HomeMy WebLinkAbout718 20TH ST - Building Permits�
GOUNCY OF ORANGE
BUILDING DEPT.
636 No. l3roadway
Santa Ma, Cali(omia
Phone: KI 2-6211
,\
Application for Building Permit
AND FOR A
Certificate oE Use and Occupancy
Permit No....a'�.._�.t�.! .`...._ .�
Date.....P....�.�.��f.;/�/ ....--'----'--...._---.....
OWNER'S NAME...../C/..9�/_I� h` � Y/il Y_��L� : �tI.C1.Cl..-- ..................... PHONE:-----.1.l1....ON L.�..
.....,.. ..
MAILING ADDRESS........�I. ��...0 '.�. �.T .....��.....�..... �.!.�F E'........... CITY---...l•..O.S Tf�/ i/ L S�iQ- --..._.
^/' / � ,/
Name...(.l!.L?.��T.l ..................'-"'--'- ........ ..._...---.. ........... Name .... �./.t�/✓%/��..........�!�.�A�---�-l-�---""----"'--...."-'--......
(Archi[ r Enginccr) (Contractor)
Address
Ciry
S[ate
Lic. ]
Phone.....
PROPOSED USE:..:.;�/W`��NN�.. �
__'_.." .................. .... .........
2. JOBLOCATION----�I�...".�..?'�:. . y���./.!�> �. �'."
(House No.) _ �j�V`'� (Namc of Stree[)
3. LEGALDESCRIPTION: Loc.�:/_�_?..Q .....................
f(
Address
City .
State
Lic. N
/ n
O �X��.���� �«a�����
....................... - ----........,.._ ._ __........_.
�j �c..-----�--- ..--.�_...--
�0.5� /%%FS /,�
c_._.'..__.' ..............._.'._.._'..'..'."._."'."'_ _..........._.
(Town or School Distric[) / �
....._....----------- Tract...--------LP- /'–' ...............
(Me:es and Bounds Dcscnpnon—Use reverse a�de o orm)
4. CO��LOT�� � 1 INTERIOR LOT (� tr�TjHROUGH LOT ( ) SLOPE OF LOT ( ) a�
��1OV 9(j ✓� P
i. SIZE OF BLDG.:�e. �EA :............. .... ..... .....SIZE OF LOT:.....[. V-.-X- �°�-.�_----AREA:.--_4�--�- 9-�----_
��d �=�Y07oo "�� �i`r� �/ � i. .
�HEIGHT OF BLDG.: ...- .................:..._-------....CEILING HEIGHT:...._..---._'--.-----...........NO. OF STORIES.---.�-.--_--.---------------
�� o
7. NO. FAMILIES---,.----�------------------------=---Size of Smallest Eedroom:--.-L-.`�-�.-----_-_-----.--.... Size of Kitchen---_---QXI.D.---_.--__
�rJiioM . -S-/DI�¢ ,Q
8. EXTERIOR WALL CONSTRUCi'ION :Le�...".s:?.Y.:!!?P..��...........INTERIOR WALL COVERING......1!_.!LA.�TF� .. ,
(Frame. Smcco. E[c.) �. %.. �.. / �(PI cer-Drywall, E[c.)
A SLTBACKS: Front Yard Fro % enter Line of Strcct ......................l.. ..... ..�.�.... c-.-----.--__------------------.----.------......----...--
i �
Nearest Side Yard.....�5........Rear Yard...�.�.l...d.r ..............Distance in Feet Betwecn Bldgs. on Same Lot....___......1�����..
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND� s�E OF EACH.
ll � � ��
I l. For (a) Footing: Width.........��'� :........... .............Depth in Ground.••••h—.....----....-----Width of Wall..._.........._...-----"-----
Accessory h v c� �.
Bldgs. and h Size of Studs:....`.11.1..........5 aci❑ /.�D........:'CC Material of Floor_........._,'-_ .................._....__....
