HomeMy WebLinkAbout3094 MURRAY LN - Building Permits�� ��� �.i-. v�... . .... �. .-.� . � . . ......._..
Job Address: 3094 MURRAY LN
Suite No
Vicinity:
Parcel Nunmber: 14104504
Applicant: KEVIN SZABO"
Address: 17390 MT�CLIFFWOOD -
�FOUNTAIN VALLEY
Owner. THURSTON; FREYJA A TR
Address 3094 MURRAY LN
; COSTA MESA, CA
PLUMBING PERMIT
Phone: - (714) 241-1414
Zip: 92708 :
Phone: ^
Zip: .92626
Contractor: COAST ROOTER PLUMBING HTG & A/C
Address: 17390 MT CLIFFWOOD
FOUNTAIN VALLEY
CHANGE OF WATER HEATER.
AMT
ISSUE FEE $23.50
Backflow irrigation , $0.00
Backflow Preventer �$0.00
Bathtub $0.00
Clarifer System $0.00
Connect (Ice,Soda,etc) $0.00
Dental Units $0.00��
Dishwasher � $0.00
Drain, Floor $0.00
Drain, Rainwater , $0.00
Drain, Roof � $0.00
DnnkinqFountain �,�$0.00�
Expansion Tank � � $0:00 �
Gas Earthquake Valve �$0.00
Gas (1-4 outlets) $0.00
Gas (Over 4 outlets) $0.00
Gas Repipe $0.00
Gas Service $0.00
Interceptors (Grease, Oip $0.00
Interceptors (Sand Auto ) $0.00
QTY
0
0
0
0
0
0 -
0 ,
0
0
0
0. ;
0
0
0
0
0
0
0
0
Phone: (714) 241-1414
Zip: 92708
License: 529127
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer .$0.00
Landscape Irtigation - � 50.00
P-Trap $0.00
Pressure Regulator " $0.00
Process Piping (per 70 k) 1� $0.00
Receptors $0.00
: Septic Tank - " $0.00
Sewer Cap�for Demo � $0.00
Sewer Connect � $0.00
� Sewer Pnvate Line $0.00
Shower _ � ,� $0.00
Sink, bar ' � . , ; $0.00
" � Sink, commercial , $0.00
Sink, Flaor $0.00
Sink, kitchen - � $0.00
Sink, service/mop $0.00
.Spa (pnvate) - ' � $0.00
Spa (public) $0.00
Qn
0
0
0
0
0
0
0
0
0
0
0
0 '
0
0
0
0
0
0
Status: ISSUED
Applied: O6/30/200
Issued: O6/
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
- Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
� �WaterRe-pipe
Water Service
Waler Softener
OTHER
- VIOLATION
PWN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$72.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: 535.80
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requiremants under California statutes and related
regulations. (Orc1. No. 92-28, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
�or e period of 180 days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetlona and tinel approval must be obtalned. Failure to obtaln inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 -
2<66�C6(W00)
WORKERS' COMPENSA710N DECLARATION: "
I here6y ettirtn under penalry of perjury one 0� �he lollowinq tlecleretions:
❑ I have entl will malnlaln e certificate of consent to self-Insure tor workers' compensetion, es pmvided for by sectlon 3700 0l the Lebor Catle, for the pertormanca af the
�work for which this pertnit Is Issuetl.
I have antl will malntain workers' compe�seUon insurence, az requiretl by seclion 3700 of the Lebor CoUe, for the pertortnanca ot the work tor which this pertnll is Issuetl.
My woCrkers�' cowm�pensation Insurance tamer and policy number are: [j� ��1
Carner V 1 1T� S �VJ A PolicyNumber. I���V�' �C�U/
(This section need nof be comp/eted i! Ne pe�it is valued et one hundred ddlers (E700J ar less.)
❑ I certily �het in �he paAormance of Ihe Work far which Ihis permit is issued, I shall not employ any peroon In eny manner so as ro become subjact to Ihe workers'
compensation lews of Celtlo a ntl agrea t if I sho IU become subJect to the workers' compenselion pmvislons of ectlon 3700 af the LaDor Code, I shall fotlhwith
comply with Ihese pmvisions, �
ApPllcantSignatura: �A � �_ Dete: � ��Q /�% �
WARNINGFNWRETOSECUREWORKER� APENSATIONCpVEMOEISUNLFWFULANDSIUILSUBIECTANEMPLOYERTOCRIMINALPENALTIESANDGVILFlNESUPTOONEHUN�RED
T/IOUSAND DOL1AFiE (5100,000�, IN ADDRION TO TME 00ST OF OOAIPENSATION, DAMAGES A$ PROVIDED FOH IN SECfION 3]OB OF THE LABOR ODOE, INTEREST, AND ATTORNEI"5 FEES.
