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HomeMy WebLinkAbout3323 MARYLAND CIR - Building Permits�� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��s MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lobnddress: 3323. MARYLAND CI Suite No Vicinity: Parcel Nunmber: 13961129 Applicant: Address: Owner: Address SPALDING, JASON 17390 MT CLIFFORD CI FOUNTAIN VALLEY, CA MUNSELL, GREGG M 3323 MARYLAND CIR COSTA MESA, CA Phone: 714-241-1414 Zip: 92708 Phone: Zip: 92626 ISSUED BY: � Contrector: COAST ROOTER PLUMBING HTG AND AC Address: 17390 MT CLIFFWOOD , , , Phone: 71 FOUNTAIN VALLEY � Zip: 92 � License: 529727 SCOPE OF PERMIT CHANGE OUT (E) WATER HEATER FOR SFD. ISSUE FEE Backflow irrigation BackBow Preventer Balhtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe � Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 so.00 $0.00 � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT LaundryTub/Washer � $0.00 Landscape Irrigation � - 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank � $0.00 Sewer Cap for Demo $0.00 Sewer Connect , �$0.00 Sewer Private Line � . $0.00 Shower - $0.00 Sink, bar ' ' ' - $0.00 Sink, commercial '' "- . $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop $0.00 Spa (private) � 50.00 Spa (public) - , $0.00 QN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 � 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 10/03/2006 Issued: 10/03/2006 Sump Pump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin - . Wash Basin Set Waste andYenfSystem Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Waler Ser4ice Water Softener OTHER VIOLATION PLAN CHECK , - REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 Qrv 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under �his permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this pertnit. FOR INSPECTIONS CALL: (774) 7545626 xaa�av fu�ao) WORKERS'COMPENSAnON DECLARATION: - I hereby efllrm under penelty of pehury one of the following declarations: ❑ I heve and wlll melnteln e certiticete of consent to self-Insure for workers' compensatlon, es proWtlad for by section 3700 oi the Lebor Code, for the performance of the work tor which this permit is issued. workers' compensation insurence, as requiretl by section 3700 of the Labor Code, for ihe pedortnance ot the work for which this pertnit is issued. tion Insurence carrier antl policy number are: ,�--�—t.. .�. Lq,,,,f � CP,olicy�Number-(�'�� iOC.VS npleted iI the permit is valued at one hundred dollare ($100) or IessJ � ❑ I certity ihat in ihe performance of ihe work tor which Ihis permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, antl agree that if I should become subjact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with ihese provisions. q Appl�nt SignaWre: ��I�. r'� te s"' i�� '.7"d� WARNING.'FAILURETO UREWOFKERS'G MPENSA I NCOVERAGEISUNLAWFULANDSHALLSUBIECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDRED TMOUSAND DOLLARE ($1 ,000), IN ADDITIIXJ TO THE CA OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIQV 3]O60F THE L400R CADE, II TEREST, AND ATTOPNEY'S FEES. LICENSED CONTRACTORS DECLARATION: provisions of Chapter 9(commencing with Section 7000) of Division 3 nt the,Business and Professions Cotle, and my license is in full � C��,� a , c 3��. � �� oa�e: ' :r��� -2 - u!, CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat Ihere is a consWction lending agency for iha performance of the work tor which Ihis F�ermit is issued. (Sec. 3097, Civil Cotle). LendeYs Name: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Data: I hereby aHirm thet under.penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW ror ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permi(_k'coFlsimct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires ihe applicant for such permit to file a signed statement ihat he or she is licensetl puisuant to the provisions oi the Contractors License Law (Chaptar 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code) or ihal he or she is exempt therefrom and the hasis For the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjecis ihe applicant to a civil penalry c� not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of propi;rty who builds or improves Ihareon, and who tloes such work himsalf or herself or through his or her own employees, provided that such improvements are not intended or oHered tor sale. If, however, the building or improvement is soltl within one year ot completioq ihe owner-Duiltler will �ave ihe burden of proving that he or she tlid not 6uild or improve for