HomeMy WebLinkAbout1735 NEW HAMPSHIRE DR - Building Permits ODBB! '. I/13/87 G
_ _ . - _ - .- - . [J. Applicant3o fill in all spaces except those within heavy border lines and sign all appropriate declarations. - _- - _ — - :3.00 ,TL
CITY OF COSTA MESA CO STR U ION PERMIT •
,--,.-e.PERMI TRACT N0. •- SLOT NO.: U•NIT NO - _ l - • '
Project Address ( ! 1 S CONSTRUCTION
f�m'pS rl / e: • , _ , - _ • I +
• • TYPE OF CONSTRUCTION U NEW' U ADD'•H ALTERATION ❑ REPAIR -- - -
OwnApOecant_s Mailing Add/S¢ • �� �j '0 CONVERSION ❑ DEMOLISH .❑ OTHER q,p•# - Zone
Owner's Name / L ��� • 'USO phone�y�=ti+'�<i-"/ • DESCRIPTION OF WORK/USE OF BLDG. - i ,
Address ' -Z A' • ��"���/="=- e U r2 `•,, - ' • + S Main Building: - + ` Accessory Building^' •
. • TYPE OF PERMIT ❑ T - • - 2
Afch/Eng. • - _ License No.. GRADING- ❑ FOUNDATION LI T Front -
Address ' I :. ❑ TENANT_❑ ELECTRICAL'❑ PLUMBING ❑ MECHANICAL s BA Rear I - . - N
Contractor's Nam-•cSa-,,e c �- -/ Phone 7r3-02Sf� '.❑ BOTHER• I - C Right • - - + - N
Address(mailing) -�.�g ��ST �L�. PROJECT DESCRIPTION SQ. FT. - - OCCUPANCY
•CONST RUCTION TYPE _,VALUATION $ ' •
$ Left I ' G
City License No. C,9 ie L - - • R
INYCL �- + ZONE GRADING CU. .ACRES ping. Ref.# Parking Req./Provided' E
LICENSED CONTRACTOR DECLARATION D •
(.� I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Remarks: ' Planning Notes: ' RECEIVED Its�• �� M r
•
1 with section 7000) of Division 3 of the Business and Professions Code, and „ 2 19
\ my license is In fullJprceyin�ef tett. / p - - , + J S
License Class ((�� 7 Lic No.zS/d '79 •
Date Signature rani
� i 6_ •
•
PLUMBING FEES ' 1 +
y WORKS S'COMPENSATION DECLARATIO i I 7 '
I Hereby, consent to self-insure or a certificate• ' Bar Sink Showers + ELECTRICA;L , ' FEES ,
affirm that I have a certificate of
'of'Workers' Compensation Insurance;'or a' certified-copy thereof (Section'!' Backflow Preventer • Service'Sink' • �-
3800, Lab. C.) ; Automatic Washer • Transformer 0 15-50 KW
Polis No. O/ 9/" Company .-T CJ, J Backf low irrigation Cap ' ❑ $O+KW '
Y P Y 9 1• + Sewer Construction Pole Sub. I
EMPTI� FROMiiith the city W RKERS'C uiltliryq Divisio¢. n• p - • Bathtubs Sewer Connection • Cooking Unit Meter ❑up to 100 amps t