LICENSED COHTFiACTORS DECLARA710N:
I hereby atlirtn that I em licensed under provisions o C epter 9(commenc' g with Section 7000) ot Divislon 3 of Ihe Business and Professions Code, entl my license is in full
brce end eHect Lic. a q , Cless a
ConlrectoYs SlgnaNre: — Dete: �Q (7 �
CONSTRUCTION LENDING AGENCV:
❑ I hereby aflirm Ihat there is e wnstruction lending agency tor Ihe peAortnance of Ihe work for w�ich Ihis pertnit is iuued. (Sec. 3097, Civil Code).
Lentlels Name:
Signeture: _
OWNER-BUILDEH DECLARATIONS:
Lentlefs Address:
Dete:
I hereby eflirtn that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor Ihe tollowing reason (Sec. 7037.5, Business antl Professions
Cotle: Any ciry or counry which requires e pe�il to construct, elter, imprwe, demalish, or repair eny sirucWre, pnor to its issuance, also requires ihe epplicant for such permit
b tile e signed statement that he or she is IlGensed pursuent lo Ihe provisions of Ihe Contraqors LJcense law (Chapter 9(commendnp with SecUon 7000) ot Divislon 3 of Ne
Business and Professions Code) or that he or she is exempt therefrwn entl the Dasis lor the alleged exemption. Any violation ot Sedlon 7037.5 by eny applicant tor a pertnit
sub�ects Ue applicant to e civil penalry oi no� more than Iive hundre0 tlollars ($500).):
❑ I, as owner ot the property, w my empWyees wich weges es their sole compensetton, W ILL DO THE WOHK, antl the st�ucture is not intentled or ofleretl tor sale (Sec.
70d4, Business end Professions Code: The Contrectors License Law does not apply to en ownar ot property who builds or improves thereon, and who tloes such work
himself or hereelf or throug� his or her own employees, pmvided that such Improvements are not Imendetl or oNered for sale. II, however, the building or Improvement is
soltl within one year ol completion, the owner-Duilder will have the burtlen ol proving that he or she did not 6uild or improve for purpose of sale.). •
❑ I, es owner of the properry, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct lhe project (SecJ046, Business end Professions
Code: The contractors License Law does nat epply to an owner of prapeny who builtls or impmves t�ereon, end who comrects for such pmject with a cantractor(s)
license pursuant to the Comredors LicB�se Lews.).
❑ I am exempt under sec. Business and Professions Cotle for this reason:
SignaWra: Date:
Owner I� verified by tlriveYs license. ❑ �e5 ❑ No Drivers Licensa No. Ezpires;
Vedfication ot Ownership �y (type oi documenL i.e. - praperry teu bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certity thet no excavaUon tive (5) or more faet in depih into which e person Is required to descentl, will be made in wnnectlon with work authonzetl by this
pertnit, and that no building structure, s�„oltlfng, ialsework, or demolition or tlismantiing �hereol, wiil De more �han ihirry-six (36) feet high. (C�ap. 3.2, Grp 2, Art 2. Sec.
341, 71t1e e, Calitomla Adminisirative CAda).
❑ As owner-builder, I wlll not employ enyane ta do work which would require e permit from the Divislon ol Industnal Sefery, es nated above, unless suc� person hes e
pertnit to da such work trom the tlivision�
Signature: Date:
Division oi Industnal Safery Pertnit Number:
CEHTIFlCATE OF COMPLIANCE AND AUfHOflOJRION OF ENTAY: 1 certify under penalry ot perjury �hat I heve read this eppliwtion enC state that t�e intortnailon given is
cortect. I egree to comply wlth ell stete laws entl clry ordlnances relsling to building constructlon, entl euthodze representetives of Ihe Ciry of Costa Mesa to enter upon ihe
ebove-descnbeC property for inspection purpOses. I agree not to oaupy or allow occupency ot any building euthonzad by this permit until flnal inspection.
