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Home My WebLink About3335 WYOMING CIR - Building Permits) 4 � CITY OF COSTA MESA „ ; _ � � ev��o�Na onr►s�oN � i : . DEVELOPMENT SERVICES DEPARTMENT �/��y �" � PERMIT PERMfT NUMBER �� 699-00255 (714) 754-5273 • Fax (714) 7543856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jobnddress: 3335 WYOMINGCI Suite: Vicinity: GARAGE ONLY Parcel Nunmbec 13961107 Zo�ing'. Applicant: GREER, JASON Address: 07472 SLATER AV Phone: 842-9122 HUNTINGTING BEACH CA . Zip: 92647 Owner: VON FLUE, FRANK WALTER TR Address 921 EWALNUTAVE Phone: 842-9122 EL SEGUNDO,CA Zip: 90245 Contractor: ACTION FIRST ROOFING SERV Address: 07472 SLATER AV Arch : Address: Zip: HUNTINGTING BEACH CA Zip: 92647 Phone: License: Phone: 842-9122 License: 688649 Eng: Address: SCOPE OF PERMIT TEAR OFF THE GARAGE SIDE ONLY AND REROOF WITH BUR. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $48.50 $0.50 $0.00 $0.00 $0.00 $49.00 SETBACKS MAIN STRUCTURE front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lefl 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0-0 a Status: APPROVED Applied: 02/23/1999 Issued: Phone: License: si,soo.00 $1,500.00 EXPIRATION: This permit shall automatically explre 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 the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlona end finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � � I hereby a%irm under penfllty ot Oer�ury one of ihe following deciarations: � i ❑ I have and wlll meintain e certlficete of consent to self-Insure for workers' compensation, es provitled for by section 3700 of the Lebor Code, for tha pedormany3 of the work for w�ich this permit Is Issued. - � I have and will maintain workars' compensation insurance, as requiretl by seclion 3700 of Ihe Labor Code, For I�e pedortnance of Ihe work for which this pertnll Is issued. My workers' co pen�satpion Insur ce ca olicy number ere: Q/J.,,� 2 �] Certief: � ( .lT�� C-��Qck,� � PoliCyNumber. L17�/GO� `�-'V!7 / (lhis secfion need nof 6e complefed 1! the peRnit is valued a( one hundred tlollars (8100) oNess.) ❑ I certify that In Ihe performance of the work for ch t�is permit is issueq I shall not employ any person in any manner so es to become subject to the workars' compensetion lews oi Californie, entl ree that I s�ou b come subject to ihe workers' compensation provisions of S ction 3700 of Ihe Lebor Code, I shell forihwith wmply.wi�h these provisions. � � . � 'L-Z�-�� Applicent Signeture: Dat�X WARNING: FAILURE TO SECURE WORK S' COMPENSATION COVEMGE IS UNLAWFU� AND SHP1L SUBIECi AN EMPLOYER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO IXJE HUNDRED TiqUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COlAPENSATION, DAANGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, IMEREST, PND ATTORNEI"S FEES. LICENSED CONTRAC70RS DECLARATION: � I hereby eHirm that I em licensed unPer sp25�6� ter 9(commencing wi�h Section 7000) of Division 3 ot iha Business ana,a�ofess ns Code, and my license is in full I torce and aftect. Lic. p l �� y ��,- ciass a 1.