HomeMy WebLinkAbout3334 MARYLAND CIR - Building PermitsCi�t OF COSTA MESA REQUEST FOR OCC�rANCY
TRACT N0, Z
IAT N0. � Z
DATE S — � 7 2
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.
BY � �..Cl,l� CSl/�� ` � U V �J
Purchaser
BY
Developer and/or tho zed
representative
Lender
Appllcant to fill in all Spaces eacept thosv wit�ln �eavy CorEer lines anE si9n all a00�o0��ate tleela�ations.
oFCOS7A.MESA - CONSTRUCTION PERMIT �`"" "" ""'
'�� ' 3334 MARYLAND CIRCLE ' ��`�9S
'Project Address
Applicant'sMailingAddress z22O S DUPONT DRIVE TYPEOFCONSTRUCTION - NE
NASS . ❑`CONVERSION ❑ DEMOLISH
Owner's Name 3334 MARYLAND CIRCLE ���������F�g��,� �i
Address
ArchlEng. License No. TVPE OF PERMIT GaADir�G
Address O TENANT ❑ ELECTRICAL C
CAL PAC ROOFINCpno�$00-548-5 O�I �'OTHER '
Convacmr's Name PROJECT DESCRIPTION 5�. FT.—
2220 S DUPONT DRZVE ANAHEI
ADD LJ ALTERATIO'FJ%tL��REPAIR
JFOUNDATION LJSTRUCTURAL
PLVMBING ❑ MECHANICAL
Addfeu�meiling) CONSTRUCTIONTYPE - VALUATION$
Cit� ��ce�ze No: 027633 ZONE GRADING CU. VDS. A(
LICENSEO CONTRACTOR DECLARATION '
I hereby afli�m lha[ I am licensetl untler provision5 of Chart¢r 9(tommenclnq Remarks:
-with section 7000) ol Division 3 oi the Business antl Protessions Cotle, antl
my license is in iull torce antl ef�«. 7 g 5 0 3�'
License Clag _,_„—�A(_ a icen e f�o.
Date 1/ L XGF �ae .P � � �[.//�� P
WORKERS' COMPENSATION DEC ARATION B3�Sink
I hereDy aHirm tliat I have a certificate of consent to self-Insure or a certlilcate
-?f Workers' Comoansation Insurance, or a certifietl copy thereof (Sectlon _ Backflow Preventer '
t=aoo, �ao. c.IRCS137886 ROYAL
'��n>'olicy�No. � Company ' Backflowlr�igation •
�YA C9[t*fjqp_copyJs jilCtlq� rM1r[M1e a�ty 'n 'visio L— BdLhtu65
�atex�CJX 1/L t�IkPPlicant �
EXEMPTION FROM WORKERS' CO NSATION DECL RATION Cld�ifi¢�5
(Thissection neetl not be completetl i( ihe p¢rmit iz for On¢ huntlretl ($300) or �
1255). �IS�l4Yd5hQf
I cerli/y thal in the Performance of tM1e work for which Ihis p¢rm�t is issuetl, I,
shall not employ any pe�son in any manner so as to become subject to the �rinking Fountains
Wo�ke�s' ComOCnSation LawS o( Californla. �
Date Si9nature Floo� Drains .
'NOTICE: It, a/le� making thi5 tleclaration, you should become Subject [o the
Workers' Compensation provisions of the Labor Cotle, you mus[ forthwith FIOOf SiOkS
<omply wiN such Orovlsions or this permit shall Ee Ueemetl revoketl.
CONSTRUCTION LENDING AGENCV ' G35SErviCE OutIEtS
1 hereby affirm that [M1ere is a construc[ion IenOing agency for th¢ p¢rformance
of lh¢ work for which this pe�mit is issu2tl (Section 3097 Civ. C.)� Interceptors -
Lentler's Name
Lentler's Atltlress Kitchen Sink �
OWNER BUIL�EH bECLARATION �
I hereby aHlrm [hal I am ¢xampt from the Cont�actor'S Li<ense Law for the lavamries
following reason (Section ]031.5 Business an0 Professional Cotle: Any tlty or
county whi<h require5 a pe�mit to Const�uct, alter, improva, Gemolish o� repair P—Tf3p
any structuro, prior to Its issuance, also�requires tne applicant for such permit
to file a signetl slatement [hat he/she is licensetl pursuant to [he provisions of ROOf D�dins
tne Contractar's License Law (Chapter 9(commencin9 with Seclion 7000) of
Division 3 ot tM1e Business antl Professions Cotle) or tM1at M1e/she is exempt
�-;fhe�efrom antl the basls for Ihe allegetl exemption. Any violatlon ot SeCtlon .
'=:iJ31.5 by any ap0�ican[ tor a permit subjects the applicant to a civll
��-°nalty of no[ more than five M1untlretl dollars (5500).
-'�°., I, a5 owner ot !he O�operty o� my emploYees wi[h wa9es as their sole R¢inSpeGtiOn'Fee $15
compensation, will ao the work, antl the sVucture is not intentletl or offeretl
for sale (Sectlon 7044, Busines5 antl Professional Cotle: Tne Contrattor's ME
License Law tlo¢5 not appty [o an owner of a properry who builtls or Improve5
t�ereon, antl who tloei sucb work himself/herselt o� through his o� ber own BOiI¢�
employees, provitled tha[ suc� improvemenfs are not intentletl or otferetl fo�
sdle. Il, however, Ihe builtlin9 or Improvement is Soltl within one y¢ar o1 com-
, pletion, ine owner wlll have the burtlen ot proving ne/she Eltl not builtl or im- Duct - Under Ground
�� p�ove lor the pur0o5e ot sale). ' .
❑ I, as owner of the pro0erty, am exclusivery mn[ractlng with Iicensetl con- Duct-Structural
tractors to construct the project (Seccion 7044, Business antl Professions Cotle:
The' Contracto�'s Liclnse Law tloes nof apply to an owner of prOPerty wM10 Duct - Ventilating
builtls or improves lM1ereon, antl who conVacts fo� such ptojects with a wn- '
tractor(51 licenze pu/suant to the Contrac[o�'s License Law). I am aware that Exhaust Sy5tErt1 ❑ Multipl¢ ❑
ptool o( tneir Worker'S Compensation insurance shoultl be provltleC f0 me. -
❑ I am ¢xemp[ unUer Section B. & P. C. for [his reason Firepl/fact. BIL ICBO �k '
Date Owner
I' hereby certity that I have rea
information is wrrect. I aqr¢c to
antl sta[e laws relaHng to builtlir
sentatives o/ tnis y t enter
inspeCtion pu�p 5.
Signature
upon
� Heating System & Oucting
that the above ❑0.100,000 BTU �100,000
mtv ortlinantes
Drivers' License or SS � - I, ' Aeinspec[ion fee
CMF 0865-46, rev. 30/B4 Whi[e - Bullaing; Canary - Appllcant; Pink - Ac<ountln9; Goltlenrotl - Assessor
515
Service Sink
Sewer Cap
Sewer Connection
Solar Collecmrs
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
WdIEf CIOSCL
Water Heater
Water Service
Auto-Wash .
Laundry Trays
Isue Fee -
1ANICAL
Hoodor Typel ❑ '
Canopy Type I I ❑
Refrigeretion System
�0.100,OOOBTU ❑100,000
System Repair/Alteratio� Y I
Fire Dampers R��„��a
Regis[ers .
' I
• , �� Issue Fee �
A.P. #
S Main Building:
E
T Front
ARear
C Right
K Left
S
Ing. Ref. #
Planning Notes:
FEES
Automatic Washer
Construction PoleSub.
Cooking Unit
Dishwasher
Dryers �Gas ❑Electi
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
Switches
Garbage Disposal
Generator DO-5 KW ❑
S 3
�oie I/�9/86
Zone
ELECTRICAL , ,
Trans(Ormer ❑ 15-50 KW
❑ 50+KW ,
� Meter ❑up to 100amps
Meter ❑over700amps
Sub Panel
Motors�0-1 HP�1'/=-8
Inc.Solar 09-15 HP �16-15+
Microwave '
Pole Light y,:
Range � � '
5-15 KW
; Standing Sections 'r
Trash Compactor
�
iea:c
1
FEES
Z
O
N
I
N
G
R
E
�
M
T
S
� Reinspection Fee !$15 laue Fee . $ 3
FEES
DEVELOPMENTSERVICESREQUIREMENTS: ,
2oning Approved By Date
Build� g Approved By Date
ApplicBtion lesued By T_Dat�
� � � SUMMARV OF FEES '
I
; p BUILDING PERMIT $ 1S _ OO SMIP $ .. SO
1£Gti n PLAN CHECK $ PERMIT
PLUMBING ' $ ISSUANCE $
� PLAN CHECK 25% $ ENERGV P.C. $�
B ELECTRICAL $� ' GRADING $
� P4ANCHECK' 50°.6 $� MICROFILM $�
� MECHANICAL $' � �TOTALFEE $; ����e
S 3 PLAN CHECK 25% $ �
'
CONSTRUCTION ANDPLANNING
APPROVALS Permit �
�1a Temporary Electrical Service or Pole
2. Soil Pipe-Undrgrnd. �
3. Electrical Conduit Utility-Undrgrnd.
4. Electrical Conduit-Undrgrnd.
5. Steel Reinforcement
6. Electrical UFER Grnd.
7. Footings
8. Foundation
9. Water Pipe-Undrgrnd.
� .10. Structural 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
19. Rough Heating & Air 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 (Structural) & Monocoat
27. Frame and Flashing
28. .Lathiog & 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 �'1�
41. Solar pomestic-Final �^-
42. Backflow Preventer `
43. Backflow Irrigation �
.�
44. .Landscape Irrigation System
45. Sound Attenuation '
46. Handicap Regulations �L
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Cbmpleted
49. Electrie Release to Edison
50. Gas Release to Southern Califomia Gas Co
Date
POOL `A
Inspector AppROVALS Permit#
52. Pool & Equipment Location
53. Steel Reinforcement
54. Forms
55. Electrical Bonding
56. Rough Plumbing & Pressure Test
57. APPROVALTOCOVER-GUNITE
58. Electrical Conduit-Undrgrnd.
59. Gas Pipe, O Undrgrnd., Test
60. Backwash Lines, P-Trap, � Undrgrnd.
61. APPROVALTODECK
62. Backwash & Receptor-Final
63. Heater & Vent-Final
64. Plumbing System - Final
65. Electrical-Final
66. Solar System-Final
67. Fencing & Access Approval
68. APPROVED FOR PLASTERING
69. POOUSPASYSTEMSFINAL
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
70. Underground Hydro
71. ProductPipingOGas ❑Oil
72. Undergraund Flush
73. Undergrnd. Storage Tank O Gas ❑ Oil
74. Overhead Hydro
75. Dry�Chemical
76. Dry Standpipe
77. FIXED SYSTEM FINAL
78. FIRE PREV. FINAL
HEALTH DEPT. REQUIREMENT
79. FINAL INSPECTION
80. FOOD CERTIFICATE ISSUED
Notes:
0
Inspections
Date �Inspector
Date I I I �/I
OWNER MODULAR Techno:
JOB ADDRESS �33 MarY
� ERAL CONTRACTOR Saz
A� �Jo. LOT 1�
INSPECTIONS
SOIL
GAS
W ATER
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND Alft GON�ITIONING
TEMPORARV SERVICE OR pOLE
UN�ERGROUND � POWER �
ROUGH WIftING
TRENCHES �'FORMS STEEL RE
FLOOR SVSTEM
BON� BEAM [, STEEL REINFORCE (
SHEATHING
FRAME AN� FLASNING
L�-"�NG - IN /�� OL
F ER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., ftEFRIG
PLUMBING, FINAL ANO G.
ELECTRIC, FINAL
F INAL
DATE 7_15_71
BUILDING PERMIT N0.
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SUBCONTRACTOR
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3328(
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.n. nnX 1200 COSTA MESA_ CALIFORNIA 92626
rnto
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APPLICATION FOR BUILDING PERMIT
ForApplicant ro Fillin Completely RECEIVED B, ATE RECEIVE
DATE ISSUED
BUILDING � / ��- �7 `' /� 7/
ADDRESS �
P
OWNER Modular Technolo IT1C. A'P' N'
MAi L BUILDING
nooaess 1104 E. 17th Street �+DORESS 3334 Ma land Circle
TEL. TRACT LOT BLOCK
CITY �`ant2�in& NO'
CONS�RUGTION W A P
LENDEF
X
BRANCH
OWNER Modular Technolo U
ADDFESS C� VALUE / • �
ARCHITECT TEL. SE Resi ence � 3
OP ENGINEER Kermit Dorius i�� 6 -
FIRE �
ADORESS 3111 �d Ave. Corona Del Mar ZONE TYPE GROUP
APPROVED
CONTFACTOR �4I11eT BV DATE
ADDRESS �'�e �
ZONE NO.OF USE OF NEW
TEL. RI p�qryg 2 gVIIDING
CITY S2IllE NO.
STATE CITY YARDSAPPROVED VARDSAPPR VED
���. No. 25254 LIC. NO. 16 O MAIN BUILDING ACCESSORY B ILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
oF LOT NOW ON LOT RONT FT. � L, FT.
USE OF
EXISTING BLDG. -� 5 � FT. FT.
SIZE OF NO. OF
NEWBLDG. �- O SF ROOMS STORiES 1 L.SIDE � FT. FT.
EXTEFIOR WAL�q ROOF �
COVERING +eT Plan COVERINGWOQCI SI11R ZE REAR FT. � FT.
USE OF BUILDING AND WORK TO BE PERFOFMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BlDGS.
VAR. aC+ DATE
Construct new residence with c.u.P.9w �S�(9 APPROVED S?�-
APPROVED � �
�I
I nareov acknowledge tnet I have reaa cn�z aoa�icatio� a�d :teta NOLD FOR SPECIAL REQUIREMENTS
that the nbove information is correct antl aBreo to comply whh —
all laws regulating builtlinp consbuction, enA 1 shall not employ � D p
any person in vtolation of [h¢ workmnn's compansetion �ews of ��'����
Me State of Calibmia. .� � j�
I hereby certify thac I am properly licensatl nz a contrnctor untlar �SQ. FT. /
tho State of California Business untl Professlons Cotle, Divlsitn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and chat suc ieenses are in full force ontl effect, or I THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLv:
om exempt trom the r�Isions of tha Stato of Celltornle Buslnass VALUATION �% j^'�
antl ProtessiontCotl , rvision Chep � �
PEFMIT FEE $
SiB^atura of ��
Permlttae � 8 J \�p�' PLAN CHECK $� �
A�thorized Apent /�.J " �� \ //� �
TOTAL FEE $