HomeMy WebLinkAbout3084 MURRAY LN - Building Permits'�
1
ADDPESSOFBUILWq: 3OH4 MORRAY LN
wm�Asr�EiFa'a`'": LIGER, MURIEi C
�$9 3084 MURRAY LN
COSTA MESA,CA
546-9059
MPL. WIfII10 AODflF53:
IPCXRECT OP FNI'�NEEN:
IHCII.OP FAG.'S AWIIE55:
uNT: CITY OF COSTA MESP. - BUILDING YERtdIT
FLOOD; X 46
92626 PERMIT NO: M 086989 FLAN CHECK NO: N
o�I'J CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC
uc xo.:
UNf:
�+�*�� GRAHAM HRO HEATING AND AZ ( 714 ) 546-1653
CQlfNACTOR'SYIRWO 2 9 5 2 C ENTURY PL
eno�u COSTA MESA CA ��= 248604
�.�,�L. 9 3 92626 uNr:
110EN5ED COMN��N�ECLAH�iION: I Mreby elfrm uMx peroly d pmjwy Nel I em IiausE ivder poworu d CAaqs 9
(mmmaiarq wn� Sxlion ]000) d Oivieion 3 d Na Buznen end P�afmaiom . aM mY �mro e m lull lacs vd Nled.
crtr uc. No.�� uc�. c`uss: C z p uc. No.: � 4 8 6 4 EXP : 0 9/ 9 8
Dmv � � � � � / 0 COMraram
OWNEN BUILDEP DEC4NATION: I heraby elfirtn uMr pmNy d pminY �� �� e�emq Irom �M Comemon lioenee Isw la tlw
�dbwiq reason (Sadio� ]03�.5 Buei�eee aM PMefeiona Code: Any c1y a couMy whidi requiree e pe�mil lo cmebucl, Mm, imqova,
md'nh. a r�pei eery avucturo, pin to Ya bauenca, e6o repuirm ihe epplirant la m�ch parmil lo fib e eqmd Mlemeru thu he tt she
licaneed W��e^t io �M prv+iaiona d the Conlredere lxaeue lnw ICheqa 9(mmmendnp wilh Setlian 1000) d 0'veion J d ib
duuneva vM PrMe�aona Code� tt ��el M or eha ia eKemq �Mreimm eM tM besis iar ihe dleped usmqun. My violetion M SeUion
)03t.5 Ey eny epplimil tw a permtl vubjem iM epplicent b e dvil panelry d nal more Ihen Me huedreE tlollen �5500¶.
� I. m ex+rr o/iM propenY or my amplv/eee wYh wepea m �hei eob mmpemetion, will do iM xwk. eM iM nruc�un e nd inteMed
or ollered lar edo (Section')OCC, Bueineea end Peolaeeiona Code: Tha Conirenwa Linnsa lawEoee rwl eppy�o an oxmerd pape�ry
wlw bu1Ca a inpovae ihereon, eM who Eoee vuch xwk limeell w Mree� a Ihraqh hu a her own amplvyeee. povided Ihel wch
improvemeMa ue m� inieMeE a aHeeaE la eeb. X. Mwawr, the buitivp a inpweinem u eak wilhin orw year d oompbtion. tM
owiwrbuiNer will hew iho bwden d pv.•inB � or eM Ak rwl WiIE a improve la iM WT^ee ol aeb).
