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HomeMy WebLinkAbout169 WALNUT ST - Building Permits CITY OF COSTA MESA F y�' '"�' �IBUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT 0. rirea iktlborato se PERMIT PERMIT NUMBER ,.......----- E99-00112 �E99-00112 (714)754-5273'• Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT ��/,i Job Address: 16/ WALNUT ST Status: ISSUED Suite No Applied: 02/18/1999 Vicinity: Issued: 02/18/1999 Parcel Nunmber: 42603216 Applicant: METZGER, ALEX Address: 6625 VIA ARROYO Phone: -714.826.6980 : BUENA PARK Zip: 90620 Owner WHELAN, JOHN F ' Address %WHELAN PROPERTY MGNT - - _ • COSTA MESA,CA - Phone: . . `. ' 3140 BEAR ST STE 230 Zip: 92626 ' Contractor A M ELECTRICAL , Address: 6625 VIA ARROYO • Phone: 714.826.6980 • • BUENA PARK : • ,Zip:- 90620 • : ' • License:- 681767 ' SCOPE OF PERMIT 100 AMP BUILDING PANEL UP-GRADE. BLDG.MAY BE MARKED AS 169 RATHER THAN 164. FOR END BUILDING#"E". ' _FEE SUMMARY, •', • Quantity quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 8.. $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 , Pool/Spa $0.00 0 up to 10 kva/kw $0.00 ' 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches • $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl ' $0.00 0 .Low Volt Wiring System/Ckt $0.00 0 Service to 200a $27.25 1 , Misc.,Conduit . $0.00 0 Service to 1000a $0.00 0 • 'Misc.Conductor $0.00 0 Service over 1000a $0.00 0 ' , Circus.(gen'or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 • Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 • • 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 180 days. INSPECTIONS: In order for the work authorized under this permit 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 inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the. work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California.and agree that 11 I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p i mons. , Applicant Signature: Date: r, .()e.G Q WARNING:FAILURE TO SECURE ORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN ADDITION TO THE MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lac.# Claes C Contractor's Signature: Date: (-9Q CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: ^• OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity 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 the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of 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 hand a quantity of acutely 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). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No ❑ (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. J 'yy - •. -.:IOwner(s) Date / ` d/Or Authorized Applicant Date CODES INSEECIIO1IUEE BATE MUSS CODEl 185PFCTION TYPE PATE IMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing � � 200 Final Re-Roof 210 Final Electrical r 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 2446-46 , •.Parcel Table Maintenance 19E113 ParceliNo:, 426-032-16 _ Alt Keys I _-- - -- -- - U date !Back Eli[ Primary Address Address _ General Information .. Crtyld CM" -� Subdivision: Nm .