HomeMy WebLinkAbout3331 WYOMING CIR - Building Permits�� � .
_ . � - �.
_ CITY OF COSTA MESA -
° BUILDIN6 DIV/SION B98 0����
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� DEVELOPMENT SERVICES DEPARTMENT
J - PERMIT PERMIT NUMBER
'�'�
(714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT T7 FAIR DFiIVE, COSTA MESA, CA 92626
JobAddress: 3331 WYOMINGCI
Suite:
Vicinity: �
Parcel Nunmber: 13961106
Applicant: ROBIN JENNINGS
Address:
Owner: JENNINGS, DANIEL
Address JENNINGS, ROBIN �
COSTA MESA,CA
3331 WYOMING CIR
Contractor:
Address:
Arch I Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
Zoning:
Phone:
Zip:
Phone: $ js- g 3`l �.
Zip: 92626 -
e
Phone:
Zip;
License:
i
� Phone: - " " ' �
Zip;
License:
SCOPE OF PERMIT
T/OFF SHEATH & REROOF W/COMP SHINGLES
$o.00
$34.75 .
$0.50
$0.00
$0.00
$0.00
$35.25
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0-0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0. 0
Left 0. 0
Proposed: 0
Status: ISSUED
Applied: O6I3011998
Issued: 06/30/1998
Calc Valuation:
Claimed Valuation:
Right 0. 0
Righl 0- 0
Es7o.00
ss7o.00
EXPIRATION: This permit shal� automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a perlod 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
Irequired Inspectlone end Flnal epproval must be o6tained. Failure to obtain inspeclions and final approval will result in the expiration oi this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATON DECLARATION:
I hereby eHirtn untler penelty of perJury ona of Ihe follaxinp declaratlons:
❑ I heve end will melnteln e certlticete ai consent to self-Insure tor workers' compensetion, es proWdetl for Dy aectlon 3700 of the�Lebor Code, for Ne peAormance of Ihe
work for which t�ls permlt is Issuetl.
❑ I have end vn71 melnteln workers' compensatlm insurence, es required by section 3700 of ihe Lebor CoOe. for the peAortnance of the work lor which this permit is issued.
My workers' compensatlon Insurence certler end policy number ere:
Cartier. Policy Numbec
(Thls sectlon need not be comp/etetl/l the pemrit is velued at one hundred dWlers (S 100) oi/ess.)
❑ I certlly thet in I�e pertormance oi the work for which ihis pertnit is issued, I shall not employ eny pereon in eny manner so es to become subjecl to ihe workers'
compensetion lews ot Celifomie, entl eB�ee Ihet it I shoultl 6ecome su6ject to Ihe warkers' campensetlan proNslons o1 Section 3700 oi t�e Lebor COUe, I shell farthwith
comDly wlt� these prodslans.
Applicant Slgneture: Dete:
WAqMNO: FAILURE TO SECURE WORNERS' COMPENSATION COVEPAGE IS UNLAW FUL AN� SW1LL SUBIECT AN EMPLOYER TO CRIMINAL PEW�LTIES AND CML FlNES UP TO ONE MUNORED
T/IOUS�WD DOLURE (5100,000). IN ADDRION TO THE COS� OF WAIPENSFTION.OMKGES AS PipVIDE� FOR IN SECiION 37a80F THE UBOR �DE, INTERE5f, P1JD ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettlrtn that I em licensed under provislons of Chapter 9(commencing with Saction 7000) oi Division 3 of the Business end Proteulons Code, end my Ilcense is in full
farce anA eNect. llc. N Class a
Contrectofa SlgneNre: Date:
CONS7RUCTION LENDING AGENCV:
❑ I hereby effirm that there is e conslruction lenaing egency for the pertortnance of the work far which this partnit is issued. (Sac. 3097, CINI Coda).
Lenders Name: Lenders Atldress:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHlrm t�et under penelry of DeQury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following �eesan (Sec. 7031.5, Business end Profassions
Cotle: Any ciry or counry whlch raquires e pertnit to construct, elter, Improve, Cemolish, or repair eny structure, prior to Its Issuence, elso raqulres the applicant lor such permit
ro file e signed statement that he or she Is Ilcensetl pursuam to the provlsions ot tha Canirectors License Lew (Chepter 9(commencing with Sectlon 7000) of Divislon 3 of iha
Business entl Professions Code) or t�et �e or she Is exempt theretrom and the basis for ihe alleged exemption. Any vloletion o1 Section 7031.5 by eny applicant for a permit
subjects the epplicent ta e civil penalry of not more then five hundreA dollars (3500).): •
I, as owner oi the properry, or my amployees with weges as their sole compensation, WILL DO THE WORK, and the structure is not intentletl or oHered for sale (Sec.
7044, Business antl Professions Cotle: The Contrectors License lew does not aDPh �o an owner of property who builds or improves Iherean, end w�o tloes such woAc
himsell or �erself or through his ar her own emplayees, provi0atl that such improvements ere nat Intended or oHeretl for sale. It, hov.evar, the builtling oi Improvement is
soltl withln one year of completion, the owner-bullder will have the Durden ot proving t�at ha or she tlitl not bulltl or improve tor puryase of sele.).
❑ I, es ownar of ihe property, am EXCLUSIVELY CONTHAC7ING WI7H LICENSED CONTRACTORS to consiruct ihe Oroleci (Sec. 7044, Business and Professions
Cotle: The comrectore License Lew does not eppty to an owner of property w�o builGs or improves thereon, end who contrecis for such proJect with e contracmr(s)
license pursuam to Ihe Contrectors llcense Lews.).
❑ I em exer�yntler sea A Business and Professions Code tar this re�
Signature:
Owner ID
❑ Yes
Venficetion of Ownership by (type ol doament, I.e. - properry tax bill ar deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
DriverS License No.
Date:
❑ I hereby cenity iheCno eacavetlon INe (5) or mora teet in tlepth Into w�ich e person is requiretl ro tlescenQ will be metle in connedlon with woAc euthodzed by this
permit, end Ihet no builtling strunure, scettolding, telsework, or tlemolition or tlismantling thereaf, will be mare than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Gelifomle Atlminlstretive Cotlej.
❑ As owner-builder, I will not employ enyone to do work which wou10 require a pertnit irom t�e �Ivislon of InAustrlel Setery, as notetl eDove, unless such person has e
pertnit to tlo suc� work irom the divislon.
Signature: Date:
DlWsian of Indu5lnel Setety Pertnit Number
CEHTiFlCATE OF COMPLIANCE AND AIJfMOROATON OF ENTRY: I certify under penalty of perjury Ihei I heve reetl this applicaiion end stete that the intortnetion given is
corted. 1 egree to comply with ell stete lews and ciry ordinences relating to building construction, end authorize representatives of the Ciry ol Cwte Mese to enter upon the
eDove-descrlDetl property iar inspection purpases. I egree not to acupy or ellow occupancy of eny Duiltling aut�o�ized by this permit until tinel inspection.
I• Signature OI LAgel er(s) / � �/� r/iQ�
� '/'1 C }' `1
AnC/Or Authad Applicent Dete `.
COUE �. INSPECTIONTYPE
1616 FIaeC System Final Fire Preventlon
1266 Pool Spa Final
200 Finel Re-Root
201 Finel BIocWRetelning Wall
202 Finel Fectory Flre Plece
203 Final Sign
204 Finel Demolitlon
2466d6
QA7E It�ELS
(—cr�c_ ��
cooe� ixsvecnoxTrve
206 Finel Mechanical
208 Finel Plumbing
210 Final Electdcel
272 Final Fire Prevention
220 Final Planninp Apprwel
222 Final Site
250 Finel Building/Occupancy
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CITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. G( / �
LOT N0. � �
ADDRESS 9 � �� ���llxf....� �jli�
� ��
DATE 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.
� � ,
� � /�
^� � A
�
._ Lender
AVPlicant ta till in all spaces within
GTY OF COSTA MESA ..� c,�ara�x rvo.
CO.I�STRUCTION PERMIT PE /��
Addres '—��p
Arch/Eng. License No.
Address
Contractor B Phone
I hereby affi�m that I am licensetl untler p�ovisions of C�arter 9(com-
mencin9 with section ]000) of Division 3 of tne Business antl
Aotession5 Cotle, antl. my Iitense is In full force antl eitect.
License Class License No.
Ddt¢ Sig�dSu�e
WORKERS'COMiENSATION DECLARATION ' '
I hereby aftirm that 1 have a certitica[e ot mnsent [o self-insure or a
cartifiwte ot Workers' Compensation Insurance, or a certifietl copy
thereot (SecHon 3800, Lab.�C.). �• ,
' '�ty No. Company
ertiTietl topy is hereby furnlsheC. ' '
.;ertiTietl copY is filetl with the;city Builtlin9 Divislon.
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION
(This section neetl not be completetl i( the permit isfor one huntlretl�
(5100) or leu). � ' �
1 certify that in the performance of the work tor which this permit is
issuee, i shail not emPloy any person in any manner zo as to become
subject to the Workers Compensation L.aws oi Ulifornia.
Date Slgnature
NOTICE: If attEr makinq this tlecla�atlon, you shoWtl become subj¢ct
to the Workers' Compensation provisions of the LaGor Cotle, you must
tO�thwith Comply wifh suth provi5ions Or this p¢rrtlit Shdll b¢ tleemEtl
�evaketl.
GONSTRUCTION LENDING AGENCV
I hereby af(irm that there is a constru<tion lentling agency tor the perv
formance ot the work for which this permit Is Issuetl (Section 309]
Civ. C.�.
Lentler's Name
�ender's Atltlress
OWNER BUILDER DECLARATION
1 hereby atfirm that I am exempt from.tne Contractor's License Law for
the (ollowing reason (Section 7031.5 Business antl Proles5ions Cotle:
Any city o� county which �eqWres a pe�mit to construct, alte�,
implove, tlemoli5h oI Iepail any Stfucture, prior to it5 is5uanc¢, al5o re-
qui�e5 the applicant for suGh permit to file a signetl statement that ne
i5 licensetl pur5udnt to thE provisions of the Contractor's License Law
(Chapter 9.(<ommencin9 with Section 7000) of Division 3 of the
Business anC Professions Cotle) or that he is exempt therefrom antl the
F�=i5 for the alle9¢tl exemp[ion. Any violatiOn of SeGtion ]031.5 by
applirant for a permit subjects the applicant to a civil penalty
ot more than �ive huntlred tlollars ($500).
� I, as owner of the property, or my employees with wa9e5 as their
sole tompensation, will do the work, antl roe structure is not intentletl
or ofleretl for sale. (Section �044, Business antl Professions Code: The
Contrattor's License Lzw tloes'not apply to an owner of a property
who builds o� imp�oves the�eon, an0 who tloe5 Such work hiTself or
tM1rough his own employees, provitletl that such improvements a�e not
intentletl or offeretl tor sale. If, howeveq the building or improvement
is soltl within one year of completion, the owner will have the burtlen
of proving he tlitl not build or improve for the purpose ot sale).
❑ I, a5 owner of the property, am exclusively �contractin9 with
licensetl wntractars to construct the project (Section ]044, Business
antl Professions Cotle: The Contractor'S License Law tloes not apply to
an owne� ot p�ope�ty who builtls or imp�oves the�eon, antl who con-
t�act5 t�om zuch projects with a cont�acto�(5) licesnetl pu�suant to
the ConVactor's License Law).
❑ I am exempt under Sectlon B. & P. C. for this
reason
Date � Owner -
I he�eby ce�titythat 1 have reatl this application antl State that the above
information iz correct. 1 agree to comply with all tity antl county
ortlinances antl state laws relating to con5truction, antl hereby authorize
representatives of this city to enter upon the above mentionetl
property r inspettlon�Q urq ses.
Signature n��`\ \�1����n oate �'�3–��
�
Orivers' �icen or 55 4f—.
CMF 0865-46 White-Builtlinq; Canary-Applicant; Pink-Accounting; G
bortle� lines antl si9n all apOro�
TRACT NO. LOT NO.
�G9S 35
�. Geelarations.
BIDG.NO.
TYPE OF CONSTRUCTION
❑ NEW , � ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑DEMOLISH
O OTHER
DESCRIPTION OF WORK "r
TYPE OF PERMIT '
❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL
❑ TENANT �ELECTRICAL �LIIMBING ❑MECHAI
❑ OTHER �
PRO�ECT DESCRIPTION
SQ. FT.
OCCUPANCV_CONSTRUCTION TVPE
VALUATION ZONE
GRADING CU: VDS. ACRES
R
PLUMBING P�ArvCHECK
TOILETS
LAVATORIES
KIT.SINKS
SERVICE SINKS
A.P. q
ZONE
1:r.F'- ., �� � � . .- T,
VING REGULATIONS �
PLNG. REF. �
REAR VARD (TO P/L)
PKG. SPACE REQ.
STREET WIDTH
20NING APPROVED BV •
CONDITIONS:
ELECTRICAL
PROVIDED
PARK FEE
PLAN CHECK
URINALS 'GENERATOR 0-1KW_1-lOKW
TRANSFORMER
DOUBLELAVS APPLIANCE 30-SOKW_50+KW
DISHWASHERS MOTORS 0-1 HP_1-30 HP
SUMPS (INC. SOLAR) 10-50 HP 50 + HP
FLOOR SINKS FLOOR DRAINS
DRINKING FOUNTAINS '
INTERGEPTORS CLARIFIERS
$WIMMINGPOOL PTRAP
WATERSERVICE ALTERATION
GASSERVICE OVTLETS
SEWER CONNECTIONS
SOLAfi TANK COLI_ECTORS
SOLAR PIPING SYS.
ISSUE FEE
MECHANICAL PLAN CHECK
HEATING SVSTEM 0-300,000 BTU.
AND DUCTING 100,000 + BTV _
REFRIGERATION 0-300,000 BTU_
SVSTEM 100,000+g7U_
BOILERS BTV
SVSTEM REPAIR,AITERATION
EXHAUSTSVSTEM - MVLTIPLE
ISSUE FEE
FIXTURES OUTLETS SWITCHES
GAS TUBE SIGNS .
.POLE LIGHTS
POLES METERED SVB
PANELS MAIN� SUB
�SERVICE AMP
nn
ISSUE FEE
APPLICATION APPROV EO BY C�,R , ,
SUMMARY OF FEES
BUILDING
PERMIT §
PLAN CHECK §
PLVMBING $�
PLANCHECK $�_
ELECTRICAL § � ��
PLAN CHECK S
MECHANICAL $
PLAN CHECK $
DATE
SMIP. ' $
PERMIT'
ISSUANCE $
GRADING $ �� -
S
MICROFILM $
TOTAL FEE $
LE55 AD- '
VANCE PC $
/ �•
FINAL FEE $
r—
1�
�
CONSTRUCTION AND PLANNING POOL & SPA "� � '-' �c
APPROVAL$ Permit # Date Inspector pppROVALS Permit # Date InspEctor',�
1. Temporary Electrical Service or Pole. � 43. Pool & Equipment Location _� _C
Soil ipe-Undrgrn �. 44. Steel Reinforcement /
- 3. Electrical Conduit Utility-Undrgrn 45. Forms
4. Electriczl Conduit-Undrgrn 46. Electrical Bonding •4sl C.
. tee ein orce 47. Rough Plumbin & Pressure Test '
- 6. ElectriCal UFER Grn 46. APPROVAL TO COVER-GUNITE
7: Footings � 49. Electrical Conduit-Undr rn %-30- ( C
� 8. Foundation 50. �Gas Pipe, � Undr rn, Test o�
9. Water pipe-Undrgrn 51. Backwash tines P-Tra ❑ ndr rn
' 10. Structural Floo"r System 52. APPROVAL TO DECK
11. Property Sewer Line & Flouse Connection� � � 53. Backwash & Rece tor-Final � ��
Y2. Street $ewer Connection � � � 54. Heater & Vent-Final � ' -36-�
13. Rough plumbing � � -
�14. � Rough Electric-Conduit �56. Electrical-Final G
15: Rough ElectrioWiring �- 57. � Solar System-Final � ' '
16. Rough Heating & Air Conditioning • encing & Access Approval _ �_ ( C,
17. Ducts in Struciure APPROVED FOR PLASTERING
16. Ducts, Ventilating _
19: Gas Pipe-Rough &Test � � �. 60. POOL/SPASYSTEMS FINAL - - //�1 ,pC.�
20. Roof Framing ' � '
/�
21. Roof Sheathin ' � �
22. Frame and Flashin NOTES: `
23. Insulation � - '
24. Lathin & Siding �
25. Drywall Nailing ' � �
26. Plaster Brown Coat � '
27. Electrical Power MeterFinal � � � � �
28. Final Electric ' ' � � � ' � '
29. Final Heating & Air Conditioning � �
�30. Final Gas Pipe-Test ' �
31. Final Plumbing `
"32. Water Service-Final �
33. Gas Service-Final• �. � �
34. Solar pomestic-Final
35. Landsca e S rinklin S stem �� �
36. Sound Attenuation ' � �
37. Handicap Regulations '- ' � • ' �
38. FINALSTRUCTURE&BUILDING � ' •
39. Special Requirements Completed � -
40. Electric Release to Edison ' -• � -
� 41. Gas Release to Southern California Gas Co. - '-
' 42. CERTIFICATE�OF OCCUPANCY � � � �
No Date
�
in all
CITY OF COSTA MESA �
CON.STRUCTION PERMIT
Addrea
Address +�-1 ZZ� (:._' �*'�• ��
�
Contractor �. _ _ „ Phone
I.ICENSED CONTRACTOR DECLA
I hGreby aftirm thdt 1 dm IiGGns¢tl Un
menting wlth sectlon 7000) ot ❑
PIOf055�0lIS COQB. dllii jfly IIC@fISB
within heavy bortler Iines ana si9n all appropriata aeclaration
� - TRACT NO. LOT NO. BLDG. NO.
Oa[e( �'-t�- �� 5�9�ature �
,WORKERS' COMPENSATION DE ARA ION
I hereCy affirm that 1 have a certificate of tonsent to elt-insure or a
certlficate of Workers'�Compen5atlon InSurance, or a tertitietl copy
'ollcyNo�c �3 00 �C�Company �f��, �<<K�
CeYUfietl topy IS h¢reby tumishetl. -
� Certlfietl copy 15 filetl with Ihe <ity Builtling Division.
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
Tnis section need not Ce completetl if the permit is for one huntlretl
§3001 or less).
certf(y that In the partormance ot the work tor which this permit is
Issuetl, I 5M1a11 not emPloy any person in any mann9l�so as to become
subject to thg WorlS¢rs Compensation�}ws of ¢plif�q;hia. _.'i .
NOTICE: I� after making this tleclaration, �/ou shoultl bec me subject
to [he Workers' Compensation provisions of the Labor Co e, you must
forthwith comply wlth such provisions or this permit shall be tleemetl
revOkOtl. - . . . . _
CONSTRUCTION LENDING AGENCV
1 hereby atfirm that there I5 a construction lentling agency for the per-
�ormance of the work fQr which this permit is issued (Section 3097
Civ. C.). / � LL� . ! �
Lentler'S Name _� �Y
Lentler's Atltlress
OWNER BUILDER DECLAfiAT10N '
I hereby affirm that I am exempt from Ihe ConGactor'S License Law for
the following reason (Section �031.5 Buslness antl Professions Cotle:
Any clty Or COunty whiCh r¢quirES d permit to ConStruc[, alter,
improve, tlemolish or repalr any structure, prior to its Issuance, al5o re-
qWres the applican[ fo� Such permit to tile a Signetl Statem¢n[ that h¢
IS IlcenSetl pur5uant to Ih¢ prOvi5ion5 of th¢ ContraCtor's License Ldw
(Chdpter 9(COmTentinq wi[h SeCtion 7000) o( Division 3 of the
BUsln¢55 antl Pro!¢Ssions Cotle) or that he is exempt therefrom antl the
^a51s (or the alleged exemption. Any violation of Section �031.5 by
'i appliwnt for a permit subje<ts the applicant to a civil penalty
not mOr¢ than five huntlretl tlollars ($500).
J 1, as owner of tM1e property, or my employees with waqes as their
sole compensatlon, wlll tlo the work, anE the structure i5 not intentletl.
Or otferetl for sale. (Sectlon 7044, Bu5ine55 antl Profe55ion5 Cotle: The
COntrdctor'S LlcenSe Law tloe5 not apply to an Ownet ot a p�o0e�ty
who bulltls or improves thereon, antl who tloes such work himself or
through his Own employees, proviCetl that such improvements are not
intentletl or otferetl for sale. If, howeveq the builtling.or improvemen[
Is soltl withln ona yaar of mmplction, the owner will have ihe burtlan
of Droving he ditl nol builtl or improve for the purpose of sale).
❑ I, a5 owne� ot the p�operty, am exCluSively cont�acting with
IiCenSetl cont�actor5 to construGt the project (Section ]064, BuSiness
antl Professlons Cotle: The Contractor's �icense Law tloes not apply to
an owner of property wM10 builds or improves thereon, antl who con-
t�aG[5 t�OT such projects with a contractor(s) licesnetl pursuant to
the Contractor's License Law). e�-
❑ I am ezempt untler Se 'on B. & P. C. for this
reason
Date Owner
I hereby tartifytha[ I have reatl this applica[ion antl state Ihat the above
� IntOrmdtion is COrr¢tt. 1 a9r¢e to comply with all city antl county
o�tlinances antl state laws �elatln o con5t�uction, antl hereby autho�iie
representatives this,f city { enter u on the above mentionetl
property tor e tl /� purp� A �'j
Signature � Date C�P��
Drivers' Licanse or 55 x !) •//
TYPE OF CHOfY8iRUCTION
❑ NEW fO ADD ❑ ALTERATION
❑ REPAIR ❑ CONVERSION ❑�EMOLISH
❑ OTHER
DESCRIPTION OF WORK
TYPE OF PEHMI7 . �
❑ GRADING ❑ FOUNDATIO STRUCTURAL
❑ TENANT O ELECTRICAL PIUMBING ❑MECHAI
❑ OTHER
PROJECT DESCRIPT� N .
SQ. FT. �� _
OCCUPANCV_CONSTRUCTION TVPE
VALUATION 2 _S B� ZONE
GRA�ING CU. VDS. ACRES
PLUMBING
BATHTU85
LAVATORIES
KIT. SINKS - '
SERVICESINKS
FLOOR SINKS
DRINKIIVG FOUNTAINS
INTERCEPTORS
SWIMMING POOL
WATER SERVICE�
GASSERVICE
WATER HEATERS
SEW ER CONNECTIONS
�SOLAR TANK � _
PLAN CHECK �
SHOWERS
URINALS
DOUBLE LAVS '
DISHWASHERS �
SUMPS
FL0013 DRAINS
_"
CLARIFIERS
PTRAP
ALTERATION
OUTLETS "
BTU OUTPUT
COLLECTORS
ISSVE FEE
MECHANICAL aLAN CHE�
HEATING SVSTEM 0-100,000 BTU,
AND DUCTING 300,000 t BTU _
REFRIGERATION 0-100,000 BTU_
SYSTEM 100,000 + BTU _
BOILERS BTV
SVSTEM REPAIR, ALTERATION
EXHAUSTSVSTEM MVLTIPLE
ISSUE FEE
CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor
7q30 10/26%91
ZONE
REAR VARD (TO P/L)
PKG.SPACE REQ.
STREET WI�TH
ZONING APPROVED BY
SPECIAL CONDITIONS:
PLNG.REF.
PROVIDED
ELECTRICAL - P�arv CHECK
GENERATOR" Od KW_L1-10 KW _
TRANSFORMER
APPLIANCE' '30-50KW_50'+KW_
�MOTORS 0-1'HP_1-10 HP _
'QN0.50l.AR) 30-SO�HP SO+HP _
FIXTURES'-'" OUTLETS �SWITCHES"
•GP.S TUBE SIGNS - '
POLE'LIGHT$ '- -
PANELS MAIN ' SUB
SERVICE AMP
ISSUE FEE
APPLICATION APPROVED BV
15.50
SUMMARY OF FEES �
�� BUILOING
PERMIT $ SMIP S j �
PLAN GHECK $ PERMIT
ISSUANCE b
PLUMBING $
GRA�ING S
PLAN CHECK $
ELECTRICAL $� $
PLANCHECK $ MICROFILM $_�
MECHANICAL $ TOTAL FEE $
PLAN CHECK § LE55 AD-
VANCEPC $
FINALFEE $�
.. t
�y;;,,.�� CONSTRUCTIONAND1Pl`ANNING POOL&SPA �
Date Inspector � `�--"�` Date Inspecior"
APPROVALS Permit # APPROVALS Permit # •
1. Temporary Electrical Service or Pole 43: � Pool & Equipment Location � � � ' �
2. Soil ipe-Undrgrn �� 44. Stee� Reinforcement " � •- ` '
3. Electrical Conduit Utility-Undrgm � ' ' ', �, 45. Forms ' ` ' � -
4. Electrical Conduit-Undrgrn • � 46.; Elect�ical Bonding � - ' � - -
. tee ein orce - 47. Rough Plumbin & Pressure�Test
6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE' -�' � �
7. Footings � 49. Electrical Conduit-Undr rn
8. Foundation � - 50. •� Gas Pipe, ❑ Undr rn, Test �
9. Water Pipe-Undrgrn 51.�. Backwash Lines P-Tra �� '❑ ndr rn '� '�
10. Structural Floor System 52. APPROVALTO DECK "' '' '�
11. Property Sewer Line & House Connection 53: �Backwash & Rece tor-Final
12. Street Sewer Connection 54. Heater & Vent-Final
13. Rough Plumbing ' � ' ' - ' - -
14. Rough Electric-Conduit �56. Electrical-Final
15. Rough Electric-Wiring 57. Solar System-Final �
16. Raugh Heating & Air Conditioning • encing & Access Approval
17: Ducts in Structure 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating . � � � � , '� ;
19. Gas Pipe-Rough &Test ' 60. POOL/SPA SYSTEMS FINAL\
20. Roof Framing
21. Rqof Sheathin -
22. Frame and Flashin � NOTES: " �
23. Insulation � ' ' � ' ` �`�' -
24. Lathing & Siding �
25. DryWall Nailing �
26. Plaster Brown Coat
27. Electrical Power Meter-Final
28. Final Electric F/
29. Final Heating & Air Conditioning '
30. Final Gas Pipe-Test
31. Final Plumbing ` �
32. Water Service-Final " '
33. Gas Service-Final
34. Solar pomestic-Final
35. Landsca e S rinklin S stem
36. Sound Attenuation
37. Handicap Regulations ',`� �
38. FINALSTRUCTURE&B.UILDING
39. Special Requirements Completed "
40. Electric Release to Edison
41 . Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
J No Date . . , . �
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NOV -4-7oP"'o � �6* *** 129.00
Cd5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
ForApplicant to Fillin Completely APPLICATION FOR BUILDING PERMIT
RECEIM�O ATE PECEIVED DATE ISSUED
no�oaess 3331 Wyoming Circle �'�"7�
OWNER Mo ular Te hnolo Inc.
A.P. NO. PE��%�NR�
MAIL BUILDING 3331 �1i OII11R Circle
ADDRESS 1104 E. 1 th St. [
ADDRE55 y �
TEL TRAC7V6 5 L0T35 BLOCK
��T� Santa Ana No. 547-9673
CANSfRUCTION N W A D A P
LENDER U.S. Nati R B2S11S X
BRANCH Main Office
OWNER Modular Technology, Inc.
ADDRESS 1 0 S. Broad San Die O VALUE
OR ENGINEER KeTGll{-i DOTIUS NE`.675-1i64 S 5 1 2��
FIRE ,/ �
ADDRESS 2nd Ave orona Del Mar ZONE TVPE !/ GROUP
APPROVED
CONTRACTOR OW11er BV DATE
ADORESS "S�e
TEI. ZON NO.OF USE O
CITY S�e NO. P��Y BVILDING � �
STATE 25254g GTV i69p yMAION BUILDING ACCE SORV BU�ILDDING
LIC. NO. LIC. NO.
512E NO.OF BLOGS. (FROM GL STREET)
OF LOT 55 X 99 NOW ON LOT -- FRONT FT.� FT.
USE OF v FT
EXISTING 9LOG. --- E
SIZE OF 15g4 Sf NO. OF '7 1
NEwBLDG. ROOMS STORIES L.SIDE OFT. FT.
EXTERIOR WA�x, Plans ROOF [�jOOC�. .5111R le
COVERING COVEFING g REAR FT. FT.
USE OF BUII�ING AND WORK TO BE PERFOFMED DI5TANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLIX'S.
Construct new residence with attache vaa.# ATE ��`
C.U.P.# ��tJ APPROVEDS—!�/�
�, e• APPROVEO I_ �
HOLD F F r: ,.-, .
I heraby acknowletlBe that 1 have read this epplication antl state
that [he above information is corract antl aprae to comply with
nll laws regulatinB builtling consttuction, antl I shell not employ
any person in violation ot the workmen's compensation laws of
[he Sta2e of Californla. o
��7 f! Y u
I hereby cariify that I em prop¢rly licensetl as a contractor untler �� SQ. FT. SO �
the State of California B�siness antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR
Chap[ar 9, antl the[ lieenses ore in f�ll force antl etfect, or I THE PUFPpSE OF ESTABLISHING A PERMIT FEE ONLY: �
am ezempt from t rovisions ot tha te of Calltornia Business �
antl Professions C , �ivisi n, Ch VALUATION ���6 a
PEflM1T FEE S �
Signaturaot �3 9yod Q �
Permittee PLAN CHECK $ �� (� f
/ i
Authorizetl Aqant �
TOTAL FEE $ oZ iDO
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- COSTA MESA BUILDING-SAFETY DEPARTMENT
APPLICATIOI�FFO��S�fRIiC�I�l4dALPERMIT 23.60
r - -
r.u.tluR I[W I:UJIN�����/a,�/���rvnrv�HO<o<o
REC BY PERMIT - "
For Applicant to Fill in Completely — Use Ink Only T�� �J 14'S �3
BUIIOING � V � A.P. NO. — I'� OW
ADDRE55
OWNER OR ADDRE55 3 3 O a C
TENANT (� •
UNIT OR
MAII_ING �q SPACENO.
ADDRE55
TR.NO.� LOT �� BLK.
TEL.
CITY NO. �Q.$9
NEW ADD LTER REPAIR MOVING OEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER C �C C�
AODRESS VALUE
ARCHITECT TEL. USE I� 5 ��O
OR ENGINEER
��
ADDRESS ZONE TVPE � GFOUP � _ /
, �-n� APPROVE 3 IZ ��
CONTRACTOR �{�/'�-1 BY DATE
ADORESS
TEL.
CITV NO.
STATE CITY APPROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLOGS. (FROM C/L T§£T)J�
OFLOT NOWONLOT � fYf T.��
USE OF o
E%ISTING BLDG. F�- F .
� /�
Separa[e permits are required for L SIDE Fr.
electric, plumbing and heating work. � � 8�
REAR
VSE OF BUILDING D WOFlK TO BE PERFORMED PLANNING ACTION
DATE
APPROVED
APPFiOVED /t3a.r � rf��
r.�y i G
I horeby ecknowledge ihet I have read this application antl stata
that the abova intormetion i4 corract entl agree to comply with
oll lews raBulating builtling c0�structlon, end I shell noi employ
ony parson in violatlon of the workman's compansetion laws of
t�e Steta of Californla. � �
I haraby certify that 1 em proPerly Iicensetl as e contractor untler SQ. FT.
tha State of California Business and Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDEfl VALUATION IS FOR
Chaptar 9, antl that sueh licenses ere in tull torca antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FE NLY:
em Bxempt from the provlsio�s of the Steie of California Businass VALVATION VERMIT FEE E
and Profassions Code, Division 3, Chaptar 9. � • ��
SlBnature of \`\ /� D PLAN GHECK S ��O
Permittee vv S�'�:� TAX E QSa
or
Author(zetlAgant Date �`a� TOTALPAID E Z3� �O