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HomeMy WebLinkAbout3326 MARYLAND CIR - Building PermitsAPG���ant to fill in all CITY OF COSTA MESA CONSTRUCTION PERMIT Address Address Contractor Address witnin heavy OorOer lines ana sign all approoriate declarations. ^/ TRACT NO. LOT NO. �BLDG. NO. LH-�O C/� TVPE OF CONSTRUCTION � Phon2 / ❑ NEW ❑-ADD ❑ ALTERATION � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH LicenSe No. ❑ OTHER DESCRIPTJON OF WORf,( _ I hErGby affirm th:.t 1 am Iicensetl untler provision5 0( Chart¢r 9(com- mencing wlth sec[lon ]000) of Divlslon 3 ot tna Business antl Professlons Cotle, �ntl� my license is in full torte��anG,,,�e�ffect. Date� Signature '���" "—�"'� W00.KE 5' C MPENSATION DE ARATION 1 hereby affirm that I have a tertificate of consent to self-insure or a c¢rtificate ot Workeri' CompensatiOn Insurance, or a C¢rtiiieC copy thereot (Se<T n 38 Iab. C.). P^��cY No. ZComPanY � ntlfietl copy i5 hereby tumish¢tl. .ertl8etl capy is fileE with the city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This 5¢C[ion ne¢tl not De completetl it the pe�mit IS to� one huntlretl (5100) or less). - I certity that m the perform ce f the work tor which thiz permit is issued, 1 snall not employ a r�n in any manner so as to become Subj¢cl t0 th¢ Wo�kers' Com e tfonCCaws oi Ca�itomia. Date Signature NOTICE: If after making this tleclaration, you shoultl become subjec[ �. to the Wo�k¢r5' Comp¢nsdtion prOvisions of the Labor Cotle, you must forthwith comply with sucn prorisions or this permit shall be tleemetl revoketl. . CONSTRUCTION LENDING AGENCV I hereby atfirm tnat there is a nztruction lentling agency tor the per� formance o1 the work for h' h his permit is Issuetl (Section 309] c��. c.�.. . . . Lentler'S Name Lentler's Atltlress OWNER BUIL�ER DECLAHATION I hereby affirm lhat I am exempt from.tlte Contracto�'S LicenSe Law for the lollowing reason (Sec[ion 7031.5 Business antl Protessions Code: Any city or county which requires a permit [o construct, alter, improve, tlemolish or repair any structure, prior to its issuance, also re� quir¢5 the ap.11cant tor such permit to tile a Signetl Statement that he I5 licensetl pursuant to Ihe provisions of the Contractor's License law (Chapter 9(COmm¢ncing with Settion 7000) o( Division 3 of the Bu5ine55 antl Prdessions Cotle) or that he is exempt theretrom antl the basis for the allegetl exemption. Any violation of Settion ]031.5 by - appliCant for a p¢rmil subjects the ap0licant to a tivil penalty rt more tnan five huntlretl tlollars (E500). ., az owne� oi the prope�ty, o� my employees with waqes as their sol¢ Compen5ation, will tlo [he work, antl the st�ucture is not int¢ntletl orbfferetl for sale. (Section 7044, Business antl Profezsions Cotle: Tne COMractor's License Law tloes not apply to an owner of a property who builtls or improves thereon, antl who tloes sucn work himself Or through his own employees, provi0etl