HomeMy WebLinkAbout3322 MARYLAND CIR - Building Permits,
s
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job.4ddress: 3322 MARYLAND CI
Suite:
Vicinity: ROOF (GARAGE AND REAR)
Parcel Number: 13961144
Applicant: MILLER, MATT
Address:
Owner: TENG, HAN YUAN
Address 2522 STEEPLECHASE LN
DIAMOND BAR, CA
Contractor: AL� PRO ROOFING
Address: 905 S CALICO CL
ANqHEIM,CA
Zip: 92804
Arch :
Address:
Zonin9:
Phone: 714-226-0747
Zip:
Phone:
Zip: 91765
Phone: (714) 226-0747
License: 768511
Eng:
Address:
Status: ISSUED
Applied: 04/14/2003
Issued: 04/14/2003
_i/� �
�- ��
- Phone: Phone:
Zip: License: license:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL TORCH DOWN ON FLAT ONLY. 9 SQUARES INCLUDES ATTACHED GARAGE AND PART OF REAR OF
RESIDENCE.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAINSTRUCTURE FrOnt 0-0
ACCESSORY Front 0-0
PARKING Existinq: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$2,381.00
$2,381.00
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements untler California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for Ihe work authorized under ihis permit to be considerad legal, such work must comply with all applicable codes, and all
requlred Inepections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
weoe �vw7
WORKERS' COMPENSATION DECLARATION: �
I hereby affirm under penalry of per�ury one oi iha following declaretions:
❑ I have and wlll maintaln e certlficate of consent to self-Insure tor workers' compensation, es providetl for by section 3700 oi the Lebar Code, lor the peAarmance of the
work tor which this parmit is Issued.
� I have a�d wiP mai�tain woflce�s' compensetion insurfl�e, as required by section 3700 ot the Labor Code, tor ihe peAo�manca ot the wrnk tor which this pertni[ is iuue0.
My worK,�g/�/ co e satl n Ins e caM r end policy number are: y ^ �7��
Certier: /� ���� n� po�icy Number. /�� L/rI(1�17-- ZWj
(This section �eed nat be p/eted il the permi( is va/uetl el ane hundretl tlollars ($100) or less.)
❑ I certify Ihat in tha paAormence of Ne work for which this permit is issued, I shall not employ any person in eny manner so es to beCome sub�ect to tha workers'
wmpense��on lews ol Calitomia, epd egree that tl I shoultl become subject to the workers' compensation provisions ol Sectlon 3700 0l the Lebor Cotle, I shall fort�with
comply with these provisions. /y'n ��n i,, / j A ���O �
Appllcent SlgneWre: ��/ �' 6 ,:v iy�L^6 oate: vL
WPANING'. 6PIW RE TO SECURE WOPICERS' OOMPENSAT�I C�YEPAGE IS UNLFWFU� M10 SNPL� SUB,IEGT AN EMPIOYER TO CRINJNAI PENAlTES AND CPPL FlNES UP TO dJE NUNDRED
THOUSAND D(7�URE (5100,000�, IN ADDITION TO iHE COST OF CAMPENSATION, DAAMGES AS PROVIDEO FOR IN SECTION 3�O60f THE LABOR COOE, INTEREST, AN� ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereCy ettirrq Ihat I em licensetl undB p;wl6�i
farce end ettect. Lic. M
Comraaofs 5ignature:
9(commencing with Sectlon 7000) of Division 3 of the Busines5 end�Protessions Catle, and my license is in lull
Class p L C�
Gate: _ i�_ „1 n �
CONSTRUCY�ON LENDING AGENCY:
❑ I hereby aHirtn that there is a construction lending egency br ihe pedormance of Ihe work tor which this D���it is issuetl. (Sec. 3097. Civil Code).
Lenders Name: Lentlers Address:
Signewre: Date:
OWNER•BUILDER DELLARATONS:
1 herehy aRirtn that untler penelry at pe�ury that I am EXEMPT FROM THE CONTRACTORS LICENSE LqW tnr the following reason (50c. 7031.5, Business antl Protessions
Code: Any ciry or counry which requires a permit b consiruct, alter, improve, tlemolish, or repair any siructure, pnor ro its issuanca, also requires Ihe applicant for such pertnit
to file a signed statement thet he or she Is Ilcensetl pursuent to Ihe provislons of t�e Contractors License Law (Chapter 9(commencing with Sectlon 7000) of �ivislon 3 of the
Business antl Protasslons Code) or thet ho or she is azempt iherelrom end the basis tor the elleged exemption. Any violetion of Section 7031.5 by eny epplicant for e pertnit
subjects the applicant to a civll penalty of not more ihan five hundretl dollars (5500).):
❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO 7HE WOFIK, entl Ihe structura Is no� Intentlatl or oHered for sele (Sec.
