HomeMy WebLinkAbout1882 Whittier Ave - Building Permits lI
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,44-triMF9 • ._
49�. _ CITY OF COSTA MESA
>i 7i, i o'! BUILDING DIVISION P IT NUMBER
p .7! DEVELOPMENT SERVICES DEPARTMENT
PERMIT B00-00058
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
SIGN PERMIT
Job Address: 1882 WHITTIERAV Status: ISSUED
Suite: Applied: 05/23/2000
Vicinity: Issued: 05/23/2000
Parcel Nunmber: 42432117 Zoning: f------.
ISSUED BY:
Applicant: MIKE NASH
Address: 355 BRISTOL,SUITE A
Phone: (714)540-6060
COSTA MESA,CA • Zip: 92626
Owner: AYRES SELF STORAGE COSTA
Address MESA
355 BRISTOL ST STE A Phone:
%AYRES,BRUCE Zip: 92626
Contractor: OWNER-BUILDER
Address:
• Phone:
Zip:
License: 0
Arch/Eng:
Address:
Phone:
Zip:
•
License:
SCOPE OF PERMIT
24 SQ. FT. FREE STANDING SIGN,6 FT. HIGH
FEE SUMMARY
Plan Check: $15.28 Calc Valuation: $500.00
$0.00
Permit: $23.50 Claimed Valuation: $500.00
SMIP Corn: $0.50
Other: $0.00
$0.00
Inspection: $0.00
$0.00
$0.00
Total: $39.28
PLANNING &ZONING
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora 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:
Carrier: 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 if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(S100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 000E.INTEREST.AND ATTORNEYS 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.Lic.# Class#
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I 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: Lenders 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).):
_—jI,as owner-of the properly,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 properly, 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 u r sec. Business and Professions Code for this reason:
Signature. i/L�`'C�fl��
) Expires:—W_ZS• OY
Verification of Ownership by(type of document,i.e.-property tax bill or deed)• 1 _ - 1
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation live(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).
.__._ need to file aregstratio.--_r____... tilt __-_.... .
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Ves ❑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 ❑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? Yes l.J 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? ❑Yes In No
(If Nee,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? 0 Yes 0 No
8 (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.
SI " re Of al s) Dat ti
And/Or Authorized Applicant Date '
CODE• INSPECTION TYPE pdIF INTITIAL$ CODE. INSPECTIONTYPE DATE INTRAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place � / 220 Final Planning Approval
203 Final Sign �� J 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
City of Costa Mesa
Building Safety Department CERTIFICATE OF OCCUPANCY N? 2129 C
P. 0. Box 317
Costa Mesa, California
The Building located at 1882 Whittier Ave., Units 1 through 12
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group P2 Occupancy.
Use of Building Industrial Building, Twelve Units
Legal Description A. N. filCi.O20.4
(See reverse side for Metes and Bounds)
Building Permit No. 2244Electrical Permit No. 22864 Plumbing Permit No. 44223
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required under Sec. 2308 U. B. C. required under Sec. 3301 (1) U. B. C.
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of apartments or guest rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guest rooms as required under Sec. 17050.1 (d), California
Administrative Code, Title 8, Chapter 9, Article 8.
Number of apartments and/or guest rooms
ISSUED TO: Building Official
Be JOBNSON by —211
Date October 2a, 1964
This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed
except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Form au34—IM-11-e6_S-8 P
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. -
CON�TR ±--e...2...57±--e...2...57-7UCTION PERMIT — � Po
173E- 2/05/82 ' 8.00 TL
•Project Address /n2-77 j j/e,, !fit . Cr fl -,/,4TYPE OF CONSTRUCTION , •
-Owner ..4t-, 4. � K� �L
di, � Phones'/ --grf$a - 0 NEW •O ADD 0 ALTERATION .-,_D' -
-Address O96Z ,e1/¢� A (' M. 0 REPAIR ❑ CONVERSION 0 DEMOLISH
/7{(
Arch/Eng.- ` J License No. ❑ DTHER ZONING REGULATIONS
•
DESCRIPTION OF WORK A.P.
