HomeMy WebLinkAbout1356 WATSON AVE - Building Permits rADDRESSOFRUILDINO: 1356 WATSON AV DHT` CITY OF COSTA MESA — BUILDING PERMIT
....OWNERS NAME IF KNOWN: KING, JOANNE FLOOD : X 46
ADDRESS: 1086 VISALIA DR PERM NO: B 074273
COSTA MESA, CA 92626 PERMIT NO; B 074273 PLAN CHECK NO: N GOVT: N SUPP : N
556-1736
APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORDNONER: UC.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COMP SHINGLES SQ FT; 5, 330
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: 5, 330 . 00 CALC—VALUE: 5, 330 . 00 GROUP OCC: R-3 /M-1
CONTRACTORS NAME CALTON ROOFING ( 714 ) 549-2725 ,
CCNTRACTORSMMWNO 3125 MCKINLEY COMMENTS : SMOKE DETECTORS ARE REQUIRED PER 91UBC REROOF 2600SF RESIDENCE�/ +
ADDRESS: COSTA MESA CA ucNO.: 587704 *********************************************'***************'*AVIA 3t
92626 uxr: ZONING R EQU I R EMENT S TEQT'C R
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I em Keened under provisions of Chapter S S E T B A C K S qD I RED
(commenting with Section 7000)of Division 3 of the Business And Professions Code,and my Scenes u In full force end effect.
CITY UG.No.: 051149 UC.CLASS: C39 UC.NO.: 587704/ A EXP:n10/95 MAIN BUILDING ACCESSORY BUIIL;.av
�} —7.ri— 7s term a«: t �1 /`�rA'� ` FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date 9 / LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under pen°fiY of perjury that I em exempt from the Contractors License Law for the
ldiwkg reason(Section 7031.5 Bushes'and Professions code:Any city o county which requires a permit to combed.alter.improve, PARKING REQ: P ROV: PARCEL: 1410 3111 Z N E: REF NO: •
'..md'ih,or repair any structure,odor toss issuance,also requires the applicant for such permit to Be a signed statement that he or she
'sensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DMeion 3 of the PLANNING NOTES>
sinew,end Prdesions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section >
r031.5 by any applicant for a permit subject*the apdcem to a era penally of not moa than free hundred dams poop. **_**.**.*******.********.********34****3434***,*„****34*******************************ie i*
❑ I,es owner o the propeneor my employees wih wages art their sole compensation.win do the wok,and he structure a not wended
DEVELOPMENT SERVICES REQUIREMENT% S«
offered for sale(Section 7044.Business and Proleesions Code:The Contractors License Law does not apply loan owner of proe)
who buids or improves thereon.mrd who does such work himself or herself«through «her own employees.provided that such
improvements are not wended or offered for sale.it,however,the building or improvement is sold*thin one year of completion,the ZONING APPROVED BY DATE:
owner-builderhave will the burden of proving he or she did ncr build or improve for the purpose d sale).
❑ I,asowneratheproperty,amwdusivefyontrwigwnhlicensedcontractorslodxwrudtheprojec(Secion7044,Businessad BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Lew does rot apply to en owner of property who buiM°or improves thereon and whoe.
contracts for such projects with a mrurador(s)licensed pursuant to the Contractors License Law). ', r I
❑ Iamexempt under Sectiprn B.3P.C..for the reason: APPLICATION ISSUED BY: S DATE: Cl- (:lo.�
**34**********34***3434***3434**34*********3*********34 ************34*3434**34***********
Data: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby candy use I am aware el and understand the requinmerus of Cae«da Heath and Safety Cade Sections 25505.25533.end
25534,aohetlpriOnor «ebuidinfonlheA oualey nan(deme«m)rcedtowmp oownatnc napplMainMsexonI requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
2ndthfor at ran hnuret iMinhomheniil/wit Management District.Rosidwly eih said state
ecodei«n the e remgemehese
provisions. PERMIT 81 . 00 - . 53
Done: Apel cam: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affiml under penalty of perjury one of the following declarations: PLAN
ISSUE FEE .,
❑ I have Code,fndwilmainainacwtcateofonsenttoselfinsoraco
faworkers' mDereatice.aspreidedforbySectd
Section 3703 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
eera..f«1M performancea
ewwok+«wNdmepd is Slued.
TOTALS----> 81 . 53 0 . 00 0 . 00 81 . 53 81 . 53 . 00
O I have and wit maintain workers'coinsurance, e,for an
ioa insurance,as required by Section 3700 of the Labor Codthe performance of the
X-i work for which this permit is Sued.My workers'compensation insurance cattier and poliicy number are:
Cans: 4TATF FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 81 . 53 OVER/SHORT: . 00
Policy Number: '7R9-45IIALTTRS7 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
,his section need nor be completed/rhe penci is tor one hundred dollars/$I00J or less.) 81 . 00 . 53
❑ I certify that in the performance of the work for which this permit is issued,I shell not employ any person in any manner so as to
become subject to the workers'compensation laws of California,and agree hat i I should become to the workers' ********{F**-*********34*.**.*.******************************************************
compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply •a•' I N D I V I D U A L F E E BREAKDOWN
i )Dam: 9_.?fl '..' Applicant: /t t Ate. ro+i!" r .
J
Warning:Failure to secure workers'compensadon coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTION . UNIT COST TOTAL COST
civil Bites ma to one hundred thousand doles(StOg000A In addition to the coat of compensation,damages as provided ler in
Section 3705 of the Labor Cods,Interest,and etromay'a/Ma SFR 5330 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 5,.330 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF, FEES
performance of the work for vehicle this peed is issued(Section 3097.Civ.C).
n
LENDER'S NAME:
LENDER'S ADDRESS: '
I certify that I have read this application and state that the above information is correct I agree to comp)with ell city and oounly ordinances
and state laws reeling to building authorizeconstruction of thy and hereby esentativesthisy a above-mentionedenter upon property r
for inspedanpurposea. GI 0019U585.n-001;+0586 TOT S"
MIKE CALTON DATE, 09i20.95 TILE: 1.4:34-
ef� Nam ! T/—
Signature gent/Applican/ContractorDatet—7_O'1. i
(515t<e WP) While-BuiMig&Safety;Green-Ale:Canary-AppicenC Pink-Revenue:Goldenrod-Assessor
.-• CONSTRUCTION AND PLANNING POOL ,PA
APPROVALS Permit# Date Inspector APPROVALS 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 LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & 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 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank O Gas D Oil
25. Roof Sheathing 7 2-(-``S(ft/g-: 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 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes; ll ?�'�- �;� �mt.E.
•
34. Final Heating& Air Conditioning -`eifig �' q
`v
35. Final Gas Pipe-Test 4-ift �/ Q Ct CQ
e-r
36. Hood or Canopy L
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation ,
44. Landscape Irrigation S.stem
45. Sound Attenuation
46. Handicap Regulationrs rn
47. FINAL STRUCTURE`JBU.I.LDING 3-Y..Glb tw4/
48. FINAL PLANNING
49. Electric Release to E .
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No :.bate
•
Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. I 184 1/25/02 7.00 -TL
^1V CONSTRUCTION PERMIT M —a[/ - --
Project Address 33—(0 (224(22474-0,.(22474-0,../ TYPE OF CONSTRUCTION
`o Owner 1/u /„G Phoned-6 Q9'pb 0 NEW 0 ADD 0 ALTERATION _ /
Address (� - ❑ REPAIR b CONVERSION ❑DEMOLISH J(�(~-
I� ZONING REGULATIONS
(Y Arch/Eng. - License No. 0 OTHER
-0 _ _ DESC RIPTION OF WORK A.P.
1 ,Address
• ZONE PLNG- REF.9F • .,
s. 1 ,v Contractorhone
Ar •.... _-- - TYPE OF PERMIT - BUILDING - Tp BUILDING
AddressSETBAC C ST. PROPERTY LINE
�.0. - _-u-, L 0-GRADING 0 FOUNDATION 0STRUCTURAL SIDE YARD
LICENSED CONTRACTOR DECLARATION - 0 TENANT ❑ ELECTRICAL ❑PLUMBING-❑MECHANICA LS5lDE
I hereby affirm thst I am licensed under provisions of Charter 9 (corn- RIIGHTARD
mencing with section-7000)' of Division 3 of-the Business and' 0 OTHER -- - •
Professions Code, and my license is In full force and effect. - - ,REAR YARD(TO P/L) .
PROJECT DESCRIPTION' _
License Class [r�- G Lice a No Z -. PKG.SPACE REQ. PROVIDED
Date 1 Ay-�i SI nature - SO.FT. - _
WORKERS'COMPENSATION D RATIO p - -- •- - OCCUPANCY—CONSTRUCTION TYPE STBEET WIDTH •PARK FEE$
I hereby affirm that I have a t mate of c nsent to self-Insure ora VALUATION - ZONE ZONING APPROVED BV. DATE
certificate of Workers' Compensation'Insurance,-or-a certified copy - '•
sweof(Section 3800, Lab. C.). GRADING CU.YDS. ACRE$ - SPECIAL CONDITIONS: A •
r!„y -Y No. - _' Company - .� - - - _
ertified copy is hereby furnished. - - -• REMARKS: ' •- -- - --1;— - - -
O Certified copy is filed with the city Building Division. - •
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - ' -
(This section-need not be completed It the permit is for one hundred($100) or less). a - - - - - .. _ __. -
I certify thatinthe performance of the work for which this permit is _ _
Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN CHECKELECTRICAL - PLAN CHECK , • -
subject to the Workers'Compensation Laws of California. UW ELLING- - — - taHHHtat-
BATHTUBS SHOWERS -
Date Signature - e I
NOTICE: If after making this declaration, you should become/subject TOILETS ' - URINALS GENERATOR'- 0-1--KW 1-10 KW -
to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER
forthwith comply with such provisions or this permit shall be deemed- LAVATORIES •DOUBLE LAYS APPLIANCE• ' -10-50 KW_50+'KW
revoked: ' -- -_ ._ _ _-. _ _ _
CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS MOTORS - - 0-1 HP._1-10 HP
I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS 1 SUMPS' •- (INC.SOLAR) -10-50 HP_- 50 + HP - -
formance of the work for which this permit is issued (Section 3097 -
Civ. C.). FLOOR SINKS FLOOR DRAINS FIXTURES 'OUTLETS SWITCHES -
Lender's Name
Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS '-- -
OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS - - • — -
I hereby affirm that I am exempt from the Contractor's License Law for
thefollowingreason (Section 7031.5 Business and-Professions Codef SWIMMING POOL P TRAP - — ' ' • -
Any city or county which requires a permit to construct, alter, POLES METERED SUB l
improve,demolish or repair any structure, prior to its Issuance,also re- WATER SERVICE ALTERATION PANELS MAIN- - • SUB . . -
quires the act:licant for such permit to file a signed statement that he - '
is licensed pursuant to the provisions of the Contractor's LicenseLawGAS SERVICE OUTLETSSERVICE ' ” AMP - '
(Chapter 9 (commencing with Section 7000) of Division 3 of the '
usiness and Professions Code) or that he-is exempt therefrom and the WATER HEATERS- BTU OUTPUT - --' - "' -
;is for the alleged exemption. Any violation of Section 7031.5 by .. I
y applicant for a 'permit subjects' applicant-to a civil penalty' SEWER CONNECTIONS _ - -' - - _ - -
,..4,.not more than five hundred dollars ($500). . . •
❑ I, as owner of the property, or my employees with wages as their SOLAR TANK COLCECTORS • ._ -. -- - -- - - - -..
sole compensation, will do the work,and-the.structure is not Intended _ _
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. , ISSUE FEE •
-
Contractor's-License Law does not apply to an owner.of a property _
who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION-APPROVED BY-
through his-own employees, provided that such Improvements are not - '
intended or offered for sale: If, however, the building or improvement -MECHANICAL PLAN CHECK
Is sold-within one year of completion, the owner will have-the burden SUMMARY OF FEES •- '� _ }
of proving he did not build or improve for the purpose of sale). BUILDING ' - ' - -� - - - -- - 1
HEATING SYSTEM 0-100,000 BTU Y /$.41. , .
❑ I,-as-'owner of the' property, am exclusively contracting'with- - '.PERMIT_ _E_ •' ySMTP $ - •
-
licensed contractors to construct the project (Section 7044, Business qND DUCTING
100,000 + BTV PLAN CHECK $ PERMIT - .•4
and'Piofessions Code:-The,Contra Ctrr improves
Lltense Law does not apply to' '- - - - - -- • - -ISSUANCE- '$
an owner of property who builds or thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ '4'+ -
tracts from such projects with a contractor(s)-'licesnetl pursuanttoSYSTEM - --- - 1 ---- - -- - - - GRADING $ -
the Contractor's License Law). 100,0001+BTU ,PLAN CHECK CK $$ 1 - '( 1 ,), I
❑ lam exempt antler Section B.8 P.C.for this BOILERS BTU 'ELECTRICAL $ -- $ -
reason - - --' - --- --- • MICROFILM:$ ' ' '
- PLAN CHECK $
Date - Owner - -_
SYSTEM_REPAIR,R,ALTE RATION •l
MECHANICAL $ 7 -� TOTAL FEE E •
•
I hereby certify.that.l have read this application and state.that_the above EXHAUST SYSTEM . MULTIPLE
_ LE55AD-
Information is correct. I agree to comply with all city and county .PLAN CHECK '$ - VANCE PC $_
ordinances and state laws relating to construction,and hereby authorize -
repr ntatives of this city. to enter upon the above mentioned .
erty for inye.elcti oses. /J
S are '/ Datq a FINAL FEE $ /• c c)
rivers'License or SS ISSUE FEE - ��
CMF 0865-46 White-Building: Canary-Applicant; Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING ^ POOL&SPA ,
APPROVALS Permit+M` ' �Qe�' Date Inspector , APPROVALS Permit#. Date Inspector
1. Temporary Electrical Service or Pole 43. Pool & E ui . .
q prrment Location-
2. Soil-Pipe-.Undrgrn 44. Steel Reinforcement
_ 3.. Electrical Conduit Utility-Undrgrn - _ C 45. Forms .
4. Electrical Conduit-Undrgrn ' ? _ 46. Electrical Bonding -
5. SteeTReinforce I 47. Rough Plumbing & Pressure Test . -- _ - . . -
_ 6. Electrical UFER Grn ' 48. APPROVAL TO COVER-GUNITE - -
7. Footings _ •"49. Electrical Conduit-Undrgrn •
8. Foundation _ __ _ _ _ _ _. - 50. -Gas Pipe, ❑Undrgrn,Test -
9._ Water Pipe-Undrgrn 11 51. Backwash Lines.P-Trap:L❑ Undrgrn •• - •• - -
10. Structural Floor System _ _ 52. APPROVAL TO DECK - - - _ -
• 11. Property Sewer Line & House Connection ' - _ 53. Backwash & Receptor-Final . - r •
.12._ Street Sewer Connection __ „ • .54.. Heater & Vent-Final" - .
13. -Rough Plumbing - - - 55 Plumbing System -Final ' - ' - '
14. Rough Electric-Conduit { - -- - -- - "56. Electrical-Final
' 1 Rough Electric-Wiring . - - 57. Solar System-Final •. . -
5. " -
-- 16. Rough Heating &Air Conditioning _ .i- . 58. Fencing &Access Approval •
- _
17. Duets, in Structure - _ . . _ : • i _ 59. APPROVED FOR PLASTERING - • • �.
18. Ducts, Ventilating _ S _ -- - _
19.' Gas Pipe-Rough &Test , - __ 60• . POOL/SPA SYSTEMS FINAL
20. Roof Framing . I k • . -
21. Roof Sheathing ' - . _ _. . . . • „ ,
22. Frame and Flashing.. _ _ • . . NOTES: -• , .. -
23. Insulation i - _ _ _ _
24. Lathing&.Siding . L _ . . . . - . . . - . _.
25.' .Drywall Nailing __ .i . __. _ u"? . .
26. Plaster.Brown Coat_ ' . _ a _ _ . . .
• 27. Electrical Power Meter-Final • • _ ' • - I • '
' 28. Final Electric. •
- • 4
`
' 29. Final Heating & Air Conditioning - , fes .x//44/87- •
30. Final Gas Pipe-Test •
31. _ Final Plumbing _ . _ -
32: Water Service-Final _ _ - •
33.-. Gas Service-Final _ . _ _ . - '
• 34. Solar Domestic-Final > - - ` • '
• 35. Landscape Sprinkling System •
t 36. Sound Attenuation i _ . • .. '
37. Handicap Regulations - •- . - _ . -
.
' 38. FINAL STRUCTURE & BUILDING _
39. Special Requirements Completed " • - -
40. Electric Release to Edison _ t - - '
41. Gas Release to Southern California Gas Co. • .
42. CERTIFICATE OF OCCUPANCY -
No Date - - i e
OWNER College Mesa Co, DATE 9/21/55
JOB ADDRESS 1356 Watson BUILDING PERMIT NO, 1906
GENERAL CONTRACTOR Hale Co. VALUE $ 8,000.00
' L 351 BLOCK TRACT 2111
GROUP I TYPE V ZONE Ril FIRE DISTRICT #1930
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench er /Z/1--4--
Foundation Forms and Grade to Garage • j 5-4f
Rough Framing S 84' 4 1-27 " '"
Plumbing,Rough to Slab S/�srJ' Is - 2 •- SJ „
Plumbing,Rough Complete /L(/�. 2- aX l4 ma.`L,t-in,/ eat c{-o2-.S4 '7-7. --7)-6 ----.•
Temporary Pole �-�`�!1'/411'e '� a q
Wiring,Rough /T" L 4-/4 - . - ,--' �e.e,u/ /-J �SG �9r/ c—
Heating, u
. Heatin in i.6-n•✓ /d- 7-J C 2 / b`�
Sewe ,St Sewer,St. .079. U /1 ;.?3•,jS.a _LOOb
Septic an or Cess•.01 / ¢ L (�
La' 9, Ina' 4Seut G'f it 174'
Ph. ring .. & 3 zo-,ice.
Plumbing,Final,Fixtures Complete ..C4' 6 --11--.§-4 r / Mr
Plumbing, Final Gas Test 4.e >�a,•y(; C 6-•:13--61, _ �/ /�/ art 5ie�J
Wiring,Final ficel 5' .s- .jrtv / IIIII
/L
Occupancy 0,aI 'yY-
Trrnrrn 9111 r_u 1S1111 1-SS
, - :Costa Mesa Building Department QQ_z APPLICATION FOR PERMIT
111 EAST 20th STREET•
COSTA MESA, CALIFORNIA 1`"�0 B U I L D I N G1
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. ( P,ermit Noy
Building G(1 o (yyj
Address 1356 Watson Ave.
Costa Mesa, California Rece a by I Date Recd. I Date Issued
I Nearest College St. SEP 1 9 1955 �)- .5-..0Cross St Building
Address
Owner College Mesa Company Costa Mesa, California
Mail 8002 Central Avenue
Address Nearest
Tel. Cross St.
City Garden Grove No. Le.9-2158 Zone p ,/ I No.of I Type,/ Grou�
Architect or Davis'& QuigleyL10• C-1790 ov `1' Plans
Engineer No. Approved
by Date
014ress 43 Malaga Cove Plaza,Palos Verdes CORRECTIONS
t ,,tractor The Hale Company No. Lib.
,., 3422
Address 8002 Central Ave.,Garden Grove
Legal I 01 Lot I 2341
Description No. 1I Block I Tract
(Attach Metes and Bounds)
No.ooB 'ESA
��11Size of Lot 7935 I Nowf Lot None , 4l
Use of I No.of I No.of 700
Existing Bldg. Families Rooms 0
Setback Line from Rear Yard 35, scr 211055 2
Center of Street 55 1 Side Yard 8' >
DESCRIPTION OF WORK C r
New I X I Alteration I I Addition I CITY OF COSTA MESA
Repair I I Moving I I Demolish I
Building No.of
size 1260 Rooms 6 Stories 1
I eriWall Roof -- APPROVALS
terinn g Stucco I Covering Shake
Use of New
Single familydwellingwith Foundation Location
Building g Inspector Date
attachedgarage. Forms,Materials,
g g 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
Signature of
Permittee TALE COMP NY--)
(�( Plaster, Int
Authorized Agt. Plaster,Ext
SILVIA LARDNER
Valuation Permit Fee $ al O — Masonry Reinforced
Plan
$ $I O O b Tota Check$ �f 3 Bond Beam
Fee $ e1 �y FINAL
Mit
FORM 204 S-BP 2M 6-55
y
•
u
c o
JcOSIt
sEP 21-55PDuEsa A 't4¢ f=r.-23 r0
a •
t • '
Street
PLOT PLAN
Show location and distances from
property line and between buildings
•
/ .