that such improvements a�e not intentled or o(leretl /o� sale. If,'howeveq tM1e Euiltling or improvement is soltl within one year of completion, the owner will have Ne burtlen of" pwving he aitl "not builtl o� improve- for the pu�pose of sale). ❑ I, as owner of.the properiy, am exclusively mntra<[ing with IIC¢f15¢d COnlldCtOIS f0 COOStI11Ct lM1¢ plojECt (52Ct1011 7044, BUSIf1255 antl Professions Cotle: The. Con[ractor's_License Law tloes not apply t0 an own¢r of property who builtls or improves thereon, antl who Con- t�acts from sUch projects with a contracto�(5) licesnetl Ou�suant to tM1e Contraclo�'s License Law) ❑ I am exempt untler Secti� B: &' P. C. for tM1is Y¢d5on � Oate Owner I hEreby t¢rlify [hal 1 have reatl this applica[ion antl State that the abOve Informatlon is co�reGt. I aq�ee [o comply with all city antl county o�tlinances antl state laws relating to co e uction, antl hereby autho�lze repre5entative5 of Ih" city to ente �pon the abov men onetl' property f �t' p r ses. �� Signature Da[ Driver5' Lirenze or 55 � TVPE OF PEHMIT ❑ GRADING,—,� ❑ FOUNDATION ❑ STR ❑TENANT L'1ELECTRICAL OPLUMBING ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_CONSTRUCTION TVPE _ VALUATION ZONE GRAOING CU. VDS. ACRE$ _ REMA0.K5: PLUMBING TOILETS LAVATORIES KIT. SINKS SERV ICE SINKS PLANCHECK URINAL$ DOUBLE�LAVS DISHWASHERS SUMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS ' INTERCEPTORS SWIMMING POOL WATER SERVICE GASSERVICE ' WATER HEATERS SEWER CONNECTIONS SOLARTANK SOLAR PIPING SVS. ISSUE FEE MECHANICAL CLARIFIERS PTRAP ALTERATION OUTLETS � �. � COLLECTOR$ PLAN CHECK HEATING SVSTEM 0-300,000 BTU AND DUCTING 100,000 + BTU REFRIGEftAT,10N 0-100,000 BTU SVSTEM 100,000+BTU BOILERS SVSTEM REPAIR,AITERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE. CMF 0865�46 White-Buildin9; Canary-Applican[; Pink-Accounting; Goltlenrotl-Assessor 69I8 8/30/82 �a�� `�_ ZONII �O A.P. �f 7O D, ZONE BU D N SETBACK C L ST. 'TURAL SIDE VARD / LEFT IMECHANICA SIDE VA RIGHT REAR VARD (TO P/L) - � PKG.SPACE REQ. STREET WIOTH ZONING APPROVED B� ' SPECINL CONDITIONS: EIECTRICAL P� PLNG. REF: � PROVIDED PARK FEE PLAN CHECK GENERATOR 0-1 KW_ 1-30 KW � TRANSFORMER APPLIANCE 30-SOKW_SO+KW_ MOTORS � 0-1 HP_1d0 HP _ (INC. SOLAR) 30-50 HP 50 + HP _ FIXTURES� OUTLETS SWITCHES ,GAS TUBE SIGNS POLE LIGHTS PANELS MAIN SERVICE ISSUE FEE SUB AMP 20.50 .TL 3 APpLICATION HPPROVEO BY DHTE SUMMARV OF FEES .. BUILDING PERMIT E SMIP �$ PLAN CHECK $ PERMIT . ISSUANCE $� PLUMBING 5 GRADIfVG• $ PLAN CHECK $--/�//�-�(;�J(J - ELECTRICAL S__YO__ � $ �PLANCHECK § C �'MICROFIIM$ � MECHANICAL $ � OD " TOTAL FEE 5 PLAN CHECK" $ ' � LE55 AD- - VANCEPC $_ FINAL FEE $ � SO CONSTRUCTION AND PLANNING POOL & SPA � • � � ' , - � • APPROVALS Permit # f: �� � Date � Inspector � pppROVALS � "' � _ Permit # 'Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � ' 2. $oil ipe-Undrgm ' - . 