Certified copy is hereby furnished. /
Date_EX
_____ APPlican 44r 1-tT + _ ' -- -- _ , - - _.- _ - . ...
h COMPENSATION DECLARATION Clarifiers .$alar Collectors-�- - Dishwasher- -- -. . .Meter Dover 100 amps,
(This section need not be completed if the permit is for one hundred ($100) or -
less). Dishwasher ' Solar Piping, • i Dryers ❑Gas' I:Electric Sub Panel
I certify that in the performance of the work fahwhich this permit is issued, I - - I
shall not employ any person in any manner so,as to become subject to the Drinking Fountains 1 • Solar Tank Fan Motors 00.1 HP Di th-8
Workers: Compensation Laws of California. ; - , . _
Date • Signature Floor Drains I Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+
'NOTICE: If,after making this declaration, you should become subject to the , — - - _ _ __' _ 1
Workers' Compensation provisions of"the Labor Code, you must forthwith ' Floor Sinks • • - Urinal Fixtures •
comply with such provisions or-tthis,;permit. shall ,be deemed revoked. - - - Microwave I ,
CONSTRUCTION LENDING _AGENCY' ' - - Gas Service ' • Outlets Water Closet Device Boxes : 1
I hereby affirm that there is a construction lending agency for the performance - 04• . Pole Light ,
of the work for which this permit It, issued (Section 3097 Civ. C.) Interceptors• - / Water Heater '�_ Outlets ! Range
Lender's Name ' - _ -
Lender's Address - * - - Kitchen Sink .:r - ' _ - .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 i - `
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 r ,Laundry Trays' • Generator 00-5 KW 05-15 KW I Trash Compactor •
any structure, prior to its'issuance, also requires the applicant for such permit . ' _ - 1 '
t0 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 ter-a civil - " - • - • -
- enalty of-not more than five hundred dollars($500). i - I $ 3 Q� +
LI I, as owner of the property'or my employees with wages as their sole Reinspection Fee i $15 Issue Fee l : '
compensation, will do the work,and the structure is not intended or offered 1 Reinspectiop Fee - I $15 ' Issue Fee • , : $ 3 •
for sale (Section 7044, Business and Professional Code: The Contractor's I - _ ,MECHANICAL 1 FEES `�e --
License taw'does not apply to an owner ore property who builds or improves - - ' ' _...•----- DEVELOPMENT SERVICES REQUIREMENTS:_
thereon, and who• does such work himself/herself or through his or her own H00 or '
• employees, ever, that such improvements are not or offered for • Boiler ! Type ❑ ; Zoning Approved By •' Date'—
sale. If, however, the building or improvement is sold within one year of com- Canopy' Type II 0 ' l •
p15tie 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). a. /mss
0 s owner of:the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System { Application Issued By ' Oat' 0/��
tractors to construct the project (Section 7044,Business and Professions Code: -
The Contractor's License-Law does not-applyoto an owner.of jects perty who - _. .- Duct- Ventilating --M "-' ' 00-100,000 BTU. 0100,000 BTU 'SUMMARY OF FEES : '
builds or improves thereon;and who contracts for such projects with a con-
•
tractors) license pursuant to the,Contractor's License Law). I am aware that - BUILDING PERMIT , $ ' ' SMIP. $
proof of their Worker's Compensation insurance should be Exhaust System 0 Multiple 0 System Repair/Alteration 1--
prowtled to me.. PLAN CHECK $ PERMIT
0'I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO'# : Fire Dampers ' ISSUANCE , $
1 PLUMBING • $ y� o
Date _ Owner: • - Heating System& Ducting ; Registers PLAN CHECK 25% $ ENE RG V.P.C. $ r. •
I hereby certify that I have read this application and State that thr above r• ❑0-100,000 BTU-0.100,000 BTL t lELECTRICAL $ GRADING ' $ •
'
information is correct. 1 agree to• ply with all city and county ordinances , -
and state laws relating'to buildi g c nstruction, and hereby authorize repre- + ! PLAN CHECK .50%+ $ MICROFILM l $ 1
sentatives of this city enter- on the above-mentioned property'for ' - I I • +
inspection our / / f - I MECHANICAL ' $ ! ,TOTAL FEE ' $ — D
Signature /� _ •
Date / "f� I j
orivers'.License or. _«< Reinspection Fee $15 : f Issue Fee $ 3 1 PLAN CHECK ;25%'• $ - 1
CMF 0965-46,rev.10/84 kite - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor i
. CONSTRUCTION AND PLANNING - POOL&SPA
APPROVALS Permit# Date Inspector 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. 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.
