HomeMy WebLinkAbout3080 MURRAY LN - Building Permits� CITY OF COSTA MESA
�'tp~F$p BI/ILDING DIVIS/ON
F�� �7 FAIR DRIVE. COS7A MESA. CA 92626 •(714) 754-5273 • Fax (774) 754,4856 • www.ci.wsta-mesa.ca.us
��m FOR INSPECTIONS CALL: (714) 754-5626
� PERMIT NUMBER: M07-00573
PERMIT TYPE MECH STATUS: ISSUED
DATE ISSUED: 1 211 412 0 0 7
ISSUED BY: RMD
JOB ADDR�SS: 3080 MURRAY LN CM
Vicinity: HALLWAY CLOSET
SQ. FT: 0
Suite/Unit:
SCOPE OF WQRK: CHANGE OUT FAU < 100 K BTU LOCATED IN HALLWAY CLOSET FOR A SFD.
OWNER: JONES, MITCHELL P Address:
PHONE: 714-ss�-7958 City/Slate2ip:
APPLICANT: /'In C �,�A� Address:
PHONE: �^' �"� 1 v, City/State/zZip:
�1� 54�e�o3��
CONTRACTOR: Vl.(/(F_ e�rtS�7'G�(;�"�Di'1 t A
Address: nit PHONE: `�����1��-p3�y�
v
City/State: 2ipCode:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $38.30
PLAN CHECK FEE: $0.00
INVESTIGATIQN FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $38.30
3080 MURR4Y LN Unit:
COSTA MESA, CA
3080 MURRAY LN Unit:
COSTA MESA, CA
License No. 000000
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CELL:
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NOTICE: The vrork authorized by lhis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ortl. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this perm'
cyo�� ixsvecnonrmq o� nnm�� 4 �E/ INSPECTIONTYPE on i �s
1618 Fixed System Final Fire Prevention 208 Final Mechanical � Z � �
1266 Pool Spa Finel . 20B Final Plumbing
200 Final Re�Roo( 210 Final Eleclrical
207 Final Block/Ry�aining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final DemoliUon
212
220
Final Fire Prevenlion
Final Planning Appmval
222 Final Site
250 FinalBuiltling/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penally of perjury ane of Ihe following declarations:
❑ I have and will maintain a certificate of consent to sel(-Insure for workers'
compensation, as provided for by section 3700 of Ihe Labor Cotle, for the
peAormance of the work (or which this permil is issued.
❑ I have and will mainlain v.orkers' wmpen5alion insurance, as required by
section 3700 ot the Labor Code, for the peAortnance of the v✓ork for which Ihis
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier
(Tnis sMon neee irot �a comdetM Rlne pertnrt is vaNetl at one nunarM
Policy Number:
�—I-certi(y that in Ihe peAortnance of the vrork for which this pertnil is
issued; I shall not employ any person in any manner so as to become subject
to lhe workers' compensation laws of Califomia, and agree that if I should
become subject to the workers' compensation provisions oi Section 3700 of
the Code, I shall fo wit mpy with these propvisio s.
! C �
Apphmnfs Sfgnawre�: 05
�_.. — - � �
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrm that I am licensed under pmvisions of Chapter 9(wmmencing
with Section 7000) of Division 3 of ihe Business and Professions Code, antl
my license is in full force and eRec[.
u�.0 �=�i��1� c� � b
(_GonVactar'sSignaWre `Daie-- -
CONSTRUCTION LENDING AGENCY:
❑ I hereby aKrtn that there is a construciion lending agency (or the
perfortnance of the work (p vfiich this permi[ is issued. (Sec. 3097, Civil Cotle).
Lender's Name:
Lender's Adtlress: . _. _
Date
OWNER-BUILDER DECLARATIONS:
1 hereby aKrm that untler penalry of Derjury mat I am EICEMPT FROM THE
CONTRACTORS LICENSE LAW for the (011owing leason (Sec. 7031.5,
Business and Professions Code: Any cily or county which requires a permif to
consWct, alter, improve, tlemolish, or repair any sWCNre, pnor t0 ils
issuance, also requires the apDlicant for such pertnit to file a signed statemeM
lhal he or she is licensed pursuant to the provisions o( the Contracrors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or that he or she is exempt therefmm antl
the basis for Ihe allege0 exemption. Any violation ol Section 7031.5 by any
applicanl for a permit subjects Ihe applicaM to a civil penalry of not more than
five huntlred dollars ($500).):
�-1; as owner of the property, or my employees vrith wages as their sole
compensation, WILL 00 THE WORK, and the slructure is not inten0etl or
oflered for sale (Sec. 7044, Business and Professions Code: The Comrectors
License Law does not apply to an ovmer of property who builas or improves
ihereon, and who does such vrork himself or herself or through his or her own
employees, provided that such improvements are not intended or offeretl for
sale. If, however, the building or improvement is sold within one year of
completion, the ovmer-builder will have the burden of proving that he or she
did no[ build or improve for purpo5e o( sale.).
❑ I, as owner of the property, am El(CLUSIVELY CON7RACTING WI7H
LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces not apply to an ovmer of
property who builds or improves mereon, and who contracts for such project with
a cont2cta(s) license pursuant to the Contractas License Laws.�.
❑ I am exempt under sec.
Business and Professions Code (or this reason:
�`�/.i .� ����l= . !
� . '- �.
Ovmer ID verifed by tlriver's lice�.__. ❑ Yes ❑ No
Driver.'s�LicenseNo. '�✓.��' Expires: �
Venfic ' n of Owner � y(typ en , i.e. - property tax bill or eetl):
DIVISION OF INDIISTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certrfy that no excavation frve (5) or mwe feet in tlepth in[o v.fiich a
person i5 requiretl to descend, will be made in connection vrith work authorized
by this pertnit, and that no building sWcture, scaffdding, falsev.ork, or tlemolition
or dismanlling ihereof, will be more lhan t�iriy-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, TiUe 8, Califomia Administ2tive Code).
❑ As owner-builder, I will not employ anyone to do vrork which would
require a permi� from the Division of Indusinal Salety, as notetl above, unless
such person has a permit to do such vrork from the tlivision.
Applicanfs SignaWre
Oivision of IndusMal Safety Permit Numher _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or presenl or future builtling occupant need to file antl
certily a Business Plan for emergency response lo release or Ihreatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 0! the California Health antl Safery Code requires, with some
exceptions, Ihat a Business Plan be fled vrith the Costa Mesa Fire
Depanmenl by every business which has at any one time dunng a reported
year a quantiry of hazardous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
at standard temperature and pressure).
2. Does or will Ihe applicant or present or fuNre building occupant need ro fle
a registration form (or acu[ely hazardous matenals? ❑ Yes ❑ No
(Section 25533 0( the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantity of acutely
hazardous materials equal to or grealer than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet o( compressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant neetl to
prepare an RMPP (Risk Management and Prevention Program for aw[ely
hazardous ma[eriais)? ❑ Yes ❑ No
(Seclion 25534 of the California Health and Safety Code provitles that [he
Costa Mesa Fire Department may require the preparation, certification antl
filing with the Fire Departmenl o( an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Depanment.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health antl Sa(e[y Code been fully complietl withl ❑ Yes ❑ No
5. Does or will the applicant or present or fulure building occupant require tor
the work which is the subject of this applitation a permit for suth wns[Nclion
or modifica�ion from �he Soulh Coasl Air Qualiry Management District or from
any other air pollution control tlistnct or agency? ❑ Yes ❑ No
(Seclbn 65850.2 ot the Califomia Govemment Code requires lhat the requested
information be fumished on applications for non-resitlential buildirg pertnits).
6. Will any part of the faciliry to be constructed under this pertnit be within
1000 feet fmm Ihe outer boundaries of a school? ❑ Ves ❑ No
Q( yes", the (acility must mee� �he requirement of Sections 25534 antl 42303
of the Calitomia Health antl Safety Cotle).
7. I! a permit from the SOWh Coast Air �uality Managemenl District or other
air pollution contml distnct or agency is required for the �+ork which is the
subject of this application, have all of the disclosures prescribed by Cali(omia
Health and Safely Code Section 42303 been made? ❑ Yes ❑ No
8. Qf yes", attach certificate of compliance from the appmpriate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury the
information given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Matenals and Emissions.
Signawre Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this applica[ion antl state that
the information given is correcL I agree to comply with all state laws and city
ordinances relating to building construction, and authOrize representa�ives of
the City of Costa Mesa to enter upon the above-tlescribed property for
inspe tio urposes. I agree not to occupy or allow occupancy of ny builtling
aut �r ' u � in /n, �- ��
ti
�Sign Le Ovme �_ D
lAntl/or'Au@MzeO'APPI¢ant �
, CITY OF COSTA MESA
��pMFq BlIILDING DIVISION
'`�� 77 FAIR DRIVE. COSTA MESA. CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us
r �
°��M1o� FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P07-00616
PERMIT TYPE PLUM STATUS: ISSUED
DATE ISSUED: 12I14I2007
ISSUED BY: RMD
JOB ADDRESS: 3080 MURRAY LN CM
Vicinity: HALLWAY CLOSET
�Suite/Unit:
SCOPE OF WORK: CHANGE OUT WATER HEATER LOCATED IN HALLWAY CLOSET FOR A SFD.