` 9Drr / Slices Name .11/ — -- 169 ''FITIV'JAL-NUT.ST" i _ _ Lot: F Frac, it - IefeotAnAdaress, .. •I Area: 0.00 Acres: 0.00 'I I Zoning: i! Silos; _ l x'164 WALNUT 5T CM _ _ J Census,Tract _Cen.Block: ' I` _- � - X Coord; Y1 Erten!: PrimaryOwnenlnforrriation - (k „ J:eaaliDesc_riation. +I game:,,17-7-9 WHELAN,JOHN F I NEWPORT HEIGHTS LOT 182S J I Addresi1 %WHELAN PROPERTY MGNT ' i i. Addressj2' 3140 BEAR ST STE 230 ! •c +I Address 3: COSTA MESA,CA : Ii � - :Zipg 92626 r 111t7 Phone T:, U �0�seiCode_ + -- ,e ?hone'2.-. - — - — 4 Notation: TRA:' 15007 t:nil.Exemp �� J StatuiiiActive Ii±i ,.GGtOwned:❑il PROPERTY INFORMATION 2 1) Prop- ALNUT ST, COSTA MESA CA 92627-2240 C040 APN: • •-03m Use: OP County: ORANGE, CA Tax Rate Area: 15007 Total Value: $92,983 Census: 632.02 Prop Tax: $1,393.54 Land Value: $33,414 Map Pg: 31-D2 Delinq Tax Yr: Impry Value: $59,569 New Pg: 889-A3 Exemptions: Assd Yr: 1998 Phone: % Improved: 64% Owner: WHELAN JOHN F Mail: 3140BEARST#230; COSTA MESA CA 92626-2964 C/O%WHELAN PROPERTY MGNT SALES INFORMATION I u ' :O . Alt/ LAST SALE PRIOR SALE Bldg/Liv Transfer Date: 05/31/1974 # Units: Sale Price/Type: $80,000 FULL # Bldgs: Document#: 1115900875 #Stories: Document Type: $/SF: $138.89 1stTD/Type: Yrblt/Eff: CVO Finance: Total Rms: Junior TD: Bedrms: 1 Lender: Baths(F/H): 1 Fireplace: Seller: Pool: Title Company: Bsmt Area: Transfer Info: Construct: #Parcels/Last Sale: Flooring: SITE INFORMATION Air Cond: Heat Type: Improve Type: Lot Size: A0.400 Quality: Zoning: Lot Area: 17,539 Condition: County Use: 1 Parking: Style: Bldg Class: Park Spaces: Other Rooms: Flood Panel: 060212-0054E Site Influence: Phys Chars: Legal: NEWPORT HEIGHTS LOT 182 SELY 159.3 FT NW Comments: © 1996 Win2Data 2000 Page: 1 of 1 iliPAA44GE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT • 636 North Broadway 6 ' ' SANTA ANA, CALIFORNIA • BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. BUILDING / I 60 Lij U7 �T � ' \ ADDRESS o l/� y J L/ 75/ 0 SCHOOL DIST. 1 Lc , 7....:.L:EJtI DATE RECD. DATES ISSSUEED OR TOWN //a, e�/G T/ A�_ . ,s3---/e T CROSS NEARES T. \ I Q 6,.,,) �1 c 1 tr. /.y( ��, , 3 0- g5-_,-3 ` OWNER ♦ ADDR INC / `1 YL /0e-//J'1!_[/Y • MAILD6�> is �L1Iff99'V` �� I ADDRESS _/ ADDRESS A .t.toC-. 1 "��A 4_,.. ..,.„,, °t,cA „, SCHOOL DIST. I 1 nits � ( II OR TOWN l�/ C �ji2j� • CITY Inc T AI.• ni • ) t\, NO. NEAREST 0 A t _ CROSS ST. �Kl-'r^ ARCHITECT OR M f, - LIC.//'� .f\. WE NO. OF GROUP ENGINEER A C 1 tI A f ._I-_ Ndl./�oj.^� 1 ) /� I PLANS I I rI— ADDRESS ./x;/01 F. I -AA ` /4 IPI I AppROVED`1�yr[' .�/'��( ..65-7?a-5- I_ NTRACTOR \ AIT 1 LIC. NBY ] {i DATE CORRECTIONS ADDRESSk LEGAL LOT I, �p^(//' DESCRIPTION I NO. I,4/_I. BLOCK I TRACT 1 ' - a,J., �c nr'I� /IC7hie t_ " G; � �__� IATTACH METES @r00 POUNDS/ 7/./�O. OF BLOCS. I'I D. , SIZE OF LOT ��+F `l'(.' I NOW/ ON LOT N (9F1. �.I W�4o ,, USE OF II--N,OeOF NO_OF �/-LA,- �� EXISTING BLDG: I�Aw ITr I.•,,NO_ 5r Q(.Q-IyGi SETBACK LINE FROM: I REAR YARD�j_T 7 �Ft, /lq I/L.v../ CENTER OF STREET .JO SIDE YARD 'y .T (/J,� DESCRIPTION, OF WORK ��� iy O NEW I' I ALTERATION I I ADDITION I // ,71/- eit D .W ✓ r IOQ REPAIR I I MOVING I I DEMOLISH BUILDINGl NO. OF SIZE i.^. /- 7 ROOMS nV STORIES LI EXTERIOR WALL i ROOF { �,U/� -3 S3 OVERING I �� .