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Home My WebLink About3137 BRAY LN - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ::.i Job Atldress: 3137 BRAY LN Suite No Vicinity: ' � Parcel N�nmber: 14163413 Applicant: SZABO, KEVIN Atldress: 2737 S CRODDY STE D SANTA ANA, CA Owner: D 8 D LITTLEFIELD Address 3137 BRAY LN COSTA MESA, CA PLUMBING PERMIT Phone: p14) 241-1414 Zip: 92704 Phone: Zip: 92626-2659 Status: ISSUED Applied: 09/24/2003 Issued: 09/24/2003 ISSUED BY: � Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING Address: ' 2737 S CRODDY STE D Phone: (714)241-1414 SANTA ANq, CA Zip: 92704 Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect pce,Soda,etc) Dental Unifs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Dnnking Fountain Expansion Tank Gas Earthquake Valve License: 529127 Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT WATER HEATER nMr $23.50 $0.00 30.00 $0.00 $0.00 50.00 $0.00 $O.OD $0.00 $0.00 $0.00 50.00 $0.00 50.00 FEE SUMMARY QTY AMT Launtlry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect � $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bktlow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater I venl Water Piping pnst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. {Ord. No. 92-28, § 1, 12•27-92) EXPIRATION; This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all required Inepaetions end final epprovel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPEC710NS CALL: (714) 754-5626 zaae-es(arool WORKERS'COMVENSAnON DECLARATON: I �ereby eHirm under penalry ot perjury one of the followinq tleclarations: ❑ I heve entl will meintain a cenilicate oi consent to self-Insure tor workers' compensation, as provided for by sedlon 3700 oi the Labor Code, tor the peAormence of the wp work fOr which this permit is issued. Ia I heve entl will maintain workers' compensetlon insurence, as required by section 3700 of ihe Lebor Code, for ihe pertortnance of the work for whiU this pertnit is issued. � My workers' compensation Insurance cerder end policy number are: �� I�� Certier. a]�� U n) � Poliry Number: a "� (This section need not e cromp/efed i! tne pertnif !s velue0 af one huntlre0 dollers ($100J or /essJ � I certify t�at in ihe perfortnance ol �he work lor which this permit is issuetl, I shall not employ eny person in eny menner so es to become subject to the workers' compensetion laws ot Califomi , M1d egree th "fYrrhou become subJect to t�e workere' compensation provislons ol Sectlon 3700 of the Lebor Cotle, I shall forihwlth comply with these provisions. � q Applicant Signature: Date: I�� 3 WARNINO: FAILURE TO SECURE WORKEiiS' PflNSATI ERAGE IS UNLAWFUL AND uHP1L SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED TFIOUSANDDOL�RE(5100,000),INADDITI TOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDfOFtINSECTION3]080FTHELABOFCODE,IMEREST,ANDATTORNEVSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm lhet I am licensed under provisions of hapter 9(rnmmenc g with Section 7000) of Division 3 of the Bus�inejss and PmtesJs/ip_ns Cotle, end my license