CODE �• INSPECTONTYPE
1676 Fixetl System Final Fire PrevenUon
1268 Pool SDe Final
200 Final Re-Roof
201 Final BIocWRetalning Well
202 Final Factory Fire Place
203 Final Sign
20A Final Demolition
����o �a
oate
Q�$ f�QpFj INSPECTONTYiE Qd¢ ��
206 Finel Mechanicel /� �,/
208 Final Plumbing 7�(n 1LJ �'m''�!
210
212
220
222
250
Final Electricel
Finel Flre Preventian
Finel Planning Approval
Final Site
Flnel Bulltlina/Occuoan�
RDOHESSOFBWLDING: 3O9q MURRAY LN uNr:
°w"E"'s"""E'F'°'a'^+:THURSTON, FREYJA A TR FLOOD: X 46
�ooness:3094 MURRAY LN
COSTA MESA,CA 92626 2�J'
uv�.ruiuNc �noness:
�PCHRECTOAFAtlNEEP:
coNm�cronsxu/e:DP PLUMHING 6 INSTAL
COMPACTOR4YNlttM 1588 S ANAHEIM BL
wnnesaANAHE IM
92801
UCENSEU CONfRACTOX3 DECLANATION: I heroby ellvm under penelly d p
� me iq Mi1h Section ]000) d Division 9 al �M Buvmw uM Vrotaepi� C
uc.xo.b50EiZ2 uccuss:C36 4��Mo�l�
�:l
iry ihet
3 7iS
11C.lq.:
UNT:
(714)991-9477
uc.ra.: 563793
urrt: B
Ikenead �nderprovulona d Cheqm B
rnea u in lull brce eM aHad.
E}� 0 /96
%1 .-E 1� r rm�a
OWj1Efl BUILDEH DECIAFRTION: I Mroby effirm uMer peiuly af per�ury Ihet I am emmq Irom IM Contretlae Lirome Lnw /or IM
�Id�ovnnq roewn (Seqion ]031.5 Bueineaa eM Proleaeiona Code: Alry cilY a oounly which requirw e permil �o coneVuct, eller, impraro,
domoleh, or ropai eny Nructure, D�a �o ne beuence, ebo rpuiroe iM applimnt for auch permN to file e eqmE eletement �hat he or �he
is IiceneaE W�I to iha prwieione d Na Ganlrufora Licanas law IChaqer 9lcwnmercup Mil� SeeM )000) d Diveion � d �hs
Businem end PrWeeeians Coda� or thn M ar ehe ie exemq tAarahan and ihe buie In Ne ellaped azemqion. Mry vide�nn ol Seaion
'l031.5 by eny epplican� Iw e permil vubjads Iha epd�� �o a d�il penaly d rwi mma ihan irve �wMreE dollan �5500�).
� I, m oxner d the O�Ce�Y or my empbyaea w1A wepm es Ihei ede mmpeneetim, will do �he woM, eM iM nrunun o rwl iMentled
or ollerad la seb (Sectian ]OOC, Buairiw end Pro/eeeiona Code: The Conlredan licenae lew doee fw� epplyto en owner M propeny
wlw buitle a inqovea i�areon, eM who Eoea suM Mork Nmmtl or Mne1 a thraph hs a Mr own empin�aee, prwidad Ihet auch
impmvamenta ere mt inlaMed or atlemE lor eele. M, Mwever, lhe buiMing ar improvemenl ie edtl wnhin one yeer d campletion, tM
owne�-cu�ux win neve ma wb� a w�ma ne or ene eu oa nu�m o, �mom�e �ar in. wmo� m wal.
� I. m owner d �he pape1ly. am eRduaiveM �Iraa'vq Mrh licensad cmtracton to canAup IM proprl (�� �. �i�a vM
Prolesaiona Coda:The ConVeclors Lkenselaw Eoee na eppyio en oxnerotqopaM � �uika orimproveathareon vM who
comrecia la wM prqens wnh e muredw(s) IremeC pinueni lo Ihe Conlrepon Limnsa law).
