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HomeMy WebLinkAbout1997 FULLERTON AVE - Building Permits CITY OF COSTA MESA 4 • a. BUILDING DIVISION •• '� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER r his 06 - • 1 PERMIT �, ; -00074 .ms (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.e{y,LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1997 FULLERTON AV Status: ISSUED Suite: Applied: 01/18/2006 Vicinity: HOUSE AND GARAGE ROOF Issued: 01/18/2006 Primary Occ: R3 Type of Construction: V-1 H Parcel Number: 42626414 Zoning: Applicant: PETE VAN GERVEN Address: 3101 S FAIRVIEW ST In,�^ SPACE 49 Phone: 714-979-2774 ISSUED BY: lb° SANTA ANA,CA Zip: 92704 Owner: MC COY, DAVID B Address 1617 WESTCLIFF DR STE 206 Phone: NEWPORT BEACH,CA Zip: 92660-5526 Contractor: PETE VAN GERVEN ROOFING Address: 3101 S FAIRVIEW ST SPACE 49 Phone: 714-979-2774 SANTA ANA,CA Zip: 92704 License: 757856 Arch : Eng: Address: Address: Phone: Phone: • Zip: 'License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF,INSTALL 1 LAYER OF 15#FELT AND REROOF WITH 30 YEAR COMP SHINGLES,APPROX 22 SQUARES FOR HOUSE SQUARES ON DETACHED GARAGE.TOCH DOWN ON FLAT ROOF AREA ON HOUSE,APPROX 4 SQUARES.HOUSE AND DETACHED GARAGE I ME DONE CONCURRENTLY.REPAIR AND REPLACE SHEATHING AS NEEDED. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,860.00 Permit: $125.25 Claim Valuation: $5,860.00 SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.84 PLANNING &ZONING • SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0.0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 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 for a 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 Sinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) 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 Iwork 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. CL:„. 4-MY workers'comfpensption Insurance carper and policy number are: / Gamete 5 tate Fa/Ka Policy�Number� /)tU 16 f' 511 " 106.5- ` r(,Tbis'seection 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 shalt not employ any person in any manner so as to become subject to the workers' compensation laws of Californi and athat if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prov o app icaneSig iature:r ? 0 // 1 agre 'ln-/ /-'�-v r�'M Date: L' -d D WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed undezprsvisign of Chapter 9(commencing with Section 7000)of Division 3 of.the-Business and Professions Code,and my license is in full r and effect.Lic.#� '7 .) Class,#•i-A. & 39 axe« [ContrectpYs'�Ignatw6: p(. Date:.. jX Sts 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). Lender's Name: Lender's 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 wnich 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).): ❑ I,as owner of the property,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 propery,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 under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes ❑No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(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 ❑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). 