Similar � ) P 5 ...............
Scracmres:
(c) Si:e of Floor Joists:.........'.l�.........�...�.....Spacing ........................................:'CC
(d) Size of
��
"CC
I2. VALUATION OF P� POSEDYWO�iK: Inc ding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal �......�!.JO � �// ' �
...... � 1PJ'-�J" •
13. I HEREBY CERT[FY THAT TO THE BEST OF MY KNOWI.EDGE 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 CALIFORNIA APPLICABLE THERETO.
Signcd
Plans Filed:....�...e...I�.3..�_S �....------------------ .............
By:.
FEES:
Bldg. Permit • 5........�
Plan Check - $..........
Total . . . 5.........
Receipc No. - 7.�
Paid to • - .
Da[c .........----------...__...,Jr...�.
!M-2.'JI
FOR DEPARTMENTAL USE ONLY
���v GROUP....�.. . _
..............
--- .. ...
�. �.......--
TYPE ...... ..........................
41,_D^� DIST.
: ....
7� ... MAP......._ ........... ...�.......
�.. .... SHEET NO......I .. .............
DATE. S'..�..�..�.� � .............
(Auchonzed Agen[)
�" �CH�Ec/CKING BY
APPLICATIOrrfl.u.LiJ HEALTH ............................
� FIRE
ZON[NG - ------._......
_-
PLANS AND -- AR HAL----------------...
SPEC'5.-------- --..........✓.
CORRECTIONS
VFRIFIFiI ✓
IN
STATE -- ........------........
ENGINEER
CAL------ ------------ �-- -- ---..
DV�
� �
I�
7
. CITY OF COSTA MESA
BUILD/NG DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
ExlsUnq: 0 Required: 0 Proposed: 0
(714) 75a-5273 • Fax (714) 75a-4856 • wvnv.ci.costa-mesa.ca.us
BUILDING PERMIT
Jab Address: 718 W 20TH $T
Suite:
Vicinity: RESIDENCE ONLY
Parcel Number: 42225110
npp�icant: MILLER, DALE
Address: 13781 NEWHOPE ST
GARDEN GROVE, CA
Owner: KAHRE, MARTIN H
Address 17226 DANBURY AVE
HESPERIA, CA
Contractor: DALE'S ROOFING
Address: 13781 NEWHOPE ST
GARDEN GROVE, CA
Zip: 92703
Aroh :
Address:
2oning:
Phone: (714)534-6398
Zip: 92703
Phone:
Zip: 92345
Phone: (714)534-6398
License: 503508
Eng:
Address:
Phone:
NUMBER
843
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 11112/2002
IssuOd: 11/12I2002
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE ONLY: T/O EXISTING ROOF, INSTALL NEW B.U.R. 13 SQUARES
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Exis6nq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Righl 0- 0
s2,soo.ao
s2,eoo.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes antl related
regulations. (Ortl. No. 92-28, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become vold it work is'doticcjmmencedWithin»780 days, or il work Is suspended or abandoned
for a pariod of 1 BO days. • �� '
INSPECTIONS: In order for Ihe work euthOrized under this permi� �o be considered legal, such work must comply with all applicable codes, antl all
requlred Inepectlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
�a� ���
WORKERS'COMPENSAnON DECLARAnON: —
I hereby eHirtn under penalry oi perjury one ol the Idlowing tledaretions:
❑ I hava antl wlll maintain a cenifiwte of consent to salbinsure tw warkers' compensation, es proWtletl br by sectlon 3700 ot t�e Lebor Code, tor Ihe pertortnence ot Iha
j�ork for which this permit I5 issued.
� I nave antl vn'll maintain workers' compensatlon insursrce, es required by section 3700 0l Ihe Lebor Cotle, far the perfortnance of Ihe work for whlc� Ihis pertnit is iSsueC,
My workers' compeyns�atlon Insurence ca end policy num�er are: �� y/Y��
CerAer. �'�f'%-/T �v'�'� POIICyNumber:
(Th/s section e not be crom0leted i/ the permi(!s velued ef one hunEreO dW/ars ($100) or less.)
