HomeMy WebLinkAbout3102 MURRAY LN - Building Permits�A
PNOJECTAO'JPESS: 'j1O2 P,Ut2RAY LN
OWNEfl'SNAME:LEWIS, ROBERT M
aooeess:LEWIS NANCY N
310� �IURRAY LN
COSTA MESA,CA 92626
AHCNIENCINEEB: � 7 S 4� Z S O— 2 I% 6 flEG.NO.:
ADOHESS:
UNIT:
UNIT:
PEHMITTEE: �L,L—COAST ROOFING ( `/14 ) 650-2244
aooaess: z 1 07 WALLACE AV
COSTA ME5A CA 92627
LICENSEO CONTPACTON OECLABATION: I here�y alfirm �hal i am IicenseU unaer pmvisons ot C� ter 9 �commencing wi�� Section
7000� ol Orv��sion 3 of the Business antl Pm�essions Cotle, and my license is in WII force an i
c�Truc.:�S7979 srnreuc.:�ggyq� cuss:CI39
Da1e: Signa�ure: __ �__�_1�_ .
WONREflS' COM ENSFTIO 1 DECLAHRTION: I hereby afiirm �ha� I have a certif c e of consem to sell-insure or a ceni�icate o� Warkers'
ComOensatmn Insurance. or a cerlilie0 coOY �hereot (Seclion 3800, lab. C�.
POLICY NO.: E%P. OATE:
COMPANY:
❑ Cetlifiea copY is here�y fumis�etl. ❑ Certifietl copy is filetl with Ihe ci�y Builtling Divisian.
�aie: ApplicaN'.
EAEMPTION FflOM WOflKEflS' LOMPENSpTION OECIAHPT10N: (ihi5 eclion nee0 no1 be com0le� �h e ut is Ior one �undre0 �E1W) ar less�.
I ceN�y I�at in Ihe pedormanre ot ihe work tar which �his Dermi� is 55ueQ I shall natRm I an7 erso in any manner so as �o become
subjec� lo the qorkers' C pensation LawS ol Califomla. �
Oale: `� Signaiure:
NOTICE: IL aner m king Ihis Oeclaration, You shoultl become suble�� �o Workers' Compensation provisions ot Ihe Labar
Gode. yau musl forihwil� comply with such pmvisions or ihis permi� sh be tleemea revoke0.
CONSTHUCTION LENOING RGENCY: I hereby a��irm Iha� Ihere is a cons�mc�ion lending agency lor Ihe pertormance of �he wark lor
whic� Nis permii is i55ue0 (Sectian 3097. Civ. C).
LENOEH:
AO�PESS:
OWNEN BWLOEP OECLAflRTION: I hereby allirm thal I am exempl imm t�e Contraciors' State License Law �or Ihe lallowing reason
(Section 7031.5 Business antl Pmlessional Catle'. Any ciry of county which reQuires a permi� to cons�mct, al�er, imprave, tlemolish, or
repai� any simcture, prior �o iis issuance. also repuires Ihe applican� for such Oermit to file a signed s�aiement ihat �e/she is licensed
pursuam m the provisions of ��e Coniractors' 9aie License Law (Cnapler 9(commencing with Section 7000) oi Division 3 0l the Business
and Pmlessions Code) or Ihai �e/she is ecempi �herefrom antl Ihe Oasis for the allege0 exemption. Any viola�ion ol Seclion 7031.5 Dy
anV applicanl lor a permit suGlecls Ihe apPlicanl �o a civil penalry af noi more ihan five huntlred tlollars (E500).
I, as owner ol Ne pmDeny or my employees wilh wages as their sole compensation, will do the work, anA Ihe
❑ slmaure is noI intentletl or otieretl for sale (Section 70a4, Busness ana Prolessional Coae: The Contracmrs' Staie License Law
tloes nal apply lo an owner ot a pmpetly who builds or impmves �hereon. an0 who tloes suc� work himselflhersel� or �hmugh
his ar her own emplayees, pmvitletl thal such impmvements are no� inlende0 or o��ere0 for sale. I�, however t�e builtling or
impmvemen� is sold wiihin one year a� camplelion, the owner will have ��e burtlen ol pmving he/s�e ditl not builtl or impmve
lor Ihe purpose oi sale).
� I, as owner of Ihe pmperty. am exclusivel9 canVacting wi�h licensed conVaclors �o canstmc� �he pmject (Sec�ion 7044, Business
❑ and Profe55lon5 Cotle: The Coniractors' Stale License Law does not apply �o an owner ol pmperry who 6uilU5 or imD�oves thereon
and who contracls �or suc� pmlects wilh a canlractor(s) license pur5uan�io ��e ConVac�ors' State LicenSe Law),I am aware
Ihat pmot oi Iheir Workefs Compensalion insuranw shoWG be provi0etl lo me.