� I em ssempt under Sectian: B. 8 P C., lor ihia maion:
Oaie: O,mer:
i do na�em� can�ry me� i a,� e.�a m end �naers�a me req��rema�n d cduomie H�nn .�d se�e�y coae seaims uws, zssaa, �d
TS53a, eM Uet I«eny Mure Wiki�p ocapent xill / wil rwl (artb ona) med �o wmpFy wYh sek aaie mdm vd tha �apuirements br
epe�mntamnsVuctionormodifm�iankomiM1eA'r ei�ly enegementDisnd.Residemielmnatruquneppicetbmereemmpttromthma
povisions.
oe�e: noaic�c
W OHNER'S COMPENSATION OKL�q�TION: I hereby ellrm wMm penel�y W parjuy pp d IM Idbwirq EeNuetiona:
❑ i ne.a �e �;n me�m�, �,nn��, a oo�mm m sen�m,�„ i« waaen wmpensetion, es provided fa by Seeian 3)W d ihe Lebor
COdB. IC! IM VB�OrtnenCO M IM Mqk �C! WhICh �hK V��� i9 9911Gd.
,[] I heva enE wil mantan wo�ke�e' wmpenamion insurer�m, � rayuired by Seclion 3]00 d the Labw Code, br IM pa�ormance d Ihe
. woA lor which thie paimn ia iaeued. My wakers mmpe�ion inaurence reniar enE p number ere:
c�a,: TRUCKE FARMER�� EXPIRES
Policy Number: — � 2� � 1� 9%
(This seniwr neeE rrd be com0lerod / Gre permAis Iw one h�nJred ddlen /$�a01 wbsv.)
� I cerlity Ihe� in �he peAormence M tM work for whih t�is pertnn is' ed, I M empby eny penon in ary menner m ea to
wma : im io m»orken• canva���� �e•.s a celaomie. �nm � � Id bacm�e wejee m �ne .�anen•
co pena oi ' oi � eion 3]00 0/ Ihe labor Code, I e�all al N � �m�isona.
yde: Aow�c �
W /np: FaNun ro�xuro worken'rompeiuetlon rovenps Is unMwNl, entl �IWI �ub/scf an smploysr ro cr/Mv/pene/tlu end
vlI flros up h ons h�ndrstl flro�a�nrlW/kn (SIOQ000), In edtl/tlon b M� cwt o1 mmpwwNon, Wmspsi u provltled br In
Sxtlan 9]O6 0l Ms Labor COM, InNn�t, en0 ettornsy'a Isea
CONSiHUCTON LENDING AGENCY: I hmeby elfirm uMer perelry d perj�ry ihei tMre 'a a mna�ruqion bMiip ega y for iM
p,na,m� d ina wwx �o, wn�rn ino oa�� m ea�,e cseao� aw�, cw. c).
LENDEP'S NGME:
LEN�EH'S ROONE55:
I cenily ihet I heve read Ihis eppliWim eM zme Ihei Na ebova inlarmmian o conep. I epree Io cwnply wnh ell tlry eM couMy atlinarioea
enE stele levn reletinp lo Wildirp consweian vd hereby aNfwr¢e representetivm d�hia ary to enter upon �M ebove-memiorred proparry
�OfItl9pBtlWI1W�W9BHPAT PADILLA
Pnni Name
, Da�e:
Signelwao� r/ genVN D4tan nVaqp
(5151-C6.WP) Whne-Buildiq 8 Selery: GreerrFllE:'Cenery-AppYrani: Pink-Reronue: �ddenra�Rssean
CITY OF COSTA MESA — BUILDING PERMIT
IT NO: P 077757 PLAN CHECK NO: N
TROCTION TYPE: V—N PERMIT TYPE: PLU
DESCRIPTION : C/O WATER HEATER
IM VALUE: CALC—VALUE:
���
0
PERM NO: P 077757
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT:
GROUP OCC: R-1 /
�r*�+�+�+�***�**�r+r*�*��*�r*�**�r**x *****x x x � *��**+r+r*�*� *�r+�*+���r*+�*