2 Does or will the applicant or present or future building occupant need to tile a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the Galifomia 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 a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for nonresidential 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 ❑No (If"yes",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? ❑Yes ❑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. PSigna r O Legal�O�W}npr((sss))' Date E_A-Author atl Applicant rtvt I ✓' 6� 'Date %� .r CODE i INSPECTION TYPE fZATf, INTITIALS CODE INSPECTION TYPE Rea INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final1��L/:�[�(L6(�L— ?4,74 208 Final Plumbing 200 Final Re-Roof V Y 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign - 222 Final Site 204 Final Demolition 250 Final Building/Occupancy IIIII177-1 • ._ : e") ._ • . . ; COUNTY OF ORANGE . a BUILDING DEPT. . P?rtnit No....5_7122 636 No. Broadway Application for Building Permit Santa Ana, California Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy Date . . ;,./ / S.-- /f S.27 / 1. OWNER'S NAME-------- CHPZ41, 441 ...- gala' PHONE:ag ‘044.?...3 la MAILING ADDRESS...1i 6 a-e-t 11a"ea-c e-- CITY enwia. >,...g., Name Name ..„....t, --- ( rchitect or Engineer) / (Contractor) I, Address Address City City State State Lic. No. Phone Lic. No. Phone Sk_e_abiAL _.- •• PROPOSED USE: 2. JOB LOCATION 7S7 7 r-cleeetdraz, .1 (House No.) iName Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot 7_0_1 Block Tract . . ......4110(‘-:--- (Metes and Bounds Description-Use reserse side of form) . 4. CORNER LOT ( /5 INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) • 5. SIZE OF BLDG.: 31X 4,141...AREA• 7 ,3 30 SIZE OF LOT- .7.6.5)(arcREA: /0 / .2 .5--"" 6. HEIGHT OF BLDG.- it I CEILING HEIGHT- if ' NO. OF STORIES ente- 7. NO. FAMILIES / Size of Smallest Bedroom- /0 X /a Size of Kitchen: 77. Xig ,ass8. EXTERIOR WALL CONSTRUaION: tCINTERIOR WALL COVERING te (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street SS ' Nearest Side Yard So Rear Yard ii C Distance in Feet Between Bldgs. on Same Lot SI?: ' W. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width /‘ " Depth in Ground i 2 " Width of Wall g i• Accessory Bldgs. and (b) Size of Studs: 2PC ii Spacing__ 1.4e." 04.7CC Material of Floor dad g sof, Similar Structures: /6 " 0..0 • -cc (c) Size of Floor Joists: ..2.-9( (0Spacing (d) Size of Rafters: 2 X ii Spacing /i " & C • "CC 12. VALUATION OF PROPQSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposaii$ --47/51reP ----0-n V-,..:),e5 4 13. 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-CALIFORNIA APPLICABLE THERETO. - 7 --- Signed--------/ .... (.. a/ Plans Filed• /* - --) r' -5" 0 (Owner) By• • (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: CHMING BY Bldg. Permit - $ A 0 . 0-0 GROUP ' APPLICATIONR l 4---‘/HEALTH Plan Check - $ ,34__erd TYPE ZONING 4........eFIRE Total - - - $ ...2_26„cr_a___ DIST.,... .._ /7,.... * PLANS AND MARSHAL i•o' Receipt No. - 3_9 4ci:r____ MAP t-•••• SPEC'S STATE Paid to )2-2,4.2.1 ... SHEET NO r- CORRECTIONS ENGINEER Date a-r•-•..(i5 VERIFIED CAL i•- .1 PERMIT . 0 DONNY ''''''' ( e . S:G f4 c7 DATE l" Elea(4,-/ -Dr_nyVY / / , ,--z / •/' ' ci :-t" 5*a- )4" COUNTY OF ORANGE - -- . BUILDING DEPT. -• Permit No •":5 /172 636 No. Broadway Application for Building Permit • Santa Ana, California Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy , ir , , . , ,y - /fS0- Date.__ tz""--- 1. OWNER'S NAN—IT— C-.e-leil7 60.< --(-4--ce;44-4--- PHONE'S- et?-i-_111 MAILING ADDRESS /6 6 C2-0-- Ni2-ce, CITY .. Name _____*7 Name (Architect or Engineer) (Contractor) l Address Address City City State State Lic. No. Phone Lic. No. Phone PROPOSED USE: •-•••'S--44.-- /....4 2. JOB LOCATION /9 9 7 --ea•AtZ,AA, Cam, Ceiez254, >tbac. (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot X a 1 Block Trac • (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( X) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.:ibilkie.3..0. :AREA 7 _620 SIZE OF LOT• 7S)02..VREA• / 0/ 2•‘....c. 6. HEIGHT OF BLDG - /a---# CEILING HEIGHT• 4---"--- NO. OF STORIES 7. NO. FAMILIES 1.