� I am exempl untler Section: B. 8 P. C.
lor ��is reason'.
�ate'. Owner
I tlo hereGy cenily ihat I am aware ai antl waerstantl �he requiremems o� Cah�omia Healih antl Satery Catle Semions 25505. 25533, and
25534 and Ihal I ar any IUWre builtlmg accupanl willlwill no� (circle one) neeU lo compty with sai0 s�ate cotles antl ihe reQuirements �or a
permii lor constmction or motlihcation �mm Ihe Air �uabry Management �isVici. Resideniial con5tmciion applicatwns are exemp� �mm
Ihese pmvisions.
Daie: NpplicanP.
I �ereby cer�ilytha� I have read this applicaiion antl sta�e Nai Ihe abovein�ormatmn is corr t. a ree to comply wi�� all city and county
ortlinances ane siate laws relalinq to bwltling consimc�ion ana �er by au�horiie representaliv 5 I hi city lo enter upon Ihe a6ove-mentionetl
propetly br in. ecuon pu oses s
_ �aie: � Signa�ure:
Orivefs License or Social Secunry u: � �
1fi4La6 Whi�e—Bulltling�, Green—Code Enlorcemen�; Canary—Applican�; Pink—Revenue: Golaenrod—Assessor
CITY OF COSTA MESA — BUILDING PEkMTT PEkM NO; H 0632i5
PERMIT NO: H 063215 PLAN CHECK NU; N GOVT: N SUPP: N
CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION ; T/O SHAI(ES,RESHEATH WJ1/2"CDX,APPLY CONP SQ FT: 4,000
CLAIM VALUE: 4,000,00 CALC—VALUE: 4,000.00 GROUP OCC: R-3 /M-1
COMMENTS• SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF TH+�E�U�pB�yC�y�c �����Cy
*��*�*���rx*x***�r�r�r*���*��x*x *�+�#*���cr�����x-***xxx�*x�*�*�*+�� �71VIV11���' fe
Z O N I N GS ERTEB AUCIKkSE M E N T S
REQi11R�D
----------- MAIN HUILDING ---------- --------- ACCESSURY HUILDING --------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
LEFT; FT ZN RGAT; F'T IN LE;FT; FT IN RGHT; FT IN
PARKING RE � PROV: PARCEL; 14105502 ZNE: REF NO;
PLANNING N I'ES>
� . "
ii iElE ft it iE iCif iF iE iE 9FlE iF il;IF iE �lE ik M�# 1t iE If !f 1Flh iP iE iE it if 1F if !!� iE iE iE-%� # lE 1F 1F iE iE-)E iE iEit iE IF 3f iE #!F-lf 7E �IE i! iEiE �lE 1P if ik 9F�7(� iFlE ih.#,#� iE iE 16 iF if i(� iE
D E V E L O P M E N T S fi R V I C E S k E Q U I R E M E N.�' S
20NING APPROV�D BY . DATE� '
HUILDING APPROVED BY ;
APPLICATION ISSi]ED BY; �,��.t.t� ,� /�
iEiEiEiFiEiEiEifit?EiE1E1EfF3fiEfFlP!litiElf�F�F tir� � 'iFiF yt !t
!E iE if �F iE 1E if i(� iFlf # if dE fF If lf �It 3E il� 1F iE jf ih It if- iF 3k K� fE if if iE # iE it �E iF �IE iE jE 1f IF jf iE iF
LEGALIZATION:N F E E S U M M A
naTE; !•
.�,
DATE; �� � 2
�x�Tf���iF'IEik3E#iElEifiFiE aF R ftiE'IE
iF %� it� 1E ii� 1P ft iF �K� %��lE !t iF 1(� k�it if 3flF if iE i! iE if iF i4 iE # iE �f� if� if
R Y STROCTU�AL-SEGMENT;Y
HLDG PMT PLUMHING ELECTRZC MECHANIC FIRE SMIP/RES� GRADING
PERMIT �63.00 '
� SMIP/NON—RES
PLAN
ISSUE FEE; -
BUILDING—DIV—> PERMIT ISSUE PLAN—CHcCR T'OTAL t�-' PAID DUE
TOTALS'----> 63,50 0.00 0.00 63.50 ' 63.50 ,00
REVENUE DIVISION T'OTALS--> COLLECTED: 63.50 OVEk/SHORT; .QO
HLD63p00 �LUMBING ELECTRIC MECHANIC FIRE SMIP/TO'I' 1GRADING PLAN—CHECK
� n
if ik if iE k 3E iE iE fE iF iFik k if iFiE ik iF it% ff iE if % 3t if� 1E if ik iF it k ik if iE iE iE 3F 3E ik fE iP �E 3E X� if iE i!� iE ihie M iE It ik iE k iE iE iF �h %if k iE if 1E i(� # 7f ih iF iE if�if 3f }f• }E?E