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 HUILDING ---------
pRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: . FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 14104504 ZNE: REF NO: `
PLANNZNG NOTES>
1 J �
1E1EiEiEiE1EIEIE�E�E1EiEiE1E1E1liE1l1E1E1E1Eik�EfE1E1EiE1E1F1f1E1Ei41EiE1flfil1E1E1E1E1E1E1E'lEiEiEfF1E1EiE1E1E1EfE1(�1Elf1E�EiF1E1EiE1EfEfEiE�E1E1EfEiE�f-1E1E1E
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 N T S
ZONING APPROVED BY DATE:
.,
BUILDING APPROVED BY : •/ I DATE: /
�� �,�, /" a
APPLICATION ISSUED BY: �//i�� =-'� DATE: � �
1E1F1E1E1E1ElFlElfiElEiEi(-1EiE1fiElEiEiEifiEiFiFiF3F7F3F7F�3f3F3FTF7F±ESF�FiFiFiF3FTFiFTFTF�iFiF'iF7Fiti(�ififlElf'IF1f1E1E iEiE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 7.00
253
PLAN '��
ISSUE FEE 20.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 7.00 20.00 0.00
REVENUE DI6�ISION TOTALS--> COLLECTED;
HLDG PMT PLUMHING ELECTRIC MECHANIC
2%.Q�
SMZP/NON—RES
TOTAL P^�AID DUE
27.�� 2/.�� •�� �
27.00 OVER/SHORT: 00
FIRE SMIP/TOT GRADING PLAN—CHECK' �
1E iE if if ib if if if if if'Ik 1E iE iE iE 1F iE if if !E iE 1E 1E 1E iE 1ElE 1E 1E 1E 1f 1E 1E IE �IE iE fE iklE if if iE If iE i(-1E IE iE 16 jE 1E K iE if 1E �E 1E iF 1E if 1F 1E If if 1E IE if 3E aE 1E 1f iE 1! if IE i6 iF iF 1F
.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 OiN UNIT COST TOTAL COST
�
PLU 1 WATER HEATER AND/OR�.VENT 7.00 7.00
END OF FEES
CONSTRUCTION AND PLANNING POOI & SPA
APPROVAIS Permit # DBte Inspector APPROVALS Permit # Date inspector
1. Temporary Elecuical Service Qr Pole 52. Pool & Equipment Location �,-'
2. Soil Pipe•Undrgrnd. -' 53. Steel Reinforcement �
:3i Eiectrical Conduft Uiitity-Undtigr�d, 54. Forms - -
;v1.�E,'(ectricai Cond�it�UtrJrgmd. 55. Electricai Bonding , '
�=5�,,,$teel Reinforcer¢errt5 56. Rough Piumbing & Pressure Test
'� 6,��IactricalUFER�ii�d. 57. APPROVALTOCOVER-GUNITE -
' z7,Footings y r� ,- 56. Electricai Cond�iit�Undrgrr.d.
,� n
=�8-' Foundation _-_ • 59. Gas Pipe, � Un�fryrnd., Test
9. Water Pipe�UnddyF�d. �� . 60. Backwash Line P''Trap, O Undrgrnd.
c
10. Structural P1oor=System �- 81. APPROVALTQ=�ECK '
i t. Property Sewer Lir�e: & Ho�se Connection 62. Backwash & Receptor-Fina!
12. �ewer Cap ` ; 63. Heater & Vent•Final
73. Roof Drains �- - 64. Plumbing System � Finai
74. Rough Plumbing' „� � �. 65. Electrical�Final
15. Fough Electrica+-Co2duit ' . 66. Solar SVstem-Finai- , �
16. Rnugh Electric4�ri�g = 67. Fencing & AccGs,'Approva!
17. Rough Wiring Sigp - 68. APPROVED FOR-PLASTER�NG .
18. Rough Electricai=T Bar Ce�ling 69. POOL/SPA SYSTEMS FINAL
19. @ou$h Hgating.& A,��;Conditioning�'"y. , �. � �h,�, � � F�� Q€PT...9EQUIREMEfJT �
�- 7c:a;� r• » _
20. ktoughF3ctor�tFi�place _�- a' � _ r ^�+;'APPROV'q_�S,_�+,rPeTmit# �x -
" k ' r
21. DLcrs, in StruEture=" �� �� �'S ,, � ,= � S 70.'1�nderground HYdro
22. Ducts, Ventilating_:� ` , � �', � ��. ProducSP�P.�ng,CL.Gas QOiI
23. Gas �Pe=,fiouF & Test r ,., T ` • � • ^ ✓ V * J "'' -` .
�! ;�,� « r v+ 5*�; 72• Undergiound F}ysh
24. Aoof FraFning � _ � = * r ' � �Y �� 7� Undergrnii.StoPagPTanl�`OGas ❑Oil
� �� : > u
25. Roof:Sheathing t : �`� � " ,-;� � a 7A. Overhead HYdrg,- .•
26. �T 8a%�Ceiling (StrUcturalf & Mo'1iQcoat ! G � - 75: Dry Che_mical �,� ` _ "
r: -
_ 27. Frame anii Fiashing " - ,_ - '. � ' ;_, 76 Dry Star�p(pe -� � �� . - -
28. LathTng&Siding ;!-• �'� � � � t 7T,- FIXEDSYSTERRFfNA�,- � _
29. Insulation � '� '. � t 7$.;:FIRE�iiEV. FINAL + 5 -
r J ,
^ 30. Drywall Nailing t�-' � x a^ � �* =�ti. - oN�ALTH DEPT. REQUIREMENT .
- 31. Plaster Br,awn�;oat � ` :`.�, � A � � 79. FINAL 1}VSPECTION - -
; 32. �lectrical Power Meter�Final �� � ,`+. 807 FOOD CERTIFI'CATE 13SUED'
=� 33. Final.`EEec{ric�� " _ • ' � * � � �a' .. N�tes: � �% r' 1�- �' [� '. ` � .
: � i ' -� -� � r " [�L-��_�_I „=�/i=* =�Z -
! _ _
�: 34. Finat'Jieating_R} Air Cqnditioning'�" �; ; � '* ; � �_� �
35. Final Gas Pipe•Test *'-� •' '�'-' i �' - T
�• . - m
r.
`� 36. HoodOr CanoPY ' � � z:r. _ : ` . � ��: ;r� �� �r -
- - a .
' 37. Firal•Factor Fire i'c ^ ' o r _ -
Y P a� �, . �� r t� . „ ;�' .
- 38. Finai Plumbing �+- i:. - b l�.S��C ` �y: . i- ' . �f .T
I
V 39. Water Service•Final �� % � ^ '"' - �
* +' a� F'�� • e :
:40. GasService-Final ' �.p:,; k''' , �� �_. . (=� r„
- ' M '
-41. Solar OomesticFinak� �+ ^ � a' _ .
_ < - L t i
42. Backflow Preventer x �� �' J � � V�" J
i'.-. � w r. t ir lT] G k' c-
_ �. r
43. Backflow Irri�ation ' y� C * r' � � y `
. . � ... ._ . rt� �. ; .., � . ..
QA. LandscapeJrripatian�:System � �,== r �. _ E .r . •� � r �, ,.� ��a �, ,:, _.
45. Sound Attenuation � '-' ^ + ^ !Ti t . r � �* c:. • - !
- _ � - �;, . .. r - �, �, �.
46. Handicap Regulations � „ "� '^ - ' - .
" Y S ITI t„
47. FiNAL STRUCTURE & BUILDING � � �� ^- t t
k C
48. FINAL PLANNING , , ,�; ,' ;, ; . 5 x
49. Etect`rie Release to Edison . - �
�� . c .^
50. Gas Release to Souttiem Calitornia Gas Co � > _ =�, �- . -
51. CERTiPICATE 0� OCCUPANCY � �
N0. Dace � �
�OWNER �ggTON;___N
�JOB ADDRESS 3094 Mux
� GENERAL CONTRACTOR
�sAP No. 141-045-04 LO"
� INSPECTIONS
SOIL
�GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
UNOERGROUND
ROUGH WIftING
TflENCHES I�
SHEATHING
AIR CONDITIONING
OR POLE
POWER n
IY�]:�R-'1�t-9�ii�:I�l:lyl
STEEL REINFORCE
FftAME AN� FLASHING
LATHING - IN � I
Pl.ASTER, BROWN COAT
ST0.UCTUftAL. FINAL
BUIL�ING, FINAI.
TRACT
DATE
FIRE ZONE VALUE $ 200.00
GROUP -_J TYPE IV
-n $ve�vriTnACTiin i
'; .
.
- � � ` 2 804
COSTA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BOX 72� COSTA ME9A� CALIFORNIA Y2820
For App1lmM ro F(I! In ComplM�ly
TYPE OR PRINT
ADDRE'38JO�7��! �P AY /A���
COSTA MESA. CALIFORNIA
ovmew��F-i� iic�/�S7C�/
no. or e�oo�. �
HOW ON tDT
� OeTBACK LIH810.0M
D65CRIPTION OP WORK
1 N6R6GY ACKNOWL�Dat TIAT.� M�V6 11�AD HII/ A�lYGTOl/
ANO 8T�T6 TXAT TM� AGOV�.IO CORqiR AND AOR6i M CAY.