❑ I certily thet in the perlormance of t�e ork lor which is pertnit is Issuetl, I shall not employ eny person In eny menner so es to become subject to Iha workers'
compensation laws ol C' la, en gree thet If ultl become suD�ect co the workers' wmpensetion provislons ot Sectlon 3700 of the Lebor Cotle, I shall fort�with
comply with these proW ions.
ApplicanlSigneWre: Date: �� ��� 'Z
0
WARNING FAILURE TO SEWRE WORNERS' COMPENSATION COVERAGE IS UNUWFIII AND SHALL SUBIEC� rW EMPLOVER TO CFIMINAL PENALTIES M1D pVIL FlNES UP TO ONE MUNORED
TMWSAND OOLLARE (5100,000�. IN A�pT10N TO TNE COST OF COMPENSATION, OAMFOES AS PROVIDED WR IN SECTION 3]OB OF THE LnBOR CODE, IMEREST, AND AiTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn t�at I em
brGO Bnd BflBCi. Lit. M_
Contrectors SigneWre:
of Chapter B(commencing with Section 7000) ol Division 3 of Ihe Business and P fessions CoCe, and my license is in tull
C1899 M _ �'� �
�i, oate: //`/�-��
CONSTRUC710N LENDING AGENCY: ..
❑ I hereby eflirtn Iha� Ihere is a construction IenCinp agen�y tor Ihe peAormenco of Ihe work br w�ich ihis Oermit is issued. (Sec. 3097, CiNI Cotle).
Lentler'9 NemB: LentleYs AAtlress:
Signature: Dete: �
OWNER-BUILDER DECLARATIONS:
I here6y eHirtn thet untler penalty oi perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor Ihe following reason (Sec. 7031.5, BuSiness and Professions
Cotle: Any city or wunry which requires e permit b consWct elter, Improve, tlemolish, or repair eny strucWre, pdor to ils issuence, elso requires the applicant for such pertnit
to file e signed statemen� that he ar she La Iicensetl pursuent to the provisions ol the Gontractors License Lew (Chepter 9(commencing wil� Secllon 7000) ot Oivision 3 of the
Business entl Professians Cotle) or t�et he or she is exempt t�erelrom entl the Casis for the alleped e:emption. Any violetion of Section 7031.5 by any applicant tor e pertnit
sublects Ihe eppliwnt to e cNil penalty ol not more than tive huntlretl tlUlare ($500).J:
❑ I, as owner of Iha properry, or my employaes wlih weges es Iheir sole compensetion, WILI DO TME WORK, entl the structure is nat Inlentletl or oHered for sale (Sec.
7044, Business antl Professions CoAe: The Coniractors License Lew does not epply to en owner ot property who builtls or improves Iheraon, and who tloes such work
�imsetl or herself or thmuqh his or �er own employees, provided that such improvements ere not In�entled or oflered for sele. It, however, the building or imprwement is
soltl within one year ol comD�etion, the owner�builtler will have ihe burden ol proving that ha or she tlid not build or improve for purpose of sale.).
❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business end Pmfess(ons
Cade: The contradors License Lew does not epply to an owner al pwpeny who bulltls or Improves thereon, antl who contrects tor such pro�ect with e cantracror(s)
licensa pursuant to tha Cantractors License Lews.).
❑ I am exempt untler sec. Busineu and Pmfessions Code lor this reeson:
Signatura: Date:
Owner ID verified by ddver'91iCense. ❑ Ve5 ❑ No Drivefs Litense No.
