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Home My WebLink About381 WALNUT ST - Building Permits� � noox�ssoFew�ara 381 WALNUT ST ' w�r�Rseu�EiFp+a+++: CARNEY, JOHN ��«� CARNEY L ELAINE 381 WA`LNUT COSTA MESA,CA 92627 AFPL.WIIlNGi100NE5S ANCXIfECTON BI(iNEER: AqCll Ofl FNO: S AODRE55: uc. ra.: uxT: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 086785 PLAN CHECK NO: N CONSTRUCTION TYPE: ��—N PERMIT TYPE: STR UNT: coxm�cTarswu� LEE ROOFING (714)642-7223 CWfPACTORSMNIlNO 1653 SUPERIOR �ooaEss:COSTA MESA CA uc.ra.: 3496t36 92627 uHT: LICENSED COMRACTONS OKLAPATION: I Mreby afltm urder perety d pmjury ihet I em licerued uMx pwirions d CMqx 9 (mmmenarp wilh SMion ]000) d Oivrcion 9 d �he Buuneu aM Prolmaions CaEe, erd my 4cenea e in lull lace eid efled. cmuc.r+o.:06!9337 uc.cuss:C--39 ��c.No.: 349 ° EXP: 02/9II ome: � Z ]S — �'I �' camae«: �. � � /�ix�� OWNEN BUILDEP OECIAFATION: I hereby elfirtn unEer panely A per'ryry ihe� I em eaemq Iran tM Conlretlan lioenae Lew la Ihe 'Jlowinp reason (Seaion ]0�1.5 Bua'meae eM Profemio�u Cade: Any ciry or oouMy which iaquiree e pemiil b careVu 1, el�x, improve, ndeh, ar repei eny ei�ucture, pria to ib eauawe, ebo raquiree IM eppliraM /or euch pafmil to fila e ae�� M ihel he w eM licenned purwen� �o IM prn%ione d Ne GontrWon liceitve lew �Chepler 9(oommerciiq wilh Sedion ]OW) d Dhbbn 9 d �M auairrea end Prdeaun+ COEeI a Ihm M a Me u uemq �hereM1om arM �ha bm la Me elbpeE uamqion. My vidation d Secun J031.5 by eny eppliranl for a permn eubpcls tM eppl�ant �o e rnil perelry d na maa then Me huMred ddbre �5500�. � I.eaownerdlhepmparryrnmY�dW�'^MhwegesavtMieobmmpanaeiion.MillEONevroA.endiMei�ureoMinleMeE w oRereE Iw eela (Saclbn ]Oaa, Buaneas enC PrdessiansCotle: TM ConVetlon Licenae lewdoee rwl apON�o en owrw�ol propaM wM Wida a inD�wea Iheraon. enE who don euch wak himfeM n hanM a �Fuaqh hb a Mr own emV�Ww, Pr�� Ihe� euc� impwemeMs are rot imaMaA a allered la eele. tl. Fawever. iM WiN'up w'vnprweme�u'n eoN xithin ar year d completion. IM owner-W iNx �till heva �M buNen al pwiip M« aha d'd rid buiN a improw la �M WT�e d mb). � I. es m�mr d iM ProVaM, am udueiv<N oonVad'm9 wnh lioeneed com�anare to mmrutl iM P�letl (5edion 1061. Buei�a ud PMessione Cade: Tha Convuton Licensa Lew doae mt epply to en avmar d qopeM ��iNe a impoven Ihereon uM xfio convecla la ewA prqMs wilh e aMredor(e) Ikensed pu2uenl lo IM1e ConVeqqe Lioenaa Lewl. � I em uamq uMm Section: B. 8 P.C.. M Nu laamn: Dme: �� I da hareby carlity tlut I em ewere d eM uMeislend Ihe repuiremenia d Cdt«nie Heellh end Selety COEe Sed'am 25505. 255t3. end ?553a, eM thei I ar eny Mure Wikiip mwpent will I wll ria (tlrcb ma) neaA lo wmpy w4h eaid qme mdes eM �ha reyuiromenb M aPw�lacaretruciianormodifimionhan�MAi�y anWenrnt0imrid.ReeidentilomslrudionWG�iaroareezemqirantlme a�e. Data: ApploeM: WONKEF'S COMPENS�TION DECL�FA710N: I hereby elfirm uMer perielly d pe�ury aw ol �M blbwirq dadaiet'vn: ❑ in.vea�e.u�mana�r�.am�emim.en:�,�.w.on��ca�v��.mwwieear«Msea�ona�aoain.i.mr ��a� coae, �« �n� �no�ze «m..wx i« �.+:�n m�. va�u m�..�,ee. �I heva eM wil mvnten workare wmpameto� inaurerwa, ea mpuired by Sanim 3"!00 0l iM Lebor COEe. br �M peAormenro d �M wwk la wfiiM Mia parmn is ieeueE. My waka�e' mmpametbn inwrence famer end pdiry numbar ue: c�a STATE FUND EXPIkES adrvNumb«: 1 "i(1�94ft—�1'�� 06/30/9(i � ll�ia axvion mM na 6e camplered l t�e permAia lw one hundreE dolkrs /$IOJ/ a/uv.J � I cenLy ihet in Ihe pe�f«mence d iM woM la xAich t�ie pe�mtl ie esueE. I ehell iwl emdW e�Y Ge�� in eiry menner eo av lo n«o�a �dw �o m> �n�.