Is in full �ofCe entl BflBt�� IC. k_� �� 2�% CI255 M l �� TT"G � Comrac�ofs Signawra: i.v—�� Date: �•� 2. `�—b � CONSTRUCTION LENDING AGENCY: � [} I hereby attirm that ihere is e constmction le`Wing age�y tor tfie pedamance o1 the work tor wfiich this Dertnif is issuad. (Sec. 3097, Civil Code). Lentler'S Nema: Lentlefs Adtlress: _ . . . Signature: OWNER-BUILPER DECLARATIONS: Date: I heraby aHirm lhat under penelry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to constmct, elter, improve, demolis�, or repair eny strucWre, prior to its Issuance, also requires �he eppliceN for such permit to tile e signetl stetement thac he or she is Iicensed pursuant to the provisions of the Comractors License Lew (Chapter 9(commencing with Sectlon 7000) oi Divislon 3 of Ihe Business entl Profassions Cotle) or t�et he or she is ezempt theretrom antl the besls for the allegetl e:emption. Any violation of Section 7031.5 by eny epplicant tor e pertnit sub�ecis Ihe epp�icant to e civil penelty of no� more Ihan tive hundred dollars ($500)J: ❑ I, as awner of the proPerty, or my emDloyees with wages es their sole compensation, WILL DO THE WORK, and Ihe structure is not intended or otteretl tor sele (Sec. 704d, Bu&iness and Pmtessions COAe: The Coniractors License Lew does not apply to an owner ol properry who builds or improves t�ereon, and who does such work himseN o! �erself or through his or her own employees, provided that such improvements are noi Intended or oMerad tor sale. If, however, �he building or improvement is sold within one year of completion, ihe owner-builtler will have the burtlen of proving Ihat he or she did nol build or improve lor puryose of sale.). ' ❑ I, as ownar of the properry, am El(CLUSIVELY CONTRACi1NG WI7M LICENSED CONTRAC70RS to construct the pmlect (Sec. 7044, Busineu end Pmfeuions Cotle: The coniractors Ucense Law does not epply to en owner of property who builtls or improves t�ereon, and who coniracts for such project wlih e coniractor(s) license pUrsuant to the Conirectors License Lews.). ❑ I em exemp� under sec. Business antl Professions Cotle tor Ihis reason: Signatura: Date: Owner ID verifiad by dnvers license. ❑ Ves ❑ No Driver's License No. Vertlitatlon ot Owners�ip by (�ype of document, I.e. - property tav bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cenify that no excavation five (5) or more feet in depih imo which e person is required to descenq will be made in connection with worK euthodzetl by Ihis permit, and that no building siructure, scaHolding, talsework, or tlemolition or tlismantling thereof, will De more then thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminl5(rative Cotle). ❑ As owner-builder, I will not employ enyone to do work w�ich would require a permit from t�e Division of Intlustnal Satery, es noted above, unleu such person hes a permil to do such work trom the division. Signature: Date: Division ot Industnel Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF EMAV: I certity under penalry of perjury that I have reaC �his application and state that the inlormation given is correct. I agree to comply with all state laws entl ciry ortlinances relating lo building consiruction, and authodze representatives of ihe Giry ot Caste Mese to enter upon the above-described p�9perty tor inspaction vU�sas. l agree not to occupy or ellow occupancy ot any building auttwrized by this permit until tinal in5peclian. CODE �. INSPELTIOATYPE QAjE 7({$f��y 1676 Fizetl System Final Fire Prevention 1268 Pod Spe Finel 200 Finel RaRooi 201 Final Block/Fetaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Finel Demolition `�-Z� ZB 0 -�e CODE 1 INSPEC710N TYPE 20fi Final Mechanicel 208 Final Piombing 210 Final Elecirical 272 Final Flre Preventian 220 Final Planning Appro�al 222 Final Site 250 FinalBuilding/Occupancy OdIE ItI�ELfl PROJECT ADOflESS: 3 1 3% B RAY L N -aviirEasName: LITTLEFIELD, DAVID W noonEss: 3137 HRAY LN COSTA MESA,CA 92626 714) 540-5251 qBLM/ENGINEEB: ROONESS: uxiT: FLOOD; X 46 flEG.NO.: UNIT: PEHMITTEE: DAVID LITTLEFIELD ( 714 ) 540-5251 aoosess: 3137 BRAY LN C,M, CA 92626 LICENSE� CONTflFCTOP OECIABATION: I hereDy aifirm thai I am Iicense0 under pmvisions ol Chapter 9(commencinq wit� Section 7000� oi Drvision 3 0� �he Business an0 Pmlessions Cotle. anG my license is in full brce and enect. CITY UC.: STATE LIC.: CLASS: EXP : Date: Signalure: wOPREBS' COMPENSATION oECIAXATION: I AertOy aflirm Inai I Iwve a cenilicate of consent to sel4insure or a certificate of workers' Compensa�ion Insurance, ar a cenilied copy tnereof 15eaion 9800, lao. C). POLICY NO.: E%P. DATE: COMPANY: ❑ Cenilie0 copy is �ereby IurnisheE. ❑ Cetlilietl copY �5 fileE with ihe ciry BuilEing Oivision. Oate. ApDlicant: E%EMPTION FNOM WOHKENS' LOMPENSpTION OECIAflNTION: (T�is sedion neetl no� be com01ele0 ii �he permi� is �or one hunOreA (5100) or less�. I cenity Ihai in I�e petlorman[e of I�e work br which Ihis Oermil i5155ueG, I shall nol e y any person in any manner so as lo Gecome SUDlet1 �o ��e Workers' Compensa�ion Laws oI CaliiOmia. /f Oaie �� %2 � — �% Sipnature: (�� y NOTICE: II. alter making Ihis tleclaration, you shoultl Gecome lect to t�e Workers' Compensation pwvisions of the La�or Code, you mus� fotl�wilh comply with such provisions or ��is Dermit s�all be deemed revoked. CONSTBUCTION LENOING AGENCY: I hereby afiirm Ihat there is a constmction lentling agency fo� the peAormance o� the work �or which ihis peimil is issuetl (Section 3097. Civ. C). LENOEX: AOOflE55: OwNEB BUILOEfl OEClABp710N: I here�y aflirm Ihat I am exempt from the Coniraclors' State License Law (or tne lollowinp reason (Section 7031.5 Business and Prolessional CoUe: Any city ol county w�ich repuires a permit to consimct, alter, impmve, tlemolish, or reDair any siNcture. odor lo Iis issuance. also repuires the applicant tor sucn permi� to lile a signeJ statement that he/she is IicenseJ pursuant io ine pmvisions oi ibe Comractors' State Lirense Law (Chapter 9(commencinA ��h Section 7000) oi Division 3 of the Business an0 PmfeSsionS Cotle) or iha� �e/s�e is exemp� Iherelwm an0 ille Uasis lor ihe aliegetl exemption. Any Wolalion ot Seciion 7031.5 by any applicanl lor a permi� SUGjec15 I�e aODlicanl to a civil DQ^ally ol nol more Ihan hve �undretl tlollars (5500). I, as owner ol ihe pmperty ar my employees wilh waAes as their sole compensation, will do itle work, an0 ine ,❑ simcmre is not imeneee or onerea for sale 15ecaon 70a4. Business anE Professional CoOe: The Contracmrs' State License Law ' eoes noi apply to an owner oi a D�oDerty wtw OuilOs or impmves thereon, ana who does suc� waM himsell/�ersell or thmuAh nis or ner own emD�oYees. proviaee rtui sucn improvemems are nat inten0etl ar ottered far ule. 11. however Ine Euilaing or imp�avem¢nl i5 5W0 wil�in one year ol mmpleiion, ihe owner will have Ihe bur0en ofprwinp Ae/5Ae did no� Ouiltl or impmve lor I�e Ourpose ol sale�. I, as awner of t�e pwpeny. am exclusively comrac�ing wit� IicenseU contracmrs Io consimct �he pwiect (Seciion 70ad. Business ❑ anA PmlessiMs CaGe: T�e fAntractors' State license Law does not appty to an owner of OmDeny who CUACs or imDmves Nereon ane wno camracis for sucn pmiecis witn a contractoqsllicense pursuam m Ine Contractars' State License Law�. I am aware ttul pw01 of llleir Wotker's Com ensaiion insutance sMultl Oe D�otitletl to me. � I am eFempl unatr B�7 � Q Q g� P. C. iormareason: ��ER—BUILDr:ki I tlo �ere�y ce�ily I�al I am aware ai 2553c ana Ihal I o� any fulure Ouilaing permii lor consirut�ion or mo0ilicatio ill¢5¢ pf0Vi5i0n5. � Umec anE unEOrstana lhe r¢puir¢menis oiCali�o ' ealth and Safery CoOe Sections 25505, 25533, anU occu0ani wilVvnll no1(circle one) neeG Io compty with SaiE slaie fAEes and Ihe repuirements �or a n imm I�e Au Ouality Managemenl �is�nct. fleSiG¢nlial constmction application5 are eaempi Imm �ate: Ap06cant: I here�y t¢niiy I�a� I have reatl I�is applitaiion an0 S�aie Ihai I�e above in�orma�i0n i5 t0 CC I agree l0 wmpty vni� all Ciry antl couNy ortlinancesanUSlatelawsrelalingloOuildingconslmctionan0�ereGyam�orirerepr n ve oR�iscilyioenterupaniheabove-mentioneG praperty forinsoeclion purpases, oate' '� ,j`O � � signaw�e:_ Driver's license or Social Secwiiy .: �641�46 Wnile-9uiltling; Green—CoCe Enlorcamenl; Canary—ApplicanC Plnk—Revenue: GOICenmtl—Assessor CITY OF COSTA MESA — BUZLDING PERMIT PERMIT NO; B 070574 PLAN CHECK NO: N CONSTRUCTION TYPE; PERMIT TYPE: STR JOB DESCRIPTION : T/OFF RESTHEATH & REROOF W/COMP. SHINGLE CLAIM VALUE: 4,500.00 CALC—VALUE; 4,500.00 GR PERM NO: B 070574 GOVT; N SUPP: N PURPOSE: ALT SQ FT; 9,500 OUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY, 1991 UBC *ir**�****ir*+r+r�rir***rr�r**r*�r*�r*r*�r�r�r**r�*************rr*�******+rr***r*rr****�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 BUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN AEAR; FT IN FRNT; ET IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 14163413 ZNE: REF NO: PLANNING NdTES> • i �r*�r�r*�r�r�rw�r****+r*xwirir�r�r***i�itir***�ir�r+efrfr�t�r***�r***i�r*�r+rw�rr+r*rr***r�rxr�wit**�r*�rx****** D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N T S ZONING APPAOVED BY ___ DATE: BUILDZNG APPROVED BY ; APPLICATION ISSUED BY; if 1f 9E af ft it 1! iF 1f ff i! 1f 1F �F�F IF fF M if ik �F if iEifiEifillFikifiEifMifiEMffMMitiFitifif LEGALIZATION:N DATE: DATE; � ifiEfflfifiFiFiliFih �� 1FiEjFlF�fakifiEifiFifififMMifiEifiFififKiFifKMlfafiFi:if1l1lifi4lfiElE{FiFifiiiFlFftiF 1FiFiFif if* F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 72.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CAECK TOTAL PAID DUE TOTALS----> 72,50 0,00 0,00 72,50 72,50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 72,50 OVEA/SHORT: ,00 BLD72PM�T� PLUMBING ELECTRIC MECHANIC FIRE SMIP/TO�T GRADING PLAN—CFIECK MM1f1FMMifkitMltMMiFiEMfkitif41fiF1fifkiflfiflfitlFifilikififlfftMM41lMiFMif%ifitMklfilillfifillfifiEMiflflFftitiFififMillfiEjfiklfkiFit 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 4500 REAOOF HY VALUE RESIDENTIAL NOZONE 1.00 4,500,00 END OF FEES '� - �"4:E D�TECTOR i� tQU �R��..,� ai oa174'9v-�J0174�97 e�'q' ?�2.Su OATL: !2/oD/Y4 TItlF� lU.ui i CONSTRUCTION AND PIANNING ' POOL & SPA � APPROVALS Permit# Date Inspector APPROVALS Permit� Date Inspector i. 7empora�y Electrical Service or Po're 52. Pool & Equipment Location 2.. SOiI Pipe�Und,i9rnd} 53, Steel Reinforcement �; _3. �E12ct�ical Conc}'uiy Utility-Undrgrnd. 5A. Forms � A. Etectrical Cond'uit�Undrgrnd. 55. Electrical Bonding '.��'Si S�teei Reinforcxnient 56. Rough Plum6ing & P�essure �e{�t ��-6. ElectricalUFEFtGrnd. 57. APPflOVALTOCOVER�GUii[iE ' 7 JF.bonrjgs �; : 58. Electnca! CondumUndrgrnd. � -. " � $. Foundation r 59. Gas Pipe, u Undrgmo., Test . �. N�ater Pipe-UnePrqrnd. 60. Backwash L.ines. P�Trap, :7 Undrgmd. ' tEl. Structural Floor System 67. APPROVAL TO DECK 1 L Rroperri Sewer Line & House Connection 62. Backwash & Recepror�Final 12. S�Wet Cap 63. Heater & Vent�Final 1�3, Roof Drains �' 64. Plumbing System - F�nai � 1�4. Rough Plumbing � ;, 65. Electrical-Final 15. ROugh Elecvica6Conduit 66. Solar SYstem-Final 1B. Rough ElectriElNiring 67. Fencing & Access Approval lI. Rnugh Wiri�g•�'sign 68. APPROVED FOR PIASTERtNG 18. Rough Electric�l-T Bar Ceiling 69. POOUSPA SYSTEI�7S FINAI 19. Rough Heating & Air Condit�oning FIRE DEPT. REQUIREMENT _ - - � � .., .. 20:�+Rovgh P.acYoyy F.keplace � ='. :' � -� � ... • � �APPS3,�7V1�L•,�'3 y� Pe�'init # �`�.,'', ",,:_ 21..Ducis, in St�acture� � .. . _.- �.i • ' 70. �b�dery�.ounU Hvnro . . , t. 22. DuGts, Vent+latiny • ' �_ " '' � 77. Produc! pi,in_ t'j�G�s • �'i r.' .x P. 9 �Oil 23`;Ga:.?1ae�Rough & Tesc - y -, - � 72. Undergrmind Ftus�y�, � � - 24: �RObf Framing {� i . � � � ••6^ � ` � �� 7�' Undergrrt�l. Stor��e'iank'O Gas � 0�1 �� , . 25. Ra,of Sqeathing �� , ��/r�(�� qsG�(J�-'� 74^,�(Jverhead Hydrp-: , � 26� T-Bar Ceiling (Structurail &:Monocoat _ � ' � 7�r`-�', �qry Cheq.ijcal � ' '' � ' 27 'Frameand FJas ` �' ~ J ' � �;.. � � �`' �1' WP4 �.r : . . 76. Dry Stancpipe : r� 28. Le.hing& Siding � ^ 'a ^�7i 'r v �' �• ' '' 77,; FIXED SYSTE(;11�FINA� ^ "' ''29. Insulatlon � ; , � � � �� :. ' � 7�, FIRE PREV. FIN,hL � _ � . 30. Drywal4NaiAng C' " � �' ' ' HEALTN pEPT. REQUIR�MENT ,. -�31. Plas2er;�rowu�Coai � � � %, � �79.�FINAL�,r4�,SRECTf(}N � � ' _� ;; ., -. _.. , , � 32�..•Electrica7 Power:0.Aeter.�Final! � ''�80,�iF00D CERTIFICA7E ISSU�ED 33.':Final Electric :", j � �' ' f. .. Noi�es: -�ja ' _ �� r34r Firlal Heati g & Air• Conditiorting( � � ;^ � _. ' '0j � � 35.�Final G�S PIP?�Teji i , , i � ,,f n , � �� . , _ � , ., _,-+ _.n� � ..: �. ��_ ` _ _ .i36. Hood Or CanoPY� 7 � � �:.�1 _ � � � �.. .. ' i �' • . ' r r. � � .�. - . =:37: Pinal Factory Fireplace_„ � ' `� -� ' � ' • .', �� ; ♦ T� ti � x i _ -- - 38. FiRal Plumbing �-�. v •. .. -. i r �- Y " ��. �39. Water Service=FirnSP . ' � � '� � '� .,. � � . �� . . 'A0. Gae Service-FinaF;•'.. �, r,� ^ .n l i- • , � • , . - G: � 41. Solar pomestirFi}ial � ' ^ ' - ' �• • ". ' „ I � n' -7 L o c 42,�Sackflow Prevent�r, � �j " � • .. � � � -i :� 43. Backflow irii�ati�'m' " -. 4 . , , .`. ; � -; ]f1 F )' Y I% 't. " M J: .11 . • ;,44. Landscape Irrigatipn System,�: rr-n . � ' � � �' �' ' ' •- = �45.-Sound Atte�uaiiert �-'�-==� • ' � F" -�' � c , r r � +-�: �l � # :TF '*1 - G. . -, `46.�Handica'P Regulatio'ns .y �; ,. �n . . .. �r " ��.�- . . 47._FINAL STRUCTURE & SUfLDING 2 ��i'� " ''- ^ ' � ' r i " 48.-FINALPLANNIN�i ".". � . . " . t-r- - v I �_. . ,: , _, _ 49..�Electric Release to Edison ' , � ,� e + -� "�' , . �; . � o -50. Gas.Release to Sout}iern Calijornia Gas Cn , �. - • �: �� ' � 51. CER7IFICATE OF�OCCUPAtdCY :� , r'r J No. Date OWNER HAI{gOR HALL OF FAN�, INC. DATE NOV 3 0 t9�2 JOB ADDR�SS �1�7 Rrgy T.ane BUILDING PERMIT NO. 153� G�N�RAL CONTRACTOR Lifetime Residential Bld�. Corp. VALUE � 1� 0.90 AP No. LOT 9$ TRACT 4356 FIRE 7.ONI: DLSCRIPTION OF WORK ReS.H g.tt. INSP�CTIONS I Signaturel DATL GROUP I$;J TYPP �7 7.ONE R-1 Soil - G(/ �Q PERVIITS ISSUED ..__ . . , _ _ _ SUBCONTRACTOR ...,.,., .......,.... OCCUPANCY 0 iR�LR 18348 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MESA. CALIFORNIA For Applicanf +o Fill In Complefely TYPE OR PRINT BUILDING 3 � 3 7 %JY � ADDRESS � COSTA MESA. CALIFORNIA „wu�� Harbor Hall of Fame Homes Inc. �,T„ Santa Ana ARCHITHCf �TBID 225 ^A" St., Tustin ,R LiFetlme Residential 21j1 So. Artesia St. Santa Ana . TEL. 1 Lot 98, �T 4�r;'1'I�d j�76-B � r+ov 3 o Ys�� ' INANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only IiEGE1PT NO. PSiUd(T NO. , w. ar I D/��.i�e1�c�l iYL✓ BUILDING COSTA MESA. CALIFORNIA FIRE ZONING ZONE � NO. OF UBe OI � rutta J/ euitn� �eaw� �% . A c �-. _ s�ze 6000 � I r+o. ov e�oae. Q OF LOT Now or+ Lor A. P. NO. USE OF None YARD6 EXISTING BLDG. APPROVED 9CTBACK LINE FROM � � ( � (�MER LINH BTJ O 3iAeeT T REAR YARD •9 FRONT 1 t � I LEFT � RIGHT � R. SIDE 'S— DESCRIPTION OF WORK L. SIDE -s^ � X(� .. _.,.,._.,... � �� ............ � �<, q, 8B=ILDING lr�po� ROOMS 1� STORIES 1 l] COVERINGWr�aB�'ex ICOV�ERING S�13k@ USE OF BU{LDING AN `N� K TO BE P RFORMED Single fami y resi�dence 2� I HEPEBY ACNNOWL6D06 T T I XAVE READ TH18 APPLIWTION AND BTATE THAT TH6 �6 LORRBCT AN� AGfl TO COM- PLV WITN ALL CITY O CE8 �8T^J� LAWB �ULATING B1111.DIN0 CONBiRULT / � � / ■ AUTHORIZED AGENT APPROVED EVES � - �7�� y o n, THE AMOl1NT BHOW NDER VALUAiION I6 POR THE PUPP09E OP ¢6TABLIBHIN6 A PERMIT P¢E ONLY. VALUATION L PERMI7 FEE S [/��'� $ /// �5�� PLAN CNECK $ �/P J