Address - - - ZONE PLNG. REF'. -. '
Contractor - /) - -Phone _ TYPE OF PERMIT - - -BUILDING To BPletp1NG
h 'SETBACK C/L$T. PfEOPE RTV LINE
Address - 0 GRADING ',O FOUNDATION 0 STRUCTURAL' - SIO YARD - -
LICENSED CONTRACTOR DECLA ATION - O-TENANT S ELECTRICAL OPLUMBING ❑MECHANIC LWEOE VA - . - --- •' -
I hereby affirm that I am licensed under provisions of Charter 9-(com- RIGHT •
mencing 'with section 7000) ofDivision 3 of the Business and- -O OTHER - -
Professions Code, 'and my license is In full force and -effect. - REAR YARD(TO P/L) • - _
PROJECT DESCRIPTION, • _ -
License Class License No, - - PKG.SPACE REQ. - PROVIDED'--- -- - -
Da[e Sig- nature -- - •
_ - - •
WORKERS'COMPENSATION DECLARATION - - . it_ OCCUPANCY—CONSTRUCTION TYPE . STREET WIDTH PARK FEE:$ •
a
1 hereby affirm that I have a certificate of consent to self-insure or a- VALUATION • ZONE - •ZONING'APPROVED BY - 'DATE
certificate'of Workers'-Compensation Insurance,-or- a certified copy _ .-
;thereof(Section 3800, Lab.C.). - . GRADING CU.YDS. '- ACRES 'SPECIAL CONDITIONS: - - ,•
-'erbfletl copy-is'filed with th - REMARKS:. ��} —.- ] - '
'ertlhetl copy is-filed with the city Building Division. y"^" •- �///GCl/��
LAMPTIoFed not b RKERS' COMPENSATION DECLARATION s A f0�j(/• ' - - - •
-
i(This section t -need not be completed-if the permit Is for one hundred - _ v
•(5100) or less). - - - r - - -' ' -
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 PLUMBING • - t•; PLAN CHECK - IECECTRICAL - 'PLAN CHECK' - - -
•
bubject.to the Workers'Compensation Laws of California, • . ,_ .uwtLLlrvc. - _ c�A HAOt . _ _•
-
_
Date • Signature BATHTUBS SHOW ERS' - SQ FT SO FT
!NOTICE: If after making this declaration, you should become subject .TOILETS ,'•tin . 4URINALS- - - 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-z___50+-KW - • - •
_ _ • _ -
revoked._ _. - _ _ ,
'CONSTRUCTION LENDING AGENCY KIT.SINKS- -- -- " DISHWASHERS - -- MOTORS-- 0.1,HP_1-301HP - --- --
-I herebyaffirm that there is a construction lendingagency for the per- - - - -.-i .. _ _ '(INC.SOLAR) -• '1
e Y - 10-50 HP_50 1- HP -__
:formance of the work for which this permit is issued (Section 3097 SERVICE SINKS 'SUMPS' - - - {
Civ: C). -- - - - FLOOR SINKS - - FLOOR DRAINS - - FIXTURES - --OUTLETS - SWITCHES - - -
Lender's Name - - _ -
.Lender's Address - DRINKING FOUNTAINS ' - - _ T' '- GAS TUBE SIGNS - -- - -
'OWNER BUILDER DECLARATION - - -INTERCEPTORS CLARIFIERS T ' - POLE LIGHTS • -- - - •
- - • - •
il.hereby affirm that I am exempt from the Contractor's License Law for ..
-the-following reason (Section 7031.5 Business and.Professions Code: "SWIMMING POOL - P TRAP - - • - _ LUNS I MVP.I _ -
Any city or county which requires a permit to construct, alter, POLES METERED - SUB -_
improve,demolish-or repair any structure, prior to its issuance,also-re- -WATER SERVICE - _ ALTERATION , •PANELS- ' MAIN - SUB
'quires the ap.licant for such permit to file a signed statement that he - - - - - -
(is'Iicensetl pursuant to the provisions of the Contractor's License-LawGAS SERVICE - OUTLETS - - ' ,'SERVICE - - - -AMP ' - . -00 •
i(Chapter 9 (commencing with Section 7000) of Division 3 of the -
Business and Professions Code) or that-he is exempt therefrom and the WATER HEATERS -- BTU'OUTPUT ' I • .
- - - - - - - - '
'basis for the alleged exemption. Any violation of Section 7031.5 by - -- - - -
anv appllW rat 'for a Dermit- subjects 'the applicant to a civil penalty SEWER CONNECTIONS --f- - - -' - --- -- .. - - - - - -1
'ate,more than_five hundred dollars ($500).