purpose ot sale.). ❑ I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sec. 7044, Business and Protessions Cotle: The contractors License Law tloes not apply to an owner of propeny who builtls or improves ihereon, and who coniracts for such project with e coniractor(s) license pursuant to ihe Contrectors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID venfietl by driver's license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (type of dxument, i.e. - propetly tex bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Expires: ❑ I hereby cetlity that no axcavation tive (5) or more feat in depih into which a person is required to descend, will be made in conneclion with work authonzetl by this permit, and that no building sirucNre, scaHolding, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Atlministretive Code). ❑ As owner-builtler, I will not employ anyone m do work which would require a permit from the Division of Indusirial Safery, as noted above, unless such person has a permit to do such work fmm ihe division. SignaWre: Date: Division ot Industrial Safery Permit Number: CEpTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certify under penalty of perjury Ihat I have read this application end state Ihat ihe information given is wrrect. I agree lo comply with all state laws and city ordinances relating to 6uilding constructioq and authorize representatives of ihe Ciry ot Costa Mesa to enter upon the above-described propeAy tor inspection puryoses. I agree nm to occupy or allow ocapancy of any building authorized 6y this permit until final inspection. CODE I. INSPECTION TYPE 1616 1266 200 „ Signature Of Legal Owner(s) Fized System Finai Fire Prevention Pool Spa Final Final Re-Raof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition tjejg INTR cooe� 7y5PE�.11)NttPE 206 Final Mi:chanical 208 Final Plumbing - 210 Final Eli3ctrical 212 Final Fiia Prevantion 220 Final P1�3nning Approval 222 Finai Sile ' ' 250 FinalBuilding/Occupancy � p� nmtu�s r \ ► � RDONESSOGBUILpNG: 33z _� MARYLANL CI ONNERSWYEIFIQAWN: (�SHOr{N, TIMOTHY, R ���� 3323 MARYLAND CIR COSTA MESA,CA �vv�. uuuxc nooness: AIICXRECTOPFNtlNFEX: APCII ON ENO.'S �DDRESS: 92026 UNT: FLuOD; AE-37 uc. ea.: IINT: corim�crarsru�: KEMNITZ A/C & HEATING ( 714 ) 453-8500 CQAFACTOASMNIMO 188 TECHNULOGY �opE�: IRVINE CA uc.xo: 695879 92718 urar: C LICENSED COMRACTORS DECL�NATION: I Mreby ellnn uMer pera�y d perjury thet 1 em Icrued uMm poiuima d CMqs 9 (mmmenarq wilh Section ]000) d Oiveion 3 d iha Buarea aM PMeavma Cada, ard my liunae u in lull tace vd Mea. cmuc.r+o.:063 9 uc.cuss: C_20 uc.no.: 69 874 EXP: 10/97 o�a. O ��,� NEF BUIL D LAXATION: I hereby e/fi�m undar penely d perjury t I em eKemp t � I �nlretlae lirome lew /a Iha IdlawFp rees ( ion )0�1.5 Buaires+enE Proleseions Coda: Any ciry a counry which e pa�m� to m�reVucl, aXer, impova, � demoleh, or epei eny slrudure, prior to As bwenca, elso requires �ha epdie�ant br euch ! lo fib e aqned eletement thm he or ehe i IicenseE W�%�^� to Ihe peovivma d �M Conlreqore Licenee law jCheqar 8(�mmviq xiih Sedion )000) d D'veion 3 d Or ,usirie� eed Prdeabns Codel a i1W he « ahe u examq thareimn ark iM bea lor tha elb0ed memqbn. MY videtion d SarJion �mi s M enr eod�� �a a oem�n .�,4+� �ne aoWcem �o a d�i oe,�e�y a na mae �nen r e nu�k�ed ddivs �ssao�). � I, es owner d ihe propeity or my empbyms vAh wapea m �he'v eole oompeneetion, will Co �he wak. end �he elnwYure w nd inleMed w oRered fw eele (Secwn l0<4, Bueinese arM Prokssbns COEe: TM Comrectare Lirenae lew doea nm epplyto en owner ol propeity wlio budde w'vnprow Iherean, end w}w Eree euM xvk IimeaX w hareeY a IMaph h6 a her own amplvyeee, pwided �hm such impwemema are not iniaMed a WueE (or+eb. M, however, tM buJdi�q a'vnprv.emam u sold xnhm ma yw d mmpM�un, Me owmr-0uiNm xiil heva iM WrEen d pwirp M a eha Eid nal EuiM a impv.e ta iM qvpoee N seb�. � 1. ee mmer W �he propaM. � extlusrvely mnirenmp wuh licensad wnvectwe ro conmua tlro pmjea (Swion ]016. Bue'vms eM PrWaeniona Coda�. The Conirenae Licenae Lew doea na epply �a en owner d propeM �o buiNa w imqww thereon eM v.fio conVeas I« wrh v�s wnh e mm tor(sl IicenxE W�uem to ihe Comrea«e license Lewl. � 1 un eumq wMm Saction: B. 8 P.C., b Nu �eamn: Dero: Owner. I do hereby ceMy ihet I em ewera d eM uMe�slerM iM repuiremeM� d CalAomie HaeXh enA Selely COEe SeGiam 25505, 25533, eM 2553a, erd ihm I w eny tNure buikiip oaupeM wiil / wil rw (vicb ane) naed to comqy wih aeid mma mdm md iha reQuiramann lur epermnlpmuWc�unamodifimtionhantM�i�y a�pemenlD'¢fiitl.RmidenlielmMrutlbnappf�iamenmamqliomNete a��,s. De�e: Appliunc W OPKER'S COMPENSqTON DECLAFATION: I Mreby dfirm uMr peneXy d psjivy aw d �M blbxi�q deduetiom: p in�d,a.�;��m�e�r�.a�iio.�n:�.m.�n��o«�+dm...wo.�ee«ers,�,a�aoam.i.nQ coae. r« me o�rto�a a�� iw �m m� oe�u m m.�d. �I heve end xitl meintein xoM1en' mmpenminn insurerce, ea reQuirad by $aclion 9]W ol Ihe Lebor Code, b iha peAwmerim d�he work lor whiM Nie parmN ia i»ueE. My wnkan' wmpenxlion insurariea remer aed pdiq numEer are: c�, �p LIF COMP EXPIRES Pdicy Number: c: ��S'��iS�— 0 Z/ O 1/ 9 8 �his sMiwr need na be wmpbfeJ! tM pemirt is la are hvnCieJ dd/ers (S1W/ a bu.) �I � 1 wnly ihe� in ihe pe�ameza d iM xroh �« v.hch ihu permn ie i�uad, I ehell irot emdW enY Pa�� �� Nv menner eo n m �bewme wbpa �o t' v.oh a' canpensetion le� d CelAomb. eiM epme thel ! I ehouk bacome eubptl �o iM xvken' ,���smim ww� � �s a e'� a>oo d ma iena, cma. i wu iunn.nn �pr �� mae � o�u iJf �_�"_ RPWi�aM: \ l�� �u�e�/y1,�enCaNllsWfecte ysiMralMnslpsnellluard Mlltlon b fM cwt o/ ro r5 tlemq�s� �� poHtlM br In Sxtlon Jl[I66/ tlrs Lebor Cotls, Infw�s4 ana emmeY'i ��u. (/ CONSTPUCTION LENOING AOENCY: I Mraby eifirm uMn penelry d perpiry 1l�et �M1em u e conatrutlion bMiip epem.y far tlro peel«menm d tha xvM fa which Iho pafmi ia ivsueE (Seaon 909), CW. C). LENDEH'S NCME: LENDER'S ADOFE55: I caMiN �het I heve reaE Ihia epqir.aiion vd mele �M1et Ue ebave inlamelion e co�rep. I eprae to mmply x±l� aA cry aM counN �invKee eM slate lexe relmiip �o building canslrudion erd hereby author¢e repasenletivea M thu rny to enter upon Ihe ebova�mentioneE popa�ly br inspociian purpoeas. ROBERTA STENTZ / / � (5151de.WP) WhAe-BuiNiq 8 Rnk-Revenue: �. CITY OF CGSTA MESA — bUILLING PERMIT PERMIT Nt�: M 084975 PLAN CHECK NG; N CGNSTRUCTION TYPE: JOH DESCRIPTION , CLAIM VALUE: V—N PERMIT TYPE: MEC INSTALL 1-91,000 bTU FURNACE CALC—VALUE: —Dop PERM NO: M 084975 GOVT: N SOPP: N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: X 1h 3F ik iE ik'1F iE iE iE �f �F'1F �E i(� iE iF 1E iE iF iF if iE if iF iE iF 1f if iE 3F ik iF if'1E'k� if iF iF iF i! if ih if iE iE if iE iF 1E 3F if �E iF if iF iF if if'!f if ih ih �E'lF iE'1E 3f iF iE if iF iF i@ iE if' iE 3F if ie Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGFiT: FT IN PARKING REQ; PROV: PARCEL: 13961129 ZNE: REF NO: PLANNING NOTES> i M iE if 1E iF iF 1F 3k iF iF if iF ik iF iF i! if iF iFlk if if iE �lE iE �E iE if �lf iE iE iE �E iE 9f iE aE iF jF �f iF if %if if iE iF if 3f iF if iE 1F i6 if iF if if jE iE iE if if iF if i't i6 iF iE 3E iE iF 3E iE iE i't if if 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 5 ZONING APF+ROVED HY "A DATE: HUILDING APPROVED BY : %i�J/l_ .r DATE: APPLICATION ISSUEU BY if iE iE iE if if 1E 1F �E if M �E iE jE if if jf iF 3! iE it LEGALIZATION:N PEftMIT Pt,aN ISSUE FEE F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC 13.25 25R 22.0� iEif-iilfiEiEii1E34ifiE'lfif E�Fi��iFiF�iF�iF1f STRUCTURAL SEGMENT;N FIRE SMIP/RES GR.z.DING SMIP/NON—RES BUILDING—DIV—> YERMIT ISSUE PLAN—CHECK TOTAL PAZD DIIE TOTALS----> 13.25 22.00 0,00 35.25 35,25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00 HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 35.25 if iF iE if !f if ik 3! jF * ik if 3F iE jf iF jf 1E 1k 3f 3t ik �t if iF iF iF iF �k iE i! iE dF iE iF iE ik 3F if if 1k it it if iF 1F ik jf iE it 1F �F iF dF if it �E ik iFt iF iE 3k iE �E iE iE iE * iE 1E iE �f dE iE iE 1f ik ik if I N D I V I D U A L F E E H R E A K D O W N TYF�E QTY D E S C R I Y T Z O N UNIT COST TOTAL COST MEC 1 INST FORC—AZR/GRAV FURN <= 100 IC BTU 13.25 13.25 END OF FEES .� D 1lv � ie-ei-iss�iei:z� wvs�s.�s �A.� o RCATis81�813128 PERMITe084975 � CONSTRUCTION AND PLANNING POOI ,PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector i. 7emporary Electrical Service or Poie 52. Pool & Equipment Location 2. 5oil Pipe•Undrgrnd. � 53. Steol Reinforcement .3. Electrical Conduit Utility-Undrgrnd. 54. Porms � 4. �lecirical Conduit�Undrgmd. 55. Electrical 3rnding ' '.5: Steel Reinforcement 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. 9. APPROVAL TO COVER�GUNITE "`-7: �ootings 58. Electricai Conduic�Undrgrnd. _ - --r- 8, Foundation " � 59. Gas Pipe, (7 Undrgrnd„ Test ' 9, Wate� Pipe-Undrgmd. . 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural FloorSvstem ' 67. APPROVAL TO DECK il. Piopercy Sewer Line & 4ouse�Connection 62. Backwash & Recep,tor�Finaf , �2. 5°We� �P - � 63. Heater & \�ent•Final 13. Roof Drains _ ' 64. Plumbing ;;ystem - final , 14. flough Plumbing. 65. Electrica6Final � 15. Rough Electrical•Conduit - 66. Solar SYstem�Final � .i 6. Rough Electric Wiring 6�. Fencing & Access ApProval 17, qough Wiring Sign - 68. APPROVED FdR�PLASTERING . 78. Rough ElectricaGT Bar Ceiling 69. POOUSPP, SYSTEMS FINAL � 79. Rough Heating & Air Cbnditioning FIRE DLPT. REQUIREMENT - - 3 - • � - 20. qough Fac[ory Fire�lace '� r?; ; � �., r'� APPROVAlS_. �-, Permit # t - 21, Oucts, in Structure i • �� - _ = -• * 70. 'C.Inderground t{Ydro ` � 22. fJucts, Ventilating,_ i . ��"+ � 7l. Produet Piping O��as OiV 23. Gas Pipe�Rough & Tesc � -. '� 72. Underground Ftush Y i 24. Roof�Framing t ' �� ;: - - _ 73� Undergrn'd.Stara9eTank C�Gas ❑Oil 25. Roof Sheathin9 • � ` '_� � ' � 74. Overhead Flydrq , 26. T-Bar Ceiling (Strucfural) & Moqocoat � y � �'_: i 7�, Dry Chemical _. - �" 27, Prame and Flashing : _ . - � . •� :� ? 76. Dry Starid�ipe -� � , 28. Lathing&;Siding � - - . . � '� " "�," 7Z, FIXED,SYSTE�t;FiNA��., - ; ... _ , 29. Insulation + � ^ � i �+� 78, FIRE PRE`J. FI(�fAL � - ' 30. �rywal� Nailing � ,. � � Jr, � .NEALTH DEPY.REQUIifiEMENT 31. Plaster BrDwrrCoat : •• � � k� 79. PINAL INSPECT'tDN ' - - � 32. Electrica�Power Me�er-Fi�al t' � :� 807 FOOD CERTIFICATE t�S�IED, � - 33. Fi�a4 E4ectric � � Notes: - : � . 34. Final Heating'& Air Conditioning"• y,q_.�_�� (�,�� T� ` � � - d u 35. Final Gas Pipe-Test ; . . , . � �� - _. . � � ^ 36. Hood or CanoPY ' , � � _ ' � � '¢ ;; - , .� � � . , � , . � � . , i . .---r-q-, . 37. Final Pactory Fireplace- - � � � � e � � � _� 38. Pinal Plumbing - ' ' � . - , ' _ �'u --- � � � 39. Water Service�Final ; . , - ' � " " ' ' i � 40. Gas Service-Final + � �� � ; • -. , - ` . 41. Solar pomes[icFinal _ � , ' , �, ; =.� _ y x - 42. Backtlow Preventer � e - � � � + �% � : -43. Backflow Irrigation ` ' , ..� � � � - q4, l,andscape Irrigation Sys2em � ' - � - � ' � - � - ' ' � r 45. Sound Attenuation! ; „ ' � '' . , ;� } , ", � , � - . � =r 46. Handicap Regulations . ' +' " �� _ ' _ ' ,��,,,� i r Y 47. FINAL S7RUCTURE & 8U1lD1NG � ' ; . � " m � 48. FINAL PIANNING -� � � ' • "� ' ;;��� �4g', Electiic Release to Edison ' �, ; ' ..- � . . ���,,1 5Q. Gas Release to Southem Califomia Gas Co � ' ` • �� ' - � ' ':.` li ; en u+ � 51. CERTIPICA7EOFOCCUPANCY * - . " , No. Date � Avo���ant to fill in al1 soaces exceD� those wit�in �eavy Eortler Iines anE sign all avvroo/�ate tleclarations. OF COSTA MESA CONSTRUCTION PERMIT • . rojectAddress ��3�3 Y�iAiC�l.Ki'I1� e (�.C,�S.• Applicant's Mailing Address �- \ Owner's Name T �'M S�� /v Phone �Addreu � ia'%Y� � Arch/Eng. Licenu No. Addreu /� ,,� (� Contractoi s Nam�' 1_-YL p�"�- XOS�i1—�+one �`L Addresslmailing) �� � Ciry License No: z � �� - LICENSED CONTRACTOR DECLARATION 1 hereby aftirm t�ai I am Iicensetl untle� proy{sion5 01 Chart¢� 9(commancing with section ]000) of Divlslon 3 of the BuSinesS antl Prof¢sslons Cotle, antl my license is in fu11 orce tl fect. f'�� T _License CI s � � Licenze No. � / � �L/� Date ,���� �p5i9 t � ��� WORKERS'COMPENSATION OE ARATION I hereby afflrm that I have a certiflcate of consent to self-insure or a<ertlticate ' Workers' Compensation Insurance, or a certilietl copy thereof (Sectlon ;00. Lab. [.�� 1'�^�i1/ ComPariy� 1�' Sil�nV1 ("fI r'olicy No. C � � � �.k �' Certifietl �copy is heroby fumishetl. Certifi tl ca y 6 illetl with the cit B ��^D������lvisi�on.,,,... �ale�t�. APPllca�� EXEMPTION FR WORKERS' MPENSATION DECL RATION (Tnis section neetl not be comple[etl It tne peYmit is for one hunGretl (E100) or less). I cerlify [hat in the pe�fo�manGe O/ the wo�k tor whith this pCrm�t is Issuetl, I snall not emo�oy any person in any manner so as to become subjett to Ihe Workers' Campensa[lon Laws ot Calitornia. Date Si9nature 'NOTICE: If, after making t�is tle<laration, you shoultl become subject ta [ne Worke�s' Compen5ation Orovi5ion5 of the �bor Cotle, you must forthwilh como�Y �+��h sucn provisions or this permii snall be tleemetl rovoketl. CONSTRVCTION IENDING AGENCV I M1ereGy affitm that thero I5 a con5truction lerytling agency for the perfo�mance of the work for whicn thi5 permit is issuetl (Section 3097 Clv. CJ LRntler's Name ' LentleYs Atltlress OWNER BUILDER OECLARATIOfJ I hereby atfirm that I am ezempt from the ConVactor4 License Law for tne following reason (Sectlon 7031.5 Business antl Professional Cotle: Any city or county whicn requires a permit to con5truct, alter, improve, demolish or repair any structure, pr(or lo fts issuance, also req�ires the aoP�icant Tor sucn parmit to file a Signetl sta[ement that ha/sM1e i5 licensetl pursuant to lhe proviSions ot the Contractor's License Law (Cnapter 9(commencinq witn Section 7000) of Division 3 of [he Buslne55 and Professions Cotle) or that he/sh¢ is exampt therefrom antl tite basis for the allegetl exemption. Any violatlon of Soc[ion '031.5 by any applicant (or a permit subjects [he applicant [o a civil enalty of not more tnan /ive huntlre0 Oollars (5500�. . L7 I, as owner of the property or my employees with wa9es as thair zole mmoensation, will tlo the work, antl the structure is not intentletl or otteretl ior sale ($ection 7094, Business antl Professional Cotle: The Con(ractor's LicenSe Law tloes nol apDly to an owner of a property wno bulltls or Improves thereon, antl who aoes sucn work himselt/herself or tnrough hls or her own employees, provitletl that such improvemen�s ate not in[entled or OHeretl fo� sale. It, however, the builtlin9 or Improvemen( is zoltl within one year o1 com- pletlOn, the owner will have Ine burtlen oi provin9 �e/sne tlltl not bulltl or im- ptOve fo� the purpose Ot sale). ❑ I, as own¢r Of tM1e property, am extluslo¢�y tontraGting wilh Iicensetl mn- tractorsto construct the project (Seciion ].0¢4, Business antl Protessions Cotle: The ConVactor'z Licanze Law does mt a0ply to an owne� of property who builtls ar ImD�oves thereon, antl who contracts for such projects with a con- t�atto�(5 Ilcense pursuant to the Cont�acto�'s License Law). I am aware that proof o� thelr Worke�'s Compensation inSUrance shoultl be provldetl to me. ❑ I am exempt untlor Section 8. & P. C. for thls reason Date I hereby c¢rtify that intormation it torrect dOtl Stdt¢ IdWi !¢Idtlfl sGn[ative5 Of this cit inspection purpases Signature � Drivers' license or 5 _ Owner 1 have reatl tnis appiication antl statn that the above . I agree t0 comDly with all clty antl county ortlinance5 7 to bulltling wns[ru¢tion, antl hereDy authoriza repre- y f enter upm the above-mentionetl' vI�9 Pert for Date�l_� f � Pink - Acmunting; Goltlenrotl - Assessor $hOW¢f5 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal ' Wacer Closet Water Heater Water Service Auto-Wash Isue Fee iANICAL Hood or Typel ❑ Canopy Type II ❑ Retrigeration System �4700,OOOBTU ❑700,000 SVstem RA�pair/Alteration T FireDampers E Registers ���R�� ✓C�\P. a_-mc- laua Fee . $ 3 § 3 Automatic Washer Construction Pole Su6, Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW 05-' > ��7072 II%12/86. Zone , Accessory Building: Parking Req./Provided - ELECTRICAL Trensformer ❑ 15-50 KW ❑ 50+KW 5 KW Meter LJup to 100 amps Meter ❑over 100amps Suh Panel Mowrs�0.1 HP �tYh-8 Inc. Solar �9-15 HP �16-15+ Microwave Pole Light � Range Sign Standing Sections ' Trasb Compactor , m I Reinspection Fee I$15 ' I I�sue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoning Approved By � Building Approved By n Aoolication laued Bv ✓ � 22:50 TL FEES $ 3 SUMMA V OE FEES c BUtLDING PERMIT $ ��-DU SMIP $ � V � PLANCHECK $� PERMIT PLUMBING � $� ISSUANCE $ PIAN CHECK 25% $ ENERGV P.C. $ E�ECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ �'� PLdiV CHECK 25% $ , Z O N 1, N G R E Q M T S ONSTRUCTION qND PLANNING APPROVALS Permit# - 1.:Temporary•Electrical Service or Pole '2.-_Soil Pipe-Undrgrntl. 3. Electrical Conduit Utility-Undrgrnd. 4. Etectricat Conduit-Undrgrnd. 5. Steel Reinforcement �6. Electrical UFER Grnd. 7. Footings 8, Foundation 9. Water Pipe-Undrgrnd. � i 10. Structurel Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap • ' 13. Roof Drains 14. Rough Plumbing 15...Rough Electrical-Conduit � � 16.� Rough Electric Wiring 17. Rough Wiring Sign '18.. Rough Electrical-T Bar Ceiling 79. Rough Heating & qir Conditioning 20. Rough Factory Fireplace - 21. Ducts,�in StructurE � 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test . 24. Roof Framing 25. Roof Sheathing 26.�T-Bar Ceiling (Structurap & Monocoat 27. Frame and Flashing 28.� Lathing & Siding 29. Insulation - 30. Drywall Nailing •31. Plaster Brown Coat 32. Electrical Power Meter-Final 33.� Final Electric �> 34. Final Heating & 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 47. Solar pomestic-Final 42. Backflow Preventer , 43. Backflow'Irrigation _ 44: Landscape Irrigation System 45' Sound Attenuatiqn � 46- Handicap Regulations . 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed � 49. Electric Release tq Edison' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � Date Date POO L 'A Inspector qppROVALS Permit # 52. Pool & Equipment Location 53. Steel Reiniorcement 54. Forms 55. Electrical E3onding 56. Rough Plumbing &� Pressure Test 57. APPROVPLTOCOVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, C] Undrgrnd., Test 60. Backwash I_ines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK . 62. Backwash fi Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final . 66. Solar Systein-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hvdro 75�. Dry Chemical 76. Dry Standpipe - 77. FIXED SYf�TEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT ' ' 79. FINAL INSPECTION - 80: FOOD CERTIFICATE ISSUED Notes: � PIRED Date I Inspector I, CITY OF COSTA MESA REQUEST FOR OCCLrANCY TRACT N0. .�.�� DATE �J Z 9- ��L IAT N0. 2� � ADDRESS 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. RECEIVED CITY OF COSTA MESA Pl'+MNING DF:Pi. P:IAY 15 1972. Ah1 PM 7i8i9;10�]lii2i1i2�3�4i5i6 � BY � ���,�5��.� Purch er BY � Developer and/or ho zed representative BY Lender � �I ONNERS NWE IF IQIOVIN: woxess: APVL.WJIRlG 100FE55: ANCIIRECT Ofl ENtlNFFR: �PCN.OH FN4'S AUUNE55: 23 MARYLAND CI_ ORN TIMOTHY R 3 MARYLAND CIR TA MESA,CA —1381 uxT: _ ___ _ CZTY OF COSTA MESA.— BUILDING PERMIT PLOOD: AE-37 _ _ 92626 PERMIT NO: P 086227 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU —oD g PERM NO: P 086227 GOVT: N SUPP: N PURPOSE: ADD ��.�.: IJOH DESCRIPTION ; DISAWASHER CHANGE—OUT SQ FT: YNT: calm�crarswu� APPLIANCE INSTALLERS, INC ( 562 ) 986-5511 coxm�cronsxuwa 3299 E HILL �oo�ss SIGNAL AILL CA uc.no: 594282 90804 uHr: 306 110EN5EU COMNACTONS UECLAP�TION: 1 hareby ellim under panely d parjury Mm I un licerued uMx praisims d CMqx 9 (mmmenti�p wil� Seciion ]000) d Drvvion 3 W tlro Bum�wsa vd Profeesiwp Code, uM mY liuroa u in lull brce eM etlad. cmuc.No.: uc.cuss:C 36 uc.No.: 594282 EXP: oda: ``2.—\ o —�7 com.�a: �R�: d,1.1c��Sl�ca�l�s ,f.r_ . OWNEfl BUILDEP UECLRflAT10N: I hareby alfirm undx panely d perN�Y �� I om exemq Irom iM COMredon Licenae Law la tlr lollowinp reeaon (SeGion 1031.5 Bueneea eM PMeeeiom Code: Riry c1y a caunty wfiich rayuiree a peimu �o mmWM, eller, improve, damd'oh, or repei eny evunure, qia lo m uwarim. ebo requirea ihe epplicanl Iw wch pem�X lo file e sipmE etelement Ihel M or eM is licenead W�a�� �o iha provisions ol tha COMredwa limnae Lew jChepter 9(commmviq vmh Setlion ]OW) d Divebn 9 d iha Businesv eM Prd%nvn+ Cudel a that he a she u azemq �hsel�wn erd tM bavia t« the elbpeA uemqion. Nry videiion d Sedun )031.5 Oy eny epplimnt Iw a permil vubjxts �ha epplcem b e dvY pmelry d M mae �han � e huMrad ddlen �5500��. � I. ee axnar d IM popenY a mY empbyeaa w!h wepes av Ihei eole mmpametion. will do ihe wwk. vM the et�umre e ral intendeE a ollered Iw eele (SeMian 101d, Buaness end Proleseims Cab: TM Contreaon L'wense lawCwa �at epplyto en owner W popeM wM Wids w inpwu iherean, eM Ww dom cuch xwk Nmeatt a MmeY ar �hraqh hi «her oxn empbyeee, prwkeE Ihet wch imqovamm4 us rwi imenEetl a WxeE iw eeb. tl, lrowewr, �M buiWirq «inqmanem u edd wnhin aw ymr d comqetion. �he awror-0�iltler wiil Mw IM WNm d Vw'��0 M a ehe Ak ml Wik a imNb'e la �M WNaa W�le). � I, m ovmer M �he popMy, em eRtlusrvey mnomnq xi�h licenaed contreclas m crostrud �ha pqed (Sepion ]WC, Busi�e arM PIOIB�W119 CWB: TM1B Caf1�1BCOf8 LEMBB LBW a�. �a oroM w� ow�� a v�weny wno w�ba « �mwo�.� me� �d wno conlrecis I« aurh prqeds wM e cvmrerloHe) Icenead punueM to tM Camrapore liceme law�. � I em azemq wdm Sermn: B. b P.C.. br �he �eawn: Date: �> I do Mroby eenity tliet I em ewera d vM uMeniend the requiramem� ot CelLwnle Hael�h eM Se1Ny COEe Sepiom 25505.25533, eed 255J1. end Ihet I a eny Mure W iWi�q ocapeM will / wY1 nd (arcb�aw) neatl b compFy wih veid mme mAw eM �M reyuiroments br epem�nl«mrehuclionamodifmbnhamiM1eA'� ue�iy enepementD'nt�.Residanlielmmtnpionnppfu�iomvessemplromNeae pwisiona. Dele: Rpplicent W OHKEN'S CONPENSATION DECUNATION: I Mreby eifirm uMer penehy d pajury ar d Ne Idlowi�p Aetlareaioru: � I heve eM wil meinian a ceMkele W mreent io vapinwm tar Mvkers oomW�ian. n pwided Iv M.`•en'v� 3)00 d �he leba COEe. tor the peAamerce ot Ihe xwk Iw wlvch i�n pemN ie iaueE. � I heva end wil main�en woAen' oompammon ineurarKe, m reyuired by Seaim 9]UO d ihe Lebor Coda, br �M peilarmariw af tM work for wh'rh Mie permil ia iaaued. My warkert companamion imurarica umer uM pdi�y number ere: c�: GOLDEN EAGLE EXPIRES va�N�mc« — — 01/30/98 (inis senion neee na ee canWeree I the w�md 'a ro. one n�Mmd dollere f3fool o. bu.) � I eenty iha� in ihe pa�laeme�we d �M work br whieh thn pe�mn u iaued, I ehell ml empby eny paean in eiry menner eo aa ta becwne subptl to iM1e xvMxs' canpensetion kvn d Celibmie, erk epree Nm A I ehouW berome wbptl to the Mwkan' �omo�� w�o� d saa� e�oo d me �na. .�m inob vo+�+. oa,. �-�—�R-9� ��,: .��_� WaminO� FeUun ro sxun woilreri romperuetlon coverap� l� unkwN( antl Nsll �ub/scf �n xnploysr ro cr/M�u/ psiwltlu en0 clvll flrros �g N on� h�ntlrstl tlpuunC tla/Nn (SfOry000), In eddltlon b M� ewt o! rompNuetbn, demep� u proNdeC br In Sxtlon 9]O6 0l MeWorCob, Inlenst +� ettomsy's /su. CON4TFUCTION LENDING AQENCY: I Mreby elfirtn umbr penelly d per'ryry Ihet �here'v e mnm�wfion WMirp egercy br iM perlwmarKe N iha walc br which tM1e pmii is oaued (Sedion �arl, Cir. C). LENDEH'S NAME: LQlOEP'S AD�flE55: I cenih thet I have raeC �hia epplketian uM mete tl�el Ne abwa inlpmelun is oortad. I epree to campy wuh ell uryarM counry ordinenme enE e�ele lev.s releling lo WiMng conwutlun aM hareby eutlwriza represemalrvae M Iho dly to enter upon tha ebova-meniionad pmpaM fwinspedion purpasee. DANE MCNEALY �m riema , o�e:12-18 � � s�a���aao..,,�ineaminvor�,vca,vm« (St51d6 WP) WAde-Buikip d SeMy: Green-Fb; Cenery-Appicent: Pink-Ra+enue; Oddenm�Meeawr CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT �***�tx�+t*�****��c*�***�x ******�*�e***x�*+t*+t*+r+t�t*�**�r�r**�**+�x�+r*��c�*���x�****�t*�*�t�r**+r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN AEAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN AGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 13961129 2NE: REF NO: PLANNING NfSTES> i �F 1F 1f k i4 iE iF iE if iF 1k k 1F iE If M If iE iE if if ik iE iF iE iE 1f 1k iE 1E 1E iF iE if if If iE 1F 1E �lE 1F iE 1f If fk M ik ik.M ik iF iF 1f if if ik iF If fF fFiF iE iF if iE iF iE iF iF 3F iE iE iF iE ik if ik Ik 1E D E V E L O P M E N T S E R V I C E S� A E Q U I R E M E N T S ZONING APPROVED HY ° DATE; BUILDING APPROVED HY : ` DATE: APPLICATION ISSUED HY: DATE: `2 ��� ifkifikikl(�iEiEfE1FMMlFiEitiFiFkiEM1f1F iFlflfikiflflfikiEiEiFiFi 1fi(' LEGALIZATION:N F E E S�U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25i SMIP/NON—RES PLAN ISSUE FEE 22.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 8.75 22.00 ,0.00 30.75 30.75 .00 REVENUE DIVISION TOTALS--> COLLECTED; 30.75 OVER/SHORT; ,00 BLDG PMT PI;UMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30,75 �E 1E fhlF if iE if 3k �f M iF M iF'k IF M 1(' iFiF %1E if iE iE 1E iE 1F �E 1i iFlf 1ElE if k if %iF 1F if'M 1F M iE iE iF iE iFif iF iE 3F 1@3h 1E'1F Kik if K ik M if iE il� iE ik ikif� iF if iF iF N if If M if'Ik 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 TOTAL COST 1 DZSHWASHER 8.75 8.75 END OF FEES 12-18-1397/ln':44 pn/538.7� RLPT�:�1-��ir]cr F'EB2t'1IT: H85�� f CONSTRUCTION ANO PLANNING POOI & SPA APPROVAIS Permit # - Date Inspector APPROVAI.S Permit # Date Inspector 7. Temporary Electricai Service or Pole 52. Pool & Ec,uipment Location 2. �il Pipe-Undrgrnd,_ 53. Steel Reinforcement `��3�riF,yectrical Conduii7}ylity-Undrgrnd. 54. Forms � - �4.=Efectrical Condvif+lJNdrgrnd. 55. Electrical Bonding � S' ��::Si�,el Reinforcetil�x � 56. Rough Phimbing & Pressure Test :� -+fc �.Electrical UPER G�i. 57. APPROV�4L TO COVER•GUNITE . aj -1T✓' !1 r1^ '����Eootings �7 4, 58. EloctricaiCondu�t-Undrgrnd. �' .�8:`Foundation ¢ 0 59. Gas Pipe, � Undrgmd., Test "`9� Wa[er Pipe•Un� md.a 60. Backwash Line,�.�'P-Trap, O Undrgrnd. 70. Structural FIo��SYsiem v 61. APPROVAL T, §1ECK 11.=Rroperty Sewer LinE'& Hous�Connection 62. Backwash & R�eptor-Final � 12.'S,,'ewer Cap �� u: 63. Heater &`Jent�Finai C13. Roof Drains �^ 64. PluMbing System � Final 14. Rough Plumbing � :t 65. Electrical-Final `75. Rough Electrical-C�duit .. 66. Solar System-Fitia'4 � � 6. Rough Electric'VJiri,� 67. Fencing & Acc�ss;Approval .J7. RoughWiringSign V 68. APPROVEDF�RPLASTERING � i �� 18. Rough ElectricaFT Bar Ceiling 69. POOUSPN SYS'I'EMS F�NAL 19.�Rough H,gatirg &;,¢�r Conditiaai� .ro. x � y�;;T .7 c RhI�iE'�6PT!.y3EQUI�tEMEN�T N C�7 ^.N��O :�1 * i+ '-! 20.'�ioJ`h P3'ctof" FTse lace � S:T' sG x S' H�,^'� ;� APP O f" P`ermit #� J' � � ;� .X r�' . �-. �s M H ti 7x � � ��.E r� '� �,/ . . 1 .. .. � y V . . I 21.,c.�uc�s, irir�truau_ x � S= CJ -+ ;l.< � 70.E-Undergrat�lOd FSydro � 22.=Ducis, U'�entif6;tingJ:� i ^'� x r? 'C �� E"x 71. Prod�;�i�ing_[11'..,as .T`r70i1 F-. " . 9; 1 F.' k H'r. � V rJ' 23. Gas,�ipa`�iouc�h &-. #est ' C'"•S r m c� i�: r-� � tii. -� �,N. i mcr O;G h� � a S;� _ 72. Undergrsund F,jush * j, � � - 2A.�Roof Framing * u k T ` � j� � 7�• Undergrr�d.Stq��eTan� C�Gas ❑Oii Y /X 25.-vRod�;Sh'e'athing x� � � � .; `' M ,�x u �4. Overhead Hydm=+ » 26.�d•Bar Ceiling (Strricturaq & MSnScoat � O . �� y�, Dry CheT ical F� *� � ^ +< ^t �r w ('J 27.:'Rra e a Flash','�. * 7'^- *'� �' m.`: � "` �. `"''Do r� s � ��P ('-� � N�:7CJ �K y,y: 76. Dry Sia,r�,d{uP¢r.;�; • M p :�; 3 �� 28. Lathing;ffi Siding� h �, CQ� ;7 , � � � 7,�. FIXED`3i%ST ��" 1'� � �Y �y� r r, 29. Insulatio3 �•.� � S•. .• s c � I �:�FIRE'.�REV. �•Ant}�L *> � � 3p. DrywalliNailing ^�K �� � � � � � �' S_�r.i c(ukiEALRM DEFXf. REQUIREMENT i ��. aa � r !, 31. Plaster Bcpw�Co„aT�� s �'��.`�'., ,`�� � I �' 79. FINALij�jPEC't�ON ;� � :J ; 32.=ElectricaCPo�er MeterE[nal i :t+ ` ( 8tll FOOD CEFITI�SATE Y�SS'UED� �, � � K i�7 G ? { ' 1 '7 '%[�i i" -' '� C'1 :. 33.�inak Ei�tri� .� *� ; y,,H y; 4 � I (�1S�tes: ,y ��; �; 5 r- 34.�;�inal,Heating. Ir,+C.eliditioning �sj �� � r=� � r-.� K: � � � k <' 35.�inal GaTPipB'-Tey;r �'a �" � � �`'• dn k� T 36.<#-lood or Cano `� x •. � �� � , • : i _ PY r Cl � C7 w � � t*: � c � t^ t*1 � c+M � :K �.t �' 37. Fina1'Factory Fir' r�ce'�' -'`� `9 '� r� '� �' "; ; 1 r�:!`.' .�. ! M�.i � F � R' Y. ��38.Final;Plumbing ��,X,:7�� i .: ;�� �I �c ri ..a .M 39. Water Service-FinaV# = t � ^ , � - �" ' �' � . ;t ✓ a i '`; F+.., . i: IT; �` 4Q. Gas Service-Final �" ;�;�:., j: � � i �; �� vE s tr, �+ 41. Solar pomescicFinal T' * T' "'�" �' �' � =� ( �• X U � � I I �+ �/ ' P_ >, � � , y w.+ j 42. Backflow Pre�enter* �,; ,�,��., ��., z ;:, ni� * F- - n 43. Backflow Irngation�� - My � T �"� �` W� � ' T' . J ..� T• •✓ ' l •_ q. J. 1 V i. o .. ., y ?�4.�andscapel�qatiopSystem��;� ;t; � e( �,x� r Z; �,-, fi,� v �� y. �45.�ound ATteriUatiorifi -" .:'.. ' * � "� 'n"` `' " �' 'Z^• `"" �" �, n � C s ,: t� ..�« � � :��� - a , � :.. .. . , . C¢6. �FiandicaP�Regulatioqs t� :� �: S i ; * :*t C y �` � �d7. FIIVAL STRUCTURE & BUILDING * H � � � i '7' x �" 'S5 r-+ r.� A: ^ C" V'K C 6'. `! �K O 48.,FIN,�L PLANNINGt r� t ! � r� c ro ni s x wt , :A9. �lectiic Release to Edison � i, .� �: +. z � i - � `. "'t d x :1� 1 ^k Q.`6as F�elease to Sout�+em Califo~ aGasCo ' � � ' � �' ''-'' "' c, :X C. .�.J .K # • aG t> # N �. " `"51. CE IFtCATE 0F OCCUPANCY No. Date OWNER MODULAR Technolo�y� Inc. DATE 7_15_71 JOB ADDRESS ��24 Marvland Circle BUILDING PERMIT N0. ����i P" "o, LOT Q L _CTIONS SOIL GAS WATER ROUGH pLUMBING PROP. 5`MA. LINE � HOUSE CON. ❑ SPRINKLING SVSTEM MISCELLANEOUS ROUGH NEATING AN� AIR CON�ITIONING UN�ERGROUND � POWER � ROUGH WIRING TRENCNES FORMS � STEEL REI FLOOR SYSTEM BONO BEAM U STEEL REINFORCE U SHEATHING FRAME AND FLASHING LATHING - IN 2}� OUT PLASTER,BROWN COAT "TURAL,fINAL h iNG, VENT., REFRIG. AN� A.C., FINAL PLUM9IHG, FINAL ANO GAS TEST �_ ELECTRI�, FINAL DESCRIPTION of WORK FIRE ZONE VAL E'P�=Zi�1J�.;�L�t�n z . a cwj Z Z Q ON am J � J N p] J m J Q U � Z a w � d W WZ J Q m Z J � W w O= Z � w� �� �o 33271 PA70 � 1U1.20-7lcrisr��1709<' ' � �SEi.C� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626 APPLICATION FOR BUILDING PERMIT ForApplicant to Fillin Completety REce�veD BY DATE RECEI� o DAT ISSUED ao�o ess 3323 Ma land Circle d�� �Y ��_7 �� P OWNEfl Modular Technology, IT1C. A.P. NO. MA I L BUI LDING nooRess 1104 E. 17th Street ADDFESS 3323 Ma land Circle cirv Santa Ana No`547-g673 TRACT 6 82 �oT 2 e�ocK CANSTRUCTION W ADD A TE P LENDER �r BRANCH OWNEF Modular echnolo y. n ,,, AODRESS � ' residence � va�u ARCHITECT TEL SE $ oaENciNEea Kermit Dorius AIA No. 644- ili " FIFE % ADDRESS 3111 2nd Ave., Corona Del Mar ZONE TVP GROUPI � APPROVED U CONTRACTOR Owner BV DATE ADDFESS 58IIlE TEL. Z�NERl NO.OF 2 USE OF NEW Res/w CITV S3ii78 NO. P�� BUILDING � C No. 252549 °;��No. i690 vMAIDN BUILDING ACCESSORY BVILDING SIZE NO.OF BLIX'aS. (FROM C/L $TfiEET) / OF LOT 6O X HO NOW ON LOT RONT FT. FT. USE Of EXISTING eLDG. — S E FT. FT. NEWBLOG.21OO S.F. ROOMS 'I STOflIES 2 L.SIDE FT. � � L� FT. EMERIOR WALL Per ROOF WOO COVERING 13i1S COVERING shin ].E REAR O FT. FT. USE OF BUI�DING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN & MAIN BLDGS. ACCE55. BLO(SS. Construct new residence with C URP 3W —�' �(�� APPROVED `✓ '�aj attached gara,ge APPROVED � � � / F.NT. S I hereby acknowledge that I have read this application antl state MOLD F�� S that the abave information is correct antl agree to comply with all laws regulating builtling consttuciion, antl 1 shall not employ any person in vialation of ffie workman's compensaiion laws oi Me State of Califomia. ���/�� �� f I hereby cer2ity that I am property licenutl as a contrector under SQ. FT. �� tne State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOEq ALVATION IS FOR Chap[er 9, antl that such licenses are in full forca antl eftect, or I THE PUFPOSE OF ESTABLISHING A PEflMIT FEE ONLY: am ezempi trom the o isions of the State of Calitornia Business antl Professions Cotl ,'vision 3, haptQ VALUATION / O = / PERMIT FEE $ / f Signatureof ` + �1 %��. Permittee i $ [j�� \ry p�qN CHECK $ � �� � Authorized Agent ��J " �/ . � - TOTAL FEE (D ro 7 m `o LL / C