PLY WITX ALL CITY 01101NANCff A(10 RAT{ L11W/ RtOYtATINO
eu��o�nocowaTquCn/ �� �
8I6NATURC OP ��� .
PHRMI7THR <-e ��
wurHoaizvo wa¢r+r
N;.tr _, .
':�!' -f3-G7c;:�:.0� 3(�.'1 .. . . . .. ^(
A�PLICATION FOR PERMR
BUILDIN6
For Offin U» Only
n[cnrr no. ��
_J
Y WT[11[C[IViD DI
" ZONIN(i
wo. or u.� o. niw (7a rlo
runs `7 sm�oina . . _ .
YARD! MPROVlD
MAIN BUILOINO
D16fANCC BQT.
MAIN BLD6H.
VM• #
w
- vv-
6HALL �8 Ll88 TMAN
YARD9APPROVHD
ACCB880RYBUILDINO
DATB
( .V DAT[ 1 � - tG'/
a
w
�
eo. rr. �
TNl AMOYNT �MOWN UNO61i VALU�TION �e roa n�c 9
PURPoB[ OI (1TABLIGXIHO A P[RYIT I6G ONLY. �
VALUATION a
PERMIT FE6 / U"D p
o��� � w
�rmv[rt �aav.�+. ..� .... .,. ...�... vr� i �
JOB ADDRESS 3 �'ray e BUILDING PERMIT N0.
GENERAL CONTRACTOR er- . � DESCRIPTION of WORK c. orc for Serv,Area
;•'AP No.��7 - T
,� INSPECTIONS '
� SOIL
.Q �ns
�) WpTER
J ROUGM PLIIMBING
PFlOP. SWR. LINE Q HOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEnTING nN� rIIR CONDITIONING
TEMP00.ARY SERVICE OR POLE
UN�E0.GNOUN� � POWER �
ROUGH WIRING
TRENCNES � FORMS STEEL REINF.
FLOOR SVSTEM '
BOND BEAM STEEL REINFOPCE
SNEPTMING
FRAME RNO FLASHING �
LATMING — IN OUT
PLASTER, 6ROWN COAT
STRUCTURqL, FINAL
MEATING, VENT., ftEFRIG. AN� A.C., FINAL
PLIIMBING, FINAL AN� GAS TEST n /;
SUBCONTRACTOR
�
. x•. .
OWNER COLLEGE MESA COMPANY DATE �_l��_5q
JOBADDRES$ �9(� Musray �Lane BUILDINGPERMITNO. #�1325
GENERALCONTRqCTOR T]lE_$$I.�Comn3RV VAWE$ 11,ZSO.00
LOT 113 BLOCK TRACT ZS%1 .Sl.rigl.2 t2S. W�Btt. gHT'.
GROUP I Bc .T TVPE V ZONE FIRE DISTRIGT 'y(�Ql
PERMIT$ ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Trench
�ion Forms and Grade to
Plumbing, Rough to Slab
Plumbing, Raugh Cbmpl�
Pole
�
�
Sewer, House m//� Sewer, St. M%fs ���5 )��„ �! �j', ��p.y��Y,,� 4.-
Septic Tank or Cesspool � F
Lathina. In i� Out �� 7
Plastering ' ;�/�f,� �'�/-� S� J
Plumbing, Final, Fiktures Complete/ff/'%S �j-ZO�S7
Plum6ing, Fin.al Gas Test / 5� - Ailli-� 9-90 � S'� ♦ _ .�o � C� •� A � %�
Wiring, Final
Occupaney
FOHM 310 9M IO�v9
�sta Mesa Building Department APPLIGATION FOR PERIVIIT
P.o.Box3•� 4401 BUiLDING 'f
� � COSTA MESA, CALIFORNIA
+ FOR OFF`ICE USE ONLY
FOY� APPLICANT TO 1�'II.L IN Receipt No.
xddress3094 idurray Lane
Costa, Mesa, California Received hy Date Rec'd.
