HomeMy WebLinkAbout3320 MARYLAND CIR - Building Permits�I
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noonessaem�dxo: 3320 MARYLAND CI uNr:
an*+u+sxu�EiFa'o"T+:LAMOUREUX DAVID R FLOOD: AE-37
"^o"Eu:3320 MARY{�AND CIR
COSTA MESA,CA 92626
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ca+m�cranwu� COASTRIDGE ROOFING ( 714 ) 557-6048
cam�crom�uiwo 2480 FAIRVIEW RD
�ooxess COSTA MESA CA ucra, 541190
92626 uxt:
LICENSED COMHRCTONS DECLAP�TION: I heroby eflrm uMx penely d parjury tM I em limued uedx pwtima d Cheqx 9
ccanm.rcuw .an se� 1aoo) a Dimon a a �ne a�neo a�a v�aesaima coae. ana mr umme o in ruu k�c. and dha.
cmuc.No.:04'97912 uc.cuss: C039 uc.No�.: /5/411�9/0 EXP: O1 /96
De1e:�'�/ Contrea«: %�/ L��J
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OWNEN BUILDEP DECLARATION: I Iweby elfirm uMx pruly d per'µy IIW I em ezemq han �M WMrapon liwnaa lew la Na
Idbx+q �aewn (�ion ]W 1.5 &aias� eM Proleniona Code: A'ry vy a counry whid� ipuiree e paimi �o mmuun. ella. imyova.
damWsh, w repai eny Nruclure, prior �o ne uauarim, ebo reyuiree iha epplirant lor euch permn to file e eymE etalemant Ihet he or eM
IieeneeC punuent io Ihe proheione d iM Contretlon Lioenae law �Chepr 9(eammerxieq wi�h Seaion )OW) d D'vuion ] d iM
uzriew eM Rdeseiov Gode� a Ilw M a ehe is ezemq iheraM1om eM IM betla lor Ne elbpeE memqion. Nry violelon d Setlion
iW t.5 Ey eny epplicent f« a parmn aubjetls iho eppl'ran to e tivil panehy d ml mors ihen fve huMred ddlue �55Wj�.
� I, es owiwr ol lhe papeny or my empbyaee v.ih wepea es �Mi wla rompeneelbn, xill do IM work, vM IM nrunun u�wt imeMed
a oflered br eeb (Seclion )Oad, Busi�wp end Prdeaeiona Code: The Conireclon Licenee lew Eoee �wl epplyto en owner ol propeM
who buiEs w inprovee iherean. ena xfio Eoee suM xwk limeell a Mnetl or throuph ha a Mr own emplvyeee, porEeE Ihet wc�
impmvanavs me mt imentleE a Wxed la eeb. X.Iwwewr. �M Euiki'p a inpmwneM b adtl wilhin awY� d complNion. iM
ownerWikNr vAll heve iM WNan W pwirq he or eM d'k ria WiN w imqme Ia �he pumua d eeb).
� 1. es owner d iM propeM. � erduwMy mnlreclinB �Ih IiceneeE wntreclore to consV W ihe prol� (Sedion ]Mi. Bueinms eM
PMeadme Cade: The Conlredws licenae lew Eoee iat eppy W en ownar d popeny wta WiNe ar impww IMreon enE v.1w
wnvans lar uM Cq�^ wdh e mMroGMs) licenced Wnuw �o �ha Coniretlav Limnea lew).
� I em eaemq urder Seciion: B. 8 P.C.. W Nb reamn:
Dele: Owrnr:
I do MreW cenM �hm I em ewve M ud wdeiaWd �M iW���mb d Cellmve 4MaM end SalatY Code Setlioro YSSOS. RSS�J. aM
2553�. vd ihet I a enY Mun buikinp oawpent xill / wil ria (ticb me) naed ro wmph/ wih seid mte mds erd tM �apuimnaw br
apermXlwwnavununamoEifice�ionhwniM�i u3�ly anapement0otritl.FmkeMielmnm�udioneppiratiamenuemqlmmiMw
„�:�.
Da�s: �GV«�
WOFKEP'S COYVEN4�TION DECLARATION: I Mreby elfum uMx pereXy d peejury ms d Me blbwiiq datlermiom:
� I M1m enE MI meiNaw e canSr�e d ovromM io �atliwn br xvrken' compemalian. n prwided la by Saeim ])W tl �M leEu
c�. i« m. v.��. d m. �t �« .�n w v� e a.�,.d.
❑ i n.,A.�w.i� meime'.�.n.k.r.� om�w�� ���.•, �.mR� M s.aiu, aroo w u» lma. ca.. a. m. c.��m a nr
wak /w whidi Nu pa�mit i� ueued. MY warMen' canpeneetbn inwrence fariar erd pdiry wmber ere:
c.�».:
vaey r�nd
Na w� neeE m�! 6s mnP'Nb l tM O�t o lur aro hunWM EaMm Isiwl w Ims./
❑ I oenN Net in ihe w�mrerca a On w«k la xhidi �nu w�*il o ie�rotl. I andi iw emoM aM oa� in em' menMr �o n �o
becoms wbjae :o Ilw xakns' oompsmtion Mwe al CeHomie, anE eprta thel C I aMWa becrne a�jed lo iM walan'
alaW
ednpeeue�on pwuixn d Seeion �]00 d IM lebor Code. I ehe0lonhvmh mmp�y ' prwman.
i
DNe: /� � � AYdiceM: �//��
Wam/np: FaNun ro wcun rortri ro�awwtlon corenW l� unYiMil, �iq Nsll sW/�cf en .mplqr M eAMntl ps�Wtlu uW
mm �n�a w ro m. n�nd..d rroua.w adrn lnaloaoA ����n ro m. co.� o� romp.rwrnn wm.w u povw.e ror �n
S�ctlon �105 0l N� Le4or Cotiv. Intwut, erM artomeya l�u.
CONSTRUCTION LENDIND AOENCT: I hereby �rm urder pereM1y d perjury �het �here b a coneVuqion bMi�p epenry br tlro
Derlameze d iM hak /a whidi ihu D+rm1 u swed (5eaion �OB). C'v. CI.
LENDEfl'S NANE:
LENDER'S AODPESS:
I cenity Ihet I hero read tno epplketian ud pms Ihtl ihe ebwe inlormmion n correq. I eproe io campy wuh all my erd coumy oNirwwee
eM atve bxa Meiiq w huiNvp conYrudion vd Mreby eWar¢e repasanimivea d �hia myto entu upon iM ebo+e�meMioned popary
brinapeeion Ourpoaes
� �Z � �-n-
Pnnl �e �
Dme:_�
Sj�u ed ner/ApanVAppli Contreqa
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(5151�IB.WP) Wline-Bu�ldiiq 8 Seldy:0iaen-Fb: Cvwy-A : Pink�ieuwve: Goltlen�otl-As�eaea
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 072756 PLAN CHECK NO: N
_�
PERM NO: B 072756
GOVT: N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF 5 REAOOF FLAT PART W/HUILT—UP SQ FT: 1,500
CLAIM VALUE: 1,500.00 CALC—VALUE: 1,500.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED, REROOF lOSOSF FLAT PART OFj� jR�ESjI�DENCE
**�*�*�**�r�r**********�*O*N�I�N*G***R*E��*U�i*R*E�rM*E�N+�T*��V��i1� U�����
S E T H A C K S
------------ MAIN BUZLDING ---------- --------- ACCESSORY ���I��R E D____ �
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 13961145 ZNE; REF NO:
PLANNING NOTES>
i
iF 1F iE iE if if 1E iE iE 1i 1f 1E'IE 1E 1E 1E iE iE iE iE 1E iE IE iE 1E 1E iE 3E �E'IE iE iE iE iE iE 1h iE 1h iE iE iE 1E 1E iE 1E i(' 1E iE K 1E 1E 1E i(' 1E iP if iE 1E if IE If 9F if iE iF if 1E 1E 1f' i(�'li 1E 1E if if 1h 1E 1E Ih
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T 5
ZONING APPROVED BY DATE:
BUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY;
lFiFiFiflkililkkiFilillliFit�ifiF1E1liliFi!
LEGALIZATION:N E E E S U M M A R Y
HLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 35.00
STRUCTLIRAL SEGMENT:Y
FIRE SMIP/RES GRADING
50
SMIP/NON—RES
PLAN
ISSUE FEE
HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 35.50 0.00 0.00 35.50 35.50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 35.50 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
35.00 .50
iE k k i! i! iF k k k iF i! i! 1f 1E k if k iF iF'k i! iF'lE if i! iF iF iE iE iF'1F iF iF k i! if iE iE iE iE 1E 1E iF i! iF k iE iE iE if iE iE 1E 41E iE 1E iE 1E iE if iE iF iE 1E IE'k iE 1! 1E 1E iE ik 1E if iF it 1E 1E
I N D I V I D U A L F E E B R E A K D O W N
TYPE (jTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1500 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,500.00
END OF FEES
01 OOlE3.2;-Pr,1.3834 To] T ;5.��
6ATE: 06ipSiBf: TIt"E: I,::13
\
_ _,
CONSTRUCTION AND PLANNING POOL PA
APPROVALS Permit �f Date Inzpector AppROVAL.S Permit # Date Inspector
1. Temvorary Electrical Service or Pole 52. Pool & Equipme�t Location ;
2. Soil Pipe-Undsgrnd. . ' 53. Steel ReinEorcement
- 3.��Electrical Condult�Utility-Unittgmd. 54. Forms
• .�
'- 4. �lectrical Conduit•Undr9rnd. 55. Electrical Bonding
' 5. Steel Reinforcemeni _ � 56. Rouqh Plumbing & Pressure Test
'-6: �6lectrical UFER �rt�d. 57. APPROVAL TO COVER•GUNiTE
: 7; Footi�gs - � 58. Electricat Conduit-Undrg�nd.
��_'8. Foundation - 59. Gas Pipe, O Undrgmd., Test
�� 9. Water Pi e-Undr rnd.� �
P 9 60. Backwash Lines, RTrap, C1 Undryrnd.
10. Structural Floor SVstem 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
.74. Rough Plumbing 65. Electrical-Fina�
�15. Rou9h ElectricahCtlrtduit 66. Solar Systam-Final
16. Rough Electric Wiring .. 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVE:D FOR PLASTEFING
- 78. Rough EleCtrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Hea:ing & Air Conditioning ,� _ FIRE_DEPT, REQUIREMENT t
20. Rough Faciory Fireplace � : ; _ - ` ; �. AppROVpIS � Permit # � �
21. Ducts, iri Structure �• � - - " - � �� � 70. Underground F.Lydro
, �i -� - � � �
22. �utts, Ve�tilatiny�:, ' ., .r t, 77. Product�PipingLrJ�Gas C]Oil
23. Gas Pipe-Rough & Test ' �'^ ;�� 72, Underground Fiush ' "'
24. `Roof�Framinj _ ' ,. 73. Undergmd. Storage Tank O Gas �'Oil
25. Roof Sheathing K r , G ��s �j�, 74.-Overhead Hydro �
26. T�Bar Ceiling (Str;ucturali & iVlonocoat ' , - _ 7b. Dry Chemical ,_..^ ' ' _
27. Frame and Plashing. - - _ � c � .- . 76. Dry Standpipe:� - � � `
�'
' 28. Lathing & Siding` r • _ ' ' ` 77. FIXED S1'STEM"FINAL
29. Insula[ion - � _ � 7$. FIRE PREV. FINAL '
30. Drywall Nailing .� ` � �. HEALTH DEP,T: REQUIREMENT
31. Plaster 8rown;CoatF •, . �, 79. FINAL I.N1iPECTION I
32..Eiearical F'ower Me,�er-Finai • � -'` 80. FOOD CEHTIFICATE ISSUED .� ^L
`;
33. Final.Elgctric -. :.i .. � Notes: -� _ '
��
34. Fina�Heatinj&Air'Coriditioning � • �� �' .. ---
,
35. Final�Gas Pipe:TesY�. , - .-. , �.. .� ' �- . � . ,"
36. Hood or CanoPY -'- ' _ ' r'
� . -
37. EinAl.PactOryFir�i'ace.- _- _ • .. : '�
38. Final Plumbing "��' � ' � �
39. Water Se7'vice�Final, - ' - . . �. "' =
40. GasService�F�nal ,a �� �r,: � � ' - . '
�. c- - •
� 41. Solar Oomestic-Fina� 1 � ' _ _
42. Backflow Preventer, . � ' - • •� �
43. Backflow Irr'�gation; : � ' � ; � °'r ` , ;
44. Landscape Irrigatfon SYstem. � � • ' � � � _ : _ , � -
�45. Sound A[tenuation,` � , � .' - '` - � � . ^
. �, � . . r� ., -
�46. Handicap.Regulations � a '_ _ '
47. FINAL STROCTURE & BUILDING /�- �ti" � � , ;
�
48.'fiNALPLANNING�� .- � - . - �
.- , �
49. Electric Release to Edison � ' : _ _ ; � '
.50. �Gas Release ro Southem California Gas Co ' • � �
51. CERTIFICATE OF OCCUPANCY
No. Date
CTiY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. (� �r � �
IAT N0, � % �
�D�SS 3 3 za `
G �/
DATE J",� �- � �
The developer oi 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 camplied 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 sutety 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.
RECEIVED
CITY OF COSTA MESq
PIANNING DEP1.
APR 3 1972
� PM
'7i8i9�l0ill�12i1�2�3i4�5�6
!
BY .�•c� 1T7. ��--'^P
Pu aser
BY
Developer and/or a tho ed
representative
Lender
PHOJECTPUOflE55: 33ZO MARYLAND CI
OWNEP'S NAME: LAMOUREUX, DAVID R
aooness: 3320 MARYLAND CIR
COSTA MESA,CA 92626
AflCHIENCMEEB:
AOONESS:
XEG.NO.:
uNiT: CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 063821 PLAN CHECR NO: N , ,
UNIT:
resminec: COASTFiIDGE KOOFING ( 714 ) 557-6048
PDONE55: ?q8O FAIRVIEW RD
COSTA MESA CA 92626
LICENSEO CONTNACTOH UECIAflATION: I �ere�y allirm ihat I am li[enSeU unaer pmvisions ol C�apter 9(cammencing with Section
7000� ol �ivision 3 0l lhe Busine55 antl Pmlessions Cotle, and my license is in lull force antl ellec�.
c�,v uc.: 0 4 9 912 srare uc.:5 41190 c�nss: C�
Daie: � � � �� Signa�ure: i�`��
WOBKEHS' COMPENSATION OECIAPATION: I �ere�y a��i m thal I hav¢ a cetlili fAnsen or a[erliliWle oi Workers'
ComOensa�ion Insurance. or a[etlilie0 copY ��ereol �Sec�ion 3800. LaG. C�.
POLICY NO.: ESP. ORTE:
LOMPPNV:
❑ Cenilietl copy is nerebV �umisne0. ❑ Cenilie0 copy is litea with ine city BuilUing Division.
�aie: ApDlicanC
E%EMPTIONFNOMWOBNEBS'COMPENSATIONOECIAflRT10N: (IDi55eclionnee4nol�ecampleiedi�t�epermitisloronehuneretl(5100�arless�.
I cetlify Ihal in I�e pedormance al Ihe work far whic� Ihis permi� is i55ueQ I s�all noi employ ny person in any manner so as lo �ecame
sublect la t9e Workers' Cpompensation Laws ol Calilpmia. (�/,. � /��� (7
oaie: __ � _ -% � / � Signalure: , `� L� I, � �
NOTICE: I�. a�ter making ��is declara�ion. you sAou10 ecame SUGjeci y orkers' Compp,psaF pwvisions o� I�e Labor
Cotle. you musi fonhwi�h compry wiN sucn Omvisions or t�is permit5l al �e UeemeA rev�ketl.
WNSiflUC71oN IENDING AGENCY: I hereby affirm inat ihere is a tonsiNction IenainA agency lor Ihe petlormance oi tne work lor
w�ich ihis oermil is i=sue0 (Section 3097. Civ. q.
LENOEH:
noosEss:
OWNEN BUILOEB DECLAXRTION: I hereby aliirm �hat I am exempt Imm ihe Conlraclors' Stale License Law lor Ihe lollowing reason
(Section ]031.5 Business and Pmiessional Code: Any ci�y of caunty which requires a permi� Io cons�mct, alter, impmve, aemolish, or
repav any slmclure. prior Io its issuance. also reQuires �he applicant for SucA permil to �ile a 5igne0 Sla�emenl lha� helshe is licensetl
pursuanl io Ihe pmvisions ol Ihe Convacmrs' Slate License Law (Chapler 9(commencinp wit� Section 7000) ol Division 3 ol ihe Business
and Prolessions Cotle) or tha� he/she is eremp� Iherefmm anA ihe basis lor ��e a�leBed eKempiion. Any violation ol Section 7031.5 �y
any applicant lor a Oermit su�jecis I�e apDlicanllo a civil penal�y ol nol more Ihan five huntlretl tlollars (5500�.
I. as owner of Ihe pmpeny or my emyloyees witn wages as Meir sole comDensation, wiil Oo Ihe wark, ana Ihe
❑ s�mclure is noi intended ar ollereE lor sale (Seclion 704d, 9usiness ana Pm�essional Co�e: i�e Conlracbrs' Siate License Law
tloes no� apPry �o an owner ol a O�opetly who builds or improves �hereon, ana who does SucA wo�k himSelllAerseli or �hmugh
his or Aer own employees, D�ovidetl Ihat sucA impmvemen�s are nol intenaetl or oflered �or sale. II, however ��e 6uiltling or
im0�ovemen� is sold within one year o� completion. Ihe owner will �ave I�e burden o� pmving helshe Oid not builU or impmve
lor Ihe purpose ol sale).
I. as owner ol �he pmpetly, am exclusively coniracling with licensed coniraclars lo conslmct Ihe pmlecl (Seciion 7p4d, Business
❑ ana Pmfe55i0n5 CoOe'. The ConVatlors' Slaie License Law AoeS noi apPly �o an own¢r o� properly who buil�5 or impmves thereon
ana wha conirac�s br such pmlecis wii� a contracloqs�license pursuanito ihe Contractors' State License Law�.l am aware
ihal pmof al �heir Worker'S Compensalion insurance s0ou10 Ue pmvitle0 lo me.
� 1 am exempt unAer Sec�ion: 8. 8 P. C.
lor I�fs reason:
Oaie: Avner.
i Uo �er¢�y cenily �ha� I am aware ol ana unaemand the reQuiremems oi Calilomia Health antl Salery Cotle Sections 25505, 25533, antl
2559G antl thal I or any fuWre builaing occupanl will/will noi (circle one� neetl la compty with saia s�ate co0e5 ana tne requirement5 tor a
peimit lor conslmclion or madification Iwm I�e Air Ouality ManaAemem Oislric�. ReSiGenlial cons�mc�ion appliwlion5 are eKemp� �mm
IIIeSe provisions.
Dale: pODlicani:
1 hereby c¢riily �ha� I �ave reatl I�is aOV�Kaiion and S�ale Ihal �he aDove
ortlinan[es ane 9a�e lav+s relaling Ia OuilOing cons�mction and he�eGy auR
propetly Ia6rin50eclion purpp5e5.
oate: —! ' 3 � S3 Signawre: �
orivers �¢ense or Sac�a� Securiiy r: �
i6ot.46 whne—Builaing�, Green—Cotle Enlo¢emem: Canary—ApOhcant;
to tomply wil� allciiy anA coun�y
!o emerupOni�eabove-mentwned
Golaenroa—Assesmr
CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : INSTALL 30 YR COMP O/WOOD SHINGLE SQ FT: 2,000
CLAIM VALUE: 2,000.00 CALC—VALUE; 2,000,00 GROUP OCC: R-3 /M-1
COMMENTS• SMORE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UBC
��.*��*����.�**������«.����**�� ���.���������*������������.��*��.�.�,�*�*��*,��� �����R
2 O N I N GS_ERTEHQA�CIHRSE M E N T S c, ,^�c D,�
�7Nf�� �' `��j'�
------------ MAIN BUILDING ------ --- --------- ACCESSORY BUI�i�( �+F%1�••u--
FRNT: FT ZN REAR; FT IN FRNT: FT IN REAR, T IN
LEFT; FT IN RGFIT: FT IN LEFT; FT IN RGHT; FT IN
PARRING REQ• PROV; PARCEL: 13961195 2NE: REF NO:
PLANNING Nf51'ES>
i �
�t*�r�r�r�r�r�r�r�r�r+r�r�t��r�r�r�r�e�r�r�r+r�t�t�t�r�tx�rx��r�r�r�r�r�r���r�r�r�r*+t�r**�r�r�r�r�r�r�e�r�r�r*�r�r*�r�t�r�r**�t+t�r*x ***�r�r
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T•S
20NING APPROVED BY DATE; �
BUILDING APPROVED BY :
APPLICATION ISSUED BY;
1F if if �E k if iE iE�E 1E it if if if if 1f ikiF k 1E if 1f .
kMiFitkifiEiF�fiEiElfiFifkkiElFiF�fk�EifiE�EiE1E�EkkifiFififiElE�fiEififlfiEklFkifiElE iE
LEGALI2ATION:N �F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 45,00
DATE:
iF it k ik k if �f ff jf if�iFif'iFif if
iE iF iF ik tE iE �! iE if IE 1F iF �F iF ik 1F if ff i! iE ik iF if iE 1F iE 1f iE 1E
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
- SMIP/NON—RES
PLAN • ,
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � DUE
TOTALS----> 45,50 0,00 0.00 95,50 95.50 ' .00
REVENUE DIVISION TOTALS--> COLLECTED; 45.50 OVER/SHORT; .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/,TOT GRADING PLAN—CHECK
45.00 ''; 50 ,,
1f �E k if if iE 1E iF i! 1E 3E if k �E 1E 3f iF �f If if 1f 1E if iF if if iF iF iE if if if 1E i! iE fE if �tlE iE ff iE 1f if k if if iE i! 1f if !f 1Eif if if �E if ik If ikik 1E iF iE if iF 1Eif'if if if !f iF 1E ik if iF iF
I N D I V I D U A L F E E B R E A K D'O W N •
TYPE QTY D E S C R I P T I O N UNIT COST 'POTAL COST
SFR 2000 REROOF HY VALUE RESIDENTIAL NOZONE ,.1.00 2,000,00
END OF FEES
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01 bb146347-00146348 T G T
DATEj OS/03/93 TIME: 11::7
/,
4g.5Q
�. �«
CONSTRUCTION ANDPLANNING
APPROVALS Permit �;?
1. Temporary EIeCVical Servicu'or Pole
2. Sod Pipe�Undrgmd. �
3.. �i¢c[ncal Conduit UhhtY•Und�gmd.
4. Electr,cal Condu:t�U�d�9•�d.
5. S*ce, Re�nfo�cemen•
6. Elcctncal UFER Gind
7..'rooi�ngs .
8. PoundaUon
9. '.4ate� Pipe-Ur.drgmd.
iC. St�uctural Fioor Sys`em
1i. Property Se�ver L�neR� Howe:r.nr.ecton
12. $C•.ver Cap '
13 Roof Drains
1J. Ro�.gh P�umb'�g -- --
15 Rough Eieancai-Cony�.i��
16. Rough Elec!r�C!4hring
ll. Ra�,.yh'i:Ir�.ngSign
18. Rough Etectrical-T Bar Ceil�rq
19. Ro�gh Heating & A�r Candi;.oning
4'
26: Ro�'�h Factory Firap'aca " '
i
27. DuC.s, in Structu'a �.• • �
22.,Dur.Ts,'vzn:latin� � '
23..Gas•Pipe�Rqy'gh $� Sest ;
' -I_Yfm_._�r�_
24�'Rouf Praming - � �� �
7.5. Roo� Siseath�ng','
26. T�Bar Ce�ling (Structu�al� &.`.:onocoat
27."Frame and Flashjng
_„- •_.�,-.T-
28. Lathiny & Sid�ng �
29. Insulation '. � �� � .
-r
3�. D'V�'.a�l NaiRng .
� _1
1.
a�. P�u�ti�� II�acin c'a..f ' .
------r�---r-^-
37. Elcctnwl FO:+ei hSat:r4��r,.t
33, Fi�al Eleciric ' � �.
-T
34. FinJl Hrating & Av Co':j�t�oning .
T�y
35: Pii�ai Gas PIpz�Tea � '
� ..
36. Hood or �r.opy � -- � --
'--i -
37;'F,r.ai Facto�V Fireoiace i i t
-r--.�
38. FiCi� P�umb�ng
39. 14'ater Sl+rvice-Fi%+al �
40. Gas Sery�.ce-F�nal �
41. Sa'�- Domest;cF�n;.i '
42. BacxflOw Preventer ^
43. Backflow Irrigation
'�- -
44. Landscape Iiriqn�pn $�,tur �'
-^-�-�.--r'•---- -
45. Sound A[tenuaiibn � '
- � -•--," '.�.. .
46. F'ar.dicap F�eguiat�ons•-: � : �
47. FIi�AL STRUCTUP.k$ E�::ILDING �
48. F�fNAL PLANNIR�G�' �
49. Electric Release to EdnoA�`'
50, Gas Retease to Souttiern �alifornia Gas Q
51. CERTIFICATEOF,OCCUPA�CY
lo. ;. Oatc
Date � Inspector
POOL oPA
APPROVALS Permit'.� Date Inspector �,
52. Pool & Eq�ipm2nt Lorat'�on
J
53. Steel Reinforcement �
�
54. Forms I ,
55. Electriwl @ord:ng I
56. Rouyti "1utn6irg $i Pi,;scu�e .Test -��
�
57. APPROVAL 1p COVER-G� "'�TE ' I �
�
5$. Elec[nwl Condu�l�Undrq.rr,i.
-I--- -
59. Gas P�pe, Cl U�o�,...d . T�s: � � �
- ----- - - --+--- �
60. Badcc.•ash (_'^,e�.. P�'�af-. � �� u.o, ^o I i
Y�___- ___-.
G7. AFPROVAL TD CECK � ,
62. 3�e<�.ash & fteec;:�cr-f-.��: �� � �
63. Heater & Vent•F�,na' � �
G4. Plumb�ng S;'stem � F��aI � -
G5. Elecirica6F�ral � �
- �
66. Sofar Svs:en�Fin�' � �
- --___..... .._ .. i. �
67. Fencing & 4ttess Ai�u�u�. il i
68. APPROVE� FOR PLl;STERI\G
69. POOUSPA SYSTEPAS FINAL _ �
FIRE DEPT. REQU�FEh^.NT I
. i .
4PPROV;�L3 Pe�mit -,_' ,
I
70. �Uidergro�nd H�:;�o �
71. ProdutlPiK+ing:}G.is �:Od -�� -
.1'�- .
72. Undergrtr.cnd Fiush ' •
.�.__ -
%3. Undergm�'.SmiageTank`C]Gas `��I
-^----
74. Overhead Fyd�o y_�_-
--{-
7y. Ory Chemical '
76. �ry Standp'pe �
7�: FIXED�SY.$TEt;'FINAC �
78. FIRE PRE'J. FINAI � _
� H=ALTH DEPT. REQUIRE�.iER�T
r I 79:� f-��:AL IiVSpEC�'C': - � � -�-- --
i
-,'� `_._ '_"Y.___'- "-_ --
so: F000 cEF ,: � caTE ;ss�:E�
-- ----- �----
'
I . � No�es: � .
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OWNER
JOB AC
Gr -R
A, �
INSPEC
SOIL
MODULAR Technology, Inc. ,
:SS 332� Maryland Circle
ROUGH PLUMBING
PftOP. SWR. LINE �HOUSE CON. �
SPRINKLING SVSTEM
M ISCELLANEOl15
ROUGH HEATING AN� AIR CONOITIONING
UNDERGROUND
ROUGM WIRING
TRENCHES PL
BON� BEAM
SHEATHING
POWER
FORMS �(�/ STEEL REINF.
STEEL REINFORCE I�
FRAME ANO FLASHING
LATHING — IN � OUT
I 'ER, BROWN COAT
S...dCTURAL, FINAL
HEATING, VENT., REFRIG. AN� A.0
F INAL
DATE 7-15-71
BUILDING PERMIT N0.
RIPTION of WORK Res.w att.�
ZONE VALUE$29.300.00
)UP I& J TYPE V 2
SUBCONTRACTOR PER
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BO% 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING
OWNEq
MAIL
CITV �,�`.anta
CONSTRUCrION
ADDR
CONTqqCTOR
ADDRESS
CITY
STATE
LIC. Np, 'Z�
SIZE
OF LOT 58
USE OF
1
E. 17th Street
TEL.
NO.
PA10 y � 15?.25
JUI.20-�lcns•,��17 6�'
APPLICATION FOR BUILDING PERMIT
^EIVED BV D TE RECE�VED DATE ISSUED
X � . . � Z ..% � %/� %�
A.P. NO.
BUILDING
ADDRESS
rRacr
mit Dorius, AIA No b44-7111
FI
2nd Ave., Corona Del Mar z�
ai
e`
Same
TEI. Z�
�'arpe NO.
4 CITY
uc. No. 16 0
NO.OF BLIX'aS. (F
]_1`L NOW ON LOT F
,,,-, NO.OF ,� �
tr11NG rer r.�cui� �c
OF BUILDING AND WORK
X
ROVED
NO.OF
� PLANS �
VAROS APPFOVEO
MAIN BUILDING
iJ
OISTANCE BET
MAIN BLOGi.
VAR.aW _
C.U.P. #
APPROVED %
�
I he�eby acknowletlg0 Mat I hav¢ reatl [his applicetion antl state NOLD FOR
that thB above Intormation iz correct entl aBree to comply with
oll lawg regulatlnB builtling consvuction, antl I shall nol employ ��
any peYson in vlolation ot tho workmon's tompensetiOn laws of
che State of Californie. �
1 hereby certify that I am properly licensetl as a conbactor untler SQ. Fl
the Sta[a of California Business nntl Profeuions Cotle, Divisicn 3, THE AMOUNT:
Chap[e� 9, ontl t�at such ' enses ere In full force antl af(ect, or I THE PURPOSE OI
em exampt irom the v ionsot NeState ornla Business VALUATION
ontl Prq�osslone Cotl D' �slon 3, Cha ter .
Slpnatura ot
Permittee $
�j I�
Author7ietl Apent 9� �✓D/
LOT
VSE OF NEw l
BNLDING �
VARDS APP
ACCESSORV
BET. MAIN &
BLOCK
� I ..
�0 � °
O
�WN UNDER V%1LUATION IS FOR '
iTABlISHING A PERMIT FEE ON(LV: ¢
PEFiM1T FEE $ / � �� J�� "'
�5 �
PLAN CHECK S S�// � E
� `o
LL
TOTAL FEE 5 � .