44. Steel Reinfarcement "" " ' 3. Electrical Conduit Utility-Undrgrh '- 45. Forms � � - � - - 4. _.Electrical Conduit-Undrgm . ___ - . 46. � Electrical �Bonding j ' � � - - - ; . tee ein orce � 47. Rough Plumbin & Pressure Test -•� - - 6. ElectricalUFERG[n 48. APPROVALTOCOVER-GUNITE � '� � - 7, f,00tings 42 Electrical Conduit-Undr m � - � ' � - 8. Fow�dation �� - � ' - ' � ' 50. Gas Rjpe,-. � Undr �n, Test ' � ' ..�9.-�• Water•Fipe-Und'rgrn .. " ' . _51. .Backwash Lines P-Tra ���Undr m � � ' ` � - � " ' � � � � _10. Structural Floor.System.. � � �. 52. � APPROVAL TO DECK � '� � - � - �- - ��- ,. t.t.- P.roperty Sewer Line &.House CannecTion _ � 53. - Backwash &�Rece torFinat � � ' ' � ' ' � - 12 St�eei Suwer_Connection " - ' '-�. ' "' - - � � " 54.- Heater & Vent-Final ' , 13. RoughPiUmhing, - �- ' ' - -' � - � ' 14. Rough Electrio(:onduit � -' ' � ' � 56. Electrical=Final " ' - � - � 75. Rouc�h Electric-�Yring - -- ' - 57. SolarSystem�Final --�� � ' � .. � 16. k 3ugh Heating & Air Conditfoning -� =_ - � - " - • encing�& Access Approval 17. Ducts, in Structure - - -- � � _ 59. APPROVED FOR PLASTERING' � ' ' - 1�8. -Duct�. Venti�atin9� - -- -� • � -- - - - - - " - - .. . . 79: Gas Pip6-RoLgh &Test •� - - - - � 60._ POOL/SPA.SYSTEMS FINAL � , _ , 20. Foof Framing - � - - . . . _ - . . . � 21. Roof�Sheathin - - - -- - - � - � - - -- - � - �- �- . . .. . . , . . '- 22. Frame and Flashing. � - - � _�NOTES: " � � � � � , � 23. Insulation � - -._ - . . - - - - - . ' _ . . � . �. ' 24: L,thing iic Siding . . - ' � � - - - -- - . : �_. -.. . � _ - - . . . - - - 25. D�ywall fJailing - - �- • i-- -- - - - - - - ' � ' ' ' 26. Plaster Erown Coat - ' � - ' - - - --- -- - � � ' � � G/. tleC[rlCal rOWel iVleier-rinEi- - - � � - � - - � - - ' ' ' 28. Final Electric � -- • � - � ' - �` ' 29. Final Heating & Air �Conditioning � , � - � � � ' 30. Final Gas Pipe-Test - ' � - - -� 31: Final Plumbing � 32. Water Service•Final - � - - - - , 33.- Gas Service�Final - - .- -� --_ � 34. Solar pomesiic�rinal ' ' - ' ' � • � 35. Landsca e S rinklin S stem ' � ' " " � `36. � �Sound Auenuation � � , ,_, �-. . --- ' ' � 37. Handicap Regulations ' � - • � � ' • � "' � � " ' 38. FINALSTRUCTURE&BUI.LDING - ' � ' 39. Special Requirements Completed • � � � �� ' ` � 40. Elecrric Release to Edison '�� ; ' � 41. Gas Release to Southern-California Gas Co. � � � 42. CERTIFICATE OF OCCUPANCY No_-- - Date _ . . CiiY OF COSTA MESA REQUEST FOR OC�utANCY TRACT N0. 6582 IAT N0. �6 ADDRESS 33z6 Marvland Circle Costa Mesa. California �' .- 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 approva3. 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 COST� MESA p� ^,�q��m� nr�t. JUfv 2l� 1972 f�+yi�i �( PM b C�'S � ��.�i �'_ �'� i `{.' 3��iy� Y i f= i-'i-�1 i f �� � Purchaser BY Developer and/o aut rized representative BY Lender / r� OJECTAODflESS: 3,J26 MARYLAND CI ow�ssname: HAYCRAFT, SAM �nooaess: HAYCRAFT, EMILY 3326 MARYLAND CIR COSTA MESA,CA 932-0520 PflLMIENGINEEH: A�OHESS: UNIi: FLOOD: AE-37 92626 NEG.NO.: UNIT: PEHMITTEE: ACTION iST ROOF CARE ( 714 ) 891-7663 aooness: 18352 GOTHARD HUNTIP7GTON bEACH CA 92647 LILENSE� CONTXALTOfl OECLANATION: I here�y aHirm t�a� I am licensetl unaer provisions ol Chapt¢r 9(commencing wi�� Seciion 7000) ol DiWsion 3 oi t�e Business antl Pmtessions Code, antl my license is in full farce antl ef�ect. cirruc.:p� 5'1�3�`' 'ST"RTELIC.: jQ�900 �S� ,39�EXP; 11/95 aie: _ _�_I _/_l� y � SignaNre' �-Q EBS' C�MPENSATION OECLl�BATION: I hereby aihrm Ihai I have a cenificale of consent m sell-insure or a certificate oi Workers' Gampensa�ion Insurance. or a cenilietl capy thereoi (Secnon 3800. Lab, C�. POUCYNO.: p�iQC2�%LZ�Q—QZ E%P.OATE: US/VSI9� comvaxv: GOLDEN EAGLE ❑ Cerirtied copy is herehy fumis�etl. � Certi�ietl copY is filed wit� Ihe ciiy Building Division. ate� � Ap0licant: ��_� P � TION FflOM WONHEBS' COMPENSl�TION �ECIAHATION: (This seclion neeU no� be campletetl ii Ihe permit is �or one hunOreA �5700) or less�. I cetliry I�ai in �he petlormance ol I�e work �or w�ich �his permit is i55ue0, I shall no� em0loy any person in any manner so as �o become sublec� �o �he Workers' Compen5aiion Laws oi Cali�omia. Da�e'. Signa�ure: NO710E: II. after making ihis tleclaration, you s�aultl become su6ject to the Workers' ComDensation provisions of ihe Labor Cotle, you musl forthwilh compty wilh such pmvisions or �his permit shall Ue tleemed revokeU. CONSTNOCTION LENDING AGENCY: I hereUy aitirm tha� there is a consimction IenOing agency torlAe DeMormance o� the work for w�ich Ihis permii is i<suetl (Sec�ion 3097. Civ. C). LENOEP: I AOONESS: OWNEB BUILOEH OECLAPPTION: I �ere�y aifirm that I am exemp� irom ��e Con�ractors' S�a�e License Law tor ��e followinB �eason (Section 7031.5 Business an0 Pmfessional Code: Any city of county whic� requires a permit to constmct, alier, improve, tlemolish, or repair any slmcture, prior Io i�s issuance, alsa reqwres Ihe ap0licani �or such De�mii to file a signed s�a�ement that he/she is licensed pursuam to Ihe provisions af ihe Conlraclors' State License Law (Chapler 9(commencing with Section 7000) oi �ivision 3 of ihe Business anA Pw�essions Catle) ar @ai �e/she is exemp� Iherefmm and Ihe basis lor ihe allegetl exemption Pny viola�ion o� Sec�ion 703L5 �y any applicant lor a permil subjecis IM1e apDlicant to a civil penalry ol nol mo�e Ihan �ive hundre0 Oollars �E500�. I. as owner oi Ihe Droperly or my ¢mployees with wages as �Aei� sole compensatian, will do lhe woAc, antl the ❑ s�mcWre is not intenaetl or o�lered lor sale (Sectian 70a4. Business anJ Pmlessional Cotle: TAe ConVacmrs' Siale License Law Ooes no� apply �o an owner ol a pmpe�y who builtls or impmves t�ereon, an0 w�o tloes SucA waAc himsel�/hersel� or �hroup� his or her own emp�oyees. D�ovidetl iha� such impwvemenis are not intende0 or offeretl for sale. II, however ihe Euilding or im0�ovement is sola wi�hin one year o� comDlelion, ��e owner wiil have �he 6ur0en ol pwving he/she Oitl no� builtl nr impmve for ihe purpose o� sale�. I, as owner oi ihe pmpeny, am ezclusively contrac�ing with licensed contractors ta consimct the pmject (Section 7044, Business ❑ dnd Professions Cotle: T�e Conlrac�ors' S�ate License Law tloes noi apply �o an owner of propeny who hudds or improves �hereon antl who con�rac�s lor such pmlecis wilh a contrac�or(5)license pm5uan�Io the Can�mcto�s' S�a�e License Law�.l am aware i Ihai pmol of their Worker's ComDensa�ion insurance shoultl �e pmvidetl �o me. I� I am e�emD� untler Section: B. 8 P. C. lor �nis reason: Daie: Owner. I EO �ereby Cenity �hat 1 am aware ol anC un0erslantl Ihe requir¢ment5 ot Calibrnia Heal�� an0 $atery COOe Set�ion5 25505, 25533, antl 25534 antl thal I or any fuWre builtling occupan� will/will no� �circle one) neetl Io compty with saiU Slate cotles and �he requirements lor a permil loi conslmction or moddicaiion imm ��e Air Oualiry Managemen� �iSVicL Resitlen�ial cons�mclion apPlica[ions are exemp� imm I�ese provisions. �ate'. Npplicanl'. �ereby cetli�y I�at I have reatl�his applica�ion antl s�a�e�ha���e ahove informaiion is wrrecl. I agree lo comply with allciry and county ordinances and slatelawsrelaling�o builtling consimction antl here�y aN�orixereD�esenta�ives otthis ci�y�o enteruponihe aUove-mentionetl prope�tl[�1 for inspe tion pwposes. ,�/� / /D�le'/ `� Signalure: ' 1 �� "—� �vei'S License or Social Searily a: 164t�46 W�i�e—Bulltling', Green—COEe Enbrcemem; Canary—ApPlican�', Pink—Revenue; GOltlanroE—Assessor CITY OF COSTA MESA - BUILLIPlG PERMIT PERM NO; B G6998: PERMIT NO: B 069982 PLAN CHECK P70; D7 GO�?T: N SUPP: rl CONSTRUCTION TYPE; 5-N � PERP7IT TYPE: STR PURPOSE: ALT JOB DESCRIPTION ; REROOF OVER EXIST. W/ALUMIN. ICBO 3909 SQ FT; 3,600 CLAIM VALUE; 3,600.00 CALC-VALOE; 3,600.OQ GROUP OCC: R-3 :M-1 +�*�***+5*+tR00#�c���R�r*�**�+r*I*OOD-�***u*r��D�**pa':**�*#*E���i-�*s09 4+�#ir+��-P+S.+,�+r,�*+t;�*�r*�u-�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 Y, S ----------- MAIN HUZLDING ---------� --------- ACCESSORY bUILDZNG --- — ---- FRNT: FT IN REAR; FT ZN FRNT; FT IN REAA; FT IN LEFT; FT IPI RGHT; FT IN � LEFT; FT IN RGHT: FT IN PAP.Y.IPJG REQ; PROC�: FARCEL; 13961193 ZNE: REF NO: PLANNING NOTES> > iL iE iF if iE it �1f it iM1 1E 1f iF if !i 1F r##i� # fM!%1F it!f if aF?E �E iF if iE aE M ii �! ic Y 1� #� it iF iF �Y,-af +F j! �M-�f if iF iF %1F # �4 iF ic M#� iF af 1: iE+F #-� iF if i: iR if 1f iR if iR if iF iF i!' D E V E L O F M E N T S� E R �' I C E S R E Q U I P. E M E N T S ZONZNG APFROVED BY , DATE: bUILDIP]G APPROVED BY ; DATE: APPLICATIODJ ISSUEL� BY: DATE; �E***�E*9t*i�ac*+fi[�r+r�lr+Erarsr�tf*�t****i`-*+rx�7c�ir- r r .�*,. +aac�+�-��c�aax+��%-x-�r*i�,cit�u*a�ux�rt �E +i- acitx� jfjEifiE�E�R{fiE+M1iliEMiflfiF+4:Eif+Fi1-4af-Y�+fif111f1taE?EifiEiF+f tf�)FiFiFMiEiElEific�lfiEMiEifiFiFifsi4�1t1fififififiFiEifiFMilfFif, �tf�lEiFi+� �YiFaci4 LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLL�G PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP;RES GRADID]G PERMIT 63,00 50 SMIP/NOPI-RES PLAr� ISSUE FEE BUILDING-DIV-> PERMIT ZSSUE PLAN-CHECK TOTALS----> 63.50 Q.QO O.QO REC�ENUE DIC'ISION TOTALS--> COLLECTED; bLUG PMT PLUMBING ELECTP,IC MECHANIC 63.00 TOTAL PAID DUE 63.SQ 63,50 .QQ 63,50 OVER/SHORT; .00 FIRE BMIP/TOT GRADING PLAN-CHECF: ,50 �If k iE �lE i!'k if if it 1f it it if # if # iF iF tk it �f ih iF d4 iF i4 if M iE iM1 iF i!� ik i4 if if.iE it #` it+E aE iR iF �14 iF iF iF?f if �f iF it+h if iE M 1E if ac if ip if iF iE it at iE it 11� iE if +r. iF iF �++f -tt 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 � C R I P T I O N UNIT COST TOTAL COST SFR 360Q REP.00F HY VALUE RESIDENTZAL NOZONE 1.00 3,60Q,00 END OF FEES exp►���. IncorrD!n?� �;';�ciws� �1/ �"i@ � /�-- �'g �---'�� �� v V 41 OJ7?1954-ppt-•.g55 T�3 T 5s'.5D oa7E; ii�ss%v4 TIt4_: iQ:2� r� � " POOL, .,PA .CONSTRUC7tON AND PLANNING ' ' APPROVALS Permit# Date Inspector APpROVALS Permit?k Date Inspector +� 4 1. 7emporary Electrical Service or Pole 52. Pool & Eq�Ipment Location 2, aoil Pipe�Undrgrnd. 53. Steel Rainforcement 3. Electrical Conduit Utility-UndrgmC. 54. Forms 4. Electricai Conduit�Undrgrnd. 55. Electricai E.onding 5. $[eel Reinforcement 56. Rough Pium6i�g & Pressure Test 6. �Iectrical UFER Grnd. 57. APPROVALTO COVER�GUNiTE 7. Pootings 58. Eiectricai Conduit�Undrgrnd. � 8. Foundation . 59. Gas Pipe, _i Undrymd., Test 9. Water P�pe-Undrgmd. 60. Backwash I_ines, P-Trap, C Ur.drg; nd. i 10. Structural floor Syuem 61. APPROVAL TO DECK 17, property Sewer �ine & House Connectio� 62, Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Finai 13. Roof Drains 64, Plumbing �ystem - Final 74. Rough Plumbing 65. Electrical-Final 15. Rough Electrica6Condult 66. Solar Systein-Final t6. Rough Electric Wlring 67. Fencing & Access ApProva� 17. Rough Wiring Sign 68. APPROVED FOR PLP.STERWG 18. F:ough Elea�icai-T Bar Ceiling 69. POOUSPA.SYSTEMS FINA� 19. Fough Neating & Air Conditioning FIRE DE:PT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 27. Ducts, in Siructure 70. Underground Hydro , 22. Ducts, Veniitating 77, Froduct Piping O Gas � Oil 23. Gas Pipe-Rough & Test 72. Underground Fiush 24, Roof F�aming 73. Undergmcl. 5t�rage 7ank � Gas i=. �Jil . - 25. Foof Sheathing 74. Overhead Hvdro 26. T�Bar Celing (Structural) & Monocoat 75. Dry Chemi-aI - I 27. Frame and Fiashing . 76. Dry Standpipe 28. Laching & Siding 77. FIXEQ SY'STEM FINAL 29. Insulation _ 78. FIRE PREV. FINAL � 30. Drywail Nailing HEALTH DEPT. REQUIREMENT � 31. P�asier Bromm Coat 79. FINAL INSPECTION I � 32. Electrical Power Meter�Final 80. FOOD CEF�TIFICATE ISSUED � 33. Finai Electric Notes: / 34. Final Heating & Air Conditioning , � ZvGI�� � Q/G �Ls /���� ...� li � " �. 35. Final Gas Pipe�Test �• � Gu� 36. Hood or Canopy • 37. F�nal Fac.ory Fireplace 38. Final Plumbing ' 39. Water Service-Finai 40. Gas Service-Finai 41. Solar pomesucFinai 42. Backflow Preventer 43. Backf4ow Issigatinn 44. Landsca0e Irrigation System 45. Sound Aitenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIPICATE OF OCCUPANCY No. Dace OWNER M�WLAR Technology, inc. JOBADDRESS 332 Maryland Circ GENERAL CONTRACTOR Same lo. LOT 16 TR in��ecTior+s s�, SOIL GAS ' W ATER ROUGH PLUMBING PROP. SWR. LINE HOtISE CON. SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARV SERVICE OFi POIE UNDERGROUNO � POWER � ROUGH WIRING TRENCHES FORMS STEEL REINF. � FL000. SVSTEM BONO BEAM STEEL REINFORCE SHEATMING FRAME ANO FLASHING LATHING - IN OUT P' �'TER, BROWN COAT ;TURAL, FINAL DATE 7_15-71 BUILDING PERMIT N0. RIPTION of WORK es.w a .� ZONE VALUE$26,000.00 JUP TYPE Z SUBCONTRACTOR -�R' Z . ww a c� Z Za ON am J7 J N fT1 J J m Q U� Za W � aw WZ J Q m z J � W w O = Z F- —O w �O 332�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 �. zo-�iPA10OD� _�� K� 137.7_5 cnsr APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Comple[ely qECE VED BY DATE RECEIVED DA E ISSUED BVILDING , �k-z..71 ��5;� ADDRESS 3 6 Ma d OWNEF Modular T2C�li1010 IIIC. 'Q'P' N�' PER�IS .7J MA I L BUI LD�NG ADDRESS 11�F0 E. 17th Street �+DORESS 3326 n ' c TEL. TRACT 6 82 LOT ZV BLOCK cirr Sa,nta Ana No. 547- 673 CANSTRUC�ION W ADD A TER P LENDER X BI7ANCH OWNER Modu ar. Technolo In ADDRESS (�% ARCHITECT TEL s ResideIl � VALUE �'000 OR ENGINEER Kermit Dorius Av� .� 644- iii � FIRE • AODFESS 111 2nd Ave. Corona Del Mar ZONE TVPE GROUP APPROVED CONTFACTOR Owner BV DATE AODRESS �'y�e TEI. �ON NO.OF USE OF NE C17V .53Il]E NO. P�� y BUiLbING lIC NO. 'z 'Z 4 LICyNO. 16 O vMAIDN BU �DING ACCESDSORV B ILDDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FROM U FT. FT. USE OF. � E%ISTING BLDG. -- E fT. � FT SIZE OF NO.OF NEWBLDG. l�I O SF ROOMS 5 STORIES L.SIDE OFT. FT. COVEERINGALL Per PZ COVERING Wood Shingle REAR FT. � FT. VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf, MAIN & MAIN BIDGS. ACCE�u. BLDGS. VAR.# 1 I \ / 9 �ROVED S�J—�J Construct new residence with �.�.,.# �i �o �� attached garaga. orvaovEo _ � / I haraby acknowladee mat � have read ffiis application and state HOLD FOR SPECI L REQUIREMENT� that [he above infOrmation is correct antl agree to comply with all laws regulatinp builtling consvuction, antl I shall not employ '�p I�y I any person in violation ot ffie workman'i compensation laws ot Gr V ihe Sto[e of Calitornia. m m SQ, FT. �� ' o � hereby certity that I am properly licensatl as a coniractor untler ' / � �hB State ot California B�sinass antl Protessions Cotle, Divisicn 3, THE AMOUMT SHOWN UNDEF V1(LUATION IS FOR � Chepter 9, antl thet such icenses are in full torce antl effect, or I THE PURPOSE OF ESTABLISMING A PERMIT FEE ONLV: m am axamp2 from fhe o sions of the St Calitprnia Business � VAWATION / sb N antl Professions Catl , O� ision 3, Chap r PERMIT FEE $ � Signature of � m Permlttea $ M PLAN CHECK $ � E Au{horizetl Age^t ��� �� TOTAL FEE $ � +t! LL