HomeMy WebLinkAbout1738 NEW HAMPSHIRE DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT NO. Cn CO fs- DATE —2 —kC "
LOT NO. o-
ADDRESS / 7-3g
l 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 shame-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.
{y? J/..17
/�
` Purchaser
BY
Developer and/or authorized
representative
BY
Lender
•
13? NOY4 70cP"'D00 I2 ***129.00*179.00
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely /
RECEI
/ Er BY DAD E7E?EIV7T DATE ISSUED
BUILDING ADDRESS 1748 New Hampshire Dr. !/ P /V
PERMIT NO.
OWNER Modular Technology, Inc. A.P. NO. 00/1.--Z I
BUILDING
MAIL 1738 New Hampshire Dr.
Z ADDRESS 1104 E. 17th St. ADDRESS
Lu ui TEL.
[ CITY Santa Ana
L U NO. 547-9673 TRACT 6695 LOT21 BLOCK
I- Z
Z < CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
O N LENDER U. S. National Bank
am x
J D BRANCH Main Office
J'.0 OWNER Modular Technology, Inc.
m ADDRESS 190 S. Broadway, San Diego VALUE
CO ARCHITECT TEL. OSE Residence $ 13,200
J< OR ENGINEER Kermit DorlUS NO. 675-1161}
Q FIRE /� n tL
wCC ADDRESS3111 22nd Ave. Corona Del Mar ZONE TYPE t GROUP C�1�
d w APPROVED
J Z CONTRACTOR Owner BY DATE
m z Same \^�tiyCp f2Li
JCC ADDRESS /
Lu wTEL. ZO NO.OF USE OF Ne
r-
0 CITY Same NO. I PLANS 2/ BUILDING r
Zi-
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STATE CITY r� YARDS APPROVED YARDS AP OVED
N LIC. NO. 252549 LIC. NO. 1690 MAIN BUILDING ACCESSORY BUILDING •
7 Q (FROM C/L STREET)TR
OF LOT 51 X 97 I NOW ON LOTSIZE NO.OFS sSFRONT FT. FT.
USE OF
EXISTING BLDG. -- 6.SIDE 0 FT. FT.
I- SIZE OF 1584 Sf NO. OF 7 1
ZNEW BLDG. ROOMS STORIES - L.SIDE / P FT. FT.
Z
EXTERIOR WALL „.„, Shingle
U COVERING ter Plans COVERING WoodREAR 14 FT. t FT.
-I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
CL
a MAIN BLDGS. ACCESS.BLOCS.
QConstruct new residence with attached VAVAR* , • DATE /_ /
OC.U.P. V a Ci-i(.0 1 APPROVED S-7.c�-� I
I- APPROVED
v1 garage. GU C . lI--7-- 7v
2 O HOLD FOR SPE, IAL 12E• F
'n'r
UI. 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
1- any person in violation of the workman's compensation laws of
the State of California. S /� p/ co
Z I hereby certify that I am properly licensed as a contractor under /” SO. F�V o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
r Chapter 9, and that such I' enses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; a
am exempt from the pro ions of the State California Business CCf
and Professions Code Ision 3, apter VALUATION Q CO
APERMIT FEE $ o N
Signature of co
Permittee c•-yr �.t�Knic $532 d PLAN CHECK $ E
Authorized Agent / 2 LL
1\\\\))) TOTAL FEE $ Oc