-I-COVE NG �q�/1 a. r 2 er, / ,n •E OF NEW/ /ll AP OVALS FOUNDATION: LOCATION INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FINDERIPI7NNERI ALS 4:A/'/(J g-_3_53 APPLICATION AND STATE THAT THE ABOVE IS CORRECT FIRE STOPS. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: ���� 8--1,5-.....5.- AND . ¢ STATE LAWS R GUL TING BUILDING CONSTRUCTION. BRACING. BOLTS I ) rt 11.4')fi LATH. INT. { /,,r^i F.�� p SIGNATURE OF ( 17 .:e.• �ZATH. EXT. Q. PERMITTE fI SAP I 1. PLASTER. INT. AUTHORIZED AGT. PLASTER, EXT. PERMIT FEE Si; i MASONRY REINFORCED VALUATION +.Gelt,, PLAN CHECK ryS/�/y�� BOND BEAM /]y� ,�j • _ I____a `I • •FEE ' 3/ � F INAL ] 1/170 / 4� '-G �' FEE /*- . LU Z 41 • • ; a: I 1- . • • 0. Er s. t . - •' , ; " • ` . • • I ' • . • - „ • C.?\ • • ; •• ( ' • • Ott "• ..z STREET PLOT PLAN Show location -and distances from' property line and between buildings. • • . I • • • s• , ?scsa. . RS- gt ava- - 0 0 Oa 6 Z Ger OWNER Dave Galloway DATE 3-15-514 JOB ADDRESS 169 Walnut P1. BUILDING PERMIT NO. 127 GENERAL CONTRACTOR Owner-Builder VALUE $ 9,100.00 L` AP#118-052-15 BLOCK TRACT Duplex GROUP J TYPE V ZONE R-4 FIRE DISTRICT ��3 PERMITS ISSUED INSPECTIONS DATF SUBCONTRACTOR �C/ DATE NUMBER Footing Trench 11'ea. f jCi Foundation Forms anc4Grad to,Garage LU12 OU •f9 0ugh tan. 8 '•N(,A/D�,/ (AK cw .3-..�4-.3-c/ ai.02.2.-cPlumbing,Rough Complete ,)/.Li / / J Temporary Pole �// T7 Wiring, Rough )GL�� J �� Will. S� ill c. 7�air .�b O Heating,Rough —�7"Lv/� / J .� -3p•.4 02, 2;5 Heating,Final �-ev/ ��,`' Sir Sewer \tet-- .n1 — • i N G-/f,tv Se-''l Tank or Cesspool 416 A{ L .g5fuctoIn;titiaten /4W4 .tit y Plastering } ./ Plumbing,Final,Fixtures Complete/ .2 r Plumbing,Final Gas Test nor/fr --,e q,(Q c c 7 air `GL Wiring,Final �''/�'tA-IS 7 , y- _le' C ..-U:-• rte/ L -) e-/-- Occupancy c.0/` 7--.1-/ Ste/ Form 210 f H 161 12-63 Costa Mesa Building Department APPLICATION FOR PERMIT • 111 EAST 20th STREET 123 _--_. BUILDING.. - :_'�" COSTA MESA• , CALIFORNIA �' FOR OFFICE USE ONLY FOR APPLICANT TO IN, • Receipt N� Permit No. Building /G 7 . wq /Air ii _ 1 ,- �'.3 I .7-:7 • Address Costa Mesa, Califo is hRece've by Date Recd. Da Isiu d Nearest v ' r MA2 3 M t hie Cross St. �U kLFR ro N Building / / I � r ' Address f 6( W ALW()-r 1i L Owner km. 7)/a-vr `7/.� LL 0 levet/ Mail Costa Mesa, California • Address n'o ' WR- ,i Nur Pt. Nearest Tel. Cites St. City Co S TA M c- .(A No. Zone���jjj I plans V/ �7 Engineer No. -- App oved by Date ' i en 7-1'J CORRE TIONS i� / Noy Licylt Contractor 0 W11eh' I)wl (der'.r�No. �/�"/ � r Address /6 et alai f/, l Fitf , . DescriLeption I No.l i Lot Rp b/ IOBlockS i Tract - � "L-j�' , j (Attach Metes and Bounds) / n �l� 1 (A, • \ /No.ot'$Idgs. (, Size of Lot S3 ( /VO • I Now on Lot A/DM a ,�• - Use of I No.of No.of :;.t ' 1 / .. t Existing Bldg. I Families ( Rooms Setback Line from Rear Yard .34-1 - -- 1 t y Center of Street Side Yard 2.1 ' �r"i y DESCRIPTION OF WORK " New Ix I Alteration I I Addition I A niter Repair I I Moving 1 I Demolish I •,,' . Building No.of / - --e Rooms Stories erior Wall , Roof p.)PA i IT _ -use ,, ee.eCo I Covering ,t-hjely OS v APPROVALS dNew Building DU Pie Y 17W0//)::“.1 Foundation Location Inspector Date Forms,Materials, Under-Pinning - Frame: Fire Stops, Bracing,Bolts Lath. Int. -- I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee Z Q 'i..l'-F'ls='- 0'�'�, d Plaster,Ext. Authorized Agt. Masonry Reinforced Valuation Permit Fee $ x.?i— �li / Plan Check $ 3 — Bond Beam \$ Qmoo Total �� Fee $ FINAL `form 203 b- I M 12.53 ' • 1.3 C O 7.1 d • Street PLOT PLAN Show location and distances from property line and between buildings. 419 YekU gain Vfnknlaila Compensation ixteu' set Yes ❑ ❑ No am flare of Provision 3700 of the State Labor Code which requires every employer to be insured against liability for Work-Wan r compensation, OWNER GALLOWAY. DAVEDATE 4 3-15-55 0J , JOB ADDRESS 169 Nalnut Place BUILDING PERMIT NO. 1018 GENERAL CONTRACTOR Owner-Builder VALUE $ 7,240.00 LO, AP# 118-052-22 & 23 BLOCK TRACT 2 Story Double Garage with apartment above, as per Var ;90 GROUP I TYPE V ZONE Rh FIRE DISTRICT i 1010 PERMITS ISSUED ' I ?NSPECTIONS D E SUBCONTRACTOR _, _r DATE NUMBER Footing Trench /cGi aJ j (---1/4, Cpsta Mesa Building Department / APPLICATION FOR PERMIT l . 111 EAST 20th STREET /1 , 010.- S-U I L D IP— '•� COSTA MESA, CALIFORNIA V V 1- '. . µ FOR OFFICE USE ONLY . FOB/APPLICANT FILL IN R ceipt No. • PermitLNo. • Building )�� , /�/� /. .y _ / Address / (1 i t= t 6 / : 2 ,f Received 6y, Date Re d. Date Issued ' Costa Mesa, Ca ' ornia _ .. Nearest �+ / y� T-r-� _ `3 to -S S� 3- ISS=.cr Cross St. f'L' `t'-/'( L i'(. E--' Buildin� /111 • Address t . Owner 12177V f`: C b- l_ ___ Costa Mesa, California Mail (Address kWh( Rt.( /. r /c--( Nearest , i / / Tel. Cross St. City CoS/ /¢ -&,i No. • _ Zone , / No.of Type _ / I Group A" Architect or 1 Lic. z �� I Dtans Ii V I .fr Engineer CC44V'W ,%l(dQr No. Approved / / ;, by /..,li f�/ Date3,6 jr . '-lress _,e3nte•-• ' dORRECTIONS e. • City Lic. :; wntractor "so. - No. 'C.-- " Address "..^_ •►�� r-...meq • J•'�i���� N� ?Je- Legal O- ',✓ Description 1 Lot No. /$f-.ftn1 IBt-cW1-- I Tract l b2.4 1:erailllisil II nn qnr (Attach Mete�a'pdounds) } I';}li J r. .,/- 5�.3� p No.of Bldgs. l Size of Lot /V4;X /6c•3— I Now on Lot Z ; ..►� - - - - 0 • Use of -7LF-G•j No.of {J No.of ' TY—OE—COSTA—MESA-1, / [ t� 70 Existibg Bldg. RGt I Families/ I Rooms20 ^ +-1—OF—COSiA—MESA Setback Line from /6 Rear Yard •01* .a`•— : - ta-4----t e_-;,. t Q Z , Center of Street Pe .'e7 Side Yard 4-13- 'y- ''/jp',.f✓' y DESCRIPTION OF WORK r New I X. I Alteration I I Addition I ' ':v Repair I Moving I I Demolish I /^ / i - - _ -,-_ ' w Building �`xX/U No.of 0-2.4..i i `_- , -- _.. .c "'e )..0 X 37 Rooms 6Stories riorwall I Roof ggsPh, jJny e F APPROVALS • �. .ering .$ �afCl.i Coverin 77 ' h Use of New • Building - • " tZ Foundation Location Inspector Date Forms, Materials, , '. Under-Pinning .a - •' `. •-- Frame: Fire Stops, _ - � Bracing,Bolts eta d„ Lath. Int. I hereby acknowlecCe that I have read this Application and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating , building construction. �7 Signature of Z /L _ 6j/ ? Plaster,Int. Permittee (�✓`✓" GL�Y .; Plaster, Ext. Authorized Agt. a Masonry Reinforced Valuation Permit Fee $ .a-O. e D Plan Check $ 3_ e a Bond Beam $ a- ,40 . — Total _ Fee $ J-3- d G FINAL llh. • vnrm 209 1:-H M 12-53 C C C • -44 J c d • 2a a • a • • • j .. Y Street, • • PLOT PLAN • • -- Show location and distances from property line and between buildings. • 1