� I. es owro� d iM G�W�Y. em udutiveN oonlretl^G wnh Grwd cawaclon ia arutrue Na MONd (Setlion ]Ou. Bwmaea vd
wweaaane cue.: me comreaa. Ucenb law aoea �a wpr �o e� �« d nw«y .no wiun « impwm mmsm .m w,u
JOB DESCRIPTION : REPLACE F.A.0
q— 9
PERM NO: M 086989
GOVT: N SUPP: N
SQ FT:
PURPOSE: OTH
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED HY THIS PERMIT
if �E iE iE # ic iE iE?E iElf 1E �E 3E if ik 3E if if iF i! if �1("1E'Ih if iE iE if 1E 1E'1E if iE if 1f jf' 1! at �?E if iE iE jf?f�'k iFlFlf iflk iE 3E iE if if # iE iE !E if ik'IE iE if ik if �1E iE iE ih'1f iE 1E iE iE 1E 1E
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING --------- --------- ACCESSORY BUILDING — -------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARRING REQ: PROV: PARCEL: 14104506 ZNE: REF NO:
PLANNING NOTES>
% �
if� �lE iE i43E ik if 1E 1E 1f iE 1E �1f if iF iF 1E if ik iE'1t iE 9f if'1f'1E if fF if # iE fE 1E'K� iE'k' iE iE �E'N�'3E 3E 3(- iE i't'1E iF if if ik 1e jE i( if 1f if !f iE iE iF'lf if �E 1f'1E')E'1F iE ihlf �IE 1E iE i' i! * if if if
D E V E L O P M E N T S E R V,_�I C E S R E Q 0 I R E M E N T 5
ZUNING APPROVED BY � DATE:
BUILDING APPkOt�ED BY
conlrecis tor wN projede wnh e ooMredorle) Icenaed W�uenl lo Ihe ConveGon Limnae Lew). .. �
❑ i,,,,,,,,,,q�„a>s«�,�: " e.arc..m.w.�: APPLICATZON ISSUED BY: �
�x*+t*******�t�#*+t�***�t�
Ome: ��
LEGALIZATION:N F E E S U M M A R Y
I do heleEy cMJy tlut I em ewera d md uMx�bM Ne �eG���+d Cd3omie Haetlh ud Selery COEs Setliam P5505. 255?'f. eN
A555e, end Ne� I a eny /inure WiHiiq oavpeni will / wll ml (arcb aw) maC to mmply wih eaid mme wdea erd �M rpNremenb br
.,�i«�.w�«�a��,�u»�.�.r�o��.a.m�nw�mNe�.w��..�....mw��... BLDG PMT PLUMBING ELECTRIC MECHANIC
c.�. PERMIT 13, 25
ome: MdK.m: - 2 5 $
WONKEfl'S COYPEN4ITION DEC WIATION: I heraEy elfom urder pe�ry d paj�vy ons d IM IaOox'vq dedvmiom:
� I hevs aM rril meimen a caWiWs d mmnl to wtli'mva hr workeis mnpe�uaion. m pwidsd la by Satlbn ])00 tl tM leEar
coae. t> �i. w�«nwce a w.m 1«.n:d, Nu wm+ m�.�a.
}p ii,....�a.��m�.�onw.�o�v�oo�owre�e...�w�eaMs.ama�ooame�no.coe..m.mawda�am.
work Iu Mui� tlds v�n e umuea. Mv .vFen• canvs��ion imurar.s mriier and w�n mvnber aa:
c�«: MID CENTURY EXPIRES
Pd'cy Numnr 1 _ U/ ii V 8� � 1/ 9 8
(11v.w w.fion roN m� W candMed / Aw W+mY u M ms hlMied dalbrs �S�POI n Iw.)
❑ � eenh' thet in iM o�mnuiee d �M wwk M which �his wrme ia rmu�p. I a1Wl ew� emWa�' enY ro�n in em menrier so m �o
y,�,�� • odno�wion m.w a cariMm.' . eny% wd� m �n. woikx.�
�«�ve��� wa+•�• a sepa��/a�ao w in. �e« cm.. i.neo'l�/�n.mn ��.,in ��..
Ome: � / � 7 / ✓ Md�'am: � Uu. /YY�
WeminO� Fallun ro Ncun woMm�'rompauetlon covnep� la �nlewNl, enJ MNI wbj�cf en xrploysr fo <rlMru/ p�n�ltl�� enE
c/vll flMs up ro om hundrsC fho�unC Co/Yn (5/00,0001, In eda/tlon b M� ewf ol eompxu�tbM1 Gmep� �� pov/tlM bi In
Sxtlon 9]OS ol tlisWor Cotlr, Infw�st, and ettomsyi Nu.
CONSTNUCTION LENOINO AOENCY: I hereby eHirm u�ker penelry d perNrv �hd �Mn is e conelrudion bMiip epency br IM
perlormarwe W tM wM /w whid� thu permi b eweE (�� �l. C'v. Cl.
