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Home My WebLink About605 19TH ST - Building PermitsCity of Costa Mesa Building Safety Deparfinent P. O. Box 317 Coefa Mem, Californio CERTIFICATE OF OCCUPANCY I1T0 1913 C I The Building located at�� a�-�,� � has been inspected and found to comply with ihe provisions of all City of Costa Mesa Ordinances applicable thereto for a Group = � � Occupancy. , Use of Building A�d.ltlnn �n 1teEtiQ6flCo At� LJOl'k�D Legal Description' ��p��'� �6"d�'� , • (See revene aido for Metas ond Bounda) Building Permif No.��n Elecirical Permit No. � Plumbing Permit No. Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . required under Set. 3301 (1) U. B. C. — 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid tertificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a building or portion ihereof 2) The number of apartments or guest rooms 3) Ownership If Gro�p H Occupancy, number of apartments and/or guest rooms as required under Set. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of apartmenis and/or guest ISSUED TO: Building Official Fruluiit Yiaol by f'l%`__ ��/5�.,,� Date � �s �� This Certificate of Occupancy SHALL BE posted•in a conspicuous place on the p�emises and SHALL NOT BE removed excepf by The Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.G. Form soa��M—ti-e�-,ss P �psta Mesa �g DeparLment / APPLICATION FOR PERMIT r" ' COSTA MESA, CAL FORNIA V ��• r U I L D�� N G � • FOR APPLICA1�iT TO FII.L IN FOR OFFICE USE ONLY Receipt No. Parmit No. Building O ! �- /�Q 6 Addresa � Costa, Mesa, California Recelved by Date Ree'd. Date IstuCd� •• . _ . - 'i<-_�-J ! ■ Owner � � ;actor' No. � Building O /�) M �" Costa Mesa, California Nearest Tel. Cross St. No. Zone � No. of Type I . ,_ %� / oi.,..e � I Bixk � Tract v�i�G -o 0 No. of Bldgs. O Nowon Lot �INo.of No.of Families Room� Rear Vard G'J( of Stories I heredy acknow]edge that I have read this A and state that the abwe is rnrrect and agree with all Clty Ordinances and State ws building cronStruGti� n. !/ Sfgnature M Permittee Author(zed Agt. ValuatioK! O Permit Fee S '�f�O � Plan Cheek $ 3 Total Fee $ � � APPROVAi� Foundatlon Lxation Inspector Forms, Materials, Under-Pinning Frame: Firo Stopa, Braeing, Boita Lath.lnt. Lath. Ext Plaster, Int. Plaster, Ext. � � Bond B � d FINAL �a- O A � Z D r � - . - _. . '. � , �: _�- - � . APR-5-55PDyEsqn781a' *:�*�aj,OC � '. . ,;�,- - . �' � � Street . . ' • � � - PLOTPLAN --- _ ..- . . . - _- -_- � Show Iocatlon and� diatances Trom . � property line and 6ltween bufidinga , _ .� ' ' ' _ _ . . . � �.. ` - � " . , � „� - . . - l . , _' . ��E R�GEIV�U '1 �,`�:�� ft1AY 22 t961 COSTA MESA BUILDING-SAFETY DEPARTMENT PINANCE OEPT, P. O. BOX 917 GOBTA MEBA. Cw�FORNIA GITY Of �OSTA MESR Fol' Applieanf to Fill In Complefely ApP�ICATION FOR PERMIT / TYPE OR PRINT BUILDING ADDRE58 4d ��— `�' T�� —� � . COSTA MESA. CALIFORNIA For Offiee Use Only OWNER�" ��' ` �f�v L� REGEIPT NO. PeRMiT NOO. MAIL /��L /� /p ..1 � REGEI D BY DATE RECEIVED D 188UED ADORESS � /��fti ' .�"�jC'� I / I TEL/` ��- / /J GITY � �� =��J�C NO 2 �/ ADD E'S5 WQ� � �% � . ARGHITECT TE�. COSTA MESA CALIFORNIA OR .INEER � ��-- NO. "'_____ . FIRE I /� j :TOR «�%C�i� /� V/ TEL. -�� NO. ^ � � � ��i I xo. NOY a�o�. 1Z Ns� �%�e IN¢ PROM � � BiNeeT �� O REAR / tD LEFT �V I RIGHT DESCRIPTION OF WC �3x WAL ,�r � / ZONING zoHe I NO. OF � I uee or PLANB OUItDINi LEGAL � DE6CRIPlION ij��! ( a�aa. � 6 — oG� N LAT A. P. NO. `� YARDS EVES APPROVE� ALLOWE � [CCNT6R LINB BT.) q--� �R D� FRONT J � FT. 0 /1 � _ _.__ / Tl -- � A i HQREBY ACKNOWLPOG¢ THAT 1 HAVE RBAD T118 MPL�GTION , THE AMOUNT 6HOWN UNDEH VALUATION IB POR THE ANO BTAT6 TXAT THE ABOVE I6 CORREGT ANO aarsee TO COM- pURP09E OP ¢BTABLIBHINO A PERMIT F¢E ONLY. � PLY WITH ALL CIiY OROI BTATE LAW9 ULATINO BuualNa eoNernucno .' VALUATION / SIGNATURE OF � �' PERMIT FEE $ l0 '� Aif N PERMITTE 9 /J rr.. p . $ /�[%. PLAN CHECK $ --� AUTHORIZED AGEN7 �p ¢ TOTAL FEE d : . , � � � ��a-� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 3f7 COSTA M�A. GLIPORNIA For Applieanf fo Fill In Complefiely � TYPE OR PRINT BUILDING /.-/j � � G/� . ADDRESS CC�G� COSTA MESA CALIFORNIA / �h � I NO;• OP-BIDOB. / use oF E%18TING BLD� BQTBACK LINB FNOM DESCRIPTION OF WORK Y�1X�nI ROOM� moR�EB � WALL��[CDIROOF �fO�/%Ow �nveRINC. SRl�i'l �{ l�.o � 1 XBNHBY ACRNOW1,8p08 TXAT 1 MAVQ R�D T1118 APPIJGTION �V1D BTAT! TMAT TH8 A 6 AIID AORGE O GOM- PLY WITM I1LL CIiY/6RDINAN AND ATe L11W6 LATN6 BUIlDiNO CONBTIiURIOfy� � 91GNATURE OF/ v // . ■ AUTHORIZED AGENT �EE RECEIVED JUN29i"ai �FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only neceier NO. P R111T.N0 �.� e`�i' , BY I DATR HEG8IVJ[D I DAT� 188UQ COSTA MESA. CALIFORNIA o �" ZONING ZON� / NO. OF U88 OR NEW PLANB 2 BU�LDINO �a.