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 [JNI�T COST TOTAL COST
t
SFR 4000 REROOF BY VALUE RESIDENTIAL N020NE �1,00 4,0OO,OU
END OF F'fiE5
r l�
01,00143677—OQ143b7S T li T
DATE: �7/2E/93 TIME: i5:g1
63.50
CONSTRUCTION ANDPLANNING
APPROVALS Permii 5"i-
t. 7emDorary Electrical Service qr Poie
2. So�� Plpe-Undrgrnd. ,
3. Elez;r;ca' Conduit Utditv�Undrgmd. I,
4. Electrcal Condwt-Undrgr�d. '��
5. Steel Reinforcement '�
n. Eiactncal UFER Grnd
7. Footings
8. Foundation
9. Water Pipe�Undrgrnd.
10. Structura! Floor SYstem
77. Property Sewer Line & House,Connection
72. Sewer Cap
73. Roof Orains -
14. Rougfi Plumbing
75. Rough Electricai-Condu�t
16. Rough Electric Wiring .
17. Rough Wiring Siyn
i8. Rough Electrica�-T Bar Ce�hng
19. Rough Heating & Air CondiLomng
20. Rough Factory Firepiace
21. Ducts,in Structure
22. Ducts, Ven[ilating
23. izs Pipe-Rough & Test
24 Roof Framing
25. Roof Shcathing
26. T�Bar Ce�iing IStrucwraU & �Y1onocoat
27. Frame and Flashing
2$. Lathing & S�ding
29. Insulation
30. Drywall Nading
31. Piast^r Brown Coa:
32. Eleczrical Power Niate� Final
33. Final Electric
34. Final Heating & Air Cocd�.ion;cp
35. Finai Gas Pipe�Test
36. Hocd or Canopy
37. Flntl Pactorv Flrepiace
38. Fina! Pl�mbing �
39. 1�Vater Serwcc-Final
40. Gas Serv�ce-F�nal �
41. Solar pomestioFinai
42. Backfio�v Preventer
43. Backflow irngation J
44. landscape Irrigation System
45. Sound Attenuation
46. Nandiwp Regulations
47. FINAL STRUCTURE & BUILDING .
48. PINALPLANNING �
49. Electric Release ta Edison
50. Gas Release io Southern California Gas Co
Oate
Date � Inspector
: � �
�
!
��
POO� 2L SPA �
APPROVAIS Permit � Date fnspector
52. Pooi & Equ�nment �ocat:on �
53. Steel RainForcemrnt ,
54, Forms
55. Electrical Bond�ng � '
56. Rough Plumbing & Pressure Test �
57. APPROVAI TO COVER�GU��:iTE '
58. F�rctr�cal Conuuit�Und�nrntl.
59. Gas P�pe, .:.i Undrgmd , Test �
60. Backwash Lines,P�Trap, �7 Undrgrnd. ,
67. APPROVAL TO DECK � I
62. i3aCkWash 6c Receptor Fir.al '
63. Hoater F� Vent-Fina� �_ i
64. 'lumbing SYstem � P�nal (
65. Electric26F�nal '
66. Solar Syst2m�Finzi
67. Frncing & Aceess Anp�u:al �
68. APPROVED FOR PLASTERING !
S9. PO4USPASYSTE�viSFINA� �
-�- --
FiRE DEPT. REOUIREMEWT � �
APPROVAIS Prsrmit #
- _�
70. Undergraund HyC�o '
71. Pruduct Plnin� C Gas �.�� Oil �
72. Cndcrground Flus �
73. Undergmd. Srorag� Tzr k O Gas �. Q.�
'-� - --- --- �I---- - �- _.
7A. O_erhead Hydro �
75. Dry Chemtc2� �
76. Dry SSditdP�Pc � '-_- -'-'
77. FIXED SYSI'E.^.4 i"INAL �
78. FIRE PREV. FIyAL !
NEALTH DEPT. REQUIREMENT � i
79. FINAL INS°ECTION I �
80. FOOD CEHTi��C�TE ISSUED �� � _ j
Notes: �
�
�F--�v �
�ti
.C�e�.�-•�-�-�/ �-
DATE
JOB ADDRESS j102 MuPT'SY Lan2 BUILDING PERMIT NO. %OB3 �
GENE,J2AL CONTRACTOR Fair-way Lbr. CO._ VALUE $ 250.�0
�1P.'Ko�` LOT TRACT F[RE ZO�.