8. Foundation . 59. Gas Pipe, 0 Undrgrnd., Test
1
9. Water Pipe-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 •
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
i
171 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 0 Gas 0 Oil '
• 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. FIXED SYSTEM FINAL •
29. Insulation 78. FIRE PREV. FINAL
30. Drywall-Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINAL INSPECTION - -
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes: •.
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy - -
37. Final Factory Fireplace
38. Final Plumbing 2 Leo ar7 La£U
39. Water Service-Final , ry
40. Gas Service-Final in
41. Solar Domestic-Final 171
42. Backflow Preventer 'Al 1
w,
43. Backflow Irrigation _�
44. Landscape Irrigation System-1
• 45. Sound Attenuation -
46. Handicap Regulations
47. FINAL STRUCTURE & BUIL•D'ING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
_51. CERTIFICATE OF OCCUPANCY . - -
No. - - Date
?CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. ;4c5'.5"- DATE —7— J (- 71
LOT N0.
ADDRESS I ? 3 s"
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.
/mss � /f
BY � � i S!..!_.
GA(gloitiP)-9 cog.", • BY —4*-- ilitganAALA
Developer and or-7r horized
representati .e
1442
�
et-
Lender
(Am)
cceliel(17
•PROJECT ADDRESS: 1735 NEW HAMPSHIRE DR UNIT: -. CITY OF COSTA MESA - BUILDING PERMIT .l PERM NO: M ' 049300 -
OWNER'S NAME: 1735 NEWAHAMPSHIRE DR PERMIT NO: M 049300 PLANCHECK NO: • ' N GOVT: N SUPP : N
ADDRESs:,COSTA MESA,CA - •
92626 -
• CONSTRUCTION TYPE: 5-N PERMIT -TYPE: MEC PURPOSE: OTH •
, , , -
•
•
•AflCNIENGINEEfl: REG.NO.: JOB DESCRIPTION : CHANGE OUT "FORCED AIR UNIT" ( 100,000BTU) SQ FT:
,•ADDRESS UNIT: CLAIM VALUE: CALC-VALUE: GRD_ UP OCC: A-3 /; '•
I
— PERMITTEE: GEORGE BRAZIL ' . ( 714 ) 541-0917 4 -
ADDREsS: 3022 . N. HESPERIAN WY 101 COMMENTS: + •
•
-
SANTA'ANA CA 92706 ************** �F +r�r�k*** it�r�rxx�r�rx�6�F**�F +r�rx�6�6�E+reE�6eEe6*�E�6�6�E�6�H�E * *er�r �rx* �6***
LICENSED CONTRACTOR DECLARATION: I heieby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S'
7080)of,Dityie2H l tAequsiness and Profe4si4n�Coda, y license is' forehand effect. - $ E T B A C K $ - _
-
CITYLIC.: , 7 1 STATE LIC.: VV OO C OO MAIN BUILDING ACCESSORY BUILDING.-
Date: LG— 4 --10 Signature /}— FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: ' FT IN ' '
""rRKER3'DDMPEN$$Aj1IQqNNyE��yyIp��TION: Thereby affirm matlhave a ertihcp•of coven)toself-insure aracertificate ofWork LEFT; FT IN RGHT; FT IN ( LEFT: FT IN RGHT: - FT , IN-
tensationid4l)Jrjcg N a'PdrWed copy thereof(Section 3800,Lab.Q)1 / A 41
cyNO.: UNITED PACIFIC EXP. , PARKING REQ: PROV: PARCEL : 13961206 ZNE: REF NO;
COMPANY: g PLANNING NOTES> '
El Certified copy is hereby furnished. ❑ Certified ••y is fit . with :uiltling it¢siOn. >
�/1 **********************************1E3*j(;*****************************************
GA—
Date: _G . -per -_Applies t: di .....-...4-e - DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARAMON: (This section need not be completed if 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 ZONING APPROVED BY -. DATE;
subject to the Workers'Compensation Laws of California.
