HomeMy WebLinkAbout127 18TH ST - Building Permits C1
•
C B�INGODEPT. !1Application for Building Permit - •
7-C2-116(
��i�
636 No.Broadway \VV� - AND FOR A Permit No �
Santa Ana,California V\
Certificate of Use and Occupancy
Phone:KI 2.6211 .ok
la
Date 9/ /ay `f ct
1. OWNER'S NAME �p lilt'/rte'-+ d -1--1-r+ 4612 - -' 5 ACV-
MAILING ADDRESS--f •b' '. x j6 `S^ CITY 4612-fA-..)21,--`-a--d.
Name Name
(Architect or Engineer) (Contractor)
Address Address
City City
State State
Lic. No Phone Lic. No Phone
PROPOSED USE• C-4./.- TV
U
2. JOB LOCATION /-� 7 E E. /2G � - „
(House No.) (Name of Street) (Town or yy,�or�Scch000l DiistriAct) �J /7
NAME OF AND DIRECTION FROM NEAREST CROSS STREET (15a0-1441vN r n. .t1 ` Q /-lez
3. LEGAL DESCRIPTION: Lot SC6b,3 K 9R3 P /a / V Tract '1'lQ //,4Z 5
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT ( ) `
INTERIOR LOT ( - THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG • / �1Y t72-4-) AREA- SIZE OF LOT- '6-0 4. AREA.
6. HEIGHT OF BLDG - CEILING HEIGHT- NO. OF STORIES
7. NO. FAMILIES / Size of Smallest Bedroom Size of Kitchen
8. EXTERIOR WALL CONSTRUCTION -4-Ieidttaa INTERIOR WALL COVERING •
(Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)
ROOFING COVERING 0
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH / CGI
/
10. SETBACKS: Front Yard From Center Line of Street 7/
e
Nearest Side Yard �7 Rear Yard IP 6/p Distance in Feet Between Bldgs. on Same Lot 'Thvire'21-C--
(Property Line) (Property Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width.)a cs A Depth in Ground / Width of Wall L
N
(b) Size of Studs- ✓ el Spacing �� "CC Material of Floor '
(c) Size of Floor Joists' — Spacing / ' "CC
(d) Size of Rafters• 2 X..eper Spacing ,2-L // - "CC
13. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ 500 --
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 CALIFORNIA� • - APPLICABLEA /BLTHERETO.� �
Signed- //l'G4 , O. vI . �'�-r-424- ,¢/
(Owner)
PPiled------71-41-24-59---
By•
/ / 1 14
(Authorized Agent)
�� OR DEPARTMENTAL USE ONLY
FEES: CHECKING BY
Bldg. Permit - $
° e)
3 GROUP...,..) APPLICATION... HEALTH
Plan Check - $ 5/1 TYPE � ZONING v FIRE
Total - - $..3..- DIST. MARSHAL
y� MAp L G� PLANS AND �.
Receipt No. ? } SPEC'S STATE
Paid to - - 1 SHEET NO CORRECTIONS ENGINEER
Date 9"-12 >f VERIFIED CAL
P fI ' S'[lI �� ;;n, G� OU N;TY BUILDING
. I? EP_CTOR
DATE.... 9...--.t� “--(....C.....---
2P:
_P:,;
METES AND BOUNDS DESCRIPTION:
•
10 2� 1
0 30 0 5'0 60
_ mIllurni 1 1 rims :lima or � mm
I I lit 1117_:_
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- ml SUP II imilliiiiIIIII Illimilli LP
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M E NEM MN A� I�ie�� o _
I�I111IYI
CITY OF COSTA MESA •
BUILDING AND SAFETY DEPARTMENT s
CLASSIFICATION SHEET
•
GROUP DESCRIPTION OF OCCUPANCY
A Any assembly building with a stage and an occupant load of THIS BUILDING HAS BEEN CLASSIFIED FOR
1000 or more in the building
1—Any assembly building with a stage and an occupant load of
less than 1000 in the building
2—Any assembly building without a stage and having on oc• Fir �� OCCUPANCY.
cupant load of 300 or more in the building
B 3—Any assembly building without a stage and having an oc• �/�
cupant load of less than 300 in the building, including such
See also buildings used for school purposes less than eight hours PERMIT NO.
Section per week
702
4—Stadiums, reviewing stands, and amusement park structures SIGNED
not included within Group A nor Divisions 1, 2 and 3,Group
B, Occupancies Signature of Applicant C Any building used for school or day-care purposes more than -%61
See also
eight hours per week, involving assemblage for instruction edu• DATE
Section cation, or recreation, and not classified in Group A or Di-
802 visions 1 and 2,Group B, Occupancies.