GR011P 7'YPE ZONE
INSPECTIONS
coat
Final Gas Test
DESCRIPTION OF WORK
DATE I SUBCONTRACTOR I
DATE
PERMITS ISSUED
I�DIu•IY�I
�
f
W
w
K
0
m
rc
�
U
COSTA
MESA BUILDING DEPARTAAENT '
P. 0. BOX 317
GOSTA MESA CALIFORNIA
C.L. OF STREET
' _��PROP.
r 10 FT. FOR 60 FT. S
�
�
�
I
I
�
NE
=ET—
C Y OF C�JSTA McSA 0 TIIF FRON
FLANNIt;G DBPI'. IOF PROP.
1 ECT TO BLGG. DEFT. REG. W
` DATc �'� ' I y
_ J T_CH.�7 ZI O
J C �
� O
QR PROP LINE ai U �
(,v �
�
6S �
- 10 I
G Fr�
� �
PROP LINE �`
--�--'--y----
C.L. OF STREE
, i
,
-' ------�
,
S T.
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES ------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I ��8� I F�E �ECEIUEi�
Cl.. (.� 3b � $ •.
FOR APPLICANT TO=� DE�T. ,
Mail Addres .�.v. ��j� � '
City � S �,�—L!/o % � - Ph. No.
— � - - /. - - - - - -/ - - - - - -
Contractor ���--/��/jil ��• Ph. No�J/ /'a&S�'
7 .. . �
City Lic. No. State Lic. No.
Size of Lot l C) )( / d� AP No.��3 `3GS-^ i3�,
G' �
Setbacks: C/L Stree} ✓ C %- Rear
" c'
Side Yard - Right 3 LeEt
Type oE Fence l �`''�/�t�`G'C' � ��
�lG � �Gatnc�.,�.%i f�1. f �% �i✓�7�
i
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State �Lyaws requlating building construction.
Signature ��%7//J.lJL�- !'/_�,J ��: ( �..
FOR OFFICE USE ONLY
a
��
�o � 3� 'S a I �1 /- S d�
VALUATION I , �f 1-fJ
Permit Fee $ '�S '
� I Plan Check $
I TOTAL FEE $ ��
USE REVERSE SIDE FOR DETAILS
OWNER
JOBADpRESS
GENERqLCONTRACTOR
LOT �1
GROUP I & J
INSPEC710NS
Faoting Trench
Foundation Forms and Grad
Rough Framing
Plumbino. Rouah to Slab .
Heaiing, Final
Sewer, House m/(� Se�
Septic Tank or Cesspo0l
Lathing,ln� O
Plastering �
Plumbing, Finai, Fixtures I
Plumbing, Fin,al GasTest
Wiring, Final
Occupancy � �
BUILDING PERM
TRACT
T% ZONE FIRE DISTRICT 4399
PERMITS ISSUED
DATE SUBCONTRACTOR
DATE I NUMBER
y
_�7 `
J'/7-
ta Mesa Building De�artment APPLYCATION FOR PERMI'1'
e
COSTA MEOSA,�CALIFORNIA �`3�� B U i L D 1 N G '
FOR OF'FICE USE ONLY
. FOYZ APPLICANT TO FILL IN rteceipt rvo. Per7��t No.
suiid�ny 3102 Murra Lane 432�
Address Y
• Costa Mesa, Cia,�OTllla, Received by Date Rec'd. Date Issued
Nearest Fairview & Baker ���� I� ���� FEB 1 a �q5�
Cross St. Buiitlin<
owner College Mesa Company Aadress
Mail 1777 W, Lincoln pvenue
Address Nearest
Cross S1
city Anaheim No�I(E,3-31G2 Zone
nr9hitector �igle,y & Clark Nob8�84 n rova
En ineer pp
by
Address 1323 No,Broadwav� s�.,+a e„a
contractor The Hale Company NOY L10� 3422
nedress 1777 W. Lincoln Ave,� Anaheim
n..Le�.:.._ I wi�t �..��. I ni.._'" I�.___.26%1
60 X 100 No. of Bldgs
Size of Lot Now on Lot None
l�seof I No.of I No.of
Existing Bldg. F�amilies Roomss
SefbackLirtefrom � RearYard
Center o1 Strrpf 5� C:de v�.a �
I x � q�teration � � Addition I
II Moving I I Demolish I
127� No. of
Rooms 6 Stories 1
a��Stucco I covering Shake
Sin le famil dwelling with
attached garage,
I hereby acknowledge that I have read this Application
and state that the above is correM and agree to comply
with all Clty Ordinances and State L.aws regulating
building construction.
Signatureo� ALE COMPANY _ /
Permittee
valuatlan Pe�micFee$26,00
Plan Check $ 13, 00
S 10.960,Op Total 39.00
Costa Mesa, California
Plans
CORRECTIONS
APPROVALS
Foundation Location Inspector
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
0
E�ct
Bond Beam
Date
O
F
�
2
D
r
z
I .
Show locatlon and disYancea from
Property Iine antl between builtlinga
m
�, �
�� • �
� • l .