� � �, . �fo 1 oeeeaiminv 1/� —�s,� —�;• YARDS APPROVED (C6NT[N LINe BT.) 6 THE AMOUNT BHOWN UNOER VALUATION 18 FOR THH PL1FtP08E OP, EBTABLIBNING • PERMIT FCE ONLY. VALUATION �� PERMIT FEE S � S PLAN CMECK A '" " � i ss� i � ,. . , COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O.BOJI�1] COSTA MH6A.CALIPORNIA For Appl7cant to Fill In Completely TYPE OR PRIN/T BUILDINR Q f�� /��Y // � — ADDRE58 % li COSTA MESA. CALIFORNIA OWNER ��7�i` �I�J� �� MAIL /' ennaawa 0`-'��— / % - ��/� -�-�� THL. � CONTRACTOlI�/ ��G lL'— � U/��J�� ADDRHGY �^'T� � • c�Tv G, g ti — STATE THL LIC. NO. N . SIZE �f � �/ f�,� ryO.O�pLO09. OF LOT �/ � .L l� / PT HOW On WT / USE OF �% / EXISTIN6BLDG.�-�/ /O�"e'� �I�� U�j .@.� 6ETBACK LINe PROM � �%� � ceNrex op crneci �O. m-'� R6AR YARD 7<•� � % 7 81D8 YARD I LEPT D�0 RI�HT / O� TJ DESCRIPTION OF WORK NE`" ALTHRATIpN _ AG ITI N j REPw�R M VINO DHM LISH BUILDINO�� ry O.OP 512E X �� / ROOMB BTORIfiB � EXTERIOR WALL � I ROOR I HEREBY �CIINOWLpDUH TN�T 1 X�VB HHAD TMIB �PPLICATION AND BTATB TXAT TNg ABOVH IB C qR6R AND AORl6 TO COM- VLY WITH ALL CITY pRDIHANCU ND /TAT[ LAWY q UTATIHG BIIILOINO CONBTPUC}�ON. 61GNATURE OP PERMITTE IAUTHORIZ6DAGHNT FEE RECEIVkD JUNly 19 FINANCE DE . nra��c�F �41STd��A�A BUILDING f0� Ofiite Ufe Only FIRE 20NH ' APPROV6D BY__c ZOI{!�r I NO.OF ` �LANB ��._._�Q v R o. //� OJ �'(/ NO EAVE OVERHANG BHALL BE LE88 THAN YARD3 MPROV EU MAlN BUILDIH6 D16TA� MAIN B VAR. # YARDSAPPROVED ACCESSORYBUILDINB DATE V H 8C. PT. � THH AMOYNT 9HOWry UNCBR VALUATION iB POp TM6 F PUHPO88 OP [BTABLIBXINO A PBPMIT F[H ONLY. p VALUATIOfi •�' m PERMIT FEE � � ii�.Y� m ,sd � � , 1 � L O OD " 70TAL FEE S , j . '. COSTA MESA BUILDING-SAFETY DEPARTMEN�%T ��'/ FEE RECEIVED •- P.O.Bb1[!11 ' C09TAMH9A.CALIFORNIA/�'�W:N. G g 198'J For qpplicon► to Fill In Completaly i99 ��%��ICATION FOR PERMR TYPE OR PRINT �eFry,I�-N�A�tl(�EnDf��T(�•o� ADDRE99 OJ (�(/ � I-/ - C� �- CI I 1 �/, ��Ra1�ILl7� � R[CHIR NO. �p�HMIT NO: COSTA MESA, CALIFORNIA LT 3 ' `/,` pa o1r xece so � o�ra ieeu � OWNER /�/` ��N� L � 'I ' MAIL n/%�// � /_� ,�, AOORE89 O W I � ST ` ADDRH88 UV w �l . FIIiE ,7(�. NEL. � ZONE PE 6ROU CITY �y ARCHITECT THL BYPROVE � pAT J�( 1 6 ORENOINHER � U��J• NO � �d H`� ^'y'' ZONINCi AL_ .88 w w �'Ol'/ 'l / /�� .� � ZON�� NO.O� YY60IN6W% CONTRAGTOR /�UL - ��/L /�✓�Ns eu�LnirvoN�� T ADDRH88 OV v�/ -/ � r o8YC111RtOH Y�� O / � CITY ��iJ�%• r' A. P. NO. ��N '� O.i`� '— � Z-. . NOTE: NO fiAVE OVERHANO SHALL BE LE88 TMAN 6TATE THL. �,� ) 90' TO SIDB B REAR . L LIC. NO. N . �- . 61ZE �'� HO.O�eLDae. / ALLOWED (U.B.C.REOUIREMENTI OF LOT (� � Y ryow aN LAi USEOF /J� YARDSAPPROVED Yi1RD5APPROVED E%ISTINO BLqp, (�Q ��' �%��f G%/¢/L', MAIN BUILDINO ACCESSORV BUILDIN6 'f FROM C/L STREE7) BETBACK LINH PROM FRONT FT. FT. cErvTEP OR eTpghT REAR YARD SIDE YARDI EFT I R16HT R.SIDE FT. FT. DESCRIPTION OF WORK �. aioe � ' vr. NE` _ I�— ALTERATION ' ADDITION REAR � I �. � DIBTANGH �[T. BlT. MAIN Q REPwIR I�� MAIN BLDG9. ACCESS. BLOGB. I MOVINO DEMOLISH BUILDIN6 NO.OR VAR•� OATE SIZE � ROOMB ' 6T RIEB / C.U.P. APPR V8D EXTERIOR WALL ' I ROOP MPROVlD 7�!! COVERING COVERINO 1' DATE U OP BUILp�NG �D. Tp BE PfiRF RM6D 2v/ii� /�".v n/-,� Ti �� T �i�/�do.y /,C�JD .CiG,YT 6Q. P7. 9� � 1 HERHBY �CKNOWL8D08 THAT I NAV6 RBAD TNIB APPLIGTION THB AMOUM 9HOWN UNDBH VALUATION IB POR TH8 •NO BTATB THAT THB AOOV OppBCT AND AOPB! TO COM. PURP08H 01 88TABL19HINO A PEqMIT PH8 ONLY. Q PLY WITH ALL C�TY Oq01 N TATH LAWB HOULATINO VALUATION �� O B�IILOtNO CONqTRUGTIO ''") H SIGNATURBQp , PERMITFEE S OC � PERMITTE s �� 0 m ��- a O AIITHOftIZHD qpgNT �j O O � TOTALFEE $ p� �� !' 32�89 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BpX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING T ADDRESS O� G�� '�/. � OWNER �/?��I✓ � � /�� O L� MAIL __' �n�S i�l— /G��— CITV L�(/,f' � CONSTRUCTION BRANCH ADDRESS ARCHITECT CONTRAC70R ADDRESS CITV STATE �I0. NO. SI2E OF LOT USE OF EXI5TING BLDG. SIZE OF NEW BLDG. EXTERIOR WALt COVEFING / USE OF BUI�D �/1 l/C.2 /. �//< ��oM�i - /�vr NO. OF ROOMS =� / / L , ROOF 0��'�� COVER NG AND WORK TO BE is o2 FiS� O/Z O� %.+�� TEI. TEL. NO. CITV LIC. NO. NO.OF BL�IX'S. NOW ON LOT . /D✓,oz �r O�� PAI❑ :;OV?3-70cnsa�0 867 ou*n**5.�� APPLICATION FOR BUILDING PERMIT RECEIVED - DATERECEI/V�ED DATEISSU � � //_ �� / A ��_ �.3 A.P.NO. ��(9� BUILDING ADDRESS ��{.< OWNER FIFE 'ONE NO.OF e � PLANS ( VARDSAPPROVED MAIN BUILDING FROM C/L STftEET) DISTANCE BET. MAIN BLDGS. vAR. # � QU.P. # � APPROVED � �� VALUE $ Y v GPOUP � � � DATE%�-2,�-. � \ USE OF NEW �5"r'�� BUILDING � � �_ VARDS APPqOVED ACCESSORV BUIIDING ` Tif FT. �Y FT. FT. FT. BEf. MAIN & ACCESS. BLOGS. DATE 000nvcn � :,� �wr T...�� .�'�v � c=.— _ I hereby acknowledge that I have reatl this application antl state that ffie abo�e information is correct antl apree to comply wiffi all laws regulating builtling constt�ction, antl I shall noi employ any Oerson in vlolallon of She workman'S compensation laws ot the State oF Californla. m I hereb ce f that I am SQ. FT. o V rti y prope�ly Iicens¢tl as a cOnSracSOr under the Siata of Calitornte Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and [het such licenses are In tull torce entl etfect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ON�V: ¢ am exempt trom t�e provisions of the State of Ca ' rnia Busin s VALUATION antl Profess{ons Co , � n 3, Chapter 9. PERMIT FEE $�--� �`�\ Sig^eiure of �� _ / Permktee ' _ �� $S� � PLAN CHECK $ , / f r�� c __/ Authorizetl Agent . TOTAL FEE 5 J • /. ' . .�% � 7� varo �. �trt�u� �uc is-�3�;,5�00 s23 5.50 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP CATION FOR BUILDING PERMIT Fo� Applicant to Fill in Completely �J� RE � BV TE RE�EI ED D TE `ISSUEI ADIDRESS o��-/ a /�/ d /. � ' � �J PER IT NO.' OWNER �2Ai✓r` �%NGL— A.P.NO. � � �%I` BUILOIN [ / � � � MAIL �.��.�E AODRESS ��JJ�/ /� Z ADDRE55 /� � �/� / a U CITV Li(JJ�TA /�/�� NpL,�T�O/�I TRA LOT O BLOCK Z Z Q CONS�RUCTION W ADD Q N LENDER am . J � BFANCH J � OWNER � ADDRESS � J ARCHITECT TEL. S �� OFENGINEER �� N f��v V Q FIRE w Q ADDRESS - 20NE T d W APPROVE w Z CONTRACTOR ✓CdP.�HL B�' J Q m Z JQ ADDRESS ��A�E ww TEL. �ON NO.OF � Z= CITV Q /L%�� NO. J'�/i/>E �• PLAN50 N w � STATE CITV �'ARDS APPROVED j O LIC. NO. LIC. NO. MAIN BUILDING SIZE � G/ ,(� NO.OF BLDGS. (FROM C/ ET) - OP LOT J L X %d d� NOWON LOT � ROM FT. VSE OF �/ EXISTING BLDG. � � C�/ �J d vf�/�'/�f � FT F- SIZE OF O� Z D NO. OF Z NEW BLDG. � fi00MS STORIES L. SIDE FT. a EXTEFiIOR WALL % �L y'- ' ROOF 'I '='��fr �% COVERING S�K COVERINGd.G/QLc�A7/i✓�� REAR FT. � VSE OF BV�I�L4 ING AND WORK TO BE PEflFORMED DI5TANCE BET. UGV�'✓��,� MAIN BIDGS. / VAR. �`- � 7J�C40 J"C U ,QTD NO � � o C. V.P. 3W y . L/D/�✓b GLfi,/'-�� .� OO/2,— �ROVED Z . O vI hereby acknowledge that I have rea0 this application and stare � that the abova information is correct antl apree to comply with � all laws repufating buildinp construction, and I shall not employ � eny perwn in viola[ion of xhe workman's compensation laws ot y the Stete o� Celitornia D zI hereby certify that I em properly licansetl as a contractor under SQ. FT. the State ot Californie Business and Professions Cotle, Divisicn 3, THE AMOUNT SHOI Chapter 9, antl tha2 sue ensas are in full torce antl aftect, or I THE PUFPOSE OF ES am exem 2 from U}e royIsi s State of Calitomla Business VALUATION antl Professions CTie, DWisio C ptar� � (��/a�' SIB^ature o� � r � /f� / Permittee � $ �/� A�thorfeetl ABant VALUE USE OF NEW BUILOING V BET. MAIN & M 15- (� .4T�. � � ]VED 11LDING , \- .wV l' � V � 0 JN UNDEfl VALUATION IS FOR � ABLISHING A PERMR FEE ONLY: m / ¢ PERMR FEE $ �/ � � 7 m PLAN CHEC E 0 LL TOTAL FEE $ 7h'AI�FlL �[6N/rL _Cm�c�t,I.� '4��'�ant to fill in all spaces exceot those within heavy eoraer Iines anE sign an aooroo�iate aeclarations. PER N. TFACT NO. LOT NO. UNIT NO. O I 3�%SO�O� '!" (',T�yOFCOSTAMESA CONST CTIONPERMIT � "� soga, . � ' , ; ' , :�;.1958 8725/86 . � ;- ;00 �t ProjectAddress �T w��T , /YU RAbI/T�OPWA�) ' • � ,:`",; ` � : . TYPEOFC�NSTRUCTION NEW ADD ALTERATION REPAIR ApplicanYsMailingAddress ❑ CONVERSION� ❑ DEMOLISH ❑ OTHER q,p,# - Zone _� �" Owner's Name lL� B��b�%N�b� Phone DESCRIPTION OF WORK/USE OF BLDG.' ' � . Address �� g�R �� ' ' ' E Main Building: Accessory Buildingi Z Arch/Eng: ' License No. TYPE OF PERMIT GaAOWG FOUNDATION � STRUCTURAL T Fronr � . • � � Addr2s5 ' � - ❑ �TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear � � N Contrector's Name � a. %� / n L ' Phone ��6'�b�� . � OTHER ` ' , C Right ' � - - . . - � N AddresslmailinglY.��G�n AW��i. A�yn�wdo �:r��c�w PROJECTDESCRIPTION So.FT. oCCUaANCv K Left . ' � G 7 CONSTRUCTION'TVPE ' VAIUATION$ $ CityLicenuNo. .""�� ZONE - GRADINGCU.YDS. ACRES . � R LICENSED CONTRACTOR DECLARATION - Ping. Ref. # Pafking Req./Provided E I M1ereby affirm that I am licensetl untler provisions of Charter 9(commencinq Remarks: /�� y� � � � S-T-� � Planning Notei: � M witn section 7000) of DiviSion 3 of the BuSinesS antl Prot¢sslons Cotle, antl my IRense is in u11 torce.antl eftecL . ' ' ' � ' • T License Ciass �^ 'L5 ense No�yo S4� � b� �� ' , , . � , 5 Date Signature +-�`�` - PLUMBING . . FEES � WOR ERS' COMPENSATION DEC ARATION ' • B2f SiOk � ' $hOwE�i ' � � - . I hereby affirm thatJ have a certificate of consent to selt-insure or a rertificate -.. �ELECTRICAC FEES oi Workers' Compensation Insurance, or a certifietl copy thereof (Section gackflowPreventer . ' ServiceSink - � ' '- 3800, Lab. CJ ' � . . - Automatic'Washer' . Trensformer ❑ 15-50 KW Policyrvo. � Company ' Backflowtr�igation ' SewerCap� _ Construction..PoleSub. � � . ❑SO+KW, C �iletl copy is h¢reby tuinis�etl. . -- � er i ietl cop ii filetl with me cit iltling D�JFs'on. �'�' � Bathtu6s ' Sewer Connection - • Cooking Unit Meter p ro 100 amps . _ G Date �� APplicanY� � . - EXEMPTION FROM WORKERS' CC�M NSATIO DEGLARATI N Clarifi2rs _ Solaf ColleCtors ' . " Di5hwa5her . , Me[ef �ovef 100 amp5 , (This section neetl not be com0�etetl if th permit is for one huntlretl (5100) or . . , Iess). . ' � Dishv�rdsher- , Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certi(y [hat in the perlormance ot th¢ work to� which this pe�m�t is i55uetl, I �� '� ' shall not employ any person in any nner s s to become subject to the � Drinking'Fountains � Solar Tank Fan • ' � Work Comp s tion Laws of Calif r'a. Motors �0-7 HP 01'/x: 8 Date �-5ignature � . Floor Drains Swimming Pool w/Spa ' � F.A.U. � • � _.NOTIC : If, a ter making rnis tleclaratio you snoultl become s bject to the Ina Solar �9-15 HP�,�16-15+ WOrkefs' Comp¢nsation pfovl5ion5 ot t Ldbo! Cotle, you m st folthwith � FIOOf SiflkS Ufindl Fixtuf¢5 comply with sucb provision5 Or. tM1ls pe�mit shall be tleemetl revoketl. Mic�Owev¢� CONSTRUCTION LENDING AGENCV � '�'i25S¢NICE Outl¢t5 � WaterCloset Device8oxes POICLiht, � 1 he�eby aftl�m that there i5 a Wnst�uction lentling agenCy for the perfo�mance • 9 of th¢ wo�k tor which thls pe�mit is issuetl (SectiOn 3097 Civ. CJ , Interceptors . Water Heater � Outlets ' � � ' � Lentler's Name � Range . • . Lenaer's.Atltlress _ �� ' Kitchen Sink � . Water Service - ' - - r Switches r - . - ' - ' � � - - ' . OWNER BUILDER DECLARATION � � Sig� I hereby affirm that I am ex¢rtfpt from Ihe COM�acto�'S LicenSe Law to� the LBve[O�i¢5 ' , � � AutO-W25h � � � � � tollowing reason (Section ]031.5 Business antl Protessional Coae: AnY city or Garbage Disposal Standing Sections . � county whicn requires a permit to construct, alter, improve„tlemolish or reDair P-Trap� . � Laundry Trays ' Generator �0.5 KW 05-15 KW any Structure, �prior to it5 i55uance, also lequiles tYle applicant fo! such permit TfdSh COR1p3CtOI . to fl1e a si9netl statement that ne/she is licensetl pursuant to ihe provisions.of � Roof Drains � � � � � • tne Contractor's License,Law (CM1apter 9(commencin9 `��h Section 7000) of • Division 3 of'the Business antl-ProfessionrCotle) or that he/she is exempt - - ^ - � � - - - - , - - - _ , - tberefrom antl the basis for the allegetl ex¢mption. Any violatlon of Section • � , , , . 7031.5 by any applicant for a permit subjects the applicant to a civil ' �� "' penalty of not more than tive huntlretl tlollars ($500). ; � ' . ' - � . Ll I, as owner oT the property or my employees with wages as their sole Reinspection Fee $15 I�sue Fee $, 3 compensation, will Oo-the work, antl the Structure is not int¢ntletl o�'offerEtl • , for sale (Sectiom��04a, Business an❑ Professional Cotle: The �Contractor's . . ' MECHANICAL � Reinspec[ion Fee $15 luue Fee $ 3 FEES LicenSE l2w tloes not apply to an owner of a property who builtls or improves - . ihereon, antl wtio tloez such work himself/herseli or throu9h his or her own , DEVELOPMENT SERVICES REQUIREMENTS: ' ' � employees, provitletl [hat such improvements are mt Intended or offereC for Boile� . Hood or Type I ❑ � � i � . sale. If, nowever}the builtlin9 or Improvement is soltl within one year oi com- . Canopy Type II ',❑ - 2oning Approved By � �ate pletlon, the owner will tiave the burtlan ot proving he/she tlIG not builtl or im- Duct - Under Ground � . ' Building Approved By ' ' Date � � prove for the purpose of sale). , . : " _ - . (� � �-I, as owner of the,pfoperty, am excluSivCly conlracting with IicenSetl con- DuCt-$tluctuldl ' RCfflg¢fdtlOn SyStCT _ AppliUtion ISSued By � '�• tw Jf� t�actovsto con5truct the pro�ect ISecLon �044, Busine55 antl'Pro(esslons Cotle: � ' , The Contractor's License Law does' not aoPly to an owner ot property who Duc[ - Ventilating , ❑0.700,000 BTU ❑100;000 BT.0 � SUMMARV OF F � �� '' - bWltls or improves thereon, antl who wntracts tor such projects with a.con- - � � � /� �\ ., Lactor(sl iicense pursuant to the ContrSctor's License Law). I am aware that. Ekhaust System ❑ Multiple ❑ System Repair/AlteretiUn . ` BUILDING PERMIT �$. _n��ly�/ IP_-' \] $ proof of their Worker's Compensation.insurance shoultl be proviGetl to me. . _ P�AN CHECK $—LLi� .PER�y�n _ ❑ I am exempt untler 5eccion . B. & P. C. for this reason Firepl/Fact. BIt. ICBO �k Fiie Dampers . � PLUMBING � �$ � 1SSUANC �_ Date 'Owner Heating System & Ducting Registers - PLAN CHECK 25% $� ��ERG �� I hereby certiry thaY I have reaa this �application antl state that the above i 06700,000 BTU 0100,000BT - .- . - GGRA $� iniormatlon is correct. I agree to comply with all city antl countY ortlinances - ELECTRICAL � $ � ,� . antl ztate laws relating to builtling <onstruction, antl�hereby aumorize repre-' - - ' . PLAN.CHECK 50% � _ MICRO ILM $- sentatives of his cityyy�� to ente� upOm the above-Tentionea property to� , � ' . � ' • . inspectlan p ses.l / � p - � � MECHANICAL $ TOTAL FEE ,$ �� Signature � ��/ -Date Reins ection Fee , $75 � � - Issu9 Fea ., ' � _$� 3 PLAN CHECK 25% ' � � „orivers' �ic eor55�: -'�// � y�� P '$' � IMF 0865-46, �ev. 1Oj84 � White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor � CONSTRUCTION AND PLANNING � POOL & SPA . . _ APPROVALS Permit# Date Inspector� qppROVALS Permit# � Date Inspector � 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � � 3. Electrical Conduit�Utility-Undrgrnd. 54. Forms� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �: 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test � � 6. Electrical UFER Gr�d. 57. APPROVAL TO COVER-GUNITE � 7. Footings , 58. Electrical Conduit-Undrgrnd, ti 8. Foundation 59. Gas Pipe, O Undrgrnd., Test d• 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 71. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing . ' � 65. Electrical-Final 15. Rough Electrical-Conduit , 66. So1ar System-Final . 16. Rough Electric Wiring `� � 67.� Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. RougFi Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace � APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating . 71. Producf Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical . ' 27. Frame and Flashing 76. Dry Standpipe ' 28. Lathing & Sidin9 77. FIXED SYSTEM FINAL • 29. Insulation .. 78. FIRE PREV. FINAL 30. Drywall Nailing � HEALTH DEPT. REQUIREMENT . 31. Plaster Brown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: � � 34. Final Heating & Air Conditioning � �� - 35. Final Gas Pipe-Test , • 36. Hood or Canopy ' 37. Final Factory Fireplace - ' 38. Final Plumbing , � . •� " > 39. Water Service-Final � � - 40. Gas Service-Final • 47. Solar pomestic-Final - ' ' 42. Backflow Preventer -� 43. Backflow Irrigation � • ' ' 44. .Landscape Irrigation System , , _ . . ' .' . 45. Sound Attenuation . �� 46. Handicap Regulations . , � 47. FINALSTRUCTURE&BUILDING , � � � . . • , .i, � 48. Special Requirements Completed � � �� , 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co ' `. � � 57�. CERTIFICATE OF OCCUPANCY ' . r . � No. Date V 1 ApP��ant to flll In all spaces exeept thosa within CITY'OF COSTA MEsy CONSTRUCTION PERMIT Project Address �'�VS .�w1 ��/%-�t_ µ'r �1 . Applicant's Mailing Address «��_��ND /'TV F. Owner's Name mAQ � �L E� Phone `�'� � Address ��UJ C.Qrh NA {q�,;j_T/lEJ�'d Arch/Eng. LicenseNo. y�%a��2 Address Controcwr'sNam P�aN�e. ✓p//fV F��,n" Phon � AddresslmailinglllS��_�ST��,,..D %3vF Ciry License No, _ _. _.�'%/I L�� LICENSED CONTRACT�R �EC ARATION I bereby atli�m Ihat 1 am Ilcense untle� p�oviilOnt 01 Chart¢r 9(commaOdng with SCctlon �000) Of pIvI510n 3 O1 th0 BUSIne55 d11tl PrOtessloni COtlB, anC my Iicense Is In t It lorce antl eHecL ir� LICBnS¢ CId55 _ � I150 Date — S�9�aWre . � WORKERS' GOMPENSATION ARATION I here�y aiti�m that I �ave a cer❑ Wta o/ con5ent t0 5eH-Insure o� a ce�tlflcate ' Workers' Gompensation Insuranca, or a certifietl copy lhereof (Section �OOY Lab. C.) g Y�� —' �y NO roiic rvo. /U 1.� L 9 com n 4i�_ t—�- �Certitietl copy is �er y furnishetl. �.f- �er ifietl copy is filea with the tity Bu' tl n i� Date�--1'F�T_ APPlicant � EXEMPTION FROM WORKERS' CO P SATION D CLARATION (Thiziection neetl not b¢ com0�e[etl ii p¢rmit is fo� one huntlratl (5300) Or less). I certify Ihat in the perfOrmdnc0 Ot Ihe wo�k for which tnls pe�mR,is ISSuetl I snall not employ any perzon in any manner so as to become sybje<t to t�a Workers' Compensation Laws of Calitornia. Date Si9nature NOTICE: 11, afcer making this tleciaralion, you shoultl become subject to tho WorkCri' CompQnSdtiOn Plovislon5 OI lhe 1200! Cotle, y0u mu5t fOrthwlth comply with 5uch provlsions or this permlt shall be tleemntl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby aflirm that there Is a construttlon lenaing agenty tor the per(ormance o( Ihe work for wnich tni5 permit is issuetl (Settlon 3097 Clv. G.) LenUer's Name ', �entler's aaaress OWNER BUIIDER DECLARATION I hemby afflrm lhat 1 am oxempt irom tho ConVa<tor's License Law for [he following reason (Section ]031.5 Buslnass antl Protasslonal COtle: Any City or county which requires a p¢rmil to ConSt�Uct, dl[9r, Im0�ov0, GBmoliSh Or repal� any sV ucture, prior to its issuance, also requires the applicant Por su<h permlt [o file a signetl sta[ement that he/sne is Iicensetl Ourivant to the provislans of tne ConVactor's License Law (GnaDter 9(commencing wilh Sectlon 7000) of Oivision 3 ot t�e Buziness antl Professions Cotle) or that he/she is axempt •efrom ana tne Dasis for the allegetl exemption. Any viotatlon ot Section l.5 by any applicant tor a permit subje<ts the apP��ant to a civil alty of not more tban five huntlretl tlollars (5500). LJ 1, as owne� of tna prope�ty or my emplOyees with wd9e5 d5 th0i� sole cOmpenSdtion, wiil tlo tM1¢ wofk, and the StNCtule i5 OOt Intentl¢tl of otfef¢tl for sale ($ection 7044, Business antl Professional COAe: The Contractor's Lic¢nse Law does not apP�Y to an owner ot a property who builtls or Imp�ove5 thereon, antl wh0 tloe5 Sucn work himself/herself or thrOugh h15 Or her own employees, provitletl that such Improvements are not Intentletl or ofteretl for SdIG. If, hOw¢vef, lhe bulltlin9 of ImprovCment IS Soltl wlthin Ono Year Of cOm- pletlon, the owner will have the burtlen of proving he/sh¢ tlltl no( builtl or Im- prova to� the purposa of sale). ❑ I, as owner of the properry, am ezcluslvaly contractin9 wlth Iicensetl con- [ractorsto construct tne project ISactlon 7044, BuSiness antl Professlons Cotlo: The CONractor's Licenso l.dw does not apply to an owner o( Oroperty who builtls or imoroves tnereon. antl wno conVacts for suth orolects witn a con- tractor(z1 bcense pursuam m[ne ConVactor�s License Law�. 1 am awara tnat proot o( Ih¢ir Worke�'s CompOnsaHon InSuranc0 Shoultl bo prOvltletl t0 me. ❑ I am eaCmpl untl0r SecliOn B. 6 P. C. tOr tM1iS reason Date Owner I hereby certify [hat I have read this applicatlon antl stato t�al the above information is correct. I agree [o comply with all Uty antl coun[y ortlinan<es antl state laws relati�9 to builtling tonSlrucNon, anG hereEy authorize repre- sentatives o Ihis a tory� er upoo tho above-mentlonea p�op¢rty for InSPectlon p ozas. �V Signature _ Date 9->>�85 I I Drivers' " e se or 55 qF Reinspeetioa Fee � $15 5/BB Wnite - Builtling: Canary - Applicant: Pink - Accounting; Goltlenrotl - Assessor G� TYPE OF CONSTRUC ❑ CONVERSION DESCRIPTION OF EorEer lines anE si9� all apDropriate Eeelantions. LOT NO. UNIT NO. P J NEW LJ ADD LJ ALTERATION LJ REPAIR LISH ❑ OTHER iOFBLDG� ��MoL'S .f/M4CE TYPE OF PERMIT� LJ GRADING U PQUNDATION LJ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT OESCRIPTION SQ.FL 0� OCCUaANGv�� C O N ST RUCTION T V PE V A LUATI ON $�FCLS ZONE GRADINGCV.YDS. �� ACRES_ Remarks: Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Ges Service Outletz Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Duct - Under Ground DuC[ - $tYUCtuf81 Duct � Ventilating Exhaust Sys[em ❑ Multiple ❑ Firepl/Foct Blt. iC80 dk Heoting System & Ducting ❑0.100,000 BTU � 100,000 BT Showers Service Sink Sewer (:ap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinel Water Clout Wa[er Heater Water $ervice Auto-Wesh Laundry Tra4s Issue Fee Hood or Typel ❑ Canopy Type II ❑ Refrigeration System ❑0.100,000 BTU ❑ 100,000 BT Sysrem Repair/Alteration Fire Dampers Registers Issue Fee FEES $ 3 $ 3 Y' A. . qW S Main Buildi E T Front B Rear A C Right K Lett S Ping. Ref. qW Planninq Notes: ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter �over100amps Dryers ❑Gas ❑Electric Sub Panel _". Fan Motors�0.1 HP 01Y,-6 F.A.U. Inc.Solar �9-15 HP �16-15+ F ix W res Microwave Device Boxes Pole Light Ouuen Switches Garbage Disposal Generator �0-5 KW 05-15 KW Zone I N G R E � M T S. Sign S�andinq Sections Trash Compactor Hainspection Fae )$15 � � laue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building APProved By Applimtion Issued By 1:. SUMMARV FEES BUILDINGPERMIT $ � SMIP PLAN CHECK $ PERMIT PLUMBING $ O ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTFICAL $ GRADING PLAN CHECK 50% $ MICROFILM MECHANICAL $ TOTALFEE PLAN CHECK Z5% $ _ _ _ . _ _ _ OF,Tt: C9i�7!£9 TYfl[: ;� FEES $ 3 $ _S V C� O�:d3�S`'�G'�YS?`3 �'�-";r �-.'. . DA7E: 0�/27l39 TI�i=: 15:2: � S � ' � �� ,. . • CONSTRUCTION ANDPLANNING �� POOI 'PA APPROVALS Permit # Dat L Inspector qppROVALS Permit # Date Inspector 1. Temporary El�ctrical Service or P� � 4 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ��,",�_ � �,> `' 53. Steel Reinforcement � � 3. Electrical Condu�t UtilitY-Undrgrnd. �:, 54. Forms _ r .4(�Electrical Conduit-Und�grnd. � '� 55. Electrical Bonding ^ 5.� Stee! Reinforcement � ��' S6. Rough Plumbing & Pressure Test '= �. i i 6. F�Iect�icalUFER�Gndr � �� 57. APPROVALTOCOVER-GUNITE ,�� / 7. h`oottn4s r� � ..1/ 58. Electrical Conduit-Undrgrnd. i 8i F�o�n`daJion r':� �� , Y 59. Gas Pipe, O Undrgrnd., Test � . . �'. W�ter Ptpe�Undrg nd. `� -�! �- 60. Backwash Lines, P-Trap, � Undrgrnd. �'� y 10. $tr,uctu'ral Floor System <';��' 4'• �� '? 67. APPROVAL TO DECK 11. Pr`operty $ewer Lirie & House Conne"ytion �+ , 62. Backwash & Receptor-Final 12. Sewer Cap. � "' � " � �� q' r{p (,.�Q 63. Heater & Vent-Final 13. Rbof Drains V' i � 64. Plumbing System - Final • 14. Rough Plumbing r 65. Electrical-Final "./ 15. Rough Electrical-Conduit 66. Solar System-Final ��. Rough Electric Wiring 67. Fencing & Access Approval `1�7�. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18 Rough Eiectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough �W�ting & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � .- 21•. Du�ts!idStructure 70. Underground Hydro 22. Ducts, �`lentilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test � 72. Underground Flush 24. Roof Fc�ming �� 73. Undergrnd.StorageTank OGas ❑Oil � � 25. Roof Sfieathing V 74. Overhead Hydro 26. T-Bar�Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Fram� and Flashing � 76. Dry Standpipe 28. Lathi�g & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. DryW�ll Nailing .• HEALTH DEPT. REQUIREMENT 31. Plaste%Brown Coat�'1 79. FINAL INSPECTION 32. Elecfrical Power Meter-Final ,� 80. FOOD CERTIFICATE ISSUED 33. Final Electric �I r'• Notes: f � 34. Final Hea[ing & Air Conditioning � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomes[icFinal 42. Backflow Preventer � � %- 43. Backftow Irrigation 44. Landscape Irripation System � � 45. Sound Attenuation �,� 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � �� p 48. Special Requirements Completed 49. Elec[ric Release to Edison ' .s�� 50. Gas Release to Southern California Gas Co � ' � .i 51. CERTIFICATE OF OCCUPANCY ,_.�-+ �` � i° No. D�te � �r ' � Y COUN7'Y OF ORANGE ' BUILDING DEP'T. . Permit No.--�. �_� � . �._.. 636 No. Broadway � Satita;Ana� Ca4fomia Application for'Bui7ding Permit P6one: KI2fi211 AND FOR A C¢rtificate of Use and Occupancy Date_.... -� �-L1��"r.�.......Q � � ?^ ?�� 1 V � �-_... - - -- ... --... � /�'1 , J . `j ^ ... .....................- - - PHONE:. �. �. - � OWNER'S NAME. ....._- - _ ............. ..... - - � N � �� . —J R � r:.� �-6-- • MAILINGADDRESS.....:�.�.�'.---_.M..bN..1.i.0.�.�.�.�........�.�.�..-�- --..... CITY.L_ONCn.......(� �_.�CH_.-3r Name.......---'---......--'-----.._......-----....._.---- ...:..........."----....---- /� (ArchicecGt o� Engineer) Address __.SP.. �....�.�..... .._..�-..L_T ��._ 5..� ..................... c��v ............C-:.Q. 5..7.A........ is"l. ES A-- ................ . State Lic. No............------.......----'----. Phone ....................'---.............. Name c;cy ...--.:...�-�'^..""_,.�.�r Scatc Lic. No._- -- - -- --_.._........ PROPOSED USE:_.........LI..�^S.lB EAJ.L�r ......_ ..........................._.- -............ -- � .................. ...................... - .IOB LOCATION -�--- ........ -- _... � � g.. �N....- � � � -- ........---- �._P_..P�_-!- �-..-- �3% � � Fa z. � J ............ ........ .... -......_............- -.._..... (House No.) (Name o( Street) (Town or School DisMct) � 3. LEGAL DESCRIPTION: Lot..---•y �. �--------------------...-----..---Block ._..._.....----------------------.----- Tract----NkW PD�QT__/14,�L4 (Metes and Bounds Descriptiun—Use reverse side of form) � � � 4. CORNER LOT ( ). INT$RIOR LOT ( �/) THROUGH LOT ( ) SLOPE OF LOT ( ) r 1 V l� i i. SIZE OF BLDG.:Zr.�c-�--_3�!..... AREA:...�..3_g....��..� �.%.eSIZE OF LOT:�IB...�-----X--I..:�g_...AREA:...�...1�. �_..a�..._�0,% T, I, � I b � G. HEIGHT OF BLDG.:._--_........%..--__ ................CEILING HEIGHT:...._A...................._...NO. OF STORIES--_.--./-.._......_....-_-.. � I / / 7. NO. FAMILIES.._...... �...---.--..__.....----.:.Size of Smallest Bedroom:---.�-�-_X--- �- z-.----_..--_ Size of Kitchen...--�----%�--- r-�-...._.... F. EXTERIOR WALL CONSTRUCTION:...�..r_V.�.�e.� .............INTERIORWALLCOVERING_...__�_`_n<,%f-_/'Z- (Framq Smcw, Etc) t.. �....."' - ' ... (PlasterDryvrell, Etc.) 9. SETBACKS: Front Yard From Center Line of Street .............. �.�� . ............_.................._................... � . � / Ncarest Side Yard....S ...............Rear Yard... �� .........Distance in Feet Between Bldgs. on Same Lot......._3_�......................_.._. 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ' l II 11. For (a) Footing: Wid;h.------�..�! ------------------Depth in Ground....----�..z.............Width of Wall.........--....__---------- ...... Accessory � �� Bldgs. and 1 x t� X� �(g " (' 9,M(, �'' i/ Similar (b) Size of Studs :............................Spacing----_-----............... CC Material of Floor.._...----.- --------------------------- Scruaures: � , (,�5�fi+ALf� `T/t �'� (c) Size of Floor Joists :............................._---.--.....Spacing.......-.--_'�' •.CC � - - - ....... t� i (d) Size of Rafter�:.---1,�!....7------------------------------Spacing-------------�.�f.�' // "CC .................. 12. VALUATION OF PROPOSED�WORK IGnduding all labor, plumbing, elecvical wiring, heating, fire sprinklers, painting and sewage disposal $----...��.�Q.'...........�.p 710 . . 13. I HEREBY CERTIFY THAT TO 7'HE BEST OF MY KNOWLEDGE AND BELIEF ?HE INFORMATION ]N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WOR1G V✓ILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE•AND THE STATE OF CALIFORNIA APPLICABLE THERETO. / Signed Plans Filed:---...L?...-....� a. 'S� .. . _........ - --- - -- - FEES: Bldg. Permit Plan Check Tota] • • Receipt No. Paid to - By:.......... (Authorized AgenQ FOR DEPARTMENTAL USE ONLY � CHECKING BY o a' GROUP.....L ..................... APPLICATION- ---. ..... HEALTH_................ o........--- - %'.. _� ............... TYPE._.....r..Y..�........... � -. r FIRE ZONING .................... �- ................ .. DIST. L R LI PLANS AND �/ MARSHAL.............. � MAP......- -� ........ �� ...._...... SPEC'5 ........... .. - - -� STATE - ................. ......_^ .. SHEET NO...,.�7'� ................... CORRECTIONS ENGINEER DATE....l�.._�.�3 � lf% .. ............................. . 'v M-B-•vf —�_ �(�1 E� �� OUNTY EU LD1NG E"• � �� !t i�. in�m;cTOR .. ... . . . . .......................... ............ ... �EPU?y � COUNTY OF ORANGE BUII.DING DEPT. 636 No. Broadway s�,�a n�, c�uta� � Phone: KI 2-6211 Y Application for Buidding Permit AND FOR A Certificate of Use and Occupancy Permit No... s .�I..' 3e-�... Date.._�V.:NE.._./� j:.....�.I.S. z.._ - -... ....._ ... ........... -�- -- --....... PHONE:--... ..�! 3-L.---......... 1. OWNER'S NAME----.W.�....�._.__G�N�+\.K.�.......��---- � /�p p , MAILINGADDRESS... �+-L.�:. -M.U.N110.U11-1......�_IJF- - -._... CITY .... ..............._..:..------ ....... ..... Name ._ ..............-%�1�.0, /� �--.._--.......--------................'--...------- (Architec[ or Engineer) C ABJresa --..%. b.S....- _.�...1.... - -� S � `----------------- Ciry ._... - �' n.S �� h _....� E S a ............ - ---.... State Lic. No.._.------' ............."------.... Phone..._._.------....--��------------ PROPOSED USE:--...--........._�.A..9\.%a.C'_� . ............- -- - p � ..... --...... - . - . ._... ?. (OBLOCATION ....�_�~....... L-L-�-'...._�t..._ -- .............:.-... - ..�.�'�:f (House No.) , (Name of Stree[) , (Town or 3. LEGAL pESCRIPTION: Loc.---........�.. �.........--------...---.Block ......--__--- ................_._.. (Metes and Bounds Descriptiolr—Use reverse side of form) Tract..��1t:�pQ�S'-1' �E.�� 4. CORNER LOT ( ) 1NTERIOR LOT ( �/) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:.�D_JC...�O........AREA:...�Q.�...�.,........SIZE OF LOT:.....�`N�J..�A..�..AREA:......l..a'�J _--__-- G. HEIGHT OF BLDG.:_._...�d.�..l�.��....__.......CEILING HEIGHT:..._..........� ......._ -NO. OF STORIES-- ----.I..,...... - 7. NO. FAMILIES....._.....-_/ ......................Size of Smallest Bedroom:........___._..__...-._---_.--_ Size of Kitchen......-.--_.------..._..-___--- 5. EXTERIOR WALL CONSTRUCTION:....��U.CC__(?___,,..___...._INTERIOR WALL COVERING.._....U.P�.N...._._._....... (Frame, Stucw. Ett.) . � �j (Plaster•Drywall, Ete.) 9. SETBACRS: Front Yard From Center Line of Sveec-----/.4.C�._----.-----..----...--- ................__....---...-------...------.......---.............. i / /�/ I Ncarest Side Yard.......�............Rear Yard._..s.�w�............Distance in Feet Between Bldgs. on Same Lot.........../.Sl_4 .....:................... ]0. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ��n � ✓ ll. For (a) Footing: Width.------- .. ..............--------_Depth in Ground.........�_...---........Width of Wall....----------............._. Accessory Bldgs. and b Size of Stud=„ ,X �_� g � •• i1�L'G�1� �� Similar �� ''Z ----------Spacing-----...�� ................ CC Material of Floor.....�P._._._.........:.....cs.._........ Structures: . (c) Size of Floor Joists:. --.......-- -......... - -- .Spacing - .............. . � - --- �CC �j ,/ i� �d Size,of Rafter=:..._-N-X- -...._-_-----------------_...5 acin 'I" "CC ) _ p g ............ .... ....... -.......... 12. VALUATION OF PROPOSED WORK: Induding all labor, plumbing, elecvical wiring, heating, fire =_prinklers, painting and sewage disposa] $---.a.3.Q-�.�'_----�(.f � . ]3. ] HERE$Y CERTIFY THAT TO THE BEST.OF MY-KNOWLEDGE AND BELIEF THE iNFORMATION 1N TH1S APPLICATION ]S CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. Signed /o / — 3i�-- Plans Filed:.........."`--_ -(� � .. ........... -._._:.......... .... Bldg. Permit Plan Check Total � • Receipt No. Paid to - Date ........... 5 M-B v1 FEES: � 5.....°�.'. �.......... DATE.... -- _ 19....—( � -_.S � By:...............-------. _ _............---------........................--..................------�-`--- �-. (Authorized Agent) _ FOR DEPARTMENTAL USE ONLY GROUP..�. .. TYPE..._._.� ... . .............. DIST. ��,/ MAP--------- ------ -� �--....... SHEET NO........� ................ CH APPLICA ZONING...-.--.. �.'. --....-- PLANS AND lj� SPEC'5.......- -�- -�� --- CORRECTIONS V E R I F I E D. ----. ---... _.......... L:L HEALTH ................. - ..... FIRE MARSHAL......... ----� - - STATE .............. - .... ENGINEER UNTY OUILC 1 X -'r=CTOR c p.; _�, V'