Nearest ��� a �� �
cross sc. Fairview & Baker B,,;id;,,g
Address
ow�e� Colle e Mesa Com an
Mall
nddress 1777 W, Lincoln Avenue rvearesc
Anaheim Te1• KE 3-3161 c�osss:.
City No. Zone
Arohitector ui le & Clark �'c. 08884
En9ineer Q g J� No. Approvei
Address 1323 No. Broadway� Santa Ana bY
contractor The Hale Com an city Ltc. 34z2
P YNo.
Address 1777 W. Lincoln Ave,�Anaheim
Legal Lot I
Description I No. lt3 I Block � Tract2671
(Attach Metes and 8ounds)
No. of Bldgs
Size of Lot 70 X Z0� Now on Lot None
llse of I No_of _ I No_of 6
r..:��:.... ou..
from 5� � Rear Vard �� �
xt Side Vard 7
I X � Alteration � � Addition
ir I I Movino I I Demolish
No. of
Rooms 6 Stories 1
Date Issued
FEB 1 4 1g
Costa Mesa, California
CORRECI`IONS
Exterior Wall I Roof Sheke
Coverfng $tUCCO Covering � APPROVALS
Use of New
euiiaing Sin�le famil,y dwellinR with Foundatlon Location tnspeccor
Forms, Materials,
attached garage. Under-Pinning
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 Laws regulating
building construction. Lath. Ext.
Signatureot TH HALE COMPAIVY
Permittee' �_!� _ __ _ _ _.. — �� .. Plaster. Int
Vaivation
$ 11�280.00
���
PM R09 IO�iS O. P. O 5.
PermiS Fee $ 28.00 Masonry RE
Plan Check $ 14, �� gond Beam
Tota� 42.00
Date
W
Show locatlon artd distances from
proper[y ifne and between bu{Idinga
_ , ,
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BVIIDING ^
ADDRESS � a// C
OWNEF �/�. � S, NU�6 ��V
MAIL .� _ _ . _ _ _
CITV �C�S/!�i ME�./9 No�'SYs'-3
CONSTRUGTION
LENDEF ���
BRANCH �
ARCHITECT �� _, „�., � TEL.
ADDFiESS �
CONTRACTOR C,�(,/NK�i
ADDRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. LIC. NO.
OF LOT �O / / NO.OF BLDCS.
X IOO I NOW ON lOT �
USE OF
E%ISfING B�OG. NO �LI �^
N'EW BLDG/ ' 7// ' S'ROOM$ � STOFIES r
EXTERIOR WALL o- ROOF
COVERING Bp- � COVERING ��
USE OF BUIIDING AND WORK TO BE PERFORMED,
I heroby ocknowletlBe tha[ I have raatl this application entl stata
thot the nbove intormation is correct antl egree to comply wiN
all lows regulexinp builtling construction, antl I shell not employ
any person in violn[ion ot Iha workman's compansetian laws of
Me Stata ot Californle.
I hereCy cerHty tnat I am propa�ly lironsetl as a cOntroctOr under
Ne S[ace of Californte Business ontl Proteuions Cotle, Dlvlsicn 3,
Chapter 9, antl thet such licensas ara in tull force entl effoct, or I
am ¢xempt fron ti e provitions of the Sta[e o( Cellfornia Business
and Professionz Cnao, Divislan 3, Chapter 9.
Sipnature of //��� �1/ M� O y��
Permlttae �� �� � l ti.
Authorizotl Agent
BVILDING
ADDRESS �
TRACT
Pr*L
�+rG �h-���—�.00 923 = *::*�+�5.50
ON FOR BUILDING PERMIT
PE
LOTI`3 �OCK
VALUE
NE � NO.OF VSE OF NEW EN�C
RPLAKS � 6UILDING cp���
YARDSAPPROVED YARDSAPPROVEO
MAIN BUILDING ACCESSORV BUILDIN
DiSTANCE BET
MAIN BLDGS.
VAR. #
�
BET. MAIN &
ACCES'u. BLDGS.
OATE
APPROVED
3�-�
STATE
m
m
SQ. FT. TAX O
THE AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PURPO6E OF E5TABLISHING A PERMR FEE ONLY: m
¢
VALUATION m
PERMIT FEE S "'
�
[�,�/�` m
5 J/ 1 PLAN CHECK $ E
�� `o
- LL
TOTAL FEE 5