HomeMy WebLinkAbout345 16TH PL - Building PermitscourrrYoeoxnrrca Application For Building Per,...t
BUII.DING DEPT,
636 No. Broadway AND FOR A Permit No..�� �_.�.........
s�,�a,.�, CaGfornia Certificate of Use and Occu anc
j Phone: KI 2fi2ll . P y
Date.=�= '�-''--_�_ �"' � �.=_.J.r.."�-"
1. OWNER'S NAME --- JL-/YC_Oil�....:1.�./ �/�4.-_,, .�.�A PHONE-----------------�-----------
� t -� - --.... r ^= =-----�T��--- ---- ----- ---------------
MAILING ADDRESS -� -�.�- � .._l-�---��-IN �.f._� �.:. "....... --- " ---- . CITY.--� .----�F�I%_r..!.....
�- -.
Name-----------------------------'--'----............'---'---'--'--"---........-------- Name --'----------------------------------`-----'--'----------------------------'--'--....
(Architect or Engineer) (Contrattor)
iAddress ----------------`--'-----" ...............----"'--'---.........---"--'---'---- Address ......----------.............---'-"----'—`-------------------'------'-'-'----
City..... --- - - ._ ..... - - -- '- ... -....._ -----` -- '---- ` --.. City --------- - -...--- "---- -....- -- -- "--- --------` "- - ----'----`- --�
State Sta[e
Lic. No-------- ---- ----� -- -- ._... Phone----�---------�------.............. Lic. No.....-- - ........- -� -----'--- � -- --- Phone... ------ ----.._---...-----....
PROPOSED USE
2. JOB LOCATION. -6� � �I _�-_.----- ...--�-�-�-� �!X �---`---�<'-------------� C.(T.XLU )_.,J..'.a.r S�(�C�/!
3.
4.
5.
G.
7.
(House o.) ( ame of S[reet) (Town or School District)
NAME OF AND DIRECTION FROM NEAREST CROSS STREET_.. �__C:t^��^.....�f�-«:.___.C�%'r.e....."'...._�.�_�-C�
LEGAL DESCRIPTION: Lot -----�-O-t-''----� . . .. ...........--------...Block .... _.... � -� -----....-- ---- ---- Tract ------ �}_�i.,�
'-'--------...---
(Meces and Bounds Description—Use reverse side of form) �
CORNER LOT (� ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
SIZE OF BLDG.:.:�.�-��-:.�.�.�_�-.AREA:---------�--�---------....SIZEOFLOT:.i-�.U..i!..I3�i---AREA:........-----... -----� ---
HEIGHT OF BLDG.:_._1__..��c' ..............._CEILING HEIGHT:.__..._�.L'?__.�..__..NO. OF STORIES_.........I....._._....___....
NO. FAMILIES ...............I,...._�..............Size of Smallest Bedroom:....!�1..../.1...�........_..... Size of Kitchen... �.�... x.._ ..��...........
S. EXTERIOR WALL CONSTRUCTION:..AA.�!�_�:. �:__� �_u_?z.�._INTERIOR WALL COVERING....._S:%!.. M._� .......__
(Frame, Stuccq E[c.) (Plaster•Drywall, EtcJ
ROOFING COVERING _._...... ��%�. � �� � �--' '�� � �
* -� r'-: - -; - ........- - - -- - - - -� ............... . ........._.. -
� . -- ......- -... --..- � .._.....
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF
10. SETBACKS: Front Yard From Center Line of StreeG.... .�.�....�.._�-,.....rn.'..-'t ............... D. M `, ���� 7
-------'-'------ - � - -------�----...-�---.....-----
Nearest Side Yazd ........................Rear Yard......._.._..._...___.Distance in Feet Between Bldgs. on Same Lot............____....__..__......_........_..
(Pmperty Line) (Property Line)
I1. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12.
(a) Footing: Width-_-----"-'-----...' ...................Depth in Ground.................---.."-----.Width of
(b) Size of Studs:
(c) Size of Floor Joists:
(d) Size of
"CC Material of Floor
"CC
"CC
13. VALUATION bF P�OPO ED WORK: Induding al! labor, plumbing, electreca! wiring, heating, fire sprinklers, painting and
sewage disposal $�--=- "�-----'-----'-'------�--
14. 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 CA�L)IFORNIA APPLICABLE THERETO.
Signe�:.....,,t*I�:�.!c'�._�C�/__.�_ P..A-Q,r�OA��+---------------��----------------------�
PlansFiled:...- --�----- ......--- ��-------........._...........-�- -�-�--- - --
By�--- ---�- - - ....... --- -..._--- -�---- ------------------ -------------------------- � ------- ---�----"
(Authorized Agen[)
� FOR DEPARTMENTAL USE ONLY
Bldg. Permit
Plan Check
Total - •
Receipt No.
Paid to -
FEES: r—
- $...._�.; ` t. •' GROUP---.s1 ....... ... .........- -
--�----'--
" $----- '�-- � TYPE-------'--....------...-----�-
.
• $—'r � -----= - .... D�sT. � �-� y
' -�--�--7 Mnr.----�-�--....----�� . .. ...... .. ..
--------- SHEET NO.---'�'--- � -----
�
AYYLICATION...d�'_!��. HEALTH ............................
�" FIRE
ZONING ..................�
� ----
PLANS AND �_ MARSHAL .............-------.--
SPEC'S-------- ------ ---- -- STATE----- -----.._---------- •---
CORRECTIONS ENGINEER
VERIFIED �-- ...__�CAL._.._._----'----.._ ..............
1 Mtf"1�IrY•1.LE ` �v„ ...,,..., ' �
RRT•iFTI R. r �NSPcCTOR
L
/� �� , ,
DATE..._�--- ! . —:._:5---------- -----.....--� -- ----- ------------ ---'-----`-�•--'---.........t. „Fit.TY---.....--�"--"-- ------'--..
- --- ----- -'------' --.
S000--�-sa = ~
��
- � ��s��.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80X 31� COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLfTELY
COSTA MESA, CALIFORNIA
t? 4��q ` [!� E
�ic.
NO.
STATE
■ LEGwL I LOT
A.P.NO. � .% ��
SIZE �n X i36" OS� INO.OFBLDGS.
OF LOT � NOW ON LOT
I SETBTCK LINE FROM �
CENTEF OF STREET r�O REAR YAI
_(��
SIDE YARD IIEFT � d IRIGHT �J
DESCRIPTION OF WORK
REPAIR I IIMOVI
9UILDING� 7��190'
SIZE
EXTERIOR WAL``T�)CC
COVERING l
�.p� i�cniA( — iiu��-� 7�.
cF- � , J
� � �E �
I HENEBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICFTION
ANO STNTE THNT THE ABOVE IS CORNECT ANO qGREE TO COM-
PLY WITH ALL CITY RUINANCES pND STATE LAWS FEGULATING
BUILOING CONSTR T ON.
SIGNATUREOP n�„� ��P�A _
' AUTHORIZEO AGENT
�
FEE RECEIVED
�*� /i_ io-.T�`
�1TFyiNnAFNCrE �DpEPT.
APPLlC'ATIOfS�'FCS}7"PE12M IT
BUILDING
fOR OFf/CE USE ON[Y
I RECEIpT NO. I �PER�T
VE BY DATE RECEIVED � D�E IS
� � /i. /e-sY� /���%
aooRe�ss � ys ,� 3 �'7 /� � ��
COSTA MESA, CALIFORNIA
FIRE ,/ �� �
ZONE TVPE Y GROUP
APPROVED // I7 C�
BY DATE
v �ONING
20NElM /,Y IPANS IBUELONGE��� LJ ,
(CENTER IINE ST.) y---y�
FRONT � " FT.
R.SIDE �FT.
IIC!
THE AMOUNT SHOWN UNOEN VALUATION I8 FOR THE
PURpOBE OF ESTABLISH�NG A PERMIT FEE ONLY.
VALUATION J
//l� p/ p� AQ PERMIT FEE $ �O r'
p i �v.r c.
$ / '� DQ � OO pLAN GHECK $ � lJ '�
�IJ, �b �e d 6 TOTAL FEE $ (OD.—
. �.�,-_ � 1
, q;� FEE RECEIVEU ��-4oZ
COSTA MESA BUILDING-SAFEfY DEPARTMENT �
P.O. BO%917 COBTA M69A, CALIPORNIA ��� 1 2 1963 -,`
ANCE DEpPp1.�v
For Applicanf fo Fill In Completely CIT OF COSTA m��ATION POR PERMIT
TYPE OR PRiNT � BUILDING
� _�� � Por Office U;e Only
'. LD I NQ ^3 /� `� C�i �
JRES9 ��T
RHCEI''f NO. ..' ry1T
COSTA MESA, CALIFORNIA �• ci
R¢C 6D Y AT8 P CHN D' ATE 159UED �
NER � -. �. • �6^6 �'7 / / ��`-- (�e ' ��'
JRESS �T ��D�� " �.q G_6 ADORESSd (O' ✓ `
�. FIRE —r� \
� ARCHITECT
� `io3
�
-z� �4 C�
� 6ETBACK LINE FROM
„`A �'
._�Z�g
NO. OP BLD09.
DESCRIPTION OF WORK
iRIOR WALL
ERING
OF BUILDIN
1 HEREBV ACKNOWLEDaB THAT 1 XAVB qEA� TNIB APPLICAT�ON
AND eTATE TH�T TH8 ABOVH �6 CORRHCT AND AOq68 TO COM�
PLY WITH ALL CITY ORDINANCHB AND GTATB LAWB qBOULATING
em�oirva conarnJcr . �
SIGNATURE OP �,
PERMITTEF e�r_
AUTHORIZ6O A66NT
NO.OF
�urva
NOTE: NOEAVEOVER
so^ To sio� a Rewrt
EAVES
ALLOW ED
YARD3APPROVED
MAIN BUILDING
DISTANGE BET.
MAIN BLOGB.
VAft.�
USE OF NI
auaoina
_ "�.1 I �Yr
HANG SHALL 6E LESS THAN
P. L.
(U.B.C.REpUiREMENT�.
YARDSAPPROVED
ACCESSORY BUILDING
BET. MAIN Q
ACCE55. BLI
DATE
/
�� � ��/ � / �JY /, �X / ��/
TXE AMOUNT OWN UNDEP VALUATION 1 FOR THH F
' PYRPOSE Or B6TABLISHINO A P6qMIT FEE ONLY. p
VALUATION - �-� m
4 0U — PERMITFEE $� �
]
m
s l F
s .9-s7 $