3C `s owner of ttie property,oE my employees with wages as their -SOLAR TANK' ' - - COLLECTORS-- • t•
-solatbmpensation,.will.do the work,.and the structure isnot Intended ••- r - - _
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. P--'ISSUE FEE '
.Contractor's License.Law does..not apply to an owner of a property
�t
who builds or'Improves thereon, and who does such work himself or ISSUE FEE - - ;APPLICATION APPROVED BY- -- .-- -- -RATE-through his own.employees, provided that such improvements are not
'intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - -
Na jis sold.within one year of completion,the owner will have the burden SUMMARY OF FEES - •
• �r '
1 of proving he did not build or improve for the purpose of sale). - - - 'BUILDING
l I HEATING SYSTEM 0-100,000 BTU 1 PERMIT $ SMTP, .- $ 1
I as'owner of the-property;-am exclusively--contracting-with - AND DUCTING '-' •- • -- -- - - -- - - -- - - - <
i`sfl -
'icensed contractors to construct the project (Section 7044, Business 100,000'+BTU I = PLAN CHECK $ PERMIT-
:and-Professions Code: The Contractor's License Law-does not apply to- - - _ ISSUANCE. $:'' ' -c• 1
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU 1 ' PLUMBING $ -, .p 1
Q 'tracts-from-such-projects with a contractors) IIC¢Sn4d pursuant to SYSTEM ---- - - - - - - _ - - GRADING $ '
'the Contractor's License Law). 100,000+BTU PLAN CHECK S $( - -
N. IO I am exempt under Section - - -B'.& P.C:for this' BOILERS BT,U - - - •
- "' O� -•- - - $ -
ELECTRICAL $
h,1' reason - - - - _ - • - - 1 ' MICROFILM $ - ,
i` Date • Owner SYSTEM REPAIR,ALTERATION ) PLAN CHECK $
TOTAL FEE E
I i MECHANICAL ,$ - -- - ' — -- -
1 hereby certify that I have-read this application and state that the above EXHAUST SYSTEM MULTIPLE r•. '1•• ' •• : LESS'AD- ' '
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 - - , , ,1 I .- • ., , -
representatives of this city to enter upon the above mentioned
property_for ,ins esti r pur ses. - FINAL FEE $ •r 00
Signature ,���� ' _�-++�-�"' Date�f'42 •
Drivers' License o'�SS# - 'ISSUE FEE - - • -, - - - , ... _ .. _ +
CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
CONSTRUCTION AND PLANNING (�1 • POOL&SPA - --
APPROVALS Permit #G 025/-1- Date Inspector
APPROVALS .
Permit • - Date-- Inspector
1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location' - - - , --.. . . -- -
2. Soil Pipe-Undrgrn 44. Steel Reinforcement - --- - - --- . - - - • -
-3.. Electrical.Conduit Utility-Undrgrn _ - ". 45. Forms
4. ElectricaLConduit-Undrgrn _ - _ . - 46. Electrical.Bonding - - -- -- - -- -
-,5. Steel Reinforce_ ,, 47. Rough Plumbing & Pressure Test ' - . --1. - • • - _ -
6.. Electrical UFER Gm "_ _ _ _ 48.- APPROVAL TO COVER-GUNITE --- - - . _. -
- 7. Footings - _. - _ -_ _ - 49. Electrical Conduit-Undrgrn - •
- 8. Foundation " ---_ - --- _ -_.•._ -_ . . • 50. , Gas Pipe,,❑Undrgin,Test •
1- 9. " Water.Pipe-Undrgrn _ __ . _ __- ' _ . 51. Backwash Lines.P-Trap; ❑ Undrerri - •- . - `
10.. Structural Floor System,. - . - _ __ . _ 52. APPROVAL TO DECK- - - -- - - . • . ' . • . -
11. _ Property Sewer Line.& House Connection _ _ _'_ __ _- - -_ - _ 53. _Backwash & Receptor-Final •
.12.- Street Sewer Connection _. . ' _ .' . - -- . • - - - -54. Heater & Vent-Final •
13. Rough Plumbing- - _ - __ - 55. Plumbing System -Final- - - ..
• 14. Rough Electric-Conduit _ - - .56. Electrical-Final •
15. Rough Electric-Wiring " - - --- - -- -- - • 57. - Solar System-Final ,.' - ' - . . '
'--16. -Rough Heating&-Air Conditioning - - - _ 58. Fencing &Access Approval . •
17. Ducts, in Structure . ' . - -- - . __ '_ -. _ - - _� - - - -" 59._ APPROVED•FOR.PLASTERING ,. ' - .
18.- Ducts, Ventilating-- - -._ -. _ - - ' _ ._. - . . _
19. Gas Pipe-Rough &Test - . . . _ _ ' i_60. POOL/SPA SYSTEMS FINAL' . -
20.-Roof-Framing - - - -- -- - - - _ - _--- ' ,
21. Roof,Sheathing . ,. - - - " - __ - _. .._. t �.v. .
r
- 22:- Frame and Flashing" - - - - - - 4- - _- ._NOTES: " - _ ' - ' ,
23.- Insulation - - - -- - .- __ ____ - _ _ -. , ' - '
24. Lathing & Siding - -- - - - - -. -. __ __ - .- -, - - -
25. -Drywall-Nailing. - - -" .7
-'- ._
- ' - - • - -
26. Plaster Brown Coat - - _ - - - - _ - .. ' -
27. • Electrical Power Meter-Final - " - , etO - • . • •
- 28. - Final Electric - - - --- --- -- . " - - - -- - - _ _ . "
29. Final:Heating & Air Conditioning ' -- - - - _ - _ . - -
, 30. •Final.Gas Pipe-Test -- ._ . . . . - " - " . - - _ ' • - -� - •• •
•
31.- Final Plumbing - . . . - - -_ - _
• 32. Water Service-Final " - - - _ - '
33. 'Gas Service-Final
34. Solar Domestic-Final -- ' � ' - - . - '
35: Landscape Sprinkling System -
I 36. Sound Attenuation - - 1- - • .. - • •
37. Handicap Regulations • .-• • . - -
38. FINAL STRUCTURE & BUI LDING "' -H • --
39. Special Requirements Completed
40. Electric Release to Edison .
. A'-9-14 AAx - .. ' • -, • -
41. Gas Release to Southern California Gas Co. " _ , - .
' 42. CERTIFICATE OF OCCUPANCY ., _I .
. - _ _ -
No. - Date r - -
FEE RECEIVED
22448 JUN 1 i 196.1
COSTA MESA BUILDING-SAFETY DEPARTMENT FlNPt4CE DEPT.
P.O. BOX 1200 COSTA MESA, CALIFORNIA 8263E
/ CITY OF COSTA MESA
For Applicant to Fill In Completely FOR PERMIT
TYPE OR PRINT' _ BUILDING
BUILDING ( b ? X ) h I +t:l C 2 For Office Use Only
ADDRESS RECEIPT NO. PERMIT NO.
•
COSTA MESA. CALIFORNIA ! �y /• D.Z 99• �
ZO h h.I S O Al ReC[I DBT GATGR6/ /.6 G/ "D":27-17/7
IVED
I
OWNER • / Q �yp. j� P. (�
MAIL /00RESS //./����1,�� ADDRESS d O Z �R��1CUT'1IA
•
FIRE IS'
CITY I".�'W j�/.�+/L�(� P-Ck 14E0L1 5✓`1/7 ZONE GROUP/J y / (��/
ARCHITECT / / EK TEL BY
APPROVED
DATE /12 G 7
ENGINEER G L NO.,
ZONING
nODRESB Iso / No.of USC or NEW ��R/'(���L..✓�I
A / [/I I I PUN[ I BUILDINGLEGAL
f j� p Al
CONTRACTO•R�y/� /ll,I 1(JO�/sj rail
!! LA C/`e n 1 4�^I�'V •
L��++
ADDRESS /1 1 L 0 , /� -8C 74 /,V.I g/J . DEBCRIPTIO01!�' �/l�K//�rl•�� "-r /'
CITY &I E i.. 0 Il± 'E A :-!'� /l L •.1�L 0— T FV L�//0/
t � / 9/ 96 �j A.P.NO.
LIC.TNO.1 v� �� ?Y NO. r� OM SO'TO SID[&REAR P.4 GBHALLBLEBS THAN
SIZE /� ,J 1 I NNO.OW or
LOT V EAVES .(U.B.C.REQUIREMENT)
OF LOT
USE OF YARDS APPROVED YARDS APPROVED I
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM
'c.-6 REAR YARD �� FRONT C 3FT.. PT. Z
SETBACK LINE PROM
CENTER OF STREETLL
SIDE YARD I LEFT ScV I RIGHT 3 4, R.SIDE 0-- PT. FT. 4
DEPTION OF WORK L.SIDR #36 FT. Fr. 5
SCRI
//// d
f ALTERATION _ ADDITION REAR r5-FT. FT. LU
a
DISTANCE BET. BET.MAIN&
REPAIR -MOVING pEMOLISH MAIN BLDG$. ACCESS.BLDGB. Q
VAR.* DATE U
BUILDINGS 3.T.y I/I/ NO.OF / W
SIZE 7�� TY' ROOMS STORIES C.U.P. APPROVE
EXTERIOR WAL1(,/VIO eta_ ROOF (�''/7,� APP V //�t h
COVERING I COVERING 0%CJ A( BY `x L'6'\ DATE "" 1 a
USE OF BUILDING AND WORK TO BE PERFORMED J , N Ce
()
I LL
$trot 80.27. � r
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. R1
PLY WITH ALL CITY OI CU AND ST LAWS REGULATING VALUATION O�
BUILDING CONSTRU
.1-0- �J .�i PERMIT FEE $ 90 V
SIGNATURE O! a-- ^✓y W E ✓ ��/
PERM ITTE U//{ S PLAN CHECK $ "L,p/ 4.
y//7 tJD
AUTHORIZED AGENT TOTAL FEE $ //
•
23727 CITY OF COSTA MESA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA MAR 15 1965
N
For Applicant to Fill In Completely PPLICATION FOR PERMIT
TYPE OR PRINT 'LIb,G:,: :'•
• . r
ADDBUILDIN
RESSG /9S92. G+J/i/72GPAve_ d,q0
RECEIPT NO. PERMIT NO,
COSTA MESA, CALIFORNIA Z
RICE V BY DAT R[C8 [D TH18 p
OWNER f�gil iK / J, fen R'c�2/f.�/ BUILDmay[^/ i��b� _l�\I��!"�' /�6�
ADDRESS / J z ?�41 igLER , I/!/' ANOb2 Sti7�0-1 �'`�I�F-•MAIL Q /� jFIRELn �fCITY ` () Sf W JA c N0.cil9- S-3z_
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TYPE GR P Lg. `ARCHITECT .. _ TEL. r DATEDOR ENGINEER NO. I'' ING'E53 8 NO.OP
UBULODFI
NEW A. 07Pl TLLl Al PLANE �. A"
CONTRACTOR _ -
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LEGAL
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ADDRESS -ILL/L./•
A.P.NO. //4 ^ 0 7-0 ^ -/
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE --------. TEL. SO'TO SIDE ft REAR P.L
LIC.NO. NO.
EAVES
VESIZE 5--' V ^] NO.OP BLDGS. /� ALLOWED (U.B.C.REQUIREMENT)
LDT I U /c 1 yz NOW ON LOT d'�+
YARDS APPROVED YARDS APPROVED
USE OF _ �� MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. ll Tl�+�--
'
(FROM C/L BTRE
SETBACK LINE FROM
CENTE0.OF STREET r/..------/..------ - REAR YARD —' FRONT FT.
IPT. FT.
610E YARD LEFT I RIGHT R.SIDE
•
DESCRIPTION OF WORK L.SIDE
NEW _ ALTERATION _ADDITION REAR FT. FT.
• DISTANCE BET. BET.MAIN Q
REF...R MOVING DEMOLISH MAIN SLOGS. ACCESS.BLDGS.
V
SUILDINGQX ^J ROOMS STORIES / _CAU.P. APPROVED
SIZE Gj
EXTERIO W ROOF / APPR�)? / c-
COVERING �I COVERING BY P 7 Or _ DATE J -rr��
USE OF BUILD' AND-WORKT EPE O rej
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SON
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY, O
PLY WITH ALL CITY ORD NANCEB AND STATE ULA NGVALUATION
_
BUILDING CONSTRUCT /111 °.
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SIGNATURE 0 PERMIT FEE $ J O
PERM ITTEF --- G
o
AUTHORIZED AGENT 6^ I-+O E
•
TOTAL FEE $