------ Size of Smallest Bedroom: (-------- Size of Kitchen: L.-- 8. EXTERIOR WALL CONSTRUCTION:. . . -ter-CI . INTERIOR WALL COVERING C.---- (Frame, Stucco, Etc.) (Plaster.Drywall, Etc.) SO i 9. SETBACKS: Front Yard from Center Line of Street „.., 1. % ) /er WA..., •-) 6 t; Cr; Pie.'.0 P. A,yv e__ Nearest Side Yard...0 Rear Yard a Distance in Feet Between Bldgs. on Same Lot .1.2. s 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width I if al Depth in Ground .CO"/..2...Width of Wall Accessory • Bldgs. and (b) Size of Studs: 2,"-f Spacing...) b " 01 C._,.."CC Material of Floor Similar Structures: L.-- 1.---- (c) Size of Floor Joists: Spacing "CC / (d) Size of Rafters: .a. :1/44. / ti Spacing 0' C . "CC ,6447,4e. 14- 0 ie . 12. VALUATION OF P.03POSED-WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal $ lb111913L4P 442 4' ej -,....„ 13. 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 CALIFORNIA APPLICABLE THERETO. -----•-__________ ------------/,_ , s 11010 Signed:. / Ce4-04--c-IE__ 712 (Owner) Plans Filed• By• (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEES: CHECKING BY Bldg. Permit - $ .6, , ro GROUP c.4...... APPLICATION HEALTH Plan Check - $ j , O TYPE ZONING L--•••••••• FIRE Total - $ 7----rd cv DIST. c _ E.- ,1 PLANS AND MARSHAL Receipt No. - - __________a_i_3_4_0..._ MAP SPEC'S STATE Paid to - - > 14J SHEET NO t.,r. CORRECTIONS ENGINEER Date 9- -S-' t.r) VERIFIED CAL PERIVII USW li..'4‘i, 0 'OHUE COUNTY BUILOINg NSPECTON DATE 51,1-1-50 /Sae,-C V i i. ar r• r /77-•,:-17., 2 •::' 5 - • OWNER MCCARDLE,•ROY R. - - - / DATE 4-27-56 JOB ADDRESS 1997 Fullerton BUILDING PERMIT NO. 2947 C 'ERAL CONTRACTOR Owner VALUE $ 38),-nn LOT 201 BLOCK TRACTNewport Hgts. Bath R. add, to ex. dwelling GROUP 1 TYPE V ZONE R4 FIRE DISTRICT 2983 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR r1 DATE NUMBER Footing Trench S"4-4t Foundation Forms and Grade to Garage evatcJ. ,,,+//n Rough Framing �.a /fi 'E -tS '66 Plumbing, Rough to Sflab�- "ILI — Plumbing, Rough Complete /�/,(w -71X-4-/ Cl-? 7-S6 C! 7 3 a_ Temporary Pole Wiring, Rough 4'&"s 3^r/4-Jt 4-9,1k--171.E1 4-07706 ,?07S-9 ! Heating,Rough Heating, Final Sewer, House Sewer,St. _ S ;Tank or Cesspool GCc�-1 Lathing, In)( - Out}{ g--6--- s--a----t?s--a----t?Plastering ..J ��G i S ink_se Plumbing,Final,Fixtures Complete g.e:, L.29.4 1 Plumbing,Final Gas TestJ /pn,-,i A 1-4, _-Ol i Wiring,Final .i {/ 4 f t\ it Occupancy d. C. " Cr - 7 FORM 210 3M 10.OS Costa Mesa Building Department APPLICATION FOR PERMIT P. O. Box 3!7 2989 BUILDING 11 if/ ...5,e COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN - / Receipt No. NPerrmit No. Building// 9 7 _ .,L. L (47% 4 oc / �y Address / / Costa Mesa, California Received by Date Recc'd—r-6 Date Issued Nearest /� —/ �1 -6 Cross St. � 8 7—j¢ . Building ✓✓✓✓ /� ,To Address Owner Re r( - ,-,..c.__14-7C Mail Costa Mesa, California Address / . I .2. y Nearest i Tel. q Cross St. City �O /L f/f6f No. ��� ��ij Zone,�J Na of I Ty_ pe i Group— Architect or ' Lic. '�'� ^^,\�� r ...""��(/ Engineer No. Abyproie )��JY" . Iv'1 Date idress WrCOItilENS ©� �154T City Lie. ., ..ontractor No. p i��;iV 1 OS') Address /P - //p - Q /4Z - //�U .,.. ` Lot DescriLegption l I No. 7.O / I Block /V. 0+Trabt/ CM r,� I�' 1\�A l�LA� (Attach Metes and Bounds) 41 'COSTA 7s � I No.ofBldgs. Lf Size of Lot a� No.of Loi: O tlse of �� I No.of I No.ai — � D"�B !� w� � Existing Bldg. f Families Rooms 0 Setback Line from Rear Yard 2-2-• <7 Z .a.s _ Center of Street ,K Side Yard _ fC u S / J" - GId DESCRIPTION OF WORK / • — Ll/el,_ � . 