LENOEN'9 NMIE: '
LENDEX'S ADDPES9:
I ceniN �� I here reeE Ihia epplcetian uM nma ihet Ilw ebava iMarmmian ia merep. I apiee �o eampy xilh dl ary ud ooumy ad'me�wn
uMeletelev.artlel' IaWikinO������^bYeNlwr¢e�epieaenta�iveadlhetilybentwuponlMebwe�menlianedpopeT/
�«infpeq� AOWARD P ILLZPS
'°� m� oma a—/�7 � �
� Sqiwure d OwwllipeWAppYcentiCwrma
(St51e8.WP) WM1us-Buikiq85elety:O'eemFb:Cv�vy-Appivru:Pink-Haweun:OakuvoJ-Naaasor
DATE:
DATE: 21 ( 1 � �d
*�����;*�t*�t*�*�����t�t���
STRUCTURAL SEGMENT:N
FIRE SMIP/RES GRADING
PLAN SMIP/NON-RES
ISSUE FEE ' 22,00
HUILDING-DIV-> PERMZT ISSDE PL'kiN-CHECK TOTAL PAID DUE
TOTALS----> 13.25 22.00 ' 0.00 35,25 35.25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIF'/TOT GRADING PLAN-CHECK
-'35,25
i
iE �1(-�lE fE �E �14 3E iE it iE # iE iF iF iE ff �* �E �E iE?E 3E iE IE 1FlElE ik if iE k!F iE if�lk iE iFlE if� ik iE ie if iE iE if �lf 1E �lhlE if iE iE K 1f if if ik �f i!-1E 1F iE iF �E iE iElF it if iE -1h iF * iE iE #�lE
I N D I V I D U A L� F E E H R E A I( D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
MEC 1 INST FORC-AIR/GRAV F,URN <= 100 K FSTU 13.25 13.25
END OF FEES
/
�
82-17-1998/81:3A PM/f35.25
PEkM I T:T086989
CONSTRUC7�ON AND PIANNING FOG_ .,� SPA
qPPROVAIS Permit # Date inspector qppROVALS Permit � Date lnspector
�, TemOorary Electrical Service or Pole 52. Pool & Equipment Location '
2. Soil Pipe-Undrgmd. - 53. Steel Reinforcement
3. Electrica� Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undr9rnd. 55. Electricai Bonding �
5. yteel Reinforcement 56. Rough Ptumbing & Pressure Test
6. Elecuical UFER Gmd. 5J. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrica� Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, Q Undrgrnd.
10. 5tructural Floor Syscem 61. APPFOVAL 70 DECK
; 17, property Sewer Line & House Connection 62. Backwash & Receptor-Final
72. yewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing SVsxem - Final
14. pough Plumbing 66. Elect�ical�Final
15. Rou9h Electrical-Conduit ' 66. Solar System-Final
16. Fough Electric Wiring 67. Fe�cing & Access 0.pP�oval
1�. Rou9h Wiring Sign 68. APPROVED FOR PLASTER�NG �
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAI
79. Rough Heatin9 & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Oucts,in Structure 70. Underground Hydro
22. D�cts, Ventiiating 71. Product Piping O Gas ❑ OiF
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank C]Gas OOiI
25. poof Sheathing . 7q, Overhead Hydro
26. 7-Bar Ceiling lStructural) & Monocoat 75. Dry Chemical � '
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTENt FINAL
29, Insulation 78. FIRE PREV. FINAL
30. Drywall Nall'ing HEALTH DEPT. REQUIREMENT
31, Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Note� _a3 _�g_�/�/��/ 7 i= 1� �
t �'- KJ
34. Final Heating & Air Conditioning �. � pQ n/ �
�a��U fY
35. Final Gas Pipe-Test
36. Hood or CanoPY
37. Final Faaory Fireplace
38. Final P�umbing �
39. Water Service-Final
40. Gas Service�Ffnal
41. Solar pomesticFinal �
42. 8ackflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System .
45. Sound Attenuation ��.
46. Nandiwp Regulalions .
47. FtNAL STRUCTURE & BUILOING _
48. FINAL PLANNING .
49. Electric Release ta Edison -
50. Gas Release to Southern California Gas Co � .
51. CERTIFICATE OF OCCUPANCY
No. Date
ADolicant to fill in al1 spaees except those within neavy eorEer lines antl sign all aopropriate tleclaratians.
IciT�Y'oF COSTA mEsn CONSTRUCTION PERMIT
,. , �
;,•rro,e�tnad�es: 3084 Mirrav Ln.. C.M.
Applicant'sMailingAddress 126�Commercial C.M 92627
owne�'s Name I�'h1I'lel T; ger ano„e 546-4054
Aad,ess 3084 �rray Ln., C.M.
Arch/Eng. License No.