Date: Signature: BUILDING APPROVED BY ; - , - DATE:'
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor •�J -
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICATION ISSUED BY: �(1 7'• �' a, DATE: � p .
CONSTRUCTION LENDING AGENCY: I hereby affirm That there is a construction lending agency for the performance of the work for *..*********************** * ** * * ************** * ***
3097,issued(Section I **********************************************Y'� *******************************
LENDER: LEGALIZATION:N F E E S • U M M A R Y - • -- STRUCTURAL SEGMENT:N
•-ADDRESS:" --
I V. • . -- ,
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE 'SMIP/AES GRADING
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 3 9',00 . '
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,atter,improve,demolish,or - 2 5% SMIP/NON—RES
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed - i°
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 'PLAN •J ") i • 1
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE FEE ^ 15 .00
any applicant for a permit subjects the applicant to a civil penalty of not more than five.hundred dollars(S500). - BUILDING-DIV-.> PERMIT ISSUE PLAN,-CHECK TOTAL • . PAID DUE
I, as owner of the property or my employees with wages as their sole compensation,'will'do the work, and the TOTALS----> 9 . 00 1'5 . 00. !'. :5 0 , 00 24 .00 2'4 . 00 • 00
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law )' 1
r does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through REVENUE DIVISION TOTALS--> COLLECTED• •
24 . 00 OVER/SHORT• . 00
- • '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 wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK- for the purpose of sale). - . 1 •
'24'. 0 0
I,as owner'of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who bunds or improves thereon ***************************************************************************e4***
and who contracts for such projects ijth a1
contractor(s)license pursuant to the Contractors'State License Law).I am aware I N D I V I D U A L - F E E BREAKDO W, N �
that proof of their Worker's Compenscbon insurance should be provided to me. .„ •
0 lani exempt under Section: B.AP.C. TYPE QTY D E S C R I P T I O N" UNIT , COST TOTAL COST
for this reason: •
Date: 'owner: MEC 1- INST FORC-AIR/GRAV TURN <= 100 K BTU 9 , 00 9. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and • END OF $EES I
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a '
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from - I
these provisions. • ' '
Date: •- Applicant:
I hereby certify that I have read this application and state that the ..v.information is correct.I agree to comply wit - I city and county ) '
ordinances and state laws relating to building construction and h• " a' orize r, natives of this city enter upo a above-mentioned • 01 00017 1105-000]1105 TO T 24.00
property for inspection purposes. •
DATE: 10/03/90 TIME: 13:51 !
Date: 10."--3-,
'
/ 164146 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor !' - - - - -
\NIEL\ i
1
CONSTRUCTION AND PLANNII '• _ JL & SPA - •
- APPROVALS Permit# - Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Serr. ce or Pale` •r • •52. Pool & Equipment Location '1
,-.2.,-Soil Pipe-Undrgrnd. .-'.{ .r~ v453. Steel Reinforcement , ,
-'U'3(Electrical Con uityUtility-Undrgrnd l 54."Forms - •
.44: Electrical ConduitUndrgrnd.,` ;c;_ /1 55. Electrical Bonding �/
IZS[rSteel Reinforcement - •
'._+x '' - 56. Rough Plumbing & Pressure Test
'6:`Electrical UFER:Grn
rnd. 57. APPROVAL TO COVER-GUNITE -• U
7i�Footings ^'t" ") re' 58. Electrical Conduit-Undrgrnd... is
,-{D
81 Foundation ;y t• 1 59. •Gas Pipe, ❑ Undrgrnd., Test 2r" -
9; Water Pipe-Undrgrnd. -t 60. Backwash Lines; P•Trap, 0 Undrgrnd. .�(
10:,Structural FloorSystem- • - 61. APPROVAL TO DECK ,' ,'
11.'Property Sewer Line & Housetonnection ' 62. Backwash & Receptor-Final t
12. Sewer Cap h 63. Heater &Vent-Final
13. Roof Drains -. p may- � r 64. Plumbing System - Final r ,/"',
14. Rough Plumbing _ - J 65. Electrical-Final -
i
15. Rough Electrical-Conduit, / j' 66. Solar System-Final ‘;
•
- 16. Rough Electric Wiring ! ' % /I - . 67. Fencing & Access Approval ..