Vediication of Ownership by (type ol tlwumem, i.e. - properry tez bill or tleetl):
Expires:
DIVISION OF INOUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certity �hat no excavaGon Nve (5) or more Ieel In deplh Into which e pereon Is required to tlescend, wlll be made In cannection wi�h work euthodzed by this
permil, antl lhai no bullding stmcwre, scaMoltling, falsework, or tlemolllion or Oismantling Ihereol, wlll be more than t�irty-si: (38) feet high. (Chep. 32, Gry 2, Ar12, Sec.
341, Tllle B, Californla Atlminlslretive Cotle).
❑ As owner-bullder, I will not empioY nnyone to do work which wauld require e permlt Irom �he Divislon ol Indusirial Safety, as noted a�ave, unless such person hes e
permlt ta da such work Irom Ihe dlWslon.
Signature: Date:
Division ol Industrial Sefery Permit NumDer:
CER7IFlCATE OF COMPLJANCE AND AUTHORIZATION OF ENTAY: I cenity under penalry of perjury t�at I have read this application end state [hat the inlormation given is
wrtect. I agree to compty with ell state lews entl dry ordinances relating Io bullAing consWction, end authodze represenletives ot t�e Ciry of Costa Mesa to enter upon Ne
ebove-0escribad propeny for inspection purposes. I agree not to occupy or ellow occupency al eny buildinp euthonzetl 6y this permit until finel inspection.
�atyre galOwner(s) D7ate
. n / . �� �.�'v�
r A thodzeC Applican� Date
COUE �. INSPECTIONTYPE
1616 Fi:ed System Flnal Fire Prevention
1288 Pool Spa Final
200 Final Re-Root
201 Finel BIocWReteininp Well
202 Final Fectory Fire Placo
PLiF It�LS
/�Ie ,r�2 �dE
COUE 1 INSPECTION TYPE
208 Finel Mechanicel
20B Final PlumDing
210 Final Electdral
212
220
Finel Flre Prevenlion
Final Plenning Approval
203 Finel Slgn 222 Final Site
20C Finel Domolition 250 Finel 8uliding/Occupency
� ��
JOB ADDRE8S %�8 W ;
GENERALCONTRACTOH
� �oT AP# 115-3lt.
J
INSPECTION$
Foundatfon Forms and
Wiri
Ro
Sewer �
Plum6ing, Final, Fixtures
Plumbing, Final GasTest
Wiring, Final
Occupancy
I+orm '210 GH 1M 12•68
$t.•
Owner-Builder
BLOCK
v
DATE
.,.
✓
`
8UBCONTRACTOR
DATE 6�3�54 �
BUILDING PERMIT NO. �79
VALUE $ 8���
Garage & Storage
FIRE DISTRICT �279
PEHMITSISSUED
DATE I NUMBER
�
�CT 1 01955
JAN 10 1956
7J%iw f3 i y!i �
� �,,�,�(' y,�.� /r�, �.� ��-���
f'.�,;�„� ,�z�dr' ,e-�.t ,a..c.��-e��y,�`-�.
�n��
Costa b�esa Building Department APPLIDCATIOIV FOR PERDiIT
-. 171 EAST 20th STREET � p U I.L D�I� �.G �.._ �
-� COSTA MESA, CALIFORNIA � - - -
i'OR APPLICANT TO F`ILL IN , �OR:OFFdCE USE ONLY .
Reeeipt No. Permft No.
e���d��9 `%/� sT .Zo _ � � � "tl I 27q
Address
- Costa Mesa, CaLf017ll& Received.by I Date /Ree'd. Date Issued '
Nearest /ir��G�% ��{ " � / �� �� 6- 3.>l�
CrossSt. /%Cy �r.��2r Building ; /� �..l, J :
Address ' o�•VX "
�Owner �'fg�� A-rfiYE ' Costa Mesa,, California '
Mail /J �
Address f %1li0✓� Nearest �/ '
7e1. „�— Crosa9t. ( C\ 'A� (1 �(% <� � �.
Gty �'� �No. Zone`��I Plans�����ITYPe'� i GrouPl��
Architect or Lic. 1�
p Engineer No. Approved ' � ;
' - h Date ' - i
. nddre� , CORRECTION �
' . City Lic.
ntractor No. r
i +
Addreu
Legal Lot�,o /�
� 4escripUon � No.�7Y{�0 I Block � I TraCt y/i� -D- - - , -
(Attach Metes and Bounds)/Y ��S �'jC/ �/ -
_70 k /� 7 �No. oi Bldgs. A
Size of Lot Now on Lot � � ��'1 . -- �
Use af No. of No. ot •� — �;� 9
Existing Bldg. �jj/%%� I Familiee �I Rooma� �
Setback Line from � Rear Vard rDS� �3� �- r (�Q� Z
Center of Strcet Side Vard 1 �o D
DESCR ON OF WORH v, ' r
New I�Alteretion I I Addition I
Repair I I Moving I Demolish I e
. Building � No. of
Size o�G k tltl' � eooms �, Stories /
�teriar Wall I Rooi � �
ierin9�7'UCte �'a�a, Covering _Q��L% APPROVALS
vse of New /'� � Foundation Locatian Inspeetor Date
Buildin9 Y9JPI� �£ OC S%O�fICTL
Forms, Matertals,
Under-Pinning '
Frame: Fire Stops,
BraCing, Bolts �
Lath.lnt.
f hereby acknowledge that I have read this Application
and state that ihe above is correc[ and agree to comply Lath. Ext "
with all City Orclinances nnd State I.aws regulating
building construction. //� _•="r
Signature o� // Plaster, Int
Permittee � Plaster, Ext.
Authorized Agt. Masonry Reinforced
Valuation Permit Fee $ �� � (�
�J Plan Check $ i/� ^ Bond Beam
$ �00\� Total �'1 n ^ FINAL
Fee 3 /
Vunn 1�Id (:-H IM 1'L-LJ � .
�
J
'.I .' I "' _ . .
I �'$' +� � i , f��r4"� ' !'�-_i .'
� ✓: .,
y, i�t.t - , ' .;
; :'
Street
:� .R. _..
;�, ;s�
o � ��. . �
� _. _
� �Cl _ `�-;..a . �
d
a` �
, �, '-•\�1a ' \i.;11.'.��,�.,�
�� \
_ � 1�'.�\i•, . '\ \'
• `\ 1 a ...�4�� ,
` .. t
, .i�`. \�q.a�` �. ^
yhow location and distances from
property line and between buildings.
. . , a: .
� � ._ .
'��
� �,�.�.. .
' . �� � ...� �
m
t _i \C.y. :`�...
. . '—•� , � '� . � . . . - . , C..
_ _ . , '� . �t _, , a ; , :�
a
OW NER K�Ff MARTIN H. . � DATE 6-4-56 . ..��
JOB ADDRES3 718 west 20th �'treet BUILDING PERMIT NO. 3145
GENERALCONTRACTOR V�U�7�U4/ VALUE$ Z �aluation �BOO.00�
� 39-4o BLOCK C TRACT 612 Gara�e and Storase
GROUP J TVPE V ZONE R11 FIRE DI6TRtCT 3173
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
Footing Trench
Foundation Forms antl Grade to Garage
Rough Framing
Plumbing, Rough to Slab
Plumbing, Rough Complete �
Temporary Pole �
Wiring,Rough / � ,j( �j-x,Q�l� Ej— �,� 3
Heatino. Rouah
Sewer, House Sewer, St.
Septic Tank or Cesspool
� ,9, �� X � ouc
Pla tering �%
Plumbing, Final, Fixtures Complel
Piumbing, Final Gas 7est
Wiring, Final
Occupancy
FORM 210 3M 10-v9
� Costa Mesa Building Department
„ P. O. Bo: 3!7
COSTA MESA, CALIFORNIA
FOR APP CANT TO FILL IN
3uilding � - y]��� �C
\ddresa ,�
Cy,sta Mesa, California
i
nrteci or Lfc.
iineer � No.
Iress
Cfty Lic.
t�aCtor Na_
:G}
� 1'/ . n I No. of Bldg:
SizeofLot �.t � / NowonLot
l�se of No. of
Existing Bldg. O� e Famiiles
Setback line from /// Rear Vard
I 119ovin9 � � Demolish
� �/�No.of p�
� Rooms v`� Stories
� . I Roof
6ui�cltng �/�"/'�Y C O�J�'+�' �
AAI ..� ' �#�
I hereby acknowledge that I have read this Applicatlon
and state that the a6we is correct and agree to comply
with all Clty Ordinances and State Laws regulating
bullding construc ' �✓
3lgnatureM � . /J,�,�y�
Permittee Y
Authorized Agt
Valuatlon � �7 .�y -Permit Fea $ •✓
/ �� Plan Check $ �
$ O U Total
Fea �t � d
APPLICATION FOR PERIVIIT
BUILDING �
FOR OFFICE USE ONLY
Reeeipt No. Permit No�
3%�S
Received-hy Date Rec'd. Date Issu d
�,.� 6 '�—s—� • .�— cj-S
Builtling
Address
Costa Mesa, California
Nearest
Cross St. �YJ?if�11'La1
CORRECTIONS
APPROVALS
Foundatfon Location Inspector � Date
Forms, Materials, I
Under-Pinning
Frame: Fire Stopa,
Bracina. Bolts
Ini
ExL
O
a
L)
2
D
r
PLOT PLAN
Show iocatlon and distances Trom
property line and between buildinpa
�
:
COSTG
���r:-4-�cPD�,ES:; �;�n� -.�:,:..,,3.^�
CONTRACI'OR
C^'lUP
I�r.�PECTIONS
Gas Test
DATE
VALUE
DESCRIPTION OF WORK
TYPE ZONE
DATE I BUBCONTRACTOR I
DATE
G- ar_
PERMITSISSUED
I NUMBER
Costa Mesa Bnilding De�eartment :�PPLICATION FOR PERIVIIT
. . ' P.O.Boz3�� �2�? BUiLDING '
" COSTA MESA, CALIFORNIA
FOR OF'FICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
B���m�9 D -���
Address
Costa Mesa, California Received by ate Rec' j Oate Issued
Nearest
- � 6-�S =�
CrossSt. C'iyiLl.. Builtling
Address
Owner � ye--
M,,,, , _ , �., Costa Mesa, California
ArchitectoP �
En9ineer �
Address �
ttractor
Address �
Legal Lot p�
Description No�/
(Attach Metes and Bou�
of
New
Repair
Building
Size
�-terior
�erin{
_ae oi N
Alteration
Movfng
i � No. of
CC
No.
:k 1.,, I Tract f(
�s--ay�- i
No. of Bidga
Now on Lot
No.oT II No.ot
Additiun� I
Demolish I '
Stories !
PL> frvt�; n.
=1 b l,� �V� � � � 't. : - .= �
r p �
t '� �Pfr ^� '�1 : t
, s :
s
APPROVALS
in Location I Inspecto
Materials,
I hereby aEknowledge that I have read thls Applicatlon
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
bullding construction. 'I /J Lath. Ext
Slgnature ot:7,.� /1�� // ,�
Permittee �CL/��L��vr" Plaster, Int
Authorized Agt Plaster, Ext
Valuation Pe�mit Fee $ % Masonry Reinforced
$ j J �% h 0 i Plan Check $ r ga�d Beam
(O /A Total �9
Fee $ U1 I FINAL
Date i6, �
�•
�
PLOT PLAN
6how Iocatlon and distancea from
property Iina and between buildings
�
;
3'>>"c - `�'� .
,,� ;� :� 1 . ��1 \
'll'rll cosr-
9'S��pNEsr, "4�� .. •.,�i 77.�n
i� � a�� , � tiC�
J•1���1� . � \�
i. \ \�
�-'� .,\: '(,'�1
� ��
�i� �J��`� fi�,� J..i
a
1 �i\X�\c\
� � ',�� ,����.
��' V� � �.r'
� t r ''� �,
.•
�.
- � � �� : :.:
.,\ �
�.�. � c
tI; ,..t� � r � •
"r.�� � > > ��'L.
,
� ,� ,,�,� a; � ,;�,,,_�. �
,
. , . .
_:��� s� ,�,�c•
OWNER KAHRE� M. DATE Q-19-S$
IOB ADDRESS 7l A W_ �Rth St _ BUILDING PERMIT NO. 6�t112
E R CONTRACTOR �OwrieT-BuildeT VALUE S ----
�A . o. LOT 3B &'I'RAc'r 612 FIRE ZONE DESCRIPTION OF WORK Duplex-0ontinue Wo�.1C_. �2
P"'IIIP I. -�TYPE �V ZON$ RLt ' PLAN NO. � e O❑ 8l7fil �3'
IhoPECT10NS I DATE I SUBCONTRACTOR I DATE PIRM'TSNUMBER
caat
Gas
J
' 64�2
f�
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
AODRE55
OWNER
aTv L.
ARCHITECT
OR ENr,INE
A�D. �5
J- C�
COSTA MESA. CALIFORNIA
? �q� �- n
� TEL.
NO. �
LIC.
NO.
LIC.
NO.
�� TEL.
ADDRE55 NO.
LEWL CE'
DeSCAiPTOrv NO? y`� f� BLOCK C TRACT
A.P.NO. S— � / //
SIZE '� NO.OF BLOGS.
OF LOT C � now oru ioi
USE OF • r �
EXISTING BLOG. L.�. C(
$ET94CK LINE FROM �`� � C �
CENTEP OF 6TFEET 7 ftEAR V RO
SIDE YARD , RIGHT �EFT � /
DESCRIPTION OF WORK
NEW � ALTERATION ADOITION
REPA. MOVING DEMOLISH
BUILDING4a � �� NO.OF`
SIZE /�Q ROOMS STORIES
EXTERIOR WAL ROOF (� `S/
COVERING C(� , COVERING �,
USE OF NEW
BUILOING I�.�l �
^h �� �
- i . �/� � � ��
U��i� ��'u�rv�lLl�
� _ i�-s8 v�.
G;`:;::,i>� C��'J.
C�7 (:i C��.� �'�'`�r
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
FECEIPT NO. /PE�R/MI�T /N�O%.�
l0 % T`�/
ECEIVE'D BY OATE RE/Cf�EIVEfi �D1LTE ISSUED
��� �w �{Y�`1 Ni / �� ��
BUILDING �
nooRess
COSTA MESA. CALIFORNIA
FIRE
APPROVED
BY OATE
2 CORRECTIONS
ti�� 3�-y�
HEREBY C NOWLEDGE TMPT I M1VE FE40 THIS tPPLICRTION FND
STnTE TMnT TME aBOVE IS CORRECT FNO r1GFEE TO COMPLY WIiM wLL
CITY OR�INLNCES INO $T>TE L�W$ FEGVL>TING BUILOING CONSTRVC�
TION. ^_
SIGNATURE 6�i�/^ �/ • �j ��
PERMITTEE � � �
�
AUTHORIZED AGENT
CITY �
-f'ti
SUBJECT
BYr�r,�T.�
:1 ^:`ESA
7€�?'S�
D'cPT. REG.
✓ /�'✓✓Y+k
VALUA ION �
MiT FEE S
'��/// . _ PLAN CHECK S
$ L'�"'��C1
TOTAL FEE 5
�L"'�' veMr
�: