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HomeMy WebLinkAbout3337 WYOMING CIR - Building PermitsC Applicant to /ill in all spaces except lhose witnin heavy DorEer Iines anE sign all a00roD��ate Eeclarations. CITV PF COSTA MES�14+� CONSTRUCTION PERMIT PERM O. TRACT NO. LOT NO. UNST Nn. Project Address 33 •� I��1�0 YYi I G �-1 � Applicant's Mailing Address SG Y'i1 � Owner's Name �-� Phone 5�y' ��' Addreu 333_? � u_o� 11'td i� 1�' Arch/Eng. License No. Address Contractor'sName /7 uY1�b � ��J � n phone�� Adtlresslmailing) r'�'/ X 3`�� Ciry License No. � 4�10 � LICENSED CONTRACTOR DECLARqTION I �ereby affirm [hat I am licensetl untle� provlsionz of Charte� 9(commencin9 with seclion ]000) ot Division 3 0( tna Buziness antl Professionz Coae, antl my Iicense is in iW I Porce antl effecL � 1 License C a s G— Li ns No �S ��� Date �4' Si9nature WORKERS' COMPENSATION DECLAR ION 1 hereDy aifirm that I have a certiticate oi wnsent lo salNnsure or a tertificate o/ Workers' Compensation Insurance or a certiti tl copY there f(Section 3800, La�. . O � / r� — Policy No. b / ompany � __ i�ietl copy is hereby tumishetl. �ti(ietl copy is file ith t city Bull i I' i , e A licant E%EM 1__�KERS'COMPENS TION DECLARATION (This section neetl no[ be completetl if the p¢rmlt is for one huntl�etl (SI00) o� less�. ` I certity [hat in thE Pertormance ot the wO�k fo� which [his pe�mit Is Issuetl, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Callfomia. Date Signa[ure 'NOTiCE: Ii, aiter making this tleclaration, you shoula become subject to tne Wo�kers' Compensation provision5 of the Labor Cotle, you must forthwith complY with such provisions or tnis permit shall be tleemetl revoked. CONSTRUCTION LENDING AGENCV 1 hereby at9rm that tpere is a cons[ruction IenUing agency for the performance ot Ihe work for which t�is permit is issuetl ($ectlOn 3097 Civ. CJ Lentler's Name Lentler'S Atltlress OWNER BUIIDER DECLARATIOtJ 1 hereby af8rm that I am exempt from the Contractor's License I..aw for the following reason (Section ]031.5 Business antl Professional Cotle: Any city or County whith rGqui�es a pe�mit to construct, aller, improve, tlemOlish or te0ai� any structure, prlor to its issuan<e, alzo requires t�e applicant for such permit lo iNe a signetl slatement that he/she is licensetl pursuant to Ihe provisions of the Contractor's License Law (Chao�er 9(commencing wiih Section 7000) of Division 3 of [he Business antl Pro(es5ion5 Cotle) or that he/Sh¢ is exempt theretrom antl the basis tor the allegetl exemption. Any violation of Section 7031.5 by any applican[ for a permit zubfects the applicant to a<ivil �nalty of not more than five huntlretl tlollars (g500). ' Ll I, as owner ot the property or my''employees with wages as their sole �ompensation will do the work, antl [he structuro is not intentletl or offeretl br sale (Section ]044, Business antl Profe551ona1 Cotle: The Con[racto�'S License law aoes not appiy to an owner ot a orooerty who OuilGs or improve5 th¢reon, an0 who tloes such wo�k himselt/herself or through hi5 or her own employees, provitletl that sucn improvements are not intentletl or otteretl for sale. If, however, the builtling or improvement is soltl within one year of com- pleilon, tne owner will have Ihe burtlen of proving he/she tlitl not buila or im- prove for [he purpose oT sale). ❑ I, as own<r of the proDerty, am exclu5ively contractlnq with licensed con- tractors to cons[ruct the project (Sectlon 7044, Business antl ProfeSsionS Code: The COntraCtorY �icense Law doe5 not apply [o an owner of prope�ty who builtls or imDroves tnereon, antl who coniractt tor such projects with a con- trac[or(s Ilcense pursvant�to�the ConVactor's License Law). I am aware that prooi o� th¢Ir Worker's Compensatlon insurance shoultl be provlAetl to me. � I am exemot untler Section B. & P. C. tor this reason Dale antl c: Owner ve reatl cou above TVPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR — ❑ CONVERSION ❑ DEMOl.ISH ❑ OTHER Ap # DESCRIPTION OF WOFK/USE OF BLDG. S Main Building: E TYPE OF PERMIT GRADING�( FOUNDATION STRVCTURAL T Front ❑ TENANT ❑ ELECTRICAL L� PLVMBING ❑ MECHANICAL B Rear ❑ OTHER %� PROJECT DESCNIPTION 5(7. FT. oCCUPANCv C Right K Left CONSTRUCTIONTVPE VAIUATION$ $ ZONE GRADWG CU.vDS. ACRES P�ng. Ref. � Remarks: ��n AM,n.n�.�' C1.n� /1JnnA/D PlanningNotes: 3ar Sink 3ackflow Preventer 3ackflow Irrigation 3athtubs Clarifiers Jishuvasher Drinking Founlains Floor Drains Floor Sinks 3as Service ��—OuUets Intertepmrs Kitchen Sink Lavatories P—Trap Roof Drains qainspection Fee $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ a i oo,000 eTu � i oo,000 gri rs' License a S� _ � qainspection Fea $15 CMF 0865-46, rev. 10/84 White - Bulltling; Canary - Applicant; Pink - Accounting; GoltlenroG - AsSessor Showers Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Clou[ Water Heater Water Service Auto-Wash Issue Fee Hoodor Typel ❑ Canopy Type 11 ❑ Refrigeration System ❑0.700,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES 6�67 12/26/85 5a�. T� — Zone Accessory Building: Z O N I N G R Parking Req.IProvided E � M T S � ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Eleciric Sub Panel Fan Mo[ors00-1 HP 01'/:-8 F.A.U. Inc. Solar �9-15 HP 016�15+ Fix[ures Microwave Device Boxes Pole Light Outlets Range Switches Sign Garbage Disposal ;Standing Sections Generaror �0.5 KW �5-75 KW Trash Compactor FEES $ 3 Reinspection Fea $15 luue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved 8y Date Building Approvad By Data Application luuad By �— Dat a0 SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ ��y� PERMIT 2 ' PLUMBING $ Ti+l� �-+'w ��UANCE $ f�vv PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ $ 3 PLAN CHECK 25% $ , ,�n CON$TRUCTION AND PLANNING POOL & SP. _ APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector 1. Temporary EleCtrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � -. 53. Steel Reinforcement � 3.'ElectricalConduit`Utility-Undrgrnd. 54. Forms � 4:'Electrical Conduit-Undrgrnd. ` 55. Electrical Bonding 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test 6' Electricat UFER Grnd. �� 57. APPROVALTO COVER-GUNITE 7.-�Footings � 58. Electrical Conduit�Undrgrnd. 8. Foundation 59: Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrg�nd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. �Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing _- 65. Electrical-Final 15. Rough Electricnl-Conduit 66. Solar System-Final 76. Rough Electric Wirin9 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Faciory Fireplace APPROVALS Permit #� 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling ($tructural) & Monocoat 75. Dry Chemical 27. Fraine and FlasFiing ��"� ���� 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL � 29. Insulation 7$. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICA7E ISSUED 33. Final Electric . - Notes: � � � ' - 34. Final Heating & Air Conditioning � 35. Final Gas Pipe-7est /L LJ��.y' LlEv 36. Hood or Canopy � 37. Final Factory Fireplace 38. Final Plumbing / Zj��" �✓J 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final i 42. Backflow Preventer - I 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound At[enuation 46. Handicap Regulations . 47. FINALSTRUCTURE&BUILDiNG 48. Special Requirements Completed 49. Electric Releasa. to Edison � 50. Gas Release to $outhern California Gas Co 51. CERTIFICAT� OF OCCUPANCY No. Date � a c�,�rY or cosz��-� r�;s� �...,�v��s�r roiz occvP�ncY TKF�CT NO,_ �[� 9� ' DATE LOT ho._ 3 3 • ' � ADARESS 3 3 � � �� � The cieveloper oi the above entitled tract desir.es to sel.l ihe above sei; iorth lot prior to the time that the tract has been completed and it.s str.eets accepted by the City of Costa Mesa . The under�igned, by executing this anreement, ackno�olednes that (he-she-they) (was oY wer advised thai: thi� tract has not been given final.inspection noY has it been �ccept�ed by ihe City of Costa Masa as havi.ng complied with tlie conditions of approval Wi11CY1 were imposed by the cii:y �t tlie time the iinal txact niap taas approved. The city asswnes no liability for the eniorcement o£ the.conditions necessary for appr.oval other thzn those conditions protecL-ed by s urety bond, The undersigned agrees to indemnify and hold the city hacmless frcrl any claim zesu).ting in c?amage or persor.al irjuxy to th� undersi.yned by reason of the.aforenientioned uncompleted condition. � �R�� . . - � � . BY �L�C�i4 , . �7 ��� �� /py/rchaser __ !� / ���� � ��� � ` ��: Developer �d7�r authorized representa ive � • u Lender � ;OWNER JAY, Earl F. 708ADDRESS 3337 Wyoming Circle ' ERAL CONTRACTOR Owner-Bldr. Ai No. 139= 11-0 LOT TRACT INSPECTIONS Si natu SOIL GAS W ATER ROUGH PLUMBING PROP. SWR, IINE � HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING TEMPORARY SERVICE OR POLE UNDERGFOUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. � FLOOR SVSTEM BON� BEAM STEEL REINFORCE SHEATHING FRqME AN� FLASMING � L 'NG - IN OUT F .ER, BROWN COAT ELECTRIC FINAL ANO GAS T FINAL 111�1� DATE .11-3-71 BUILDING PERMIT SUBCONTRACTOR :�' : COSTA MESA BUILDING-SAFETY DEI P.O. BOx 1200 COSTA MESA, CALIFOR For Applicant to Fill in Complei Z . aU z za Oy am �7 J N Q W f0 J • (tl J Q U � Za w � aw W Z J Q m Z J � W W � ZH �O 70 H z Q U J a a Q 0 F"' � z 0 � U � � H N Z OWNER cirv G,7� CONSTRUCTION BRANCH ADDRESS ARCHITECT CONTRACTOA ADDRESS �� dTV� Sl�� STATE LIQ NO. SI2E OF LOT USE OF EXI5fING BLDq. SIZE OF NEW BLDG. EXTEFIOR WAL.L COVERING USE OF BVILqI �� /�/m S if C.�C/[� L. TEL. NO. � CITY UC. NO. NO. OF FOOMS ROOF COVERING WORK TO BE PER � I hereby acknowlad0e that I have reatl this apD���ation antl stata that tha ebove �nformetion is correct and agree to comply w(th al� laws regulat��p builtling construction, antl I shali not employ any person in ��olation o7 ihe workman's compensation laws of the Stata of California. I hareby certify thet I am properly licenutl as a controctor untlar iha Siate of California Business antl Protessions Cotle, Divisicn 3, Chepter 9, antl thet such licenses ara in full force antl etfect, or I am exampt iram Ihe provisions ot tha $iate of CelHornle Buslness antl Profession; Code, Division 3, C�apter 9. SlOneiura ot ,� � ( �, Permittee ���/�Y Autho�ix¢tl ApOnt � PA�L �{_.ir:t�:nnn "DV - a-71u•,s=�� 174 cv . � i' APPLICATION FOR BUILDING PERMIT RECE ED BV DATE RECEIVED DATE ISSVE /_3- /_g_. /3 PERMIT NO. A.P. NO. / / '� BUIID�NG .'{�3 � �, ADDRESS ✓" TRACT rJ (L LOT. BLOCN OVED NO.OF , � PLANS G YARDSAPPROVED VAR. 9W E OF VAPDSAPPROVED DATE . -3- m W SQ. FT. o THE AMOUNT SHOWN UNDEF VALUATION IS FOR ' THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLV: Q VALUATION /VY m PERMIT FEE $ '�� � � ] m $ � PLAN CHECK $ �� E f�� �-� ° LL TOTA�FEE S �- l" . _ ' ��n�.3 z . o- U Z Q O c~i� am J� J N Q W (O J m J Q U N Za w � aw J � m Z J � W W 0 Z H W � �� �o �—i� I�oV —4-10P"-1°00 134# *** 141.00 eMsn COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 ForApplicant to Fill in Completely APPLICATION FOR BUILDING PERMIT REC DE�V D,�aa �VE� DATE ISSUEO BVILDING 7 ADDRESS OII1711 C1PC PERMIT NO. OWNER ModulaY� Technolo IT1C. �+�P� NO. rt/1 A 7 MAIL BUILDING � � �� aooaess 110�-} E. ]_7t]] St.. ADDRESS 3337 Wyoming Circle CITV Santa EiR2. No`�547-g673 TRACT 6695 LOTJ3 BLOCK CANSTFUCfION EW A P �ENDER X BRANCH Main Office owNeaModular Technology, Inc. ADDFESS 1g0 S. Broadwa .52I1 Dle O VALUE ARCMITECT TEL. SE Residence 5 15�70� OR ENGINEEF Kermit Dorius N 675-1164 FIRE � ADDRE55 ZONE TVPE GROUP APPROVED CONTRACTOR BV �ATE ADDRESS S�e � 2 E NO.OF USE OF CITV `S�e ryp�' PLAN$ � eUILDING �� � STATE CITV �'ARDSAPPROVED VARDSAPPRO ED ���. No. 252549 �,�. No. 16go MAIN BUIL�ING ACCESSORV BUILDING SI2E NO.OFBLDGS. (FROMC/LS EETI/� OFLOT 7{ g NOWONLOT__ FRONT FT.i/' FT. USE OF EXISTING BLDG. -- � S � FT SIZE OF NO. OF �/� NEW BLDG. 1 B2 S ftOOMS STORIES L. SIDE v' / FT. � FT. EXTERIOR W L ROOF COVEflING er PI�S COVERING WOOC�. 5�1111 12 REAR �FT. FT. USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & MAIN BLDGS. ACCE.�. BLDGS. Construct new residaice with attached CURP �y+v'�S`�n a�.vArTRoveoS �J—�J garage. .oaaaoveo �_ _7� HOLD FOR SPECI L REQUIREMEA!T5 I heraby acknowledge that I have reatl this nppllcation antl state tha[ the above into�mation is correct antl oB/ee to compty with oll laws regulating building construction, end I shall not employ eny person in violation of 2he workman's compensation laws of JJa �%� ° tha Stata ot California. �y � I hereb ceriif that I am /�✓ SQ. FT. (/—� � V V properly licensad es e eontractor vntler the State ot California B�siness entl Pro(essions Code, �ivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses ere In t�ll torca antl ettect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt irom the roy �sions ot the $tate o C lifornia Business � antlProfessionsCo rGisfon C apter VALUATION l%�_ o PERMIT FEE $ � S Sie�ature ot // (�^J � Perm(ttee 5 �(�/� � PLAN CHECK S // ' f / ( Autho�iiatl Agent �/-� � TOTAI FEE $