7 i New I I Alteration I I Addition I Repair I I Moving I I Demolish I Building No.of o:,e Rooms Stories erior Wall I Roof __aering Covering APPROVALS Use of New G'� �-z dj Building /LTZ=F /"/�CI ell Foundation Location Inspector Date v- Forms,Materials, . 1.- -- et✓m, 4L59/7y,r✓ Under-Pinning &A.,- F L. C /~/ Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct d agree to co ply Lath.Int. with allCity Ordinances and rte re 'ng buildingg count cctio Lath. Ext. Signature of ///�(/f Permittee � Plaster, Int. Authorized Agt. % Plaster, Ext Valuation. ailPermit Fee $ Masonry Reinforced ta Plan Check$ .— Bond Beam 12 g a Total L/ ., Fee $ its- FINAL / FORM 204 10.55 D.P.&S. �r a C u i O. J t 0 COST!' .. .,r.Y _1 5?fl s.. 30cl po • • • Street PLOT PLAN Show location and distances from property line and between buildings. k( OWNER MCCARDLE, ROY R. DATE OCT 2 0 - - 1964 JOB ADDRESS 1997 Fullerton Ave. BUILDING PERMIT NO. 23114 C G""ERAL CONTRACTOR Brown & Krussman, Inc. • VALUE $ 1,250.00 Enc.Porch&Add A o. 11�oi4-10 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Frpl. to Res. �. INSPECTIONS Signature DATE GROUP I TYPE V ZONE R2 Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER Water Rough Corn. Rettig. 0 Air Cond. 0 Rough Heating -- -- Rough Plumbing -_ Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. ❑ _ S tinkling System _ Construction Pole Underground -0 Power 0 Rough Wiring / ]lam Q ,. t.n.J t/vio/L 5e 2 3 Trenches 0 Forms 0 Steel Reinf. ❑ e 'l p7 -a--/‘ Floor System Bond Beam ❑ Steel Reinforce 0 Sheathing .R$0 ///4v Fra ane and Flashing MO S/y y Out.ak f/J ✓No if/ /�S Piaster, brown coat Refrig. 0 Air Con. ❑ Final Heating, Final Plumbing Fixtures, Final 23114 FEE RECEIVED -COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 2 0 1964 P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. C91 t9F&OS,TA MESA For Applicant to Fill In Completely APPLI I F RMIT TYPE OR PRINT BUILDING BUILDING J9,7 Fv For Office Use Only ADDRESS r L� �p RECEIPT NO. gB ._ / COSTA MESA, CALIFORNIA C//I 1%��[„ /Ani ,J RECEI Y /p ATH//$CHIVVRD DATE I EDD/ OWNER 2Q , gr /pi, Luca:, L, `Q/%LO/&o / MAIL ) /y AUILDING / / IOr`/ ADDRESSE / 77 FC/C�C,.•t�l'a/-%FTC/ ADDRESS / �y' 9 7 •1—u L✓I "ra CITY `6'97-4-A- A es',. NO.6-yr ZONE TYPE �L GROUP FIRE ^I APPROVED a/{{{ Q ARCHITECT /� C 1I ......TELS:Z.....,57...., BY y RATE.//��j OF ;INFER ( I�U?We-'"r Cep` NOlJ/J�j�g�/� VVV ADDRESS )�/�C4�"sg per/,/ C- D/a r ING ]� ZONE O.OF USE OF NEW 0--19.--)(1- - CONTRACTOR I/ eat/7) 'TRC/S S�etAi • PLANS BUILDING �___ I.- //� /� LEGAL /�J��. `7_ / r / !!! ADDRESS/ 2-7 Z/ C.. `0/-STA �l/ egif j DEaCRIMl01� ��1^ —V/ /.T .(/� a CITY l ktze',C�'i Pei_ �'lf/l�e A.P.NO. f / 2.,-- 0/it-IL, YYY NOTE: NO EAVE OVERHANG SHALL.BE LESS THAN STATEIC.N /S-2. C i//J,�NO /7i^/ /i/O 30"TO SIDE @ REAR P.L. SJ L Y"/ H IO rO`/' EAVES SIZE OT l� �I�✓'/� NO.OF BLOCS. NOW ON LOT ALLOWED (U.B.C.REQUIREMENT) OF L USE OF ^ YARDS APPROVED YARDS APPROVED EXISTING BLDG. • D w c_ / V e` MAIN BUILDING ACCESSORY BUILDING +7 CENTERLINE (FROM C/L STREET) , SETBACK F STREET � FROM � REAR YARD / 5 FRONT FT. - SIDE YARD I LEFT /0 I RIGHT / R.SIDE...414T. DESCRIPTION OF WORK L.SIDE 2.714f! . FT. NE1 _ ALTERATION ADDITION REAR `/S////F7. FT. DISTANCE BET. BET.MAIN Q REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLDG9. BUILDING NO.OF VAR.# DATE SIZE Cely(ROOMS STORIES / C.U.P.�j APPROVED EXTERIOR y151/e/ LLt/ I ROOF Coytrel, AP' /!�' COVERING 51 /7/G CR COVERING ,5 BY 1 i y. _i•ATE D-�^'✓ USE OF BUILDING AND WORK TO BE PERFORMED �•.- Egg e 5/247A/"7--- 1240/7-e2771- &. 