OWNER: JONES, MITCHELL P
PHONE: 714-SF7-7asa
APPLICANT: ��,� ,�%.r
PHONE: ,�I"I S��('' �3I �
CONTRACTOR: ^.h�f� �n�U��y)
Address: L
City/State: 7(l{� 51�4'�?��Q1 ZiPCode:
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PLUMBING PERMIT FEE SUMMARY
PLAN CHECK FEE: $0.00
PERMIT FEE: $35.80
TOTAL FEES: $35.80
Address: 3080 MURRAY LN
City/State/Zip: COSTA MESA, CA
Address: 3080 MURRAY LN
Ciry/State/zZip: COSTA MESA, CA
License No. 000000
PHONE:
CELL:
��
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California sfatutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: PERMIT EJ(PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obfain inspections and fnal approval will result in ihe expiration of this permil.
0�. INSPECTIONTYGE �RTE INTIiIRLS OOEO INSPECiIONTYPE OA7E INiITIplS
1616 Fiaed System Final Fire Prevemion 206 Final Mechanical �///,.,�L� /�
1266 Pool Spa Final . 208 Final Plumbing y�� �
200 Final Re-Roof 210 Final Elecirical
201
202
203
204
Final BIocWRetaining Wall
Pinal Factory Fire Ply�
Final Sign
Final Demolition
212 Final Fire Prevention
220 Final Planning ApOroval
2T2 FinalSite
250 FinalBuilding/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby aKrm under penalry of perjury one of the following declarations:
❑ I have and will maintain a certificate ot consent lo selt-Insure lor workers'
compensation, as provided for by section 3700 of the Labor Code, for the
per(ormance of the work for which lhis permit is issued.
❑ I have and will maintain woBers' canpensation insu2nce, as requiretl by
sectbn 3700 of the Labor Code, Iw the peAortnance of the v.ork fw which this
pertnit is issued. My vrorkers' compensation Insurance carrier antl policy
number are:
Carrier.
(This seclon neetl not Oe oompeted a�ne pennrt is vaNetl a� ma nunCied tloYais (5100) n less.)
Policy Number:
C�� I certily Ihat in the peAormance of the work for which Ihis permit is
issued, I shall nol employ any person in any manner so as to become subject
to the workers' compensation laws of California, antl agree Ihat il I should
become subject to Ihe �+arkers' compensation provisions of Section 3700 of
Ihe L Code. I shall forihvrith comply vril� Ihese provisio s.
���� l �� O
Apd�m��•s,Spnalure e.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLP,WFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aKrtn that I am licensed under provisions af Chapter 9(commencing
with Section 7000) of Division 3 of lne Business antl Prolessions CoOe, and
my license is in full forc2e and e((ect.
Lic #`�]� J� CI` a _55 #- ,_�
�Cantratlor s Signawre LDate.— -- - - '
CONSTRUCTION LENDING AGENCY:
❑ I hereby affvm that there is a consWction le�ing agency fa lhe
peAormance o( tM work fa which this pertnit is asuetl. (Sec. 3097, Civil Code).
Lentler's Name:
Lentler's Address:
SignaWre
OWNER•BUILDER DECLARATIONS: �
I herehy affirm lhat un0er penalry of perjury thal I am E7(EMPT FROM THE
CON7RAC70RS LICENSE LAW (or lhe following reason (Sec. 7037.5.
Business and Professions Code: Any city or county which requires a permit to
conslruct, alter, improve. demolish, or repair any struclure, prior lo its
issuance, also requires Ihe applicant for such permit b fle a signetl slatement
that he or she is licensed pursuant to the provisions of I�e Contractors
License Law (Chapter 9(commencing wi�h Section 7000) of Division 3 of Ihe
Business antl Pro(essions Cotle) or that he or she is ezempt there(rom and
the basis (or the alleged eaemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant ro a civil penalty ol nol more than
fve huntlre0 tlollare ($500�.�:
(❑ I,�as ovmer ol Ihe propeny. ar my employees with wages as their sole
`compensalion, WILL DO TME WORI(, and the struclura is nol inlended or
oftered for sale (Sec. 7044, Business and Prolessions Code: The Contractors
License Law does not apply lo an owner o! property vAio builds or improves
thereon, antl who dces such work himsel( or heroelt or lhrough his or her own
employees, provided that such improvements are not intended or oHered for
sale. If, however, tha building or improvement is sold wilhin one year of
completion, the ovmer-builder vnll have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as ov+ner of the properry. am EXCLUSIVELY CON7RACTING WITH
LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business antl
Professions Cotle: The contractors License Law dces not apply to an ovmer ol
property who builds or improves thereon, and who contracts tor such project with
a cmt2cta�s) license pursuant to the Cqntractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
'� I.
���, �: /+/���a� -=�` �
`
Ovmer ID verifed by driver's li\e�,.,,.. ❑ Yes ❑ No
Drived` hicense�No CF�i '
Verificah - nership by e ocumen ,' roperty U ill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) a mwe feet in depth into which a
person is requiretl to descentl, will be matle in connectbn vrith vrork authorized
by Ihis pertnit, and thal no building sWCWre, scaHdCing, (alsework, a demolition
or tlismantling Ihereof, vrill be more than Ihirty-s6c (36) feet hgh. (Chap. 3.2, Grp
2, M 2, Sec. 341, Title 8, Califomia Adminislrative Code�.
❑ As owner-builder, I will not employ anyone to do work which woultl
require a permit from the Division of IndusMal Satery, as noted above. unless
such person has a permil lo do such work fmm the division.
Applirom's SiBnelure Da1e
Division ol lntlustrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicanl or present or (uture building occupant neetl to file and
certify a Business Plan for emergency response to release or threateneC
release ol a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Calilomia Health and Safety Cotle requires, with some
exceptions, thal a Business Plan be fled with the Costa Mesa Fire
Department by every business which has at any one time tluring a reporteC
year a quantity of hazardous materials equal lo or greater than a weight of
500 pountls, or a volume o( 55 gallons. or 200 cubic feet ot compressed gas
at standard temperature antl pressure).
2. Dces or will Ihe applicant or present or fuWre builtling occupant need to file
a registralion (orm for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of Ihe Cali(omia Health and Safery Code, with some
exceptions, requires registralion vnth the Costa Mesa Fire Department by
each business which at any one lime has on hand a quantiry ot acutety
hazardous materials equal to or greater than a weight of 500 pounds, or a
volume ot 55 gallons, or 200 cubic feet o( wmpressed gas at standard
temperature and pressure).
3. Does or will the applicant or present or future building occupant neetl ro
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materialsj't ❑ Yes ❑ No
(Section 25534 of the Califomia Health antl Safey Cotle provides lhat lhe
Costa Mesa Fire Depanment may require the preparation, certi(wtion and
fling with the Fire Department of an RMPP by businesses which are required
to register acutey hazardous materials with the Fire Department.
4. If an RMPP is presenlly required, ha5 Section 25534 of the Califomia
Health and Safery Coda been (ully complietl with7 ❑ Yes ❑ No
5. Does or win t�e applicanl or present or fuNre builtling occupant require for
the work which is the subject of this application a permit for such wnsWction
or modification from Ihe South Coast Air Oualiry Management DisMct or from
any o�her air polNtion concrol districl or a9ency? ❑ Yes ❑ No
(Sec�bn 658502 of �he Calilomia Govemment Cotle requires Ihat me requesteC
inlormalion be (umishetl on applications for ron-resiUential building pertnits).
6. Will any part of the IaCiliiy lo be ConslruCled untler IhiS pertnit be wiNin
70001e81 from �he outer bountlaries o( a SChool? ❑ Ye5 ❑ No
Qf "yes". tha faciliry must meet 1he requirement of Sections 25534 antl 42303
o( the California Health and Safety Code).
7. If a permil from the South Coast Air Oualiry Manaqement District or other
air pollution control dislricl or agency is required for the v+ork wtiich is the
subject ol this application, have all of Ihe disclosures prescnbed by Califomia
Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf'yjes", allach certificate of compliance from the appropriate air pollution
control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the
information given above is correcL 1 agree to comply with all sUte laws and
city ordinances regarding Hazardous Materials and Emissions.
Daie
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
cenify under penalty of perjury that I have read this appliwtion and state that
the information given is wrrect. I agree to comply with all slate laws antl ciry
ordinances relatinq to Duilding conswclion, antl authorize representatives of
the Ciry o( Cosla Mesa to enter upon the above-described property for
inspe ' purposes. I agree not to occupy or allow occupancy of any building
aulh � ermit u Iil fi �81i 4 ection. /. lL�
LgnaNr e9al Own � . �
(..—AnE/oi_AWnodzetlhpqi(�anl ( Da�e .
OWNER r.nr.T,F.r,F r�a ror�aarv �1pTE �_��r,�
JOBADDRESS 2nAn hhi�-rnv T,�nc � eUILDINGPERMITNO.
GENERALCONTRACTOR The Hale r,0IDP3I1'j_ VALUE $ 11,368.��
LOT Zl�j BLOCK TRACT `Z(%1 Single I'8S. W/det. gar.
GROUP I& J TYP� V ZONE FIRE DISTRICT JA4Oty
� PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE � NUMBER
Footing Trench __
Foundation Formsand Gradeto
Plu
Po
Heating, Final /lii/I`S —G S% °
Sewer, tiouse d� Sewer, st. /1�1f,� 7—/S S7 �! . ..�i. �!=xd.�2. �. �
Septic Tank or Cesspool '' _
Lathino.InX Out � .�. � �/4'S7
Fixtures
Wiring, Final �,j + 3� �
occupancy f jT � j „�
FORM 210 9M 10-v! ,
0
, Costa Mesa Building Department
P. O. Box 317 { �
' '�' COSTA MESA, CALIFORNIA �iL
' FOY� APPLICANT TO FILL IN�, ;
Address 3080 Murray Lane
' Costa Mesa, California
Neares� Fairview & Baker
Cross St.
Mail 1777 H, Lincoln Avenue
Address
Tel.
c�ty Anaheim No. KE, 3-316
ArChitector le & Clark ��C� �$$$4
Engineer Qulg y rya,
Address 1323 No, Proadway, Santa Ana
The Hale Com an c�ty uc. 3422
, trector P Y No.
ACdress 1777 Yi. Lincoln 9ve, � Anaheim
Le 1 Lot
Descrgption I No. 116 glock I Treet2671
(Attach Metes and Bounds)
No. of Bldgs
Size of Lot �4 x 100 Now on �oc None
45eof I No.of I No.of
Existing Bidg. Families Rooms 6
Setback Line from � Rear Yard
Center of StreeY 5� Side Vard 5�
epair I I moving I I Demol�sh
uilding No.Of
ize 1321 Rooms 6 stories
�terior Wall Roof
..,e....., c+..,.,.,. �,..,e.:.,.. Shake
Sin�le Famil.v dr
detached gara�e.
APPLYCATION FOR PERIVIIT
BUiLDING '
FOR OFFICE USE ONLY
6y Date
� ���
Address
Costa Mesa, California
Cross
Zone
Apprc
CORRECTIONS
APPROVALS
ion I Inspector
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State I.aws regulating
building construction. Lath. Ext.
signatureof TjI4E HALF, COliPANY „
Valuatlon PermitFee$ ��•UU
Plan Check $ 14, 0�
g11,368,00 Tota� 42,00
Fee $
ou'aM1e If�.55 fl P I�R
Plaster, Ext.
Masonry ReinTorced
Bond Beam
Date
O
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�
2
D
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6how locatlon and disYances irom
� property Iine and between bulldinga
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OWNER O�NEILL, BLAKE nATE 5-Z%-5B
JOB ADDRESS 308o Murr Lane lQ.DING PERMIT NO. 6Ei1%
GENERAL CONTRACTOR �npr VALUE j 390•00
AP. No. T.OT 1�- TRAC'f2 71 PIRE ZONE DESCRIPT[ON OF WORK Cinder BZ "W�1
GROUP TYPE ZONE PLAN NO. �R't�
INSPECTIONS I DATE I $UBCONTRACTOR I DATE PERMITSNUMu Ee
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COSTA. MESA BUIL�ING DEPARTMENT I F,�1� I
P.O. BOX 317 �,. — ��\�[� ..
COSTA MESA CALIFORNIA ��� ��,ejII � L
. . . � �/z W� /�'g V�- FOR APPLICANT TO FILL IN
C.L. OF STRFE
_�iPR OP.
r y10 FT. FOR 60 FT. f
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_�iPROP. LINE LL
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C.L. OF ST
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60 FTj ST.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED L�NES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
BUILDING
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City Lic. No. Sia ic. No. _
Size of Lo�_ AP No���l ��lG�1�� ^� ���
Seibacks: C/L Street �S'li��ook$ (P �-�& g �O .o ��
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Side Yard - Righ� � LeEt � ,
Type oE Fence �� � p(�_T�,\\ —� if ����., �i Y1 � P. r
1 \ \ `�. Tl�\ S _M \ �./_..
I hereby'acknowlcdg� tKat phaJe re&d'thfs app�cfticXfand state
that the above is correct and agree to comply ih all City Ord-
inances and State Laws regulating building construction.
Signature � �.L� '[-F..L , �
of Permiitee ' �p '�"R�
• v! �-Y. /
VALUATION
FOR OFFICE USE ONLY
.f zG- s =�
Permit Fee
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Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
G J'%7
!e Issued
s -.� 7 _ � 2
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