� �o�� m� w c�no�,r. �a eo,� � b c�o�� .,pec m m. ..on�� v�� wa+a� a s«a� moo d ins �n« coa. i.�wi ionn.un o� o,�e t-2�—S s- a�w��: Cc2 , Waminp: Fellun b securo woAwi comperwtlon rovsnps b unl�wlul, enJ Mell w6Nc1 en xnp/oysr ro crlMnel psixl0�� enG c/H/ flrps up ro om hundrW thouuM OO/Mn lSf00,000A M eddltlon ro M� ewt ol eompxuetlort a�p� �+ p��bb br In Sxtlon Jl(K ol Ms leDor COM, Irrtw+�t uM ettomsy'� Isu. CONSTqUCTION LENUING AGENCY: I Mreby elfiim uMar qneM1y d parjwy Ihm tMre is e mnatrudion bMi�p eparu.y /a IM �nom,ence a ma .on� r« wn�d� mm w�+ �a 4s�ed Iseao� aos�, cw. q. LENDER'S NRME: LENDEN'S AU�fiE54: I ceniN �� I heve reeE Ihu eppl'ration end Aete iliet tha ebove inipmetron c mrieW. I epree to comWy wilh all ory aM ownry aAineMea rea an� e�ele lews rele�inB �o Wildin8 ��udion enE MreW euihoriza repraeemetivae d �his aryto emer upon Ihe ebova�membned paperry �0! 1119V��M11 plllp05BB. WALTER ROBERTS P Neme / (� e�/'' � Dete: / �Z8 — (O s�a�awreao�«i nVAp0liranVCOMredor (515tde.WP1 WM1no-Buikip 8 Setety: areemFb: Cenery-Appirant: Pink-Fevenue:Odtlanrod-Naeaaor ,E�9�-oo/d � PERM NO: B 0867U5 GOVT: N SUPP: N PURPOSE: OTH JOB DESCkIPTION : T/OFF & REROOF W/COMP. SQ FT; J,47G CLAIM VALUE: J,476.00 CALC—VALUE: 3,976.00 GROUP OCC: R-3 / COMMENTS: X �r*******�r*�***�+��**�*r.***�x�e**�**��**+�*��*+�****�r****�r**�***�**�c*****�**t�x*****� 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 HUILDING ----------- -------- ACCESSORY BUZLUING --------- FRNT: FT IN REAR: FT IN FRNT: FT ZN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT ZN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42630207 ZNE: REF T10: PLANNING NUTES> ��,- �E if iE iE iE iE iE iE iE if 1E iE ik if iElf' ik it-lE 3i'!f iF 1E iE iE'1E iE iE iE # iE iE jE if 3E iE 8E'N' �'1E'1Elf 1!'%iF ie iE'1E'lE 1t-0E �E'lf 3E iE')E 3E iE iE iE 3E i! iF iF i: iE iE iE iF �1F �E 1f i! iE jE iE �7E iE iF 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 5 ZONING APPROVED BY . DATE: EtUILDING APPROC�ED BY : DATE: APPLICATTON ISSUED bY: Ci�C� DATE: � Z L`lg �F �t if if if ik iE if iE ih iE iE 9E �f iE'1F 1f iE iE iE'1k iE3FTf3F if3FiF iF3i iF�i�3ii3Fif�3f7F iF SKiF3F iF3iiF iF�F iF lfifiFi�F �if3FiElE if 3E *!E �t iE jE iE iE if LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y bLDG FMT PLUMbING ELECTRIC MECAANIC FIkE SMIP/RES GRADING PERMIT 87.25 .50 SMIPlNON—RES PLAN ISSUE FEE BUILDING—UIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 87.75 0_00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 87.25 TOTAL PAID DUE 8"7.75 87.75 .00 87.75 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK .50 it jE 3E 3E �t 1h it 3F aE it it aE 3E jE if �]E iE jF iE jE it *#�! iE if 3f �tE iE it iE k it �E iE �E iE'iE iE 3E iE 3k 3E 3F 3E iE 3E �E �f iE iE iE iE it 3E 3E iE if 3E jE 3t-jt 1E �1E �E 3E iE �7E �1E 3F 3f iE �IE 3F �7E 9t dt �E if I N D I V I D U A L F E E H R E A F( D O W N TYPE QTY D E S C R I P T I U N tJNIT COST TOTAL COST SFR 39"/6 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,976.00 END OF FEES 'r D , I . Y • ► ,� .c:- �� . .. :�..