�3� Contractor's Signeture: a Q�� Data: Z' Z�'� �I CONSTRUC710N LENOING AGENCV: ❑ I hereby affirtn Ihet there is a consimction lending egency for the performence of Ihe work for which ihls peimlt is Issued. (Sec. 3097, Civil Cotle). Lende/s Name: Lenders Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I herehy aHirtn Ihet under penalry of perjury that I am El(EMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which raquires e pertnit to consimct, altar, improve, demolish, or repair eny stmcWre, prior to its issuance, elso requires ihe appllcant tor such permit to file a signetl stetemem ihat he or she is licensed pursuent to the provisions of Ihe Comrecbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Pmfessions Cotle) or t�a� he or she is exempt theretrom end the besis tor the elleged eaemption. Any violetlon ot Section 7031.5 by any applicen� for a pertnit subjecls ihe epplicent to e civil penalry of not mora Nan flva hundred dollars ($500).): ❑ I, as owner of the properry, or my employees with weges es their sole compensation, WILL DO THE WORK, entl ihe structure Is not Intendetl or oNered for sale (Sec. 7044, Business antl Protessions Cotle: The Contractors License Lew does not eppty to an owner of properry who bulltls or improves thereon, antl who tloes such work himself or herself or Ihrough his or her own employees, proNded that such Improvements are not intended or ottered tor sale. H, however, ihe buliding or Improvement Is sold within one year of completion, �he owner-builtler will have ihe burden of proving ihet he or she did not build or improve tor purposa of sale.). ❑ I, as owner of the properry, am E%CLUSIVELY CONTRAC7ING WITM LICENSED CONTRACTORS to consiruct ihe projed (Sec. 7044, Business end Protessions Cotle: The contrectors Llcense Lew Coes not apply to an owner of property who bullds or Improves ihereon, end who contracts for such project with a contractor(s) license pureuant to the Contractors License Laws.). ❑ I em e:empt untler sec. Business and Professions Code for this reason: Signature: Date: Owner ID verifietl by dnver's license. ❑ Yes ❑ No Drivefs License No. Expires: Verification of Ownership by (rype of tlocument. i.e. - property lex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICA710N: ❑ I hereby cenify Ihat no exwvatlon five (5) or more feei In depth into which e person is requlred to tlescend, wlll be mede in connectlon with work euthorizad by this permit, and ihet no building siructure, scalloltling, telsewark, ar demolition ar dismantling thereoi, will be more than ihirry-siz (3fi) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 711e 8, Caltlornia Adminlsiretive Code). ❑ As owner-builtler, I will not employ enyone �o tlo work which wauld require e pertnit from Ihe Division of Intlustnel Sefery, as noted ebove, unleu such person has a pertnit to tlo such work iram the division. Signature: Date: Division af Industnel Sefery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORVA110N OF ENTAY: I certify untler penelry ot perjury ihet I heve raed this applicetion end state ihat the infortnation given is conect I agrae to compty with ell stete lews and ciry ordinences releting to building construction, entl euthorize representatives of Ihe Ciry ot Costa Mesa to en�er upon the above-descnbed property for inspection purposes. I egree not to occupy or ellow occupancy of eny building auNorized by Ihis pertnit until tinal inspection. Si n ture I Owner(s) ` An Authorized ApDlicant COOE t. INSVECTIONTYVE 1616 Fixed System Final Fire Preventian 1266 200 201 202 203 Pool Spa Final Final Re•Root Final BIacWReleining Well Final Fectory Fire Place Final Sign 204 Finel Demolitlan 2H6 08 �eg �� 2�� CQOE� INSPECTIONTYVE 206 Final Mechanlcel 208 Finel Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 Finel Plenning Approvel 222 FInalSite 250 Finel Building/Occupency _2�a,;9� D816 � 1�� PP0.1ECi AUDNESS: 3 3 3 S WYOM I NG C I �-0WNEfl'i.VA�E: VON FLUE, FRANK WALTER � noonE3s: VON FLUE, WANETAH LOIS 921 E WALNUT AVE EL SEGUNDO,CA 90245 310-6408194 APCN/ENGINEEP: XEG.NO.: AOOflESS: UNIi: UNIT: PEHMITTEE: FRANK VON FLUE ( 310 ) 690-8199 FDDHESS: 921 E WALNUT AV EL SEGUNDO CA 90245 LICENSEU CONTflRCTOfl OECLABATION: I here0y allirm that I am Iicen5e0 under D�odsions of ChaD�er 9(commencinp with Seciion 7000) ol Oivision 3 oti�e Buvneu an0 PmleSsions Code, anA my license 4 in fulllorce and eflec�. GTY LIC.: STRTE LIL.: CLA55: Daie: Signamre: WOBREBS' COMPENSATION OECLABpTION: I AereOy alfirm t�at I have a certificale ol consent lo selbinsure or a cetlificate of Workers' ComOensa�ion Insurance, or a cenified coDY Ihereof (Seciion 3800, LaO. C). j11CY NO.: EXP. OPTE: LOMPANY: � Cenitie0 coDY �s nere�y Wmishee. ❑ Certiliea copy is lilea witA t�e ciry Builain0 a�ision. Oa�e: ApDlican�: E%EMPIION FPOM WOflNENS' COMPENSATION DELUflRTION: (iAis sttlion nee0 noi be Complete� il 0e perrrvl i51or one hunUreO (5100) or less�. I certily thal in �Ae Dedormance oi the work lor whic� Ihis Oe�mit is issuetl. I shall nol ¢mploy any Oerson in any manner sa as lo Oecome suUjeci �o �Ae Workers' Compensatian Laws of Calibmia. Oale: Sipnature: NO710E: II, alter making i�is aeclara�ion, you s�ould become subject to tAe WOM1ers' ComOensation pmNsions of Ihe Lahor Cotle. you must lonhwitn comply witn such pmvisions or ihis permit snatl be tleemeA revoketl. CONSTBUCTION LENDING AGENCY: I herehy aifirm t�a� ihere is a consimction lending apency for the pedarmance ot ihe work for w�ich ��is permit is issued �Seclion 3097. Civ. C). IENDEX: RODflESS: OWNEP BUILOEH OECUMiION: I nere�y atlirm ihai I am exemOt imm tAe Cantractori S�ate Lirense Law for t�e fallowinp reason �$¢tlion 7031.5 Business an0 Pmiessional CoCe: Any city o� wwiy whit� requires a p¢rmii Io mnslrucl alter, impwve. Oertwlish, or repair any stmcWre. prior lo its issuance, also requires t�e apDlicant for sucA De�mit to lile a sipne0 statement Ihat �e/s�e is Iicenu0 Oursuani lo Ihe pwvisions ol �he Contracmrs' Sta�e License Law (Chapter 9 �commencing wilA Seclion 7000) o� Division 3 0l I�e Business antl Pmfe55ion5 Cotle) or Ihai he/she is exempl lherelrom and Ihe basis �or Ihe alleged exemption. Nny violation ol Section 703L5 by any aDDlicant �or a p¢rmii sublecis lhe apPlican� to a civil penal�y ol not more ��an live �untlred tlollars (5500�. , I, as ownet ol Ine orooeny or my emVloyees wiin wages as iheir wle fAmpensdtion, will Oo the wark, an0 the stmaure is noi imenOeU or ouered for sale (Section 701a, Business an0 Pmfessional Code: The Contractors' State License Law , does noi aDPN �o an owner of a pm0eny wM EmIOs or impmves ihereon. anA wM Aaes sucA work himsell/Aerseli or Nmugh his or he� own empioye¢5. pran�e0 Itwl SutA impmvemenls art noi inlen4eU ar aflereE lor sale. It, however lhe builGing or impmvemem 6 sola vnihin one year ot campletion. tAe owner vnll have the burAen of O�oNng he/she did not GuiIE or impmve lor the purpose ol sale�. I. as owner o� Ihe properly, am exclusively conlrac�ing wi�� licensetl contracmrs m cons�mcl t�e pmject (Section 7044, Business ❑ an0 Pm�essions Cotle: The Contraciors' State License Law does no� apply to an owner o� pm0eriy who builtls or improves �Ae�eon and who coniracts for such pmjec�s with a conlractor(sllicense Dursuant m the Coniradors' Sta�e License Law�.l am aware ihat pmol ol iheir Worker's Compenution insurance shoula be DmviOetl to me. � � am erempi unae� Senion: BP-� 0� 4 B. d P. C. m�is��/T�� OWNE� /� o �' �� ale: Own lao hereby cenilylnall am aware oi ana unaerstantl tne reQuiremems ofCalilomia Health an0 Safety Cotle Sections 25505, 25533, ana 25534 and iha� I or any lulure �uilAing occuDanl will/will no� (circle one) neeG to comO�Y ��h said stafe codes anA Ihe repuirements �or a permil lar con5imction or mo�ilica�ion �mm Ihe Air Oualiiy Managemen� Oislntl. flesitlenlial conslmtlion appliwtions are exemp� from I11¢5¢ plOVISIOf15. ' Oa�e: AOVlican�: 1 �ere�y cerlilyihal I �ave reatl�his apPlication antl statethat Ihe above in�arma�ion is correcl. I agree�o omply wi�A ail city an0 coun�y orUinance5antl5�atelawsrelating�a�uiltlingcon5imclionantlhere uthorizerepre5entaiive5 Ithisciryl nteru0on�heabo ione0 property lor inspeclq pWposeS. �a�e' Sipnai Oriver's License or Sociai Security x: 164L46 Wh'ne—Builtlinp', Green—Code Enlorcemenl: Canary—AoolicanC Pink—Ravonue: Goltlenmtl—Aexxs,mr __"_ — __ . . � _ CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05582 PERMIT NO: B 055820 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PIIRPOSE: ALT JOB DESCRIPTION : T/OFF RESHT. REROOF W/ COMP SQ FT: 2,500 CLAIM VALUE; 2,500.00 CALC—VALUE: 2,500,00 GROUP OCC; R-3 / COMMENTS: T/ OFF RESHT REROOF W/ CpMP x�*��xx��**x**�txx*x�a��rx�x*��*�*+�x*�************x��*�*�****�**�c�t**��**��t*��t��+r� Z O N I N GS ERTEB�AUCIxRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN I.EFT: F'T' IN RGHT: FT IN LEFT; FT IN RGFiT: FT IN PARKING RE�• PROV: PARCEL: 13961107 ZNE: REF NO: PLANNING N 'CE5> i . �,��**�*�*,�**�**�**�*�*��****�+�*��**�**��*�**��****�**��**�*��*,��+��*�**��**� 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 Na.T S ZONING APPROV&D BY DATE; %.�• BUILDING APPROVED BY APPLICATION ISSUED HYK�� !F 3E 3E iE it iE 3f iE jE iF if �E �E iE iE 1E �f it it it 3F 3F if iF if iF if iP if if �f �k if ik jF iE 1E if IF �E 1f IE �k �f iE iE if if if k if 1E iE �F �F if LEGALIZATION:N F E E BLDG PMT PLUMHING ELE PERMI'f 54.00 !k 3EiFIfiEiflfifif�FlElfiFifiE�fiEiEiE D M M A R Y IC MECAANIC FIRE PLAN I ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 54.50 0.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; HLDG PMT PLUMBZNG ELECTRIC MECHANIC 54.00 DATE: iE iF iF iF iF iF iF iE��F"3F3f";i� 3"r 1E iF 1E iP iE iEif 3E iF iE 1f iE aE iE if �E iE if iF IE 43E STRUCTURAL SEGMENT.:Y SMIP/RES GRADING SO SMIP/NON—RES : � � � TOTAL PAID DUE 54.50 54.50 :00 54,50 OVER/SHORT; ,00 FIRE SMZP/TOT� GRADZNG PLAN—CHECR iE if iE iElF aF iE iE IF iE 1F 1E iF i(� iFlf if �k iE iF IE iE aE if iE iF it iE if iF if iE iE if 1E If !F 1E iE iE iE iE iE iE iF ik iE if iE�1FlE iF iE 1E iE 1F if i4 iE iE iF iE if 1F iF iE iF iE if jf iE 1E iF iF if� 1E if� iF if 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 SFR 2500 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 2,500,00 END OF FEES L�; "u:iL'.'':. G�,tlb:u9 ".j'" GnTE. �.' i•� '� � f } i� CONSTRUCTION AND PLANNWV,. �& SPA APPROVALS Permit # Date Inspector qppqOVALS Permit # Date Inspector o� �. Temporary Electrical Service or Pole 52. Pool & Equipment Location }' ' Y 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement �� .� 3. Electrical Conduit Utility�Undrgrnd. 54. Forms -. r 4. �Electrical Conduit�Undrgrnd. 55. Electrical Bonding l�% 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ,% .. 6. Elect�ical UFER Grnd. 57. APPROVAL TO COVER�GUNIT��/ 7. Footings 58. Electrical Conduit�Undrgrnd. ' 4 � 8. Foundation 59. Gas Pipe, � Undrgrnd., Test ��' . ¢ f. 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, C Undrgrnd. �� 10. Structural Floor System 61. APPROVAL TO DECK ., f 11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal � 12. Sewer Cap . 63. Heater & Vent-Final �� i 13. Roof Drains 64. Plumbing System � Final `��f 14. fiough Plumbing 65. Electrical�Final � � .� 15. Rough Electriwl-Conduit 66. Solar System-Pinal � _�k 16. Rough Electric Wiring 67. Fencing & Access Anoroval . ' � 17. Rou9h Wiring Sign 68. APPPOVED FOR P�ASTERING .t 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �+; ?� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �� 20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure �70. Under9round Hydro 22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergmd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing �.17-�2 �p�Cv 74. Ove�head Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27: .Frame and Flashing 76. Dry Standpipe 28. Lathinq & Siding 77, FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing HEAITH DEPT. REQU�REMENT � 31. Plaster Brown Coat � �i ,.79. FINAL INSPECTION 32. Electrical Power INeter�Final � � 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 34. Final Heating & Air Conditioning ' i. /' � . 35.� Final Gas Pipe-Test . , ii �/, 36. Hood or Canopy ' � � 37. Final Factory Fireplace � 38. Final Plumbing � 39. Water Service-Final , 40. Gas Service-Final � ' 41. Solar pomestic-Final 42. Backflow Preventer � � J 43. Backflow Irrigation 44. Landscape Irripation System 49. Sound Attenuation 46. Handicap Regulations 47.FINALSTRUCTURE&BUILDING �-SCt (�� 4B. FINALPLANNING � ZZ Z..- SS<`'"� -�� 49. Electric Release to Edison � � / �50. Gas Reiease to Southern California Gas Co i• Z` � 51. CERTIFICATE OF OCCUPANCY I - . . N0. Date � AOP��ant to flll in all spaces witnin �eavy bortler lines ane zi9� a�l appropriate aeclarations. ' CITY OF COSTA MESA PE$y11T N� �� TRACT'NO. LOT NO. BLDG. NO. '; ' -- - • � CONSTRUCTION PERMIT i=� � 6291 8/ 1'8/82 � 6.Oa TL Project Address 7� . c� u i�j _ TYPE OF CONSTRUCTION . ". . + -� OWner � R � �..�,� ' Pho ❑ NEW ❑ ADD ❑ AITERATION , , ' Add�Css �;' (,�� " ,�"', ❑ REPAIR ❑ CONVERSIOIY ODEMOLISH 2ONING REGULATIONS . ArchlEng. � - Q License No. - ❑ OTNER _ . ' A.P. �' , Addfesi � " DESCRIPTION OF WORK _ � � � ZONE PLNG. REFI � 'Contracror p '� _�-}.qj �gPhonegjR- 7VPEOFPERMIT. � ' ' ' p B(/ILpiNG � . Addre55 ' �SETBACK C �ROPERTY LINE �I � A {. OY1 G��G. � O GRADING ❑ FOUNDATION STRVCTURAI ID VARO - - LICENSED CONTRACTOR OECLAR TION•- - �Q TENANT ❑ ELECTRICAL LUMBING ❑MECHANICA 5EpF� vaa _ _ �I bereby aHirm tnat 1 am Iicensetl untler provislon5 ot Cha�ter 9(cOm- . �, � RIGHT mendng wiln secllon '1000) of Divislon' 3 of tna BUslnesz antl �❑ OTHER � REAR VARD (TO N �� Professions Cotle, ,antl , my Ilcense ts In full force dntl eff¢ct. /L� �- �- - �j��• -- �l��it�Q- � PROJECTDESCRIPTION _ �Ucense Clazs L�Ij� nse No. ' � � PKG. SPACE RE�. �� PROV IDED � Date �� 1 % —Noi -m��an�.a . . X"4 Yi(LQA' / � - 54. FL � ' , . _ • �KERS' COMPENSATION DECL'ARATION� �-� - ' OCCUPANCY_CONSTRUCTION TYPE ' S7REET WIDTH PARK FEE S. reby atfirm that 1 �ave a certificate ot consent to selMnsure or a VHLUATION ZONE 'ZONING APPROVED�BV DATE" ificatebt Workers' Compensation•insurance, or� cerHfietl copy . ___ . � .SPECIAL CONDITIONS: thereof (Sectlon 38 0, Lab. C.). . _ � ,GRAOING CU: YDS. ACRES ' " POIfcY No. - D �' ComPanY - . ' _ _ ' _ ' ' " - ' -. - . � Cerq(ietl caPYis•herebYlumiSheA. " ' " ' - . " pEMARKS: " - _ . . .. ... _ _ . . - _. . ❑ C¢rilfietl [opy is filetl with the ci[y Builtling DiviSiOn. . - E%EMPTION FROM WORKERS'�COMPENSATION DEGLARATION - — ' - (This 5¢cti0� n¢etl-nOt be cOmpleied� it the p¢rmit is t0� onc AUntl/¢tl , _ . �� 'f$IQO� OI IC551. � .- '• -' � C¢rtlfy-that ln the performance-oi thc work tor. which thiS.Permit is IssueA, 1 shall not emQloy any porzon in any manner so as.to become PLUM6ING - . PLAN CHECK - -' ' ELECTRICAL " PI�AN CHECK , subjE<t [o tbe Workers Compan5ation Laws oM1 CaHfornla.' . , , Date Si9nature ' BATHTUBS SHOW@RS � -' - �NOTICE: I/ afier rrwkin9 this qeclaratlon, you shoulG become'subject TO��ETS � 7.� URINALS ��'� '� �GENEFATOR 0�1 KW�'I-IO,KW � � - �, � �to t�e Workers• CompensaUon prOvisions ot Ihe labor Cotle, you must TRqNSFORMER - . . forthwith comD�Y w��h such prov(sions or this permit snall be tleemeA LAVATORIES OOUBLE LAVS � - - .qPPL1ANCE 10-50 KW�50 + KW � - - ' .revoketl. " _ "' "" __. _ " _ _ " _ '_ '"' _ . � - . . ' CONSTHUCTIONLENDINGAC�ENCV KIT.SINKS� � � � OISHWASHERS -� - MOTORS- " OQHP-._7-30HP'� " I hereb affirm that there Is a constructlon IenOin a ent FO� In¢ De/; - -- UNC. SOLHR . __� � (orrlWnce of'lhe:work.(or. wNch_tpis perm(t 15 fSsueG.(Settion.309� SERVICESINKS: _'SUMPS" ' 1 ) 30-50 HP Str� HP �� j iCiv. CJ. - '• ' ' _ ' ` _ ' _' ' . . . _ 1 ,LentleY's Name � F��OR SINKS FLOO(i ORAINS �-- � FIXTURES 'OUTLETS ""SWITCHES'" " � '- �LenAer'S AOCresS � DRINKING FOUNTAINS � �� ' GHSTUBESIGNS - ' ' '- - - - OWNERBUILDERDECIARATION � --' � �--- INTERCEPTORS CLARIFIERS r 'POLELIGHT$ "--" " - -- --��5 1 hereby aftirm that 1 am exempt trom tbe ConVac[or's License Law ror � - tfie following reason'(Seclion 7031:5'Business'antl Professlons Cotle: SWIMMING POOL -'PSRAP � � �ppLES METERED SUB � Any, city or cOunty whiCh reauile5 a pelmil t0 ConStruC[, alt¢I, �rove, Eemolizh or iepair any sfiuctwe, pridr'to its Issuante, also re- µjATER SERVICE 0.LTERATION � � 'PHNELS '" " MAIN' - - SUB -' 5 thE ap�tliGant for suclt permit to tile a Signetl stdtement that he �� ensetl pursuant to the provisions of the ConVactOPi Citense Law G S SERV ICE OVTLETS - SERVICE "' ' ' -' `AMP pter 9(�ommencin9 w��h Section 7000) of Division 3 of the - Busine3s antl PrWessionz Cotle) or"that he iS exempt theretrom antl tne qTE17 HEATERS � BTU OUTPUT -�� '"-D }' ""- - " ' - - ba5i5 for [ne alie9etl ¢xemOfion. Any viOlation o( SeC[ion 7031.5 by dny'appllcdnt tOr a -permlt spbjet[s ih0 a0PIlCant'to d Civil'penalty SEWER CONNECTION$ � � - ' ' - ' "' � - • - Of not mOre lhan fiv¢ huntlrCtl tlollars (y500). � i� .r ❑ I, as owner oi lne property, or'my employees with wages as thelr SOLAR TANK � COL'LECTORS�+ .' -� .: " '- "" '"' ' '- -��- - . Sole compensatlon, will tlo !ha work,.antl the strudure is not intentletl. - or offeretl for sale. (Se<tion �044, Busine5z antl Professions Cotle: The SOLAR PIPING SVS. � �-ISSUE F@E - "' ' - Conlractor's License �Law-Ooes oot apply to an. owner oi a.proPerty O'�- qppLICATION APPROV E� BV �who builtl5 0� IrnPvoves Ipe�eon, dntl who tlo¢5 such work hlTselt Or ISSUE FEE i� , 3 ' - DATE- - � lhlough-hI5 own�employees, provitleQ.tttat suCh impfovCmentS dfG n0l - Intendetl or oHeretl /or salc. Ii, M1owevcr, IM1e Cuiltling or improvement " ' ' - - ' - ' ' '�'- -- - - � � MECHANICAL aLAN CHECK SUMMARV OF FEES,. �.,. is soitl within oao year_ot completion, the.owner.wilLhave lhe burtlen ' . rr• �l ��• �' of provin9 he aitl not builtl or improve tor fhe purpose of sale). HEATINGSYSTEM 0-]OO,OOOBTU BVIL'DING' --- - --- --E-,- -•-- "� I, as Dwner'rot the pro0erty,'am' ezclusWely-mntrac[ing with�• � �- . ' PERMIT E �" ' � SMIP�• � ANDOUCTING ' PLANCHECK S PERMIT ❑cen5etl cOntraGto�s to conSivuC[ Ihe proieCt (Seciion 7044, Busin¢55 100,000+BTU ' -antl ProFessions Cotle: The Contractor's Liconse I�w'tloesnotapplyto � - -� --ISSVANCE- y-- -� an owner of property who builtls or Improves tbereon, antl w�o con- qEFRIGERATION 0300,000 BTU PLVMBING ' b� � tracts trom such'proj¢cts witb a contractor(s)�-licesnetl-pursuant to� � SYSTEM" - �� ' -- � �-- - � GRADINGJ'y theConVac(or'sl�censeLaw). 300,000+gTV PLANCHECK E� . � ' • ❑ 1 am exerrip( untler SecHon ' - V B.�& P. C. tor'tbis - BO��ERS BTU ' ` � � a� . ELECTRICIiL b I T reason - ' " MICROFILM 5 �'� � Date � Owner __ SVSTEM REVAIR, ALTERATION ' PCAN CHECK E' "- �70TAL FEE S-� � � MECHANICAL'$ ' - ( � I hereby ttrtHy that I have.reatl this appliw(ion.and sta(e that the above EXHAUST SVSTEM MULTIPIE � . ' I.E55 AD-' ' • fnlormation is correct. 1 agree to comply wttn all city ana coun[y - -- PLHNCHECK S " VANCEPC -E- '� ortlinances antl state laws.relating to consiruqlon, antl hereby autnor'ze • , . � rep�esentatives o( IhiS <ity to enter upon the above ntio eA � ' ' - ' �� — -arooercy for ji�pe n . py{tpopzeps.� /) - �y� ""'"t-� Da[e _� " . . . . - FINAL FEE § � _ �SSUEFEE �� .. CON$TRUCTION AND PLANNIN L POOL & SPA � ' . , . - APPROVALS Permit# -�`J Date �.•Inspei;tor qppROVALS .. Permit# - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � Soil ipe-Undrgrn • 4. Steel Reinforcement ' � ' � 3. Electcical Conduit Utility-Undrgrn 45. Forms ''' _ 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding . tee ein orce 47. Rou h Plumhin & Pressure Tesf- ' � ' 6. Electrical UFER Grn - - �� , 48. APPROVALTO COVER-GUNITE �.- -�-"� •"' 7. Footings � ' 49. Electrical Conduit-Undr rn � . . --- - - -- . .. .. - . , ,. ., � . 8. - Foundation � 50. Gas Ripe, ❑ Undr in, Test � �� • � � .9. Water Pipe,Undrgrn. . ' 51. Backwash Lines P-Tra ' �' ridr m.' � - '�' �_ 10. Structural Floor System ' 52. APPROVALTO DECK ' - ' �' � � ' �� - � 17. .Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � � � �� - � ] 2.. Street $ewer Connection _ ' 54._ Heater & Vent�Final ' � � - 13..,Roughplumbing � --' "" - � � � �- ' 14. Rough Electric-Conduit 56. Electrical-Final - 15. Rough Electrio-Wring - 57. Solar System-Final ' • �� • - � 16. Rough Heating & Air Conditioning - • encing & Access Approval . - 17. Ducts, in Structure ' APPROVED FOR PLASTERING � � � - 18. Ducts, Ventilating . _ . _. 19: Gas Pipe=Rough & Test 60. POOUSPA SYSTEMS FINAL - _ • - 20. Roof.Framing.- - - ' - 21. Roof $heathin -' - ' . � , �- � . . . � , � • � 22. Frameand Flashin NOTES: � " r y-� y� y 23. Insulation - � - � �� ' 24. Lathin &�Siding ' ' - � 25. Drywall Nailing � - � • � � ' � ' � 26. Plaster Brown Coat ' � � � � � 27. Electrical Power Meter-Final ' ' ' � � � � �� 28. Final Electric � � � ��''�� 29. Final Heating & Air Conditioning ' - ' 30. Final Gas Pipe-Test - - 31. Final Plumbing ,f 1. � ' � � 32. Water Service-Final � � ' ' 33. .Gas Service-Final - 34. Solar pomesticFinal' ` � � ' �� + " ' ' ' - ' � � 35. Landsca e S rinklin S stem ' �� ' � �- 36` Sound Attenuation � � " 37. Handicap Regulations � � � - 38. FINA�STRUCTURE&BUILDING ' - � � 39. Special Requirements Completed - � � ' " - � �- 40. Electric Release to Edison - �" - - 41 . Gas Release to Southern California Gas Co. � � 42. CERTIFICATEOFOCCUPANCY : . � 'P;lo Date - � _ :, t . . . � �. � CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT N0. b (� /, � LOT N0. � 3 'T ADDRESS �„7,��..�Jsy�„-� � �� . DATE �� % — 7 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 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 PI ANnPNf. f1FPT J�;i! 3 1971 AM pM ii8�9�1(!,A i;7,�;:i�g,5,fi � ,�ender Z . a cwj 2 Z Q ON am J � J � ¢] J J m Q U N Za W � aW J 0 m Z J � W w � ZH w� N � � � �,�n�,4 _ COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. eOX 7200 COSTA MESA. CALIFORNIA 92626 � �tov -�}-. "�� *�� 159.75 APPLICATION FOR BUILDING PERMIT fo� Applicant to Fill in Comp/etely RECEIV DAia E R CEIVED OATE ISSUED BUILDING �(/ �� ADDflESS �+] OWNER MOLj.L113.T' Technology, TIIC. A.P. NO. PEflMhTNO.q i/� /'.Ql MAIL ],104 E. 17{�.Yl S{�.. ADDRESS ADDFESS 3335 Wyoming Circle cirv Santa Ana N�547- 6 TRACT 66 �oT �4 BLOCK CANSlRUCTION W A LEN�EF U.S. National Bank X BRANCM Me,in Office nooaess 190 S. Broadway, San Diego OWNER Modular Technolo Inc. ' VALUE ARCHITECT Kermit Dorius TE��675-ii64 s Residence $ 1 �� OR ENGINEEfi N � FIRE � ADDRE55 ].11 S 11 D M ZONE TVPE GFOUP APPROVED CONTRACTOR BV DATE ADDRESS S2711e • TEL. ZO E NO.OF USE OF E�� CITY S2I71C' Np PtANS BUILOING � UG. No. 2525�+9 CITV 16p O YMA NSBU LDING ACCESSORV BU�ILDING LIC. NO. / SIZE 1' NO.OF BLDGS� (FROM C/L STFEET) OF LOT `jy X HZ NOW ON LOT -- ONT �O FT. � FT. USE OF E%ISTING BLDG. -- � FT. FT SIZE OF NO. OF NEW BLDG. �OO Sf ROOM STORIES 2 L. SIDE FT. FT. EMERIOR W�+4}eY, Plans COV�ERING Wood Shin lE? REAR COVERING g � FT.� FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOGS. Construct new residence with attached C VRP.qW — S— APPROVED � 7j[y(o � e. APPROVED �_ �_-7� HOLD FOR SP CIAL REQUI.^,FME •' I hereby atknowletlpe ihat I have reetl this epplica[ion antl staie that the above intormation is torract antl apr¢e to comply wixh all laws regulatin8 builtlin8 conzvuc2lon, antl I shall nax employ any person in �iolation ot t�e workman's componsutlon laws of the State of Celifomie. �/� � SQ. FT. S D p b I hereby c¢rtity Nat I em proparly Ilcenutl as a contractOr untler the Stnte of Cnlifornie Business entl Profassions Cotle, Dlviaicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chapter 9, antl [hot suc IcBnSas are In f I force antl aftact, or I TNE PURGOSE OF ESTABLBHING A PERMIT FEE ONLV: Q am exempt from the Isions oi tha o( Collfornia Business entlProfosslonsCotl � vision ha e VALUATION / m _] PEfiMR FEE 5 O(J �S � Signatura of / 07� C�j ] Permittao 5�� /(p y PLAN CHECK $ ,�J �J i� E 0 � LL Authorizetl ABe^t TOTAL FEE S� ��