Address
Connactor'sName �'� Bros. Roofin� C:¢„one 548-5569
Addresslmailin91�Z6 COIIIIR2PC181, C.M�. 92627
City License No. 005993
LICENSED CONTRACTOfi OECLARATION '
I hereby atfi�m tnat I am licensetl untler provi5ion5 of Charter 9(comm cing
with section 7000) of Division 3 the Business antl Professions e, a
my license is in fup (or a eHect n
License clajj �—� Licens YO 77
Da[e y Si9nature
WORKERS'COMFENSATION ATION
' hereby aifirm that I �ave a r icate ot consent to self-insure or a certificate
Workers' Compensatio IJ u�ance, o� a certifietl mpy thereof (Section
.00, �ab. c.�85/22 87 �YF3i�DQ��7CR$�C
Policy No. Company T],.
� Certifietl copy is hereby tumishetl. State 1'Und
Dateertifip,tl�q�%q�iletl wAPPhcd^ty B}yJ_tli_ng�_Diy.ysi_OS. �OOf1II�C._O.
y U a l�f'i1I11C ISI'
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(Thissection neetl not be completetl if the pe�mit is for one huntlretl ($100) or
less).
I cer[Ity that in tM1e pe�fo�mance oi tM1e wo�k to� whicb this permk is issuetl, I
shall not employ any pe�son in any manner so as to become subject to [he
Workers' Compen5ation LawS of Calitomia.
Date $i9nature
NOTICE: It, aiter making this tleUaration, you shoultl become subject to the
Wo�kers' Compensation provisions ot the Labo� Cotle, you must forthwifh
mmply with such provi5ion5 or this permit Shall be tleemetl �evoketl.
CONSTRUCTION LENDiNG AGENCV
I he�eby affirm that there is a construttion lentling agenty for the pertormance
of Ihe work for which this permit is issuetl ($ection 309] Civ. CJ
Lentler's Name
Lentler's Atltlress
OWNER BUILDER�OECLARATION
I he�eby affirm that I am exempt f�om the Contractor'S LltCnse l..aw'tor the
following reason (Section 703L5 Bu5ine55 antl Pr0(e55ional Cotle: Any city or
munry which requires a pe�mit to ronstruct, alteq improve, tlemOlish or repai�
any st�ucture, prlor to its issuance, also requires the applicant for such pe�mit
to file a siqnetl statemen[ that he/sbe is licensetl pursuant to the provisions of
the contractor's License Law (Chapter 9(commencing with Section 7000) ot
�ivision 3 oi the Business antl Professions Cotle) o� that he/she is exempt
��efrom antl the basis for the alleqetl exemption. Any viOlation of Section
31.5 by any applicant to� a permit subjects the applicant to a civil
.nalty of not more [ban tive huntlretl tlollars ($500).
❑ I, as owner oi the property or my employees with wages as their sole
compensa[ion, will tlo the work, antl the structure is not intenGetl o� offeretl
, for sale (Section ]044, Business antl Professional Cotle: The Contractor's
License Law tloes nol apply to an owner ot a property who builds or improves
thereon, antl who does such work himseii/herself or through his or her own
emploYees, provitletl that such improvement5 are not intendetl o� offe�etl for
sale. If, however, the bWltling ur improvement is soltl within one year of com-
pletioq lhe owner will have the burtlen of proving he/she ditl n0[ builtl o� Im-
prove tor the purpose of saleJ.
❑ I, as owner of the property, am exclusively tontracting with licensetl con-
tractorsto consVuct the Droject (Section ]044, Business antl Professions Cotle:
The ConVactor'S Li<ense Law tloes not apply to an owner of property who
bulltls or improves the�eon, antl who contracts for such p�ojects with a con-
tracto�(sl ucense pursuant m the Contractor's License Law). I am aware Ihat
proof of their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Seclion B. & P. C. tor this reason
Date _
I hereby certi
intormation is
antl state laws
sentatives oi
inspection puri
Signature
Orivers' Lic
CMF 0865-46, v.
— Owner _
I have�reatl [his
1 agree to comp
to builtlm9 coq
�_ to enter y(�qi
or 55 �
state that the above
itl county ortlinances
'eby authorize r¢pre-
[ioned Rroperty for
.g 30 l39 �___._ � �.....,,..,.
TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR
❑ CONVERSION ❑ DEMOLISH ❑ OTHER �
� DESCRIPTION OF WORK/USE OF BLDG. R2—I'OOf �Plt}1 ��Class A��
fiberglass shinale . New metal e�ge p&� flashing;
TYPEOFPERMIT GRADING FOUNDATION CJSTRUCTURAL
❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MECHANICAL
❑ OTHER
PROJECT DESCHIPTION 5t�. FT. �9 oCCUaANcv�
GONSTRUCTIONTVPE residenti��. VALUATION$ 5,aR7
20NE GRADINGCU.VDS. ACRES—
Remarks:
Sink
Preventer
Irrigation
wbs
iking Pountains
x Drains
�r Sinks
Service Outlets
Kitchen Sink
Lavatories
P—Tfap
Roof Drains
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collec[ors
Solar Pipin9
Solar Tank
Swimmin ool w/Spa
�ter Cbset
Water Heater
Water Service
A uto-W ash
FEES
Reinspectian Fee � $15 I � Issue Fee � $ 3
Boiler
Duct - Untler Ground
Duct - Structural
Duct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. Blt. ICBO #
Heating System & Ducting
❑0-100,000 BTU O 100,000 BT
Fee " � $15
30/84 White - Builtling: Canary - Applicant; Pink - qccounting; Goldenrotl - ATsesso�
Hoodor Typel �
Canopy Type I I ❑
Refrigeration Syscem
❑0-700,OOOBTU ❑1
System Repair/A at
Fire Dam
luue Fee
BTU
$ 3
A.P. #
S Main Buildin9:
E
T Front
B Rear
n
C Right
g Left
Ping. Ref. #
Planning Notes:
Automatic Washer
Construction Pole Sub.
Cooking Unit
D ishwasher
Fan
F.A.U.
Fixtures
Device Boxes
Outlets
SWitches
Garbage Disp
KW LJ5-15
4921 9/10/37 . �
Zone
Accessory Building:
Z
O
N
i
N
G
R
Parking Req./Provided E
Q
M
T
$
ELECTRICAL
Trensformer ❑ 15-50 KW
❑ SO+KW
Meter Clup to 100
Meter ❑over 1 <
Sub Panel
Mo�DO-1 HP�1%-8
nc.Solar �9-15 HP �16-15+
Microwave
Pole Light
Range
Sign
Standing Sections
Trash Compactor
� Reinspection Fee �$15 � � Issue Fee
DEVELOPMENT SEfiVICES REQUIREMENTS:
Zoning Approved 6y
Building Approved By
SUMMARV OF FEES
BUILDINGPERMIT $ ��•�'� SMIP �
PLAN CHECK $ PERMIT
PWMBING $ �SSUANCE
PLAN CHECK 25% S ENERGV P.C.
ELECTRICAL $ GRADING
PLAN CHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK 25% $
FEES
$ 3
$ '�
CONSTRUCTION AND PLANNING POOL & SPA . �
APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement �,
3. Electrical Conduit Utility-Undrgrnd. 54. Forms �
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. . 57. APPROVALTO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK ,
11. PropertY Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit _ 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � - 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit# -
27. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rou9h & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric ' Notes:
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
41. Solar pomestic-Final '
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System �
45. Sound Attenuation
46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING G�' �
48. Special Requirements Completed
49. Electric Release to Edisqn
50. Gas Release to Southern �alifornia Gas Co
51. CEFTIFICATEOFOCCUPANCY
No. Date � ,l
Lane
AP No. t4t-uw7-b LOT
PROP. SWR. LINE U HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
UNOERGROUN� � POWER
ROUGH WIRING
li�l:i.'.k��t-9ii��:1�1:1/
BOND BEAM U STEEL REINFOR�
SHEATHING
FRAME AND FLASHING
LATHING - IN � OUT [�
P�ASTER, BROWN COAT
STRUCTURqL, FINAL
HEATING, VENT., REFRIG. AN� A.C.
PLUMBING, FINAL ANO GAS TEST �
ELECTFIC
BUILDING
FINAI
FINAL
SUBCONTRACTOR
1.7C7b1r��Na
99
M 22-66�;SA081654 0*•***3.00
�•
COSTA MESA BUILDING-SAFETY DEPARTMErR
P.O. BOX 12� COSTA MESA, CALIFORNIA 92620 .
OWNER COLIE�L MESA COi�ANY DATE �_]��_K7
J08ADDRESB 3p$�� Murray Lane BUILDINGPERMITNO. ��j�?
GENERAL CONTRACTOR Tt12 H312 COIRp81ly VALUE $ ZO.��OO _
LOT us BLOCK TRACT 2(']1 Single res.�/��,_g��
GROUP I Bc J TVPE V ZONE FIRE DISTRICT Iy(lOj
PERMITS ISS�ED
INSPECTIONS DATE SUBCONTRACTOR
DATE I NUMeER
Trench j"�/t".,!J' Z, -
ion Forms and Grade to Garage�rl .3 'i
Plumbing, Rough to
Plumbing, Rough G
Temporary Pole
Wiring, Rough
Heating, Rough
Heating, Final
Sewer, House 6h
Septic Tank or Cess
Lathing,ln
Plumbing, Final, Fixtures (
Plumbing, Final Gas Test/
Wiring, Final
Occupancy
FORM 210 3M 10�^v!
vic
; Cd��ta Mesa Building Department :�EPL.
� P. O. Box 3! 7 ' •
�,� = COSTA MESA, CALIf-0RNIA 4403 ` a
� •' FOI
� FOYi APPLICANT TO FILL IN .
nddress3084 Murray Lane j
Costa Mesa, California Received by
rvearest Fairview & Baker
Cross St. , Building
[CATION FOR PER1V �
BUiLDING
C OFFICE USE ONLY
I Receipt No. � Permft No.
owner College Mesa COIDjf2ily Address
Costa Mesa, California
Mail .-
ndaress 1`7'77 W, Lincoln Ave, � Nearest
Tel. Cross St.
c;ty anahei.m Na.KE,3-3161 zo�e
Engineer �r Quigley & Clark No; 08884 Approve�
by
+ress 1323 No. Broadway, S'anta Ana
cont�actor The Hale Company NoY L1O3422
nedress 1777 W. Lincoln Ave.� Anaheim
Le al Lot �
Descr9ption I No. 115 ( Block j TracY�67]!
(Attach MeYes and Bounds) �
64 R 10� No. of Bldga None
Size of Lot Now on Lot
4seof No.of No.of
ExistingBldg. I Families I Roomes
SetbackLinefrom � RearYard
Center of Street 50 Sida Yard 7�
New I x I Alteration I I Addition
Repair I I Moving I I Demolish
Building No. of
-'-e 1270 Rooms 6 Stories
.erior Wall I Root Sh3ke
..overing StllCCO Covering
Use oi New
saa nsc�
I hereby acknowledge that I have read this Application
and state that the abwe is correct and agree to comply
with all City Ordinances and State Iaws regulating
building constructi .
Signatureof
oe...,�.re�� THE HALF C414PANY_,� �
Valwatlon
$ 10�980,00
FORM 20I 10�45 D. P. 6 5.
Pe�mit Fee S 26, 00
Plan Check $ 13, 00
Total 39, 00
APPROVALS
iundation Location Inspector
Forms, Materials,
Under-Pinning
•ame: Fire Stops,
NAL
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Ext.
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Date
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PLOT PLAN
Show locatlon and disYaneea from
'� • property Iina aed between buildings
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�OWNER j{I]
JOB ADDRESS
GENERAL COT
AP. N�1��
GROUP
INSPECTIONS
browu coat
FIRE ZONE
TYPE ZONE
DATE I SUBCONTRACTOR
DATE 5-27-5f3
BIIILDING PERMIT NO.
VALUE $ 2I�0•OO
NORK Cinder B1�
PLAN NO. �
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IFT.IST.
COSTA MESA BUILDIPIG DEPARTN9ENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREET
" �iPROP.
r 10 FT. FOR 60 FT. S
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OF STREE
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r'�.�. ft��L�9�E� I ��18 I P�bE�s 5�sazp�s'� B�,vd�
✓� °? �O� I I. V� FOR APPLICANT� TO FII.L IN
CiTY (� F
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40
FT
60
F
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
BUILDING
iMail A/�ddress�?� g�f M u R R►� J L RN E
� q� City L.D C']�f� NJ„FSa - - -Ph. No - - - �02 � L�
� rr� - - -
�' " Contractor � Ph. No.
City Lic. No. State Lic. No.
Size of Lot �d'��'��%� AP No../I 3—� �S- �`j'
/� «
Setbacks: C/L Street � J l% T Rear v
� �� ��ti3��
Side Yard - Right �` L(% Left
TypeoEFence �/��DFI� /��UG��-�}XA�XII.,-
I�ereb��d�know�]edge that I haSe ��ead t�i'us�ppli atron and slate
that the above is correct and agree to comply with all City Ord-
inances and State Law re ulatin bui in constr c o�n,�
,.4 4 4
Signature ������ 3Y' ' "�r-'Q�- - — 1
of Permittee
Agent
I FOR OFFICE USE ONLY I
Received by Date
`7��7�/ 5 _
VALUATION
a--��
;Z 6 -s (P
Permit Fee
Plan Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
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