1—Mental hospitals, mental sanitariums, jails,prisons,reforma-
tories, houses of correction, and buildings where personal THE CLASSIFICATION OF THIS BUILDING
liberties of inmates are similarly restrained
D 2—Nurseries for full-time care of children under kindergarten SHALL NOT BE CHANGED WITHOUT SPE-
See also age, Hospitals, sanitariums, nursing homes with nonambu- CIFIC APPROVAL OF THE DIRECTOR OF
Section latory patients, and similar buildings (each accommodating BUILDING SAFETY.
902 more than five persons)
3—Nursing homes for ambulatory patients, homes for children
of kindergarten age or over (each accommodating more than
five persons)
1—Storage and handling of hazardous and highly inflammable
or explosive materials other than flammable liquids
2—Storage and handling of Class I, II and III flammable liquids,
E as specified inU.B.C. Standard No. 9-1-64; dry cleaning
plants using flammable liquids, paint stores with bulk hand-
See also ling; paint shops and spray painting rooms and shops
Section 3—Woodworking establishments, planing mills and box factor-
1002 ies; shops, factories where loose, combustible fibers or
dust are manufactured, processed, or generated; warehouses
where highly combustible material is stored
4—Repair garages
• 5—Aircraft repair hangars
1—Gasoline and service stations, storage garages where no
O repair work is done except exchange of parts and mainte•
F nance requiring no open flame, welding, or the use of highly
flammable liquids
See also Wholesale and retail stores, office buildings, drinking and
Section dining establishments having an occupant load of less than
1102 100, printing plants, municipal police and fire stations,
factories and workshops using material not highly flam-
mable or combustible, storage and sales rooms for combusti-
ble goods, paint stores without bulk handling
See Section 402 for definition of Assembly Buildings
3—Aircraft hangars where no repair work is done except ex-
change of parts and maintenance requiring no open flame,
welding, or the use of highly flammable liquids
Open parking garages. (For requirements, see Section 1109.)
Ice plants, power plants, pumping plants, cold storage, and •
G creameries, factories and workshops using incombustible and
nonexplosive materials. Storage and sales rooms.of incombusti-
ble and non-explosive materials
H Hotels and apartment houses
See also Convents, monasteries (each accommodating more than 10 per-
Section sons)
1302
l Dwellings and lodging houses
1—Private garages, sheds and minor buildings used as ac-
cessories only when not over 1000 square feet in area
2—Fences over 6 feet high, tanks and towers
• 28166 1 JAA 300-68-1-0sAnil° O1140* ****36.00
'CiDSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
juDir
I TYPE OR PRINT BUILDING
BU
For Office Use Only
ADDRESS 177 F 18th Street
RECEIPT NO. 2�rILfTLO,
COSTA MESA. CALIFORNIA ��((��
RECEIVED ST a RECEIVED ISSUED
MAIL
OWNER Raub-Bein-Frost /--�T/l�� 1 7'
FBUILDING
AD RESS 116 Rochester ADDRESS
TEL ZONE
TYPE GROUP ��
CITY ('nsta Mesa No. 548 7723Le p/
"^.HITECT TEL
APPROVED
BY
�� ATlZ-I- (�O
NGINEER .Tack Rauh NO. 548-7723
ZONING /� r�
ADDRESS 116 Rnrhester ZON xo.or USEorxEWA* L'rFCC
�� I PLANS / I SUMLDNIfR-l1 r0 x1�.
CONTRACTOR camp Pool-or /2l �,l�(14'�Ti j-/( 75/�
LEGAL
ADDRESS same DucRIR1DN
CITY A.P.NO. I 17- 6Z� ,J--./ 7
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL. SO'TO SIDE&REAR P.L.
LIC.NO. No.
HAVES
SIZE I NNO.OF BLDOS.OW ON LOT 1 ALLOWED (U.B.C.REQUIREMENT/
OF LOT 50'31 x 30.0151
Office
APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. Professional O LJ ice MAIN BUILDING ACCESSORY BUILDING
SETBACK LINE FROM 1 1 , I FT
CENTER OF num65.3 REAR YARD 204
SIDE YARD LEFT 1" RIGHT 101411R. IDE
~ -/5/• pr'
DESCRIPTION OF WORK L.SIDE Fr. / 1i PT.
N I IA:TERATION X I ADDITIQN XRUR 7.0'YPT. FT.
1 IILP iDISTANCE BET. BET.MAIN D
REPAIR L/INO HMQI ISH X MAIN BLDQS, ACCESS.BLOCS.
BUILDING NO.OF VAR.# DATE
SIZE _64R sq ft ROOMS 4 STQRIEB 1 C.U.P.# ryyy APPROVED
EXTERIOR COVERING WALL ROOF Tile f3 Comp. APPROV W \. cJw n /-30-66
Stilrro COVERING DY `A I {� DATE
USE OF BUILDING AND WORK TO BE PERFOR y 7/ 0.
nam portion of existing building /(� m
and add 1 field office, 1 drafting rm. 1M 1
plan storage vault and 1/2 bath �/ So.PT. g
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATS THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 213
PLY WITH ALL CITY ORDINANCES AND STATE LAW EGYLATING VALUATION / D
BUILDING CON UCTION. A 2 A/P n^
SIGNATURBPE�1LF� /�"L O. PERMIT FEE $ lig D
SI GNATTr�7 ��i "1.11
^V/ • /JD/j/J /Zr0O kF
1 / g / Liv
AUTHORIZED AGENT _�i1/ '°(:).::..: ..:... :..... .,...�,: ..K_. :y ...�;. .....:..,a....,:o-.<.n). TOTAL FEE $ e5L!/
AJWNER RAUB, REIN AND FROST DATE 1-h-b45
OB ADDRESS 127 E. 18th Street BUILDING PERMIT NO. 27996
GENERAL CONTRACTOR Moonier & Warnecke DESCRIPTION OF WORK Replace Windows
AP -b. 117_09j-17 LOT(Dor)121 TRACT Npt.Hat s.FIRE ZONE VALUE $ 200.00
pJ IA .CTIONS Signature Date GROUP F-2 TYPE V ZONE C-1
ySoil PERMITS ISSUED
Gasp SUBCONTRACTOR Date Number I Signature
Water Plumbing
Rough Plumbing
Prof). Swr. Line-■ House Con.0
S.rinklin_ S stem
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring MI . Cr Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
ii
Frame and Flashing
Lathing In 0 Out.0
Plastnr, Brown Coat
Str -a1, Final i Electric
Hea,..,g, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test 0
Electric, Final MEM
Building, Final %rn 'r'A EMr(_ - .
27996 Jul-8-6 PAID 280 d*****3.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
a
For Applicant to FIA hi Completely APPLICATION FOR PERMIT
UPS OR PRINT BUILDING
BUILDING /2,7 4/4_me en-
For Office Use Only
ADDRESS
RECEIPT NO.
COSTA MESA. CALIFORNIA 7799YY
(/) 7� ^, g R[C[{V[D ST /DATy11[C[IV[p./ /DAT =6U{D
OWNER/CHUB_ (/E//1' /-e0.57- N�CK/iT/��I/ 7 llY-la i_
(/!/�
MAIL /go 6 Rctnn7e,, ADDRESS/A e'�O
ADDRESS
•
CITY G'oS re" MESq TEL
NO. ZONE TYPE •ROUP —�
-"CHITECT TEL ABYFROV[D �/J .ATB/ (!/ i
ENGINEER NO. //�� /
LQNINO jd(rl
ADDRESS ��✓✓ ''may
ZONEI MO.OF YSE OP NEW y.-
CONTRACTOR Ho LW/Sit... /VFcKC- _ C -7 Puns BUILDING
L
ADDRESS C;E w- /J sne - DESCRIPTION 00t Lot 1.11 lig ii$t.
s'
CITY CCIrA9 MESA A.P.NO. // 7- o93 —/7 /
NOTE: NO RAVE OVERHANG SHALL BE LESS THAN
STATE TEL 30'TO SIDE IS REAR P.L
LIC.NO. NO.
EAVES
SIZE I NO.OF 51.505. ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET/
SETBACK PROM FRONT F('. p PT.
CENTER OPF ST
STR[R REAR YARD O_
(.SIDE YARDI LEFT I RIGHT R.SIDE FT. PT.
DESCRIPTION OF WORK L.SIDE FT. Fr.
' W _ ALTERATION _ ADDITION REAR FT.
DISTANCE BET. err.MAIN e
14 REPAIR _MOVING - _DEMOLISH MAIN BLDG&. ACCESS.BLDGS.
VAR.* DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.* APPROVED
EXTERIOR WALL I ROOF APPROVEDC,�d/7 r
COVERING COVERING _ BY �- " " ,,,qqq��`��ADATE ( �� 1
USE OF BUILDING AND WORK TO BE PERFORMED /y(// a
OFF/cs �3LDG V I m
REPIAcc 3 Thfk H.W/.vpows fl/TM
3 srEet Giseafe/Vr /vY.✓Lt -
abee Gt'9ss -A"IA 44° •- 4-04: SQ.PT. o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO CON. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. N1
PLY WITH ALL CITY ORD/ CRS AND STATE LAWS REGULATING VALUATION S 0
BUILDING CONSTRU � L�JS
•
SIGNATURE OF / PERMIT FEE $
PERMITTEE • ( or) W
' s )9 PLAN CHECK S
AUTHORIZED GENT a.+</ ��` :7)90 ...-------
AUTHORIZED TOTAL FEE 5
.S .
OWNER DAVIS, G len R. DATE 5-21-63
JOB ADDRESS 127 E. 18th St.— BUILDING PERMIT NO. 19466
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 130.00
F" No. 117-093-17 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Blk.Wall
L ;ECTIONS Signature DATE GROUP J TYPE III ZONE C-1
Soil SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground Power
Rough Wiring
Trenches p' Forms pi Steel Reinf. H Rig ki
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing — In.❑ Out ❑
F r, brown coat
❑ Air Con. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final RRT/eJ f,-/O-0
OCCUPANCY
Form BU4-5M-3-03-9-B P lob.01
19468 i .C. d hwL; ., y
COSTA-MESA BUILDING-SAFETY DEPARTMENT MAY 2 1 1963
IP:O.BOX 317 COSTA MESA,CALIFORNIA • tl, FINANCE DEPT.
P CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING //,� _ For Office Use Only
ADDRESS a 7 EI/Qf 1
RECEIPT NO. PERMIT NO.
COSTA MESA. CALIFORNIA
—
r/EN R. bAYiS . ,D'rF zyH1 3 sz)iBD�3
OWNER q �j
MAIL �"II O, D../ ADDRESS //iL.. / .e' / 1
ADDRESS fJ `/J
FIRE
CITY q 1 '( �.1 TEL./3/4.../O< r-d-p ZONE -E . .GROUP ).
L' IJ Y �/t �S/T NO. 6 dry U I .
ARCHITECT •• TRL
APPROVE*. (] / /3
OR F"GINEER NO. - BY •
► /� / r DATE /O
ZONING
ADL.-SS
IO H I NO.OR ��USEORNEWSIIQC-1.(
/' I ' E� PLANE BUILDING`
CONTRACTOR �(1-L1/./ .fes(.(/ jr�/ 1I (�''� -( V
LEGAR III n-y)f/`til5 11/^1h-
ADDREHB . LEGAL ON IV f / Ifs/% nJ CPO h�{�/yGr I�'
CITY -
A.P.NO. Ih-l� l - P /
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
LIC.
STATE
NO. - 30"TO SIDE B REAR P.L.
NSIZE ^^//'l} // NO.OF SLOBS.I ALLOWED _ (U. B.C.REQUIREMENT)
OF LOT u D O ILONOW ON Loi YARDS APPROVED YARDS APPROVED
USE OF �� �'` ll /''�(r' / 'j� �(`/ MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. /3 {A �/I�l-.N: 7 /1 6 /4564,04,___
(FROM C/Lr `STREET)
SETBACK LINE FROM FRONT 18E7.FT. FT.
CENTER OF STREETtl I (
REAR YARD G� J/ 14+
SIDE YARD LEFT RIGHT R.SIDE FT. FT.
/I
DESCRIPTION OF WORK L.SIDE / FT. ) FT.
NEV yESALTERATION _ ADDITION REAR h°FT. FT.
—
DISTANCE BET. BET.MAIN&
MAIN BLOGH. ACCESS.BLDGS.
REPAIR MOVING DEMOLISH .
BUILDING NO.OP VAR.# DATE
SIZE $COMS�--STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPROVE 1
COVERING .. OYERJNG BY ly` ' �\\LU DATE S rJ 1.- 5
USE OF BUILDING AND WORK TO BE PERFORKIED-
tset
/1 iT Y//na / 70 3E 36" tt i(-,VI iu' 9,04. 14_
PvPl // ea
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR 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 ORDINANCES AN TT LAWS REGULATING VALUATION ^ - m
BUILDING CONSTRUCTION. //�� YSJ N
I
SIGNATURE OF �6 / /. /1 /„ s��D PERMIT FEE $
PERMITTEE ,4tLZ&. /�A�llf�""G G
D
AUTHORIZED AGENT .i .