17. Rough Wiring_Sign 1 ,..-- 1 • .
. 68.,APPROVED F,OR.PLASTERING • ,
t
18. Rough Electrical-T Bar Ceiling l • 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning ,..., i, �, ,.. Ea: s.. r r.. FIRE DEPT:1REQUIREMENT --
e v •r �. • r-+ '-CJ^O Cr! a +i.
20i Rough`•Factory`Fireplace w % ¢ s j,M is f. APPROVAL$-E-' Permit # .
2:12, Ducts,',in Structure " " S = S '7 ,---,,Y. r t-+ n- y :.
g,._ r, ,-) H, i..r ;: .. 70.FUndergrou,no Hydro ,
22: Ducts,--Ventilating. :-.) < ,) c=.i - 71, Product:
PROJECT ADDRESS: 1735 NEW HAMPSHIRE DR UNIT: - CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 063750
OWNER'S NAME: CARUSO GILBERT G
ADDRESS: 1735 NEW HAMPSHIRE DR PERMIT NO: B • 063750 PLAN CHECK NO: 03277-93 S GOVT: N SUPP: N
COSTA MESA,CA 92626
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: 557-5429 REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION ' : REPLACE DOORS E. WINDOWS NO INCRESS SQ FT: 11 ,000
PERMITTEE: CLAIM VALUE: 11 , 000 . 00 CALC—VALUE: 11 ,000 . 00 GROUP OCC: R-3 /
ADDRESS: CRAFTSMAN BUILDERS ( 714 ) 540-1750
• 501 W ROWLAND COMMENTS: REPLACE DOORS S WINDOWS NO INCREASE IN ROUGH OPENINGS
S.A. CA 92707 ***sE+tsE�E�ESE***�E***�F�F�E**sE*****�6**�E�E***�E�E�tsr�E�6stsE******�E�E�E�E�E**�H�E�E�6�E**�E�E*�E*�E�H�E+F�FSE*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my licens is in full force and effect SETBACKS
CITY u`c.:,Q5 6 STATE LIC.: 477 9 yy��� as:
�Me:.6, /] Signature:�I. /M✓1. MAIN BUILDING ACCESSORY BUILDING
WORKER 'COMPE SATION DECLARATION: I hereby affirm that l have a cert' tate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3500, Lab.C) LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: PWC243480 EXP.DATE: /01 /94
COMPANY: GOLDEN EAGLE PARKING REQ: PROV: PARCEL: 13961206 ZNE: REF NO:
0 Cemhp cop is hereby furnished. 11 Certified copy is filed with 1 city Building Division. PLANNING NOTES> r
ate: $I���9 3 Appticanl: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO . is section need not pleted d the permit is for one hundred(s100)or less). D E V E L O P M E N T SERVICES R E Q U I R E M E N-,T S
I certify That in the performance of the work for which this permit is issued.I shall n t mptoy any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY:: DATE: -
Date: Signature: pp nn >' 4'3
Code.NOTICE:If.alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : 9y� � i DATE: .1� J1-
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 APPLICATION ISSUED "BY: �- DATE: a,,,..—,
'"3/.4 .S
which this permit is issued(Section 3097.Civ.Cl. ,* **iF********iF***********,1F****iF**,)tit**if****
LENDER: **************************************************************************iH**** '
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code- Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 126 . 00 1 . 10
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 Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 81 . 90
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 127. 10 0 . 00 81 . 90 209 . 00 209 . 00 . 00
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 the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 209 . 00 OVER/SHORT' 00
•
forthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN—CHECK
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 126. 00 1 . 10 81 . 90
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ,*****,*******,***,*,N,**********9t'**,***9f*,14******,N,*****iE******,*********,.lt,*****.*****
that proof of their Worker's Compensation insurance should be provided to me. **'*'*'
❑ 1 am exempt under Section: B.&P.C. INDIVIDUAL F E E BREAKDOWN
for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: Owner: SFR 11000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 00 11 , 000. 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
Permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and ate laws relating to budding construction and hereby authorize repr entalives of this city to enter upon the above-mentioned 01 00146039-00146041 TOT 209.00
property for n ection urposes.