1 1240/7-e2// ti ,-v/ P e-F N SQ.FT. O I HEREBY ACKNOWLEDGE THAT I HAVE R 0 T I S APPLI ION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE A V6 19 CORRE A. AGREE T• CO PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CI DI NCE9 AND A - LAWS AEG TI G VALUATION BUILDING CONST CTIO �/ OF et OC) d SIGN TUR F PERMIT FEE $ 3 D //�� � 6 $ / _CC) PLAN CHECK $ x f� > AUTHORIZED AGE ' a TOTAL FEE $ /J ra Mesa Building Department APPLICATION FOR PERMIT P. O. Box 317 2983 BUILDING ° COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANTa�/ TO FILL IN Receipt No. Permit No. Buildingss Address /997-/ - FI L 'E/77o Al I .27547 Costa Mesa, California Received by Date Recd. Date Issued4 Nearest t� --71--i-ti i"".?7'-SI 7-0'2 7 4 Cross St. O Tip , Building /� Address Owner .eD //� 11 OAP( C P( ° F Mail /, )I / ,M Costa Mesa, California Address 0- O • 03 0 p( 7 Z Nearest n Tel q Cross St. City as f rat ae:r No.L_J X-112-7Zone 51 No.of Type Group Architect or Lic. �� I Plans I -1--- Engineer No. Approved by Date 'dress / Y bontractor ,r.S1-2 City Lic. No. Address 4P- �/ ' -,o ; APPROVED. Legal Lot I a a - Description I No. 7 o t•I Block �•q Tr$ct fs j CITY Cr COSTA MESA Al•E. c n ?Aia/t 7.•on' Y- PLANNLVW DEPT (Attach Metes and Bounds) - • F.iLL. Sq-ew"o-O _+ y �] No.of Bldgs. Size of Lot 7 J ^ /JAI Now on Lot !l)• .S B -c - Dahe1 l�z it o Use of G No.of No.of PLAN.2rECYb( 1 y Existing Bldg. 1? 'S ' I Families I I Rooms O Setback Line from �-,c I Rear Yard old 6~e, t: 2 Center of Street ec-•ed- ,EX: Side Yard D DESCRIPTION OF WORK 1161141. r New I Alteration I Addition I r '— -__'-- Repair I I Moving I I Demolish .1 .� ,,,1�{� • u Bilding p r No.of I Building £ y Rooms Stories -- .erior Wall I Roof ..overing Covering PIT' nr r piRov s Use BuildinNew �r y'/.� / .—en � FObid do Lochii n Inspector Date dv�y - - Forms,Materials, �.,-.ctJ . �� , 'r1,ru-,5�--, Under-Pinning '" - - - 0 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 Ordinances and 6Ia r gula building construction. Lath. Ext. Signature of /e Permittee �� /!' Plaster, Int Authorized Agt. Plaster,Ext Valuation . Permit Fee $ 02• E- . Masonry Reinforced LtiPlanCheck$ Bond Beam Totaa Fee $ 61 ) FINAL FORM 204 10.55 O.P.&S. • L.F -I a ae ._ .non aa..r•5p(1 COSTA O3 :;rki:�t? I o � P` Ile V'ED • ' • I; a��y (( CITY OF COSTA MESA' ` = tt 1 \ '-.RLN VING DEPT, : ' , Y A z7- COSP;I ^ ¢ pD,aes.; C3.� :r".t:r., N By �' Date 7_.S 2. N `_ PLaN. 16-IN"� r �� ,, V Do you Carry`I/Orkinal s�Qpmpgnat-iqn i Ihourance? Yea . aS -. Fy•o ' w� • . ;;'r, .i.e. Street —t ani:.at- re: of Provision-370-0 dvf';uhe State.yur I.:ab or i:,od;c;-:rhich re'_ it 6,'.2_ 'r , r , - rdrover to he,:d'_Gai•ciJ- asL:].?: ..V1 -r T'i.a�r .i Sar PLOT PLAN 'work an's c • _ ation >:._ -7 Show location and distances from " --' -- -- / property line and between buildings •� ^, 7=c'. _ -t.— That portion of Lot 201 of Newport Rte., as shown on a Map thereof. recorded in Book 4, Page 83 of Misc. Maps. Records of Orange County, Calif. Describe,. as follows, Beginning at the Northerly corner of said Lot 201, said Northerly corner being the intersection of the center line .of 20th. ,St. 'and Atewport Ave., and running thence Southeasterly along the_center, line of 20th. :St., ,497.5 feet to the true point of beginning: thence `Southwesterly, parallel to the North– westerly line of said Lot 201, 105 feet; Thence Southeasterly parallel to the Southwesterly ling of said Lot 201, 162.8 feet to the Southeasterly line of • said Lot 201; thence Northeasterly along,.said Southeasterly line of Lot 201, 1105tt feet; thenpoint of beginning,.among\the center line of 20 th-. St., 162.8 }