USE OF BLDG. B Rear N
Address• l7 L7 Nem., Mel,' MC—Cir, , A I'
Arch/Eng. - License No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION El STRUCTURAL I C Right G
Address - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL - S• Left •
(�•vcfs LI OTHER R
Contractor's Name Amu-l/f�,Pn/NS•oLpj-ispt, ¢ II I Ping. Ref.# Parking Req./Provided • E
�,t�-f7054 PROJECT DESCRIPTION SQ. FT. ik.)I"( OCCUPANCY Q
Address(mailing) Z �q L LA-L LN, fps%_ rJ![� L Planning Notes:CONSTRUCTION TYPE VALUATION $ 10001M
City License No. d [-t 7 i .766 ZONE GRADING CU .YDS. • ACRES S.
LICENSEDCONTRACTOR DECLARATION r /
I'hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /�I /((f(� Ui/Ed Lf/a0 0'1 ! yNGLL S^ 3Q+fWEIS -
with section 7000) of Division 3 of the Business and Professions Code,and �(/� J J tt �j ELECTRICAL FEES
N. my license is in full force and effect. Z:L (Z Fe`/ .7//7//6[ QNL C arrear i T7s4/ —G L./ts' /t
Ucen Clap - Lic se N0.
Date '"Y� Signature_ .meq 41 ....1..
PLUMBING FEES Automatic Washer-
Transformer 0 15.50 KW
WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW
I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers
of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Opp to 100 amps •
3800, Lab. !. d/Zpy DDOS _ Backflow Preventer Service Sink
0 Policy No. } ^WL-GOZ D"Company N/3//b. 14'iOt /AZ Dishwasher Meter Dover 100 amps
r Backflow Irrigation Sewer Cap —
Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel
' - Cer fed cypy is jiI d with the city Building Div' ' n. r Bathtubs Sewer Connection
Date (J 2f`I Applicant I'J/!/Q iwr. - Fan Motors ❑0.1HP❑1%-8
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collector's
(This section need not be completed if the permit is for one-hundred ($100) or • F.A.U. Inc.Solar ❑9-15 HP ❑16-15+
less). Dishwasher Solar Piping .
I certify that in the performance of the work for which this permit is Issued, I Fixtures Microwave
shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank -"
Workers' Compensation Laws of California.
Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light
NOTICE: If,after making this declaration,you should become subject to the Outlets
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range i
comply with such provisions or this permit shall be deemed revoked. •
CONSTRUCTION LENDING .AGENCY Gas Service Outlets Water Closet r Switches Sign
I hereby affirm that there is a construction lending agency for the performance Garbage Disposal
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections
•Lender's Name •
Lender's Address - - - • Kitchen Sink ' Water Service . Generator 00-5 KW 05-15 KW Trash Compactor
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
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays -
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 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 . Reinspection Fee $15 Issue Fee $ 3
• 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 . —
nalty of not more than five hundred dollars($500). . DEVELOPMENT SERVICES REQUIREMENTS:
LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 •
Issue Fee $ 3 - !Zoning Approved By
Date
compensation, will do the work,and the structure is not Intended or.offered -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date
License Law does not apply to an owner of a property who builds or improves _ ___ _ _ r •
thereon, and who does such work himself/herself or through his or her own - \T, Application Issued By Dat
employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑
sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0' SUMMARY OF FEES
pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground ,BUILDING PERMIT �O S .00
prove for the purpose of sale). - $ SMIP $ _ire,
0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System -PLAN CHECK • $ PERMIT
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 Duct-Ventilating- ❑0-100,000 BTU ❑100,000 BTU „PLUMBING $ , ISSUANCE $
builds or improves thereon.and who contracts for such oroiects with a con- - ` —
n ENERGY P.C. $
proof r(s) license pursuant to the contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration 4 • -PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me, • - - ELECTRICAL $ .GRADING $
❑ I am exempt under Section B.8, P.C.for this reason Firepl%Fact.BB. ICBG# • Fire Dampers MICROFILM $
.PLAN CHECK 50% $
Date Owner • Heating System& Ducting Registers `+� •' 'MECHANICAL $ ,TOTAL FEE $ 4 c.st
I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL - -
information is correct.A agree to comply with all city and county ordinances ._ _ PLAN CHECK 25% $ •
and state laws relating to building construction,and hereby authorize repre- • 4 ICROFILM $of ofr to s'. Lf r'fproperty f
Si
•
Drivers' - • Date Reinspection Fee .$15 Issue Fee $,3 CU 00027686-0002,687 TOT _ 5v
Drivers' License or SS - - T4`.,J
0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE! 03/06/84 TIME: 14:54
RUCTION AND PLANNING .i POOL&SPA
VALS ' Permit Date Inspector . APPROVALS Permit# Date Inspector
P3.
rary Electrical Service or Pole 52. Pool & Equipment Location
pe-Undrgrnd. 53. Steel Reinforcement •
cal Conduit,Utility-Undrgrnd. -5 54. Forms -
•
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,
5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings'• . 58. Electrical Conduit-Undrgrnd. i
• 8. Foundation59. Gas Pipe, 0 Undrgrnd.,Test
9..Water Pipe-Undrgrnd. ! 60. Backwash Lines,P-Trap, 0 Undrgrnd. '.
10.-Structural Floor System .' 1- 61. APPROVAL TO DECK
11. Property Sewer Line.& House Connection i 62. Backwash & Receptor-Final
l i
12: Sewer Cap ter'•- - .' - 63. Heater & Vent-Final '
-
•
•
13. Roof Drains . r "• 1. 64. Plumbing System - Final
14. Rough Plumbing' ;" 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring .5' 67. Fencing & Access Approval
X17! 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, Ventilating71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test _ �, 72. Underground Flush .
• 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing ' r, • 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Moriocoat 75. Dry Chemical
27. Frame and Flashing76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
• 30. Drywall Nailing 1 ' HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat r `� _ 79. FINAL INSPECTION
32. Electrical Power Meter-Final -/ 80. FOOD CERTIFICATE ISSUED SM o !a• O
33. Final Electric _ Notes: 3 .- 13 _ � 1 S p! NO\ "'^^^^"'' ____\\\\
34. Final Heating & Air Conditioning W o (L\%
35. Final Gas Pipe-Test jmeg-6 O31,e.. e L 7 - it,/
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backf low Irrigation I
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations 3 -1c149.
47. FINAL STRUCTURE & BUI LDING
48. Special Requirements Completed
49. Electric Release to Edisonti�
50. Gas Release to Southern California Gas Co �..-� {v I 1
51. CERTIFICATE OF OCCUPANCY ' `'
No. Date . .
2A l tall —4-70a-4400 109* ***141.00
CttSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI V D� er DAT ECEIVED DATE ISSUED
ADDRESSI1727 New Hampshire Dr. ,/�`- /J_Q,77�
' PERMIT NO.
OWNER Modular Technology, Inc. A.P. NO. —`IT 4 I n
MAIL BUILDING '-.,41'¢ t U
ADDRESS •1104 E. 17th St. ADDRESS 1727 New Hampshire Dr.
Z 547-9673TRACT 6695 I LOT 8 BLOCK
W v CITY Santa Ana TEL
I— Z
Z < CONSTRUCTION • NEW ADD ALTER REPAIR MOVING OFMOI ISH
a m LENDER U. S. National Bank X
J J BRANCH Main Office
_101 OWNER Modular Technology, Inc.
W ADDRESS 190 S. Broadway Sari Diego VALUE
m m .ARCHITECT TEL. USE Residence $ 15,700
J Q OR ENGINEER Kermit Dorius TNEL.. 675-1164
V Q FIRE '/
W !r ADDRESS 3111 2nd Ave. Corona Del Mar ZONE TYPE Y GRDU
a W APPROVED
W Z CONTRACTOR Owner BY DATE
J o
C Z Same .-(--r-----41-e-
ame --r--.� CI
J i ADDRESS
W TEL Z/G'NE NO.OF USE OF
Z1- CITY Same NO. t1'� I PLANS :UILD '/ �-- r
w!r STATE C 252549 CITY 16(.-1(:) YARDS APPROVED YARDS APP ( /
LIC.NO:'-'-'7 MAIN BUILDING ' ACCESSORY BUILDING
JO 1 (FROM C/ STS.EET)
SIZE NO.OF BLDGS.
OF LOT 52 X 96 [NOW ON LOT-- FRONT S
FT. FT.
USE OF __
EXISTING BLDG. R SIDE 1 2— FT FT,
F SIZE OF 1782 sf NO.OF 8 1
Z NEW BLDG. ROOMS STORIES L.SIDE D FT. FT.
Q EXTERIOR WALL ROOF f,
_V COVERING r2r Plans COVERING shingle REAR / OFT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
CL
C- MAIN BLDGS. ACCESS. BLDGS.
DATE
Construct new residence with attached C URP#V`-7-5—�yJ t APPROVED S�o-(0- r
0
F garage. APPRovED
Z HOLD FOR 'PECIAL REQUIREMEN r5
U I hereby acknowledge that I have read this application and state
7 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
co the State of California. /z•/�/� SOFT ;V/3 '9
I hereby certify that I am properly licensed as a contractor under /d . . v-
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i
Chapter 9, and that suc I enses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the o sions of the State alifornia Business - // 2
VALUATION Ot PERMIT FEE $ 917 O
and Professions Cod ,D' inion 3hapter . ,({.s/ 'J N
Signature
Perm lttee of 6/f2,d A �2��5.6 $ �G�6�V PLAN CHECK $ �/ E
/// / `o
Authorized Agent i� u
N.
TOTAL FEE $ Y