7044, Bosiness and Professions Code: The Contractors License Law dces noi apply to an owner of propeny who builds or impmves thereon, entl who does such work
himselt o� herself or ihrough his or her own employees, proNdad ihat such imp�ovements are not intended or oHered Por sale. If, however, Ihe 6ulltling or improvemant is
sold witn�� one year of completion, the ownar-builder will heve the burden ol proving ihat he or she tlid noi build or improve for purpose of sale.). �
❑ 1, as awPer of the property, em EXCLUSIVELV CONTRACTING WITM LIGENSED CONTRACTORS to conslrucl the pmiect (Sec. 704d, Business antl Pmfessions
Code: me coNrectors License Law does not epply to en owner oi proDetly who �uilds or Improves thereon, antl who coniracts lor such pmlect wit� a contrector(s)
license pursuant to ihe Conirectors License Laws.).
❑ I am enempt under sec. Business ana Professions Cotle for ihis reason:
Signeture: Date:
Owner ID ventiad by tlnvefs Ilcense. ❑ Vas ❑ No Dnver's License No.
Verification ol Ownership by (type of tlocumeni, i.e. - property tax bill or deetl):
Expires:
DlVISION OF INDUS7RIAl SAFETY PERMIT CER7IFICATIOH:
❑ 1 hereby cenity t�at no exwvetion five (5) or more feet in deplh into which a person is required to tlescend, will be made in connection with work euthorized by Ihis
permiL and that no building strucWre, scaflolding, talsewo�k, or demolition or dismantling thereof, will be more ihan thirty-sia (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title 8. Celifomla Administrelive Cotle).
❑ As owner-builtler, I will not employ enyone to do work which would require e permit from ihe Division ol Intlus�nal Sefery, as notetl ebove, unless such person has e
permit to da suCh work IrOm ihe divi5i0n.
Signature: Date:
Division oi Intlusirial Satery Permit Number.
CERTFICATE OF COMPLIANCE AND AUIHORVA'I10N OF EMAY: I certity under penalry oi perjury ihat I have raatl this ep0�ication end stete thet ihe infortnation given is
correct. I egre0 to wmply with all stete laws end ciry ordinances relating to builtling consiruction, and euthonze representatives oi the C�ry ol Coste Mesa to enter upon the
above-describ6tl property lor inspec�ion purposes. I agree not to occupy or allow occupancy of any building authodzed by Ihis pertnit unlil f(nel inspection.
�S��ature Of gal Ow � r s) �r' ��p�le
� /1 �.
�T�T� rAulho ze p Wn aie
CQOE 1, INSPECTIONTYFE
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
Pool 5pa Final
Finai Pe-Root
Fina16�ocWReteining Wall
Finel Fet�ory Fire Place
Final 5ign
204 FinelOemolltlon
PSIE INfRIRLS
P IE
c,l-L9-o3 �
COOE� INSPECTONTVPE �
206 Final Mechanical
20B Final Plumbing
210 Final Eledrical
212 Finel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
P�IE II�64
CITY OF COSTA MESA REQUEST FOR OCC�rANCY
TRACT N0. ���8 Z— DATE ��2Z �� Z
LAT N0. % /
�D�SS 33z Z i���....Q�
G �i
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 enforcemenC 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 afarementioned uncompleted condition.
BY
" rchaser
BY
Developer and/or a horized
representacive
"'8Y'�—�"
Lender
..
