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Home My WebLink About145 WILSON ST - Building Permits OWNER HUSBAND, MR.' AND MRS. DAN H. DATE • May 26, 1965 2 JOB ADDRESS 145 West Wilson Street BUILDING PF?R.MIT NO. 2421 7 GENERAL CONTRACTOR owner-builder DESCRIPTION OF WORK Bedrm add. to res. / ; o 115-160-6 LOT TRACT FIRE ZONE 3 VALUE $ 2,500.00 d :.. INSPECTIONS Signature Date GROUP I TYPE V ZONE Cl Soil _ PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning _ Temporary Service or Pole Underground ❑ Power ❑ Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing 7�y�� G ,c! c Frame and Flashing M4C ./S-g Lathing—In.0 Out-0 P- 1r, Brown Coat S tura], Final gtrl - !( seAr Electri Heating, Vent., Refrig. and A.C., Final (U_ i -/i i Plumbing, Final and Gas Test 0 Electric, Final R �'.°-a Building, Final _-- _-. Jrrnt // ;.0 `Dy" S CITY OF COSTA MESA 4 BUILDING DIVISION •4 r,,;r `� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F 1 j�,�,.�h. i PERMIT J # u77/ E05-00155 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 145 E WILSON ST Status: ISSUED Suite No Applied: 02/24/2005 Vicinity: Issued: 02/24/2005 Parcel Nunmber: 43927125 Applicant: DEFINA, BILL ISSUED BY: Yom! Address: 157 E WILSON ST I ` Phone: 949-285-9675 COSTA MESA,CA Zip 92627 Owner: ABBOTT, EARLENE Address 3436 DON LORENZO DR Phone: CARLSBAD,CA Zip: 92008-3925 Contractor: B CONTRACTING Address: 157 E WILSON ST - Phone: 949-285-9675 COSTA MESA,CA Zip: 92627 License:792382 SCOPE OF PERMIT - ELECTRICAL PERMIT FOR REPAIR OF DAMAGED.FRONT WALL OF EXISTING SINGLE FAMILY RESIDENCE,DUE TO AUTO COLLISION. INSTALL 2 RECEPTACLE OUTLETS. REF: B05-00324 FEE SUMMARY r Quantity Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0, Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section • $0.00 0 New Res(1-2 units) $0.00 0 - .. Misc Electrical Equipment $0.00 .0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 - 0 Pool/Spa $0.00 0 up to 10_kva/kw $0.00 0 Lighting Fixts $0.00 . , 0 - up to'50 kva/kw $0.00 - 0 Recept Outlets $2.20 2 up to 100kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 > Low Voltage Equipment - $0.00 0 , Res Appl $0.00 - 0 - Low Volt Wiring System/Ckt $0.00 ' , 0 Service to 200a $0.00 0 Misc.Conduit - $0.00' - 0 Service to 1000a $0.00 - 0 - Misc.Conductor $0.00 0 Service over 1000a . $0.00 0 Circus(gen or ride). ' , $0.00 0' Motors to 1 hp $0.00 0 , - Circus(mech ride or lights) $0.00 i 0 Motors to 10hp $0.00 0 : Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 • 0 Fireworks Stand -- $0.00 0 Motors to 100hp $0.00 0 - Other Electrical Fee -"- ; " : $0.00 Motors over 100hp $0.00 0Communication drops $0.00 0 = Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 • • 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(600) 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 carder 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.) 1.cetli1 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�fo I ,and e ha' uld become subject to the workers'compensation provisions of Sectlo 3700 f the Labor Code,I shall forthwith comply with.these.provi FAppllcanYSlgneture: � Data:-�-� Z- lr/ OS-- WARNING: CWARNING:FAILURE TO SECURE WORKS 'COMPENSATION COVERAGE IS UNLAWFUL AND SHAH SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS(S100000),IN ADDRION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,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 3B _bless and Professions Code,and my license Is in full force and elf e4Inti„ .-%-i 7- 7 ass#Vs lCantl s Signature:- 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 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).): ❑ 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 property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to en 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 drivers license. 0 Yes 0 No Drivers 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,faisework,or demolition or dismantling thereof,will be more than thirty-six(38)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? 0 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). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application 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? DI Yes fI 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 0 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? 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 end 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. S'. ire 5,4 'Os) Date 22y/nr &e Abihodzed.Appllcant,-..".. - l_3tDate - r; ODE I INSPECTION TYPE oATE )NTIALS CODE! INSPECTION TYPE DATE ItmmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing Li`-6-10 �� / 200 Final Re-Roof 210 Final Electrical L'-4-9f 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 5111 Mac CITY OF COSTA MESA BUILDING DIVISION >:j' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER . 1101141 .' I PERMIT � � 4ClilkPoitaniol./ B05-00324 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 145 E WILSON ST Status: ISSUED Suite: Applied: 02/24/2005 Vicinity: REPAIR FROM AUTO DAMAGE Issued: 02/24/2005 Parcel Number: 43927125 Zoning: Applicant: DEFINA, BILL J ISSUED BY: Address: 157 E WILSON ST • Phone: 949-285-9675 COSTA MESA,CA Zip: 92627 Owner: ABBOTT, EARLENE Address 3436 DON LORENZO DR • Phone: CARLSBAD,CA Zip: 92008-3925 Contractor: B CONTRACTING Address: 157 E WILSON ST Phone: 949-285-9675 COSTA MESA,CA Zip: 92627 License:' 792382 Arch : •, ' Eng: Address: Address: Phone: Phone: Zip: - License: License: SCOPE OF PERMIT REPAIR DAMAGED FRONT WALL OF EXISTING SINGLE FAMILY RESIDENCE, DUE TO AUTO COLLISION. INCLUDES FRAMING,INSULATION, DRYWALL, SIDING,&WINDOW REPLACEMENT,AS PER REPORT FROM CITY INSPECTOR. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,500.00 Permit: $83.25 - Claim Valuation: $2,500.00 • SMIP Res: $0.50 SMIP Corn: $0.00 - Other: $0.00 Inspection: $0.00 Total: $83.75 • PLANNING &ZONING - - SETBACKS ` . , . - _ ,, v - - , 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 Califomia 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(WOO) 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. ❑ 1 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($100)or less.) j.37lInirlify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cal'o la, If I should become subject to the workers'compensation provisions of Section 3700 of a Labor Code,I shall forthwith comply with these pro nt'Sf Tature: 2 -'i o$— WARNING:FAILURE TO SECURE WORK RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND OWL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am ticensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of.the.BusinesAand Professions Code,and my license is in full force and effect. N-3 7tD f-'(�� IasrN—a CS l Confr�Ct6r's.S ure:" `\C1 ate: -1 2-7211/QCCONSTRUCTION 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 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).): ❑ 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 property,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 end Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers 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 then thirty-six(36)feet high.(Chap.3.2,Gly 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 end certify a Business Plan for emergency response to release or threatened release of a hazardous materiel? 0 Yes 0 No (Section 25505 of the Calitomia 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 file a registration form for acutely hazardous materials? 0 Yes 0 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 Safely 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 Califomia Health and Safety Code been fully complied with? 0 Yes 0 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 apermlt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes 0 No (Section 65850.2 of the California Govemment 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? 0 Yes 0 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? 0 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. t "%—wner(5) D e ai/S/.N- :: ..s • 2.SalIC 1%Ari: • -•Oth••rized Applicant . tor �` CODE}, INSPECTION TYPE gaff. maaj& ODE! DISPECTION TYPE PaIE 1NTMALE 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 222 Final Site 204 Final Demolition 250 Final Building/Occupancy n6. t J 242 17 CITY OF Cb'STA Bfliii COSTA MESA BUILDING-SAFETY DEPARTMENT WV P.O.BOX 317 COSTA MESA.CALIFORNIA MAY 2 6 1965 For Applicant to Fill In Completely APPLICATION FOR OR PE• IT TYPE OR PRINT r.AY fiL ,{►Ic Pr 1 BUDRESS / A �}�y(w/,S0� 9 - ADDRESS YQ JTi 7_ RECEIPT NO. PH¢MIT NO. COSTA MESA, CALIFORNIA ((//��I 24 i 7 OWNER Y RECUV p{ SY yII ''RH,csyf��D((��/ 2_T4ISSUED MAIL F� I BUILDING /4�W I..IL%I�_J!c/`1+6 ,*, ADDRESS J^*1L}/� W11.�' ISO7I JG / etil ADDRESS ! J ,V ? FIRE CITY Co l�i /r• /14 A NO. 14 sial t ZONE _ -E _ GROUP ARCHITECT TEL. APPROVED7 '� DAT:� Jc OR ENGINEER NO. /A. ^ c ONINf3 AD._CSS ZONE NO.OR UUOFNEW Q_ im _ CONTRACTOR o-M '7e R R tlimey' (p/ I PLANS BUILDI4_4-79.Qi/�.!/M�'�[P]�7./.l�.'\'/^�� tk AD... .a .^/// Y� //'' CITY • A.P.NO. / Ian /(p O � CQ ' NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL. SO'TO SIDE a REAR P.L. LIC.NO. NO. • VES SIZE Al oZ/; p I NO.OF NOW ON LOT B � ALLOWED (U.B.C.REQUIREMENT) OF LOT /J aC /1 A• •i e USE OF / ) Ar YARDS APPROVED YARDS APPROVED EXISTING BLDG. 2JIVE 11 �,Iris MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET)^ l. SETBACK LINE FROM FRONT .. r.. /• . FT. CENTER OP STREET REAR YARD FT. SIDE YARD I LEFT GOV I RIGHT R.SIDE T. (S/ja (y/` • DESCRIPTION OF WORK L.SIDES �/�iFM1 R Q lc. — Fr. NE' ALTERATION ADDITION L____ REAR 3C. FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDOS. ACCESS.BLDG. BUILDING / NO OF VAR.# DATE SIZE /L x a u ROOMS i STORIES ' C.U.P. APPROVED EXTERIOR W.�c{. {� y ROOF AAAAAA AP VH //�� es�� COVERING wq/WQUAI COVERING ZOf B7 1 (_ y/� DATE s---ab-F'J��' USE)5EU0 INg_AND WORKI oo r? •P RFD L.11 01i O I doN�{ I? E s 1 p r//''ffrrrrK�}( DPI 11 N 2 co SQ.FT. O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION a BUILDING CONSTRUCTION. o ^� 00 NS 4rs.n>gll' N.tfiusb �, d PERMIT FEE $ /Z 4261_ SIGNATURE OF PERMITTEE �J / $ / Loo PLAN CHECK $ t o AUTHORIZED AGENT i V / 2 av E a TOTAL FEE $ / a ORANGE COUNTY BUILDING DEPARTMENT. APPLICATION FOR PERMIT 636 NorthBroadway • SANTA ANA, CALIFORNIA BUILDING iys— F PLICANT TO FILL IN $ FOR OFFICE USE ONLY ///•'- REC/EIPPT NO. PERMIT NO. BUILDING r ^ •� I19.) .1 ,1//// dZ ye � 5c-J/s ADDRESS T 7 �7 iN A/ -`T SCHOOL DIST. /d . _W -I - ' nib/ 1 A ./ RECEIVED BY DATE RECD. DATE ISSUED OR TOWN (jt}/J.G¢/ vr.�K.�+ L_dCJd NEAREST ROSS ST. )'Ivtiw,(�.Nt �1 ��C �°i��t C1 el.-7 Y�S3/!�%/ %�=S' OWNER /JA3 . / l. ' l�%N^��r G BUILDADDRESS / /', -S V v / / I OOL =DURESS �N' /�4.11n1 e M.' /� /9 OR T TOWN DIST......4 F . �'7 i1. e./�,(�/e/��. CITY if ft, .Uw/, f•AIY+/ ) NO`. �.S�S(S'/ NEARESTCROSS 5T.' "ket.✓'� �/�{f�!✓f '• ..- CROSS ARCHITECT OR I LIC. ZO/ LA I ItAF TSP I GIOUP- ENGINEER NO. PLANS (/ ADDRESS ` /r BYPROVED ' / `/ ,_ G,y (:;:-.-26Q,()--" I !TRACTOR 4,7L - �r NO.L� _O 7 ✓ p /�,, - CORRECTIONS ADDRESS/se (Y'M�K"G .LW( U6-'Z&Ft.M LEGAL LOT / DESCRIPTION I NO. G iBLOCK I TRACT - (ATTACH METES /& BOUNDS/ �/J NO.OF SIZE OF LOT b'{ X .2O 1fAI NOW ON LOTS 21A•s4. USE OF NO. OF NO.EXISTING BLDG. I F MILIIES I ROOM SETBACKNTERLINE FRETM: • REAR YARD CENTER OF STREET SIDE YARD • •DESCRIPTION OF WORK a 6 NEW I ' I ALTERATION I I ADDITION I - Z REPAIR I I MOVING I I DEMOLISH I r BUILDING NO. OF / SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING /��//iwtC E, I COVERING _ •1 OP NEW eaic 14tt 02ZG c g APPROVALS FOUNDATION: LOCA ION , I,I6yPECTOR 2-.7�E I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS UNDER, MATIN LS, L �/JI ✓��2J APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDERPINNING AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, RC- /a —/sir-4.3 BRACING, BOLT AND STATE LAWS REGULATING BUILDING CONSTRUCTION. I. LATH. INT. SIGNATURE F�!^14• I/41iQ MyyLATH. EXT. \- ill �v1%%% PEMTTEF PLASTER, INT. CJ IAUTHORIZED AGT. PLASTER, EXT. PERMIT FEE S.4_ , MASONRY REINFORCED VALUATION PLAN CHECK E 3 \ gONO BEAM ,/ /Q• ' 7 YT" Com} .•� 1 `/ /' !J 'TOTAL _�.,2(S NAL Rw 0 ,I 2. 1 —53 IoM T-20.BB "T w - d - • • • tl . • • • \' . i STREET • PLOT PLAN Show location and distances from property line and between buildings. • ti - ` . - • • • nr3 GNI' h..i y • Ei5- L' l•'Q 0 o g -