DATE: 08/31/93 TIME: 11:31
frOate: Signature:
Driver's License or Social Security
Aoolicam:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING - _ POOL & SPA ,
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • I .-
2. Soil Pipe•Undrgrnd. - 53. Steel Reinforcement "-
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
,1
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '
'
`5'Steel Reinforcement '- 56. Rough Plumbing & Pressure Test
_
•
' '5. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
Footings ' 58. Electrical Conduit-Undrgrnd.
8. :Foundation •• 59. Gas Pipe, 0 Undrgrnd., Test t '
9.,Water Pipe-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 =.1
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 `::r,1 .1.*--i > O o•.! IAPPROVA'LS'u: ,IPermit # ' 'I'
I. n Si ' ¢.t t It • . r - II-it•. ,.
21.;Duets',In $irtlCt U(e ; t-'r;; t I . `.1 ' 1. r I_ -s •)'7-? 1'1 in
. ,� 1 I-1< s ' 70. Underground Hydro
22. Ducts, Ventilating t (J"' r• t' :; i': r-71. Product piping 0Gas 0 Oil
23.1Gas'Pipe.:Rough &"Fest ;1� F r.-; o ,r i_,F_ 112• Undergrout-tdf Flush. I I, t -.
24. Roof Framing. , ,, I f • . •-r-, I O tr �' - -73.i'Undergrnd> TaGas
Storage' nk ID 0Oil'
25. Rolf Sheathinn..y to :7 t11 " ! r 1 , I' e -
5 ., . .r• .� c > , .., Y '74.rOverhead Hydro -
26.-T-Bar,Ceiling (Structural) &,Monocoat t-, ' v 75 Dry Chemical "
27.'Frame and Flashing" t ti2q-G7 4tc'6L' 76.1 Dry Standpipe .•r ?'
•I
;'28.tathling& Siding . Lt i y I'- - 77.I'•iFIXED SYSTEM FINAL
%29. Insulation ' 4, -' -' }1 I j, 78.jFIRE PREV. FINAL r
130. Drywall Nailing -� I I ,• 77. HEALTH DEPT:REQUIREMENT
(31. Plaster Brown Coat, i r t 7-I I. ' 79.'fINAL INSPECTION . IC ' ;i
32.1 Electrical Power Meter-Final t t rr • i , i ..- 80. FOOD CERTIFICATE ISSUED
33. Final Electric' x '•'' r' _. i` ot mi. .: t'Noteees: ,� '"'- rpt q
34.,Final Heating& Air,Conditioti ; ,j _ I ,; I. ,- ' ••-: i
35.Final'Gas-Pipe-Test• i' ,y ,k - I`•'1 '^` 1. -O
rl r, •, r .. H I lox • " , •,, , t •.
36. Hood or•Canopv '' i• •t -'
137.'Final•Factory Fireplace' I ,.OI < 7., ( I
1 t I , ..
.38. Final 1 :
,Plumbing „ . , . "'
_
;39._Water Service-Final • i - L'• - - .
_ i i - .. Y .
•
40. Gas Service-Final' ':' ., _ - '
•
41. Solar Domestic-Final •- • ' i
. x •
'42.•Backf low Preventer, r" •', n I. .y �_ , ,--_- ,
43. Backf low Irrigation -
-'y , "'44. Landscape Irriga4 on System ,; n "` Ic N •
_
45. Sound Attenuation ^ ' " t
-
-
46.tHandicap• _Regulatiops " _ - •= -
,47. FINAL STRUCTURE & BUIL•DING '�J_ y._t I •Iri r�' ' .S •
48. FINAL PLANNING' I 'i I '~ '
•49. 'Eledtric Release to Edison i _ _ I - I -; -
50. Gas Release to Southern Ca(ifomia_Gas Co ., I V .' - , _
,51 CERTIFICATE OF OCCUPANCY ,. - - - = t. i' ' ,.
No. Date
„2 . 1C � � y
UIOV -4-70CHSA00 107* ***1 41.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIZBY. > 10ST..E RECEIVED DATE ISSUED
BUILDING 0t (ar'Vd7.7
ADDRESS 1735 New Hampshire Dr.
PERMIT NO.
OWNER Modular Technology, Inc. A.P. NO. ne, a ,.,
MAIL BUILDING 1/4-'4.Ali
[
Z .
ADDRESS 1104 E. 17th St. ADDRESS 1735 New Hampshire Dr.
d O CITY Santa Ana NOL 547-9673 TRACT 6605 I LOT6 BLOCK
ZQ CONSTRUCTION U. S. National Bank NEW I ADD AL R REPAIR MOVING DFMOI ISH
OI-
LENDER 111
0- 03
x
J V BRANCH - Main Office
J N OWNER Modular Technology, Inc.
ADDRESS 190 S. Broadway San Diego
m m ARCHITECT TEL. USE Residence vALu$ 15,700
< OR ENGINEER Kermit Dorius ND. 675-1164
ZaFIRE
d w ADDRESS 3111 and Ave. Corona Del Mar ZONE TYPE // GROU -
W Z APPROVED
J(:)
CONTRACTOR Owner BY DATE
m 2
J tL ADDRESS
Same ���
W W TEL. ZOI(y.�� i NO.OF USE OF NEW
0 m CITY Same NO.
rr�� l \ 1 PLANS BUILDIN9./ ',ARDS APPROVED YARDS Lt/prt_ f
Z 1-iD
wn CC LIC.NO. 252549 LIC.NO. 1690 CITY YMAIIN BUILDING ACCESSORY BUILDING _
00 (FROM Cl' STFET)
SIZENO.OF BLDGS.
OF LOT 51 X 96 I NOW ON LOT -- FRONT FT. FT.
USE OF
EXISTING BLDG. -- R SIPS /OFT. FT.
I— SIZE OF 1782 Sf NO. OF 8 1
2 NEW BLDG. ROOMS STORIES L.SIDE 0 FT. FT.
Q EXTERIOR WALL ROOF
V_ COVERING Per plans COVERING Wood shingle REAR /0 FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
11
0- MAIN BLDGS. ACCESS. BLDGS.
Q VAR.# ► DATE / r
O Construct new residence with attached C.U.P. V`�S G� APPROVED �_rJ
F APPROVED /�
Co garage. -_eY 0-...--7.--/-7 DATE / I'-7--7” _
Z
HOLD FOR SP f ?AL RL( tT.%iG�P:TS, .
VI hereby acknowledge that I have read this application and state
✓ that the above information is correct and agree to comply with _
CC all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
the State of California. �]�T�i2 B
us
zI hereby certify that I am properly licensed as a contractor under /` V 2 SQ. FT. 1/2 3 O
the State of California Business and Professions Code, Division 3, THE AMOUNTS OWN UNDER VALUATION IS FOR
Chapter 9, and that sue ' erases are fn full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: d
am exempt from the rov Bions of the State of California Business 2
VALUATION
and Professions Cod , D' inion 3,Ch pter O L/� co
��rr��PERMIT FEE $ / J N
Signature of C Q� r2‘ /3 Y- 4/ B
Permittee .srt C $ /� o PLAN CHECK $ �— E
/ o
Authorized Agent /u/_ u.
` TOTAL FEE $