ADUFESSOFBUILqNO: 3 3 Z Z MARYLAND C I uNr:
axr+EasN�xEi�ro+a�T+: TENG, HAN YUAN FLOOD: AE-37
;ti �ooxess: TENG CHIUNG A
21815 E SHETLAND WAY
WALNOT,CA 91789
avr�. wuuxc wo�ss:
�I
�
�
1NCNRECT OX ElII:NEEX:
ncx. on erxi.•s woness:
uc. no.:
uNt;
wxm�crarsx�ue: ABLE ROOFING ( 310 ) 920-2112
cartnncroas wuuxa 14 3 2 4 WOOD RU F F AV
�ooxEss: BELLFLOWER CA ucxo.: 589423
90706 uNr:
LICENSED COMNACTOflS DECLAXATION: I Mreby efl'vm undar peneEy d perjury ihe� I em IcanseE uMer provimom ot Chepter 9
(mmmencinp v.ilh Sec�ion'l000� ol Dimion 3IN �hB Businea eM Pro/easions CoEe. eM my licerue e in lull brce eM Niep.
cmuc.No.: 60696 uc.cuss: H uc.No.: $9 EXP: 00/00
o�e: � � 2 a /'' c«nrea«:
'1WNEH 6UILDEX D LAflATION: I hneby ffifirm uMm penely rNrY �� zemq Irom �M Comretlon licenee Lawla Ma
bwig ieeeon (�� ]0�1.5 Buai�ms eM PM��a �e: MY cYY a oountY �� �Quires a permil �o conslnic�. Mx. imprwa.
md'sh, or repei eny sVucture, piiar b ih naeMy, ��uirm IM apd�� la euch parmn ta fib a sgmd aWemem thel M a eM
n licensad pursuent lo iM1a prwisions d IM Convgdp� Lioenae law �Chepter 9(oomme�wiq xdh Sedan )000) W Diveion � d ihe
Busness eM Prdeviona COCa� a �het M a she iy e�emp Iherelmm end �ha ba+ia br tha elleped exempion. My vbleton af Sedion
1031.5 by ary epDlicenl br e permn wbjecU Iha e{�pl'rant lo e civil penelry ol nd mae Ihen fHe hunEretl Eolbn �5500��.
� I, aa Ownar W Ih0 prope�y or my empbyeee vinh wepea ea thei eole mmpensmiOn, xill dOlhe work, enE IhB �NCIUlB m� inlended
ar oXered for seb �Section 1014. Buviress end professiona Cotle: The Convedom licensa Law daea rw� epplytoen ownerd propeM
wlw boilda a m0�'ea Iheraon, enC who doea auch woM Mmsetl or heneN or ihrouph he a her own emdMeee. pmvided thet such
improvemema ere mt inteiMed ar olfared for aele. II, however, iM WiNinp or improvemeM is ealtl wi�hin one yeu W mmpinbn, lhe
owner-buiMm xi0 heve Ihe buNan d 0�'�^9 ha w ehe dk �wt build or improva Iw ihe W'W%e d eale).
� I. ea o�mwr d Ihe propaM. ��duaiveH oMiredm9 �h licenxd conVaclae lo carelr�w iM qqea (Safion )WI. Buai�wee eM
a,oie�mo� coes: Tne cam�aaa. ��� �w eo� �a aodv io � o�. d woo�+r ,�,no w�na « �mww� me�� �a wno
comrecm M ew� propda wnh e oon�raaor(n) Icanaed puroueni m �he Conveaaro Lioeme law).
� I em uemq ueidx Seetion: 8. b P.C.. Im i�ie reasan:
Dale: Ownu:
� do ne�aev �h �nm � arn ewme d.m �dms�a,e ma reaw,�«w d cmea„� r�n a�d seren coee sw�om zssos. zssa3..�e
2553a, eM ihm 1 a vry Mun Wikiiq ompent II� / wil ml (dreb aw) neeE to comqy wih eeid mme wdm ud iM reyuiromenU br
e parmn iaeonevuetionamodifieetionhwnlheAr��epa�m Dixna. Reaida�uiel mnsteWion eppf�etiwnareexempt Irom theae
a�m�a.
De�e: ADW��'
WORKEF'S COMPENSATION DECLAP�TION: I hemby elfirm uMm penelly ot perjury aw M ihe fallowinp detivetiona:
� I heve end �II meiniein e cen'ilicele d conaem io eeH-inaure br workere compenaelbn, m prwitled Iw by Seaion 3]00 W the laEar
coaa, io� ma rort«m�oa o� ma woM i«.re�n m�s ae,mn �a �awa.
� I heve enE wiA mdnlein workari compensalun inaurarce, m required by Senim �]00 d Ihe labar COEe, la �M peilormerca d tM
work Iw x1�id� ihie permil o iasuad. My wakqy �pansetion innurarwe cerrier aM pdiry number ara:
c�a: STATE EXPIRES
. Pdiry Number: 0 4/ 0 1/ 9 6
(Tha .section naeC � be mmderee / tM parmt k b one huMred Eollers /S�ool a bn.)
❑ I een/y ihet in iM pMwmerca d Ihe woek la whth Ihp permil o'mauetl. I 4WI m� empby vry pareon in ury men�ror m m to
bacome w4� io iM xohen' canDa�+�ion levn d CaNana. eM �ree Ihet G I shouM become wblea to the waMn'
wmpenwion pw^/i}aons I Sedion 3)OU d the Lebor LaEe, I ehell Iw./th�m�h m�my/N$J� �tNwe qovitiona.
De�e: z /°� ApqicanL .`,3Y/�AEL—�
Waminp: Fa un ro sxuro woikw�'rompsnupon rovereys l� un � 1, �na �NII sub)xt an wnploysr ro cr/Mrul pene/Hsa anC
clvll flrros up ro ons M1undreJ IMuasid rlolkra (f10q000), In etltlltlon ro fhs cwt ol rompensetbn, tlenups� es provldsd br /n
Sectlon 9)O6 0l !hs Lebor COM, Infensf, entl a�pmey i/ws.
CONSTFUCTION LENOINO AGENCY: I hereby �� under penelry W perNO' �hat Ihere is e mnatmd'wn IeMinp epenry Iw iM
peAormance W the waM la which Iha paimn is esueE (�� �]. Gir. Cl.
LENDEH'S NAME:
LENDER'S RODHESS:
I canity �het I heve reaE �hia epdre�im enE Gata ihei the ebova inlormeiion is corteu. I pree to compy xith all tlly eM couny wdinvicea
arM sW a kv.s lelei'vq to Wikvq constnwon eM hereby eNhorae repmanietivea d iho ary ta enter upon �he above�meniianeE qopeM
br inspeaion Wrpwea. �
l� u o
Pnn�NeeL_ /�
Dete: �L y
sa�d�„ d o�.,,aua<�unaa��com�mo�
.1�5\de WP) � Whib-Buildiip 8 Sefe�y; Green-Fle; Cenery-4pplirsnl; Pink-Revenue; Goldenrod-Rsseaaw
r
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: B 073912
PERMIT N0: B 073912 PLAN CHECK NO: �/ GOVT: N SUPP: N
CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF SHEATH 6 REROOF W/COMP SHINGLES, SQ FT; 4,000
CLAIM VALUE: 4,000.00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS ARE REt�UIRED PER 91UBC, REROOF 2000SF RESID
iFiE�r*itiEiEiEiEiE3E**iE*iEiEiE�E-IE3titiEiErtiE*iEiEiFiEit itiE�lfitiEifQ3f-�f-**3tiEiEiE�1EiE*#3EiE�EiEifiFiEiti(�63�i�i���.�JE����
Z O N I N G R E U I R E M E N T S `7MvI�`
S—E T B A C K S
------------ MAIN BUILDING ----- --- --------- ACCESSORY�.B.UIZ��•"�'�
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT II�}
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ• PROV: PARCEL: 13961144 ZNE: REF NO:
PLANNING N6TES> �
i,
iE 1E iE k �ElElElf 3E if 1E k iE iE IE iE if iE if iE if iF 1E 1E iE �E fE fE dE dE fE 3E 3E if iE df ik iE 1E 3f if 1f 1E if jE 1E 1E 1F 1E iElE jE 9E 1E iklF iE IElE M iE fE 1E iE fE 3E �E 1E iE 1E jf jElE i(� dE iE IE iE iE
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
ZONING APPROVED, BY DATE: "�
BUILDING APPRdVED BY : DATE:
APPLICATION ISSUED BY: � DATE: ZZ ��
IE fE if iE if 1E If 1E 1E IE 1E if iE 1f if IE iE 3E 3E iE iE iEiFiF��F1F�F7FiF3FiF 1F3F3F3FiF3F7F�FiEiEiFif iF��Fit-ifiFiFiF{f�iik jf 1f iE if if if 3E jE iE iFiFiFiE iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 63.00 . ' ,50
SMIP/NON—RES
PLAN
ISSUE FEE �
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 63,50 0.00 0.00 63.50 63.50 .00
REVENUE DIVISION TOTALS--> COLLEC•TED: 63.50 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
63.00 ,50
iE �E iE iF 1E iE iE')E iE fE 3E if !f if iElE iE iE'If iE fE iE IE 1E 1I' iE 1E 1f 3E iE if iElF iE'iE iE'IE'IE'lE iE 1h �I' 1E ih if i4 iE 1E 1h iE iE iE iE iE if iE iE IE 1E i4 iE 1E'lF iE IE'If if IE iE if iE 1E if 3F 3f 1E IE �E IE
I N D I V,I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY
4000
D E S C R I P T I O N
REROOF HY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST
1.00
=TOTAL COST
4,000.00
� � �� D
� AUG 2 21995
CITY OF COSiA MESA
✓/`,�
f � • • - �
CONSTRUCTION ANDPLANNING
APPROVALS Permit #
t. Temporary Eiectrical Service or Pole
2. Soil Pipe•Undrgrnd. '
3, E�ectrical Cpnduit Utility-Undrgrnd.
�4, Electrical Conduit�Undrgrnd.
5. Steel Reinforcement
6, Electrical UFER Grnd.
7, Footings
B. Foundation
9. Water Pipe-Undrgmd. `
10. $tructurai Floar Svstem �
t t, Property Sewer Line & House Connectio�
12. Sewer Cap '
13. Roof Drains
14. Rough Plumbing
'96. flough Electricai-Conduit
16. Rough Electric Wiring I
57. Rough Wiring $ign �,
78. Rough Electricai-T Bar Ceiling ''��
79, Rough Heating & Air Condifioning �I
20. Rough Factory Fireplace ' �
21. Ducts, in Structure � � - '.
22. DuMs, Ventilaiing �
23. Gas Pipe-Rough &�Test .
24. Roof Framing � ' '
25. Roof Sheathing . �
26. T�Bar Ceiling {Struct�ral) & Mdnocoat
Z7, Prameand Flashiruj '
28. Lathing & Siding � � � '
29. Insulation � � �
30. Drywall Nai4ing '
31. Piaster Brown Coat • �-
32. Electrical PoWer Meter�Final
33. Final Electric,
34, Final Heattng & Air Conditioning .
35. Final Gas Pipe�Test
36. Hood or Canopy .
37. Final, Factory Fireplace . �
38. Final Plumbing
39. Water Service�Final . -
40. Gas Service-Final � . -
41. Soiar Oomestto-Final . '
42. Backflow Preventer
43. Backflow Irr�gation �
44. Landscape Irrioation System
45. Sound Rttenuation � .� -'
46. Handicap Reguiation�" ��, �
47. FINALSTRUCTUP ��E� I DING l6
48. FINA�PIANNING ��
49. Electric flelease to Eiison�.-
50. Gas Release to Southern C��ifor�ia Gas Co
51. CERTIF�CATE OF QCCU ANCY
°'t'
.�� i .SPQ
Date Inspector
APPROVALS Perm�t #
52. Pool & Equipment Location .
53. Steel Reinforcement
54. Forms •
55. Electricaf 8onding �
56. Rough Piurribing & Pressure Test
57. APPROVAI.TOCOVEft�GUNITE
58. Electrical G��duit-Undtgrnd.
59. Gas Pipe, � Undrgrnd., Test
60. Backwash Lines, P�Trap, � Undr�rnd.
61. APPROVAL TO DECK
62. Backwash & Receptor-Final" t
63. Heater & Vent-Finai �
64. Plumbing System - Final
65. Electrical-Final
66. Solar SYstern-Final
67. Pencing & F�ccess Approval
68. APPROVEL) FOR PLASTERING
69. POOL/SPASYSTEMSFINAL
FIREOE'T.REQUIREMENT
� APPROVALS : Peimit #
' 70. Underground Hydro
. 71. Product Pipng �iGas ❑Oil
72. Underground Flush
73. Undergrnd. Stocage Tank O Gas ❑ Oii
i� 74. Overhead Hydro
75. .Dry Chemicai �
�: 76. Dry Standpipe
77_� FIXED SYSTEM FINAL
� 78. FIRE PRE\'. FINAL
NEAITH DEPT. REQUIREMENT
, 79. FINAL INSPECTION
80:; FOOD CER'iIPICATE ISSUED
No'tes:
'. io�t� 3 k :� g 2/i `j `�' �.
_ /0 L2 �(e e eL Gc� OZc+yt�2,� ��G
� n _ /
. ` : , VL�I�Z `'�4�0 CGis-n-r�.-,q" Gh` Nl�j�
` t-i _
�" '
Date I,Inspector
OWNER MODUI,AR Technology, Inc. DATE 7-15-71
JOB ADDRESS 4422 Marvl.and CirclP BUILDING PERMIT N0. 000RG
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE ��fI0U5E CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUND � POWER �
ROUGH WIRING
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BON� BEAM ❑ STEEL REINfORCE n
SHEATHING
FRAME AN� FLASHING
LATHING - IN `T� OUT �"
f 'ER, 6ROWN COAT
5. ..:TURAL, FINHL
HEATING, VENT., 0.EFRIG. AND A.C., FINAL
PLUMBING, FINAL ANO GFS TEST n
ELECTRIC, FINAL
ZONE VALUE
)UPI & J TYPE
SUBCONTRACTOR
Z .
a U
Z
Za
� N
2 (�
J7
J N
Q W
tt] J
m
J Q
U N
Za
W �
aw
W Z
J Q
m Z
J �
W w
O
2H
W �
� �
33286
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. eOX 1200 COSTA MESA. CALIFORNIA 92626
JUI. 20-71 �M��001 �*�� 1 S6."0
APPLICA710N FOR BUILDING PERMI7
ForApplicanC to Fill in Completely RECEIVED B D TE RECEIVED
� � A— Z �� D TE IS�$AlE%
ADOFESS 3322 Ma land Circle � �° —��✓ !�
(� PE
OWNER Modtz7.ar Technology� I11C. A.P. NO.
MA I L BUI LDING
ADDFESS 1104 E. 1 th Street .4DOFESS 3322 Ma land Circle
TEL. TRACT 6 HZ LOT BLOCK
CITY Santa IiLl& NO. 4—
CONSTRUCiION W ADD R P
IENOER
BRANCH
OWNER
ADDRESS L�/ G' VALUE^3O q/�J'�
ARCH�TECT TEL SE 5'
OR EN �NEER Kermi S N.
FIRE � �
ADDRESS 111 2nd Ave Corona Del M r ZONE TVP GROUP
APPROVED
CONTpqCTOR QF7(jep BV DATE
ADOFESS S27Il2 Z NO.OF USE OF NEW
TEL � p�qrys �i BWLDING
CITV .S�e Np.
STAT� 1' CITV �'AROS APPROVED VARDS APPR ED
LIC. NO. '� 'z y LI0. NO. 16 O MAIN BUILDING ACCESSORV B LDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT O X ZOS NOW ON LOT FROIYT FT. FT.
USE OF
EXI5TING BLDG. " I E � FT. FT.
SIZE QF NO. OF
NEWBLDG. 2100 SF qOOMS 7 STORIES 2 L.SIDE FT. FT.
EXTER�OR WALL ROOF
COVEpING PEY' P COVEFING W REAR FT, � FT.
USE OF eUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
MAIN BLDGS. ACCE�. BLDGS.
Construct new residence with c uRP � S— APPROVEDS��- �i
APPROVED /
aitached ar e.
I hereby actnowleaqa tnet I hnve reatl this application ana stare HOLD FO
thax the above information is correct antl agree io comply wiffi �
all laws regulating builtling consvuction, and I shall not employ .��
any pgrson in violation of the workman's compensation laws oi
ffie Stete af Calitomia. � ��` � / �
1 he�e0y certify thet I am prOperly licensetl as a contracror untle� ��r� SQ. FT. G // O
the Stete ot Calitornia Businass and Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER- ALUATION IS FOR
Chapter 9, and that such licanses are in tull torte antl effact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am eagmpx from Na p•��] �sions of che State o Celifornla Business ¢
andPrbfessionsCotl{ fvision3,Chap 9 VALUATION w� � ry
PERMIT FEE $ '�� ]
SipnetUre Of ?'�" m
Permiitee S PLAN CHECK $�� +�� E
3d 9G�rr, �' S� `�' �°
Authorizetl Agent � TOTAL FEE $ �