TOTAL FEE $'
Tag #1157
OWNER DAVIS, ADELLA DATE )1./L 3 1966
JOB ADDRESS 127 E. 18th St. BUILDING PERMIT NO. 22548- -
GENERAL CONTRACTOR A. A. Neon & Flex Sign Co. VALUE $ 650.00
p- ,ro117-093-17 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Elec.Pole Sign
L .ECTIONS Signature DATE GROUP J TYPE - ZONE Cl
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. ❑ St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power .❑ ��/, �� �, _
Rough Wiring X -77.-5-•6 C( 1- 7/c '✓' "ILA ..C 7/3/6 rL , 2-,//
Trenches 0 Forms ❑ Steel Reinf. ❑ ��/3 /2 v
Floor System '��'"T
Bond Beam 0 Steel Reinforce ❑
Sheathing
Frame and Flashing
Lo+hing — In 0 Out D
3r, brown coat
Re.rig. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final _
Final Gas Test
Electric Fixtures, Final /?4C- )--/5"-4,r(
Building, Final ,21� 2-/r4 v. _
OCCUPANCY
Form B1.14-5M-3-63-3-B P nne'.0
CITY OF COSTA MESA Tag No. jig? FEE RECEIVED
22548 Building Safety Department Type of Sign ei-et-
JUL 31964
eg-Flea• ❑ Non-Elec. FINANCE DEPT.
Application for permit for the fabrication and erection of classified signs. FOR OF1FYCtFUCOSTTN LMESA
Location 1 _ �- 4� . i
// 7 r /? auDate Issued Permit No 25-Building Site Address X
Name of Leasee &',,// r Fire Zone Type Group
/� !�L' �iCC - / Phone �/ ���1� (Z rli
z / f . �e4"." 4-/ .e Nota_ Approved by ..� Dat��3/
Contractor t "" _-//N� State License
77D &' / y 7 yc ; '�v_ 6y627n51 / PLANNIN�7EPA���T_
Architect or
Address Cit Phone /17
Zone C_ A. P. No.
-'gineer State License No. �— �z7 E. �� �'-�
BIdg.Site Address
Address City Phone clean -PG Vis
Legal Owner
Description: ❑ Tract Sign I Roof Sign Address I 27_ 5 /Op - _
❑ Appurtenant and Incidental Advertising Sign ❑ Gas Tube, Elec. Sign �/�
❑ Off-site Advertising Copy Sign Sec. 1.37, 1.44 City ip 3a,t
Area of Sign: Lf ft. — in. X O Gft. a• in. 38 if
Required Bldg. Setback to
Two copies of plans and specifications shall be submitted with application for permit for each sign. Plot on plan Center line of Street
sheets proposed location of sign and locations of all other signs at site. Minimum size sheets SHALL be 18" x
24" and non-erasable. Location of Sign:
Behind Bldg. Setback Line ❑
41- If between property line and established setback line, owner is to sign written agreement with the City.
Between Property Line and
Signature of Property Owner Date Bldg. Setback Line
Front 0 Feet
undersigned hereby agrees to fabricate and erect the advertising structure within the intent and meaning and Right Z 8 Feet
in strict accordance with the provisions of Ordinance 63-13, Ordinance 344, the Electrical Ordinance of the City
of Costa Mesa, and all amendments thereto. Left ADZ z` Feet
ALL APPLICATIONS MUST BE FILLED OUT BY THE APPLICANT. ALL FOOTING, FRAMING, ELECTRICAL Projection irei Feet
AND FINAL INSPECTIONS SHALL BE CALLED.
Ground Clearance /0 Feet
LY / ;f
•' ttee _ / tis. -•".: The amount shown under Valuation is for the purpose of C. U. P. C. Date Approved
• '�/ �/ establishing a permit fee only Clearance Chap. VIII, Art. 5. Section 8504 (b)
Q
Authorized Agen i- %
VALUATION rAi; Permit Fee $ �� VIS ture (Planning Staff)
// $ ✓� U/ Plan Check$ ---
Recd. g'/--"4/ Signature (Dept. of P y3/67
ks
Recd. by Date .i /
Foam BU-30-1M-7/63Total Fee $ Date: