HomeMy WebLinkAbout3333 MARYLAND CIR - Building PermitsCLTY OE COSTA MESA REQUEST FOR OCCu�ANCY
TRACT N0. � S � Z
IAT N0. � //
ADDRESS �3 ���,�,(/��// ( /,/Ll'�
DATE / �Z �� � �
The developer of the above enticled tract desires co 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 �o the undersigned by reason
of the aforementioned uncompleted condition.
BY /. /�� / �/i�_r/�
Purchase�
BY�
Developer and/or uthorized
representative
� B�
Lender
OWNER MOI7ULAR
, ADDRESS 33.
GAS
PfiOP. $WR. LINE �HOUSE CON.
SPRINK�ING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR GONDITI
UNOEFGROUND � POWER �
ROWH WIRING
TRENCHES FORMS STEEL FEI
FLOOR SVSTE
F9����:la
F""'E AND FLASHING
l NG — IN OIIT
PLASTER, BROWN COAT
GAS TEST
Inc.
DATE
DESCRIPTION of WORK
FIRE ZONE VALUE
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SUBCONTRACTOR
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3274
COSTA MESA BUILDING-SAFETY DEPARTMENT
P n RnX 1200 COSTA MESA.CALIFORNIA 92626
vnta
�ut_ 2o-7��M��.00i � C �� 15Z.?_5
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI VED BY � D/ATE RECENED D�T� ISSU D
BUILDING �a � (� ^2- ', � /��� 7/
ADDRESS 3333 Ma land C'
v ��7$
OWNER Modular Technology� IRC. A•P.N�•
M A I L BUI LDING
ADDFESS 1104 E. 17th S't. �+ODRESS
CITV Santa P.T18. No`� 547-967 TRACT 6582 LOT BLOCK
CONSTRUCTION W AD A P
LENDER
X
BRANCH
OWNE(i Modular Technology Inc.
ADDRESS �
residen " VALVE
ARCHITECT Kermit Dorius n� TE�.644-7iii S� '� $
OF ENGINEER N
FIRE � /
ADDPESS 111 2nd Ave Corona De Y' 20NE TVPE GFOUP
APPROVED
CONTqACTOF owner BV DATE
ADDRESS S2IIle
TEL. ZO[yE NO.OF USE OF NEW
CITV S�e ryp, ltl P�a.Ns Z BUI�OING Res./w
STATE CITV �AROSAPPROVED V 'AF�AO��O
��c. No. 25254g ���. No. 16go MAIN BUILDING ACCESSORV BUILOING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT SO X 125 NOW ON l0T FRONT FT. FT.
USE OF
E%ISTING BIDG. — SI E O FT. FT.
NEWBLDG. �-7HZ S.F. ROOM$ 7 STORIE$ �- L.SIDE �� FT. FT.
EMEFIOR WALL per ROOF WOO
COVERING 12I1S COVERING shingle qEAR FT,� FT.
USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS.BLDGS.
VAR� DATE
construct ne w residence c.u.c.� �S-(p APPROVED S-iJ-��
with attached garage �ROVED � � /
�1 �'
I herebv acknowledee that I have read this aoPlication and stare MOLD FOR SPECIA REQUIREMENTS
ffiat Ihe above informa[ion is correct antl ngree to comply wl[h
all luws .eg�latin8 builtlinp consnuction, antl I shell not employ
any person in violation of Ihe workman'S compensation laws of
che Staca ot Calitomie. / m
� % SQ. FT. �D /� o
I hereby car[ify that I am praperly licens¢tl as a contractor under I , �
[hv Staro of Celifornia Business untl Protesslons Cotle, Divisicn 3, 7HE AMOUNT SHOWN UNDER VYCLUATION IS FOR �
Chaprer 9, antl that such I' nses are in full force ontl efiect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢
am eaempt from the pr is' ns ot the Stete t Iifomia Business VALUATION � O
antl Protessions Cotlo, iv' an 3, Ch te m
PERMIT FEE � �
Signnt�re ot .
m
Parmlttae 3 n�. � PLAN CHECK $ O� o
9 �� v W� � LL
AUNorizetl A ent � TOTAL FEE