�. JAN 2 � 1958 �� I1L OF COSTA MESA CONSTRUCTION ANDPLANNING - - POC SPA APPROYALS Permit # Date Inspector qppROVALS Permit # Date inspector t. Temporary Electrical Service or Pole 52. Pool & Equipment Locaxion � � • i 2. Soil Pipe-Undrgrnd. � 53. Steei Reinforcement 3. Electrical Conduit Utility�Undrgrnd. 54. Forms � '' 4. Electrical Conduit-Undrgrnd. ' S5. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPftOVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe•Undrgmd. _-/ 60. Backwash Lines, P�Trap, �'Undrgrnd. 10. Structural Fbor Svscem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final J 72. Sewer Cap � 63. Neater & Vent-Final ��'� 73. Roof Drains ,�': 64. Ptumbing SVstem - Finai ' 74. Rough Piumbing � 65. Electricai-Final 15. Rough Efectrlcai�Conduit ' 66. Solar System•Final 16. ftough Electric Wiring . 67. Pencing & Access ApProval � 17. flough Wiring Si9� ' 68. APPROVED FOR PLASTERING � 78. Rough Electricai-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIREMENT 20. flough F�ctory Fireplace � ' APPROVALS Permit # 27. Ducts, in Structure 70. Under9round Hydro 22. Ducts, Ventilating ' 71. Product Piping C� Gas C Oii 23. Gas Pipe-flough & Test 72. Underground Fiush 24. Roof Framing - 73. Underyrnd. Storaye Tank C' Gas ❑ Oil 25. Roof Sheathing Z. /L�b' �f 4. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monoeoat 75. Dry Chemical 27. FrameandFlashing 76. DryStandpipe 28. lathing & Siding 77. FIXED SYSTEM FINAL 29. insulation 78. FIRE PREV. FINAL 30. DrYWaII Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown�Coat 79. PINAI INSPECTION � � � 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Eleciric Notes; 34. Final Heeting & Air Conditioning � ! 35. Final Gas PiPe-Test � ''�C� i 36. Hood or Canopy _ . ��- i 37. Final Factory Pireplace _ �� 38. Final P�umbing � 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Fi�al � 42. Backflow Preventer 43. Backfiow Irrigation � � � „ 44. Landscape Irrigation System - - � 45. Sound Attenuation . ' ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAIPLANNING � 49. Electric Felease to Edison 50. Gas Reiease to Southern California Gas Ca 51. CERTIFICATE OF OCCUPANCY No. Da[e .0 Applicant lo fip In all soaces except those within �eavy Gortler lines anC slgn all aporoprfate tleclarations. �FY OF COSTA jMESA CONST UCTIOIVPER1viiT Project Address .% �� ApplicanYs Mailing AddrEss Owner's Name � � Phon ' J Addreu �� - Arch/Eng. , License No. � Address Contracto ' N � 7� � Phone��?�� Address (mailing) Ciry License No. �a� � `� � � � IICENSED CONTRACTOR DECLARATION 1 herepy afti�m that I am ��ensetl untle� O�ovi51on5 of Char[er 9(comm¢nCing with section 7000) of Division 3 0( the Business antl Professions Cotle, antl my Iicense is in full force a�tl etfect. License Class Litense No. Date S9nature 'vORKERS'COMPENSAYION DECLARATION �ereby afiirm that I have a ccrtifitate of consenl [o self-insure or a certiticate ,l Workers' Compensatio� Insurance, or a certifietl <o0Y �hereof (Section 3800, Lab. C.) Pollcy No. Company eCertifi¢C copy is hereby furnishetl. Certifietl copy is filetl with the <ity Builtling Oivision. � Date APPlitant E%EMPTION FROM WOfiKERS' COMPENSATION DECLARATION (Thissection neetl not be completetl it the permi[ is for one huntlretl (E300) or I¢ss). I cerH(y [hat in thE p¢rbfmance of tM1e wo�k (o� which thi5 Pe�m�t i5ls5u¢tl, I shall noc emoloy any person in any manner so as t come subject the WorkGr Co e a ion L9�+'S ot CalitOr a. Date �^��Si9nature �/?� NOTICE: I, afte making this tleclar n, you 5h ul become su ject to the Workers' Compensation provisions Ihe Labor Cotle, yoU must forthwith comply witn such provisions or this vermit shall be deemetl revoketl. CONSTRUCTION LEND�NG AGENCV I her¢by afflim that Ihe�e is a mnstruc[iOn lentling agency tov Ihe pertormance of tM1e work for whicM1 this permit is ISTu¢tl (Section 3097 Civ. C.) Lentler's �Name L.entler'S Aaaress OWNER 9UILDER UECLARATION I hereby affirm'that I am exemOt from tne Contractor's License L.aw for tne toiiowing reason (Section �031.5 Business an0 Professional Cotle: Any clty or COuOIy whiCh require5 a{Y¢rmit to ConStruGt, alt¢r, improve, tlemoli5h or rGpdir any sbvctute, priOr to its IsSUance, also tequires Ine applica0[ tOr such pe�mit IO i110 d 519024 SIdLCfflEOl Ifldl 112/SM1C IS IICCOSBC OUfSOdOS LO IbC pIOV151005 O� "�e Contractor's Li<ense l.aw (Chapter 9(commenting with SeCtion ]000) ot vi5ion 3 ot the Bu5ine55 antl Plote55ion5 Cotle) or that he/she i5 exempl crefrom antl the basis for the allegetl ezemption. Any violation of Section i031.5 by any applican< <or a permit subjects tM1e ap011cant to a civll penalty of not mo�e than five huntlretl tlollars (y500). �J I, as owner oi the property or my employees with wages'as thair sole compensation; will tlo ths �+ork, antl [ne structure is not Intentle0 or offeretl lor ule (Section 7044, Business antl Professional Cotle: The Con(ractor'S License taw tloes not apply to an owner oi a property who builtls or improves thereon, antl wno tloes such work himself/herself or through his or har own employees, provitletl that such improvements are not intendetl or offeretl for sdlG. II, however, th¢ bulltling or Improvement is soltl within one year of com- pletlon, the owner will h2�e tne burtlen oi proving he/she tlla not bwltl or im- rove for tne puroose at sa�e). I, as owner of the proOeJty, am exclusivety contracting wi[h Iicensetl mn- t actors to consbuct the pro�ect (Section 7044, Business antl Professions Cotle: Tha Contractor's License �w does not aOP�Y to an owner of prOpmty wh0 bulltls or improves thereOn, antl who contrac[s tor such projects with a con- tractor(s1 hcense pursuant to the ConVactor's �icense Law). I am aware that proof of tM1ei� Worker'S Compensation inSurance shoultl be provltletl to me. ❑�I am exempt under Section.T— B. & P. G loryfls reason Date Own¢r 1 have rea0itnis application antl state � I a9ree to`EOmply with dll City antl Wu to buil0ing construc[ion, anU hereby a tD.e�e� upOn [h¢ �ve-mentione0 TYPE OF CONSTRUCTION IJ NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH � OTHER �DESCRIPTION OF WORK/USE OF BLDG. — TVPE OE,PERMIT LI GRADING LI FOUNDATION LJ STftUCTURAL ❑ T�NANT � ELEGTRICAL ❑ PWMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5c�. FT. OCCUPANCv � CON STRVCTION TVPE VALUATION S_ ZONE GRADING CU. VOS. ACIiES_ Remarks: Backflow Preventer Backflow Irrigation rinking Fountains loor Orains loor Sinks as Service Outlets Sink Roof Reinspac[ion Fee � $15 Duct- Under Ground Duct - Strucaral Duct - Ventilating Exhaust System � Multiple Firepl/Fact. BIL ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 � Reinspaction Fee $75 �• CMF 0865-4fi, rev. 10/84 WM1ite - Bulltling; Canary - Applicant; Pink - Accountinq; Goltlenrotl - Assessor Showers Servite Sink � Sewef Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Aum-Wash Laundry Trays Issue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑o-ioa,000eTu ❑ioo,000eTu System Repair/Alteration fire Dampers � Regittus laue Fee FEES $ 3 FEES $ 3 A.P. �1` S Main Buildi E T Front B Fear A C Right K g Lett Ping. Ref. # Planning Notes: Automatic Washer Consvuction Pole Sub. Cooking Unit Dishwasher Dryers �Gas ❑Electric Fan F.A.U. Fixtures ' Device Boxes Outlets Switches Garbage Disposal Generator 00.5 KW �5-15 2995. 9/12/86 I Zone Accessory Building: ELECTRICAL . Transformer ❑ 75-50 KW ❑ 50+KW Meter LJup to 100 amps Meter �overi00amps Sub Panel Mo[ors �61 HP 01 h- 8 Inc.Solar �9-15 HP �16�15+ Microwave Pole Light � Range Standing Sections Trash Compacmr Fee �$15 � � Issue Fae FEES $ 3 2 O N I N G R E � M T S DEVELOPMENT SERVICES REQUIREMENTS: - Zoning Approved By Date Building Approved By Date Appliption laued By Date 9� , � SUMMARV OF FEES BUILDING PERMIT $ SM�P $ ' PLAN CHECK $ PEFMIT � PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ � GRADING� 5 PLANCHECK 50°6 $ MICROFILM $ �/j �7� MECHANICAL $ TOTAL FEE $ � PLAN CHECK -25% $ CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit# Date Inspector qppROVALS 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 Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd, 8. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer �ine & 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 # _ 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough $i Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ 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 L�, g (P 80. FOOD CERTIFICATE ISSUED ' 33. Final Electrjc � y`. f Notes: ^ � G , 34. Final Heating & Air Conditioning - � i � w n ��i �r 35. Final Gas Pipe-Test � 6 36. Hood or Canopy . ' 37�-Final Factory Fireplace , ` � ' 38. Final Plumbing ' � .f ! . 39: Water Service-Final • ' � - 40. Gas Service-Fina1 ' 41. Solar pomestic-Final ' � 42. Backflow Preventer � ' ° r� � 43. Backflow Irrigation . , . • �44. Landscape Irrigation System � � .• � 45. Sound Attenuation � ' • 4i , 46. Hand'rcap Regulations . ` 47. FINAL STRUCTURE & BUILDING . , � � 48. Special Requiremente Completed - 49' Electric Release to Edison � � `! f b'L 50. Gas Release to Southern California Gas Cn � 51. CERTIFICATE OF OCCUPANCY No. Date � COUNT]s OF ORANGE BUII.DING DEPT. 636 No. Broadway Santa Ma, Cali(omia , Phove: KI 2-6211 1. OWNER'S NAM MAILING ADDR] Name -� ---------- - - Address ............._--.. City------"--------------'-- S[ate Lic No.---- -��--- - �PROPOSED USE: e npplication for Bui6direg.iPermit AND FOR A Certificate of Use and Occupancy (Archirett or Enginecr) Name Address City .... State Lic. No. Da[e"--'Y..�.`.'��_"'-�--_-...1 �.��.._'---" ...............-- -... PHONE:L1'0..---/----3-�-�--Y..1 --�... CITY..,f�-��'.� �� .....�..-:-..�.�..-�- (Connattor) 2. JOB LOCATION .......... ...�__ .. ..---- -------. ....-- ---�---- -..... "............ - S'Q�`-�--- ./..'."ur`�.._-- ---.......- ------- --�------�-- (House No.) (Name of Stree[ (Town or School District) NAME OF AND DIRECTION FROM NEAREST CROSS STREET ..........................................................................._...__ q �`�-.. - 3. LEGAL DESCRIPTION: L -- --- --- - • �--- ---- � - 4---......Black ----- --------- ---- -----._....-----......---. Tract .. .��.._! _�p....---�-- ---.....---- (Metes and 8ounds Desaipti n—Use reverse ide o( form) 4. CORNER LOT ( ) INTERIOR LOT (%� THROUGH LOT ( ) SLOPE OF LOT ( > a i� e r a :,._ ..-�. � G/,,�j :�'?i;^''SIZE OF BLDG.:..�'......A�.G----...AREA:.. �O 5U....---- ...SIZE OF LOT:-- -'O � .X....../�1.......AREA: - � �'�-- _� 2.......... ' � � / / 6. HEIGHT OF BLDG.:.-------.�.`.1 ......................_---CEILING.HEIGHT:----.-�_........-----._.......NO. OF STORIES---------�--................. G — 7. NO. FAMILIES ..............�_........___.........Size of Smallest Bedroom:...._I...�X_Lb..�......... Size of Kitchen.......� :i..L� ............ 3. EXTERIOR WALL CONSTRUGTION:.....:L`.�:`.:`:.`.:�p............INTERIOR WALL COVERING.. --��------ (Prame, Stuccq Etc.) 7 Q � (Plascer•Drywa]!, Etc.) � � ROOFING COVE2ING .... -- - ---�-- �UcL:c-1.... �!��.�,�:� � ...... ..................... - ................... -- .... -- ...... 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GNE USE OF ( 70. SETBACKS: Frant Yard From Center Line of Strcet ................'---_._'�c........_____-....--.------.--...-_---.-----------'_--'-'-_---_...-___'-"_--.-- / � � � ^� G Nearut Side Yard ........................Rear Yazd....... .. :�.J..Distance in Feet Between Bldgs. on Same Lot...........��................_................ (Pmperty Line) (YcoDcrry Linc) 11. A COMPLLTE PLOT PLAN IS REQUIRED, SHOV✓ING ALL STRUCTURES AND USE OP EACH. r/ // 4 12. (a) Footing: Width--'-....---_�-y------_'---_---...Depth in Ground........_.�t2 ...............Width of Wall------_.�.�.---_--_---......-_- • �• . ' _ � p (b) Size of Studs:.......�`�..(.t...�Z�............Spaung...._1�../�.........:'CC Material of Floor...��. u-`��--�----- .� .i ii c Size of Floor Joists:...._.._..5.�..1Y_�.._ ................Spacin ,6--..---.-.------..--_"CC � ) g ............... . t i. ] a. d Size of Rafters:.-_-..�.l.t..�. r ......................Spacin .��. -�.y---._.......:'CC � ) - � ............. VALUATION OF PROPOSED GWORK: Including all lab�r, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $----�-� e o... \ ................. , , I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF Plans Signed By: � (AuthorizeJAgent) � � FOR DEPARTMENTAL USE ONLY FEES: � GO Bldg. Permit - �. j� GROUP..�.�..---....-----.......... '�` �--�y.L...--`--"---- TYPE....__--- Plan Check ' S----`�----=.. � ---------------------' ---- 6-�------.- DIST. Total . , . $.��.'-�-`....---�- - .... Receipt No. • .% Iv1`SP-----L•----.._�... -------- . __...:> - Paid to • ' -9�------------- SHEET NO.--�--------�� J % Date � -----.....-'-----�-----�-�--�----'--.......-'--" -----"--------'--------.- ...............'-- PERMIT DATE-----r...�...."../�----�-• --�y --�---------'-`o`�� s000--v-sa (...'ri�C,:jC1Nli tiY Qad'�C APPLICATION../�fl�_/..� HEALTH ............................ ZONING----...----`�---.. FIRE PLANS AND -� MARSHAL ......................... SPEC'5..._.........._.......---- STATE------------ -------- CORRECTIONS ENGINEER c, C� 1'�'' COUNTY OF ORANGE BUII.DING DEPT. 636 No. Broadway � Santa Ma, California � Phone: KI 2-6211 1. OWNER'S MAILING Name _......__. Address _..._. : - ) Application for Building Permit AND FOR A . Certificate of Use and Occupancy (Archicect or Engineer) Name Address Permit No.__�.-1�.�_�:. Datz----�--�-`------.....� ��JZ ..... .........----------.. ......_..--- PHONE:.{�---�=39`%!- CITY----/.�':_�`� ="l,�¢...._.v.�....�. _ � / (Contracror) City_ `-' - -- -- -- - -.......... -` -.....-` -- --'--....--... City .......... .........--...-------'- --........ -` ...- •--- ---....._.....------" -- Stace State Lic. No. - -- -� ---- - -- �- ------. Phone- � --- --- ..._------------- ---- - Lic. No......_................_.........---------- Phone -- ----....---------......--�-- PROPOSEI z. Jos r.oCn (Hous¢ No.) (Name o( Stree[) (Town or Schoo] District) NAD4E OF AND DIRECTION FROM Iv'EAREST CROSS STREET ................................................................................................ 3. LEGALDESCRIPTION: Lot.I..�"..��/� -?�l._---�`...�..---...Block ----------------------------�- -------... Tract......._`3i.�1.:.-- --------- - (Metu and Bounds Description—Use reverse�side of form) 4. CORNER LOT ( ) INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:-------,p�C-.}[2C....AREA:- -.-�I..�.�----...._..SIZE OF L�tYL�.�.L...AREA:- �--9`�- L�- --.. / 6. HEIGHT OF BLDG .:...........%_�.......................CEILING HEIGHT:........._..... ................ O. OF STORIES__..___.__..1..___.__...__.... 7. NO. FAMILIES---_---,--------- ...............Size of Smallest Bedroom:---,............---...........-----.... Size of Kitchen----------......-----------....... 8. EXTERIOR WALL CONSTRUCTION:.._._��:.`'��....__.....__.INTERIOR WALL COVERING......�,Y�� (Fravie, Scumo, Etc.) � - , (Plastcr•Drywall, Etc.) / ROOFING COV[RING .... - --... � - �- ...... . -�- ---f�� - -- �� ---��- .. ........ ......... � ........._......... - 9. STATE HOW MANY IIUILDINGS NOW ON LOT AND GNE USE OF 10. SETBACKS: Front Yatd From Center Line of Street-_ ................../....��.-- /__--..----.--.-------.--.-_---_-_-.........---........-.-_--........_............_.-- �, // // C / � � �jii Nearest Side Yard...._.. i7F...%�.._.Rear Yazd....... o......._...Distance in Feet Between Bldgs. on Same Lot ............._F........._._......... (Property Line) (Property Line) 11. A COMPLETE PLOT PLAN IS REQUI2ED, SHOWINC ALL STRUCTURES AND USE OF EACH. !/ �i I2. (a) Footing: Width-----...----�.-y--------.--.-----Depth in Ground.........��.....------WidthofWall-----------------------....-- (b) Size of Studs-----------------------------Spacing..---.._---....-.--------.:'CC Material of Floor-------_��L.G..----------.......... (c) Size of (d) Size of "CC "CC 13. VALUATIOA' OF PRO �FD�WORK: Induding all labor, plumbing, electrical wiring, }ieating, fire sprinklers, painting and v� sewage disposal $--'-----•-- ...------'--"-------"----'-_ 14. I HEREBY CER7IFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF C�I�ORNIA APPLICABLE THERETO. Plans Bldg. Permit Plan Check rotal • - Receipt No. Paid to - FEES: o, u ' $---�-�` �-� ----.... . R I By .� •�-t—� „ FOR DEPARTMENTAL USE ONLY �+ GROUP- -N�.- -- ........_.... T Y P E---.....!� ----- ............. DIST. �---- G�---R..---� -- SHEET NO_---.�..L ----.....----- DATE..------£.�-�---'.... f_--�_._.7.'.�.. s000--�-s� GHE(;.KING BY m.� J� APPLICATION.d-i!_!Y. HEALTH ............................ ZONING-------------�'.' --- PLANS AND �i SPEC'5.--�---... �---........-� .. CORRECTIONS V E RIFI ED ............... _----._ FIRE MAR SHAL.--_--------......... STATE........-----�-- ----...... ENGINEER