HomeMy WebLinkAbout813 19TH ST - Building Permitsvv. ~.
�•l. ...�..
.---= * - go3 to Si�
iq��f STxE�'� �
_�— -
� . �$._.
p-. y .
'' f ( '� n,a�'�„�ti*� F,
. .- . tf_ .m.. � 3 ri H.F k�t��'t"9�+3 yY;
.. ' r,.:.� ,���,: . <i' ' .: � ,_.- y �K�.Sf.rjv�4.4�r' ,�
. . . - - . k • 3 � ".fc"i'� ���`h
' � .. �..
:.� Y j'..
. . - . � : : ' , :':' ..." � �. � �: : ' " ,.
. ... ' , . �� ::.... ,..,:
.. � .. . `. " : . ', '.: .. ...' ! .. . Vc.. �
. . . , ��. � .' .
r .
•tf "'�i2 .:.' . . : :.a . _..'. "' .'.... . ' '.. .. . . , .
� "' . c
' .r.. ss.-- "<< y�+.�� •�9 y .� - .'.�„�s �3"�+r5j�w r
Y • �.�+'.i�'aai.ia e& �{� . '
$43,�+00. �
_ 8-5-55 Stores arden 1 500.
I 783 haw & g saizs '300. ..{.,
_ comP• �ubing S=gn
11117� - comP• 6 �omF• store ir.t.CAiICEii 0.
�1-27-5
��1763 - 5-9-56 sigr store int. 7,000.
�'�'2389 - 3-2-56 si�- �`acia) 3�0.
25
�'3i66 - 8-22-566 Plb€? IiCgnlcrnace)81=
���7266 - 10-31-5 EiPc..iiC �Araas it�)�25400.
;i 5860 - 12-i8857 s-_�i _
5 cui & ^oLors ��; �:
i�6852 ' 6 1959a Elec. iC �over./mocors)�11
i5o• ��;
� 9ioo _ 2_y6-6o s_�r_ ioi.
� 945a 7-62 Elec iacia s� �n S0. :.��
i 6 3,�i
i692� = �_22_6�+ �lec i3�iay7sA�n& Lav)813 _;�,i
: '209�8 - 9 17'63 Pi?€' �c �sin'�.�)8i3 �1
�. 39�+12 - 9'26 66 Elec. iIC (fireLaorks)3L i a�
` 26119 - 6-29- re•.:orxs)�o5 �""
1-68 r1ec. irC ��'- Sp0• �
-- p8'R5 _ 3'30"66 F1ec.RPiC1 �wa�e` niPine)
_;, 25�7 1_ls�g pl'o€.
;- 535�3 ' g7,ec. NC (fireworks stand)5�: s
• 30034'- T-1-69 g1ec.Na71 Sia�
� �SpS' 12"7-7� F�2c NC (fire�vorks) 0. .
2580 - 6-30-7� in hoo3 55 `,
6_7� Fi^c F�ctinB• 15,�'.,��'�
3koT3 - 7- Rercof com-Bla6• u�000.�.,i
::i 39536 -.3-3t-�e .. � S�s prea to Mkt• 1.7��I
;, �3y675 - 7-5- k_ _ gy�e (�3 & �&�f1xs)
', 6]i�9 - �15-5 4 �c: Nc �o� �'� I
1F� ' c����l E�. NC ��s LO'Ci. 2 pp.I
i6519 - �t. �• ✓ I,000.l
402E�0 - �-7'� Fi�•Grezse Hood ' �IS .
. � 41087 ' 3-4-76' `� Chemical System-8�5 � 651,i
41 i 25 - 2-20-76 "� 1�' �ry C00.
�_ + 41138 _ 3_31_76 Int. Alt. for Restdu2�t ._
I4o838 - 6-28-7� Elec. NC (t3re�,+orxs'.stan��5..
i-2o-78 ��t: .� �'ro::-�-
4��� "� Elec. NC (BYnetator)._._�
i. �4079 - 6-28-78_,_._, ... 805) 200.�
, ;51430�'���wnElec- Wall Si9nI _ � .
� . ...�.;_..�._��-=-----:r� 3+s'd^''. +"p��u'lr--- _
. ��•.
i�.
i srsn v.o � y ,/ —. i
:��ow�� �"l Wa11 Si9�- - .,, . .:-
�. � �. �i• i :i �
—. GRA 49155 —sj . "��, . � ��.
� �-, en
�� — --- -�- " `:.�i �^
����� , : �;;
_ �`t i K,',,
B54938 � � �� _ _
- � - / � --- — _ � � ;��r4'i
���/�;�— : I � �i
�58872 7/�/ — � �'� �±^�
l �� 1 �.: !���,;�
63185 � g rn,��/,(1
_ , r.
- -=�'PC$
. ^t� �'. �. ..
3 i 3 3 `��'�T- s�`��'���,�(��:
17 3i G�sn c�{� � I-'�..�j ` ss ',��'
1-36� 3-;��I -� ( F�Ha� .¢ -
�,�lii� �t'�-�'ibti �jNRI
- . . �. .. ... : _ ",.rE',Y:'. - � .
1 . .::,;'
. , . .:__yyi-• _':-••�'�. . .:_:.`.r' _ _ _
y..�r�� -----_ =1:i�1
p�� -.:.__;... .�. '� -
_=. g},5_.'t�'s'T 192Y3 SrRF�T � -
,� � (Duplicate Jacket) .
�.
� E-7792 �/jc�x j F��rk Stand _ �
t --- ----
-'---'--- - -
----'— -- -- -_ _ . � . . -' -- ' . .. . ' ' -- =....
. � ' . B/E-454-�',�6/8/ Elec.WallSigns 1.000. - �. ' .
� . � -
^ '�'--���o � ._
� � � _ r,2�19��n�Cf8�A-A5S $B.�Oo = -� �
� J�
i
i5 I
_ i
. . _. )�4.'�. �' I
:•J:l �
. . ' 'y:'...r,;,�i\('�•�r I
'.r •' ' „")' i'.',r, y,.,,.h.�T, i ' . . .
' I �h�' ��[', i �
-i i , �„r t,.��"5i' _ .r
' ^ ; i "�� „ Li vt`�4' i ' . � ' . . '?
-r x Y+�� ,. I . ' ` . ' . , . . � • " . �
. � �' �.a�; � � . ... . , 7
� ... . . . " . �
�
= ;'t'YY,
� - � �y::':.;L��_� �:
. . . ' . . .. . ,•F� i�.r
F�y
PG
W
G
a
.�.�
y
�
F
G
w
F
Q
0
.;
a
�
�
a
x
w
a
0
a
a
z
W
x
3
M� ' ' p!
,- : �4���-�j 25 _ - .
COSTA MESA BUILDING-SAFETY�DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDIN�i,<<}/� �,q j/'/�`,r
ADDRES !1 �(/ `� 9
OWNER
MAII
CITV
BRANCH
ADDRESS
ARCHITECT
h/i/ ��i
� (.7,� � / /^ TEL.
//I 7 i NO.
�
ADDFESS�I� �JS -Svra S>L N �Ipa�`3
� (j � /�� TEl.�7�
CITV /� /'� NO.�(,�-�je r/�S`"(
LIC.NO.� � �� C�I LICYNO.[/��
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG. �j%'�� {� �, �.P 7 - �
Separate permits are required for
electric, plumbing and heating work.
�I N
I heraby eeknowled8e that I heve raetl this eppileetion entl stnte
that the ebove Info�metion If eorrect and apree to eomply with
all laws repulating buiiding conattuetion, end i shall not employ
any pe�son In violatlon of tfie workmen's compenseilon laws of
the Siate of.Celifornie.
I hereby cari(fy ihat 1 em properly Iicansetl as a cantrector untler
ihe 5<ete of Celifarnie Businen entl Professions Cotla, Dlvlsion 3,
Chapier 9, entl that such Iicensea are In full forca and eflect, or I
am axampt from the vrovlsions of the State of Californle Buainess
end Professlons Cotle, Dlvislon 3, Chapter 9.
SlBnature of �// � � //�„� „
Parmlttee "�Y // vo`" �" _ _
A�tho.i�ad Aaa�t �v a-L nf CGL�v
lAla 23-76vnioOO 8�6# *****�.50
cNSc
2��-76 �h�,l�
APPLICATION FOR STRUCTURAL-PERMIT
PERMIT N
BUILDING Q � �/Q/ /(J/�, �.
ADORESS � (��/ /
i
TRACT LOT�
ED
NO.OF USE OF NEW ^
PLAN$ BUILDING
APPROVED YARDSAPPROVED
DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS.BLD
VAR. iW ATE
C.V.P.*� �PPROVED
APPROVED �
N
n
m
i
m
m
SQ. FT. N
THE AMOUNT SHOWN UNDER VAIUATION FOR m
THE PURP�E OF ESTABLISHING A PERMIT F E ONLV: �
VALVATION PERMIT FEE S � O �
m
$ / �/ � PLAN CHECK S �� ^�
0
L� TAX E � �Q u
TOTALPAI� E ��
�
' COSTA MESA 6UILDING-SAFETY DEPARTMEN
- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant [o Fill in Completely — Use Ink Only
BUILDING �/ �
ADDRESS �7 �
OWNER �<j
MAIL
ADDFESS � I
TEL.
CITV Ie�'�d Mill:�d NO. L�.a/ S
BRANCH
ADDRESS
ADDRESS
lAf; 16-76�u;°�D 551'� ****lp.5p
3 -�t -7 � 5�����
APPLICATION FOR STRUCTURAL PERMIT
FECEIVED BVTATE RECEIVED �i� SSUEg�
� G 7
PEfjjd�T,yVf,�,�
A.P. NO.
BUILDYtdG /�
ADDRE55
TRACT
OWNER
FIRE
ZONE
APPROVED
� �- '�
1� �u�
I__
/ � �
I/ 'I i/,�i
ADDRESS O� G L �
TEL. ZONE NO.OF USE OF NEW
CITV NO. P�� BUILDING
� UC.NO. 2�� �S LICYNO�C �� vMAIDNBUI DING + ACCE SORVBU�ILDING ` y
{i] SIZE NO.OF BL (FROM C/L STREET)
�. OF lOT NOW ON LOT ONT FT. FT.
d USE OF
.�.� EXI5fING BLDG. .�Oi ' ' F7
y
FSeparate permits are required for L SIDE FT. FT.
Welectric, plumbing and heating work. REAR FT. FT.
[r USE OF BUILDING �+ND WORK TO BE PERFORMED DISiANCE BET. BET. MAIN &
QMAIN BLDCS. ACCESS. BLDGS.
a �`�[�/�y�✓��{�,� CURP.qW /1PGROVED
� a APPROVED
..1
�
W
QI hareby ecknowletlqa thet I heve �eetl thif appllcation antl rtece �
y! that tha ebova Informatlon Is correct antl apree to eomply with m
0+ all laws rapulating bN�ldlnp conKruction, entl I sheil not amploy
Z any Oenon in vlaleilon of Ma workman's compansetlan lewa ot �
�. ffie Steie of Californle. •
m
3 1 heraby cattify that 1 am Oroparly IlcanuE ea e conbector untler SQ. FT. ry
the Stata of Caltfornla Busines� entl P�ofaceionf Code, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cheptar 9, entl thet euch Iice ws ara In full forea entl effect, or 1 THE PURPOSE OF FSTABLISHING A PERMIT FEE ONLV: �
am exampt from tha rovlci �c of t�e Siate of Celitornie Business VALUATION PERMIT FEE S �
and Profesalone C Ivls � 3, Chapter 9. • m
O 0 PLAN CHECK y �� 0
Sipneture of �000 Q LL
Permlttea •� S TAX E � u
Authorizatl Apent TOTAL PAID E �
Z .
ww
aU
Z
za
ON
am
J 7
J U1
Q W
00 J
• 00
J Q
U Q
2 �
W
aW
W Z
J Q
m Z
J �
W w
O=
Z F-
W �
� �
� �
.. -� �G 7s
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 90X 1200 COSTA MESA, CALIFORN�A 92626
��7 r�L
1� {''��n.s -J=�+�:,� 7l.�zoz ��:�*:�47.ro
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI DATE RECEIVED DATE S UED
BUILDING ,S /i / �
ADDqESS �
PERMIT .
OWNER �/L� rC ( (/�.e�ti. A.P. NO.
MAI L BUIIDING
AD O R ESS �+DDRESS
TEL. TRACT LOT BLOCK
LITV NO.
CANSTqUCTION W /a
LENOER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. 5 S
OR ENGINEEF
FIRE
ADDRESS � 20NE TVPE GROUP
/ APPROVED
CONTRACTOR Z�(/ i Bv DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLAN$ BUILDING
CITY NO.
STATE CITV VARDSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT ROM FT. FT.
USE OF
EXISTING BLDG. F fT
512E OF NO. OF �
NEWBLOG. ROOMS STORIES LSIDE FT, FT.
EXTERIOP WALL ROOF
COVEPING COVERING REAR FT, FT,
USE OF BUIIDING AND WOqK TO BE PERFORMEO DI5TANCE BET. BET. MAIN &
MAIN BLDGS. ACC65. BLDGS.
� '' , ���}-�q�/ VAR. qY+ DATE
V �/v� C.U.P.qW APPPqVED
APPROVED
I horeby acknowledye Nat I have raeC this eODIIceNon anG steta
ihat t�e ebove Informe9on is eorroet antl epree to comply wlth
ell lawa repuletinB buildinB conatructio�, e�tl I ehell noi employ
env Oerson in violetlon of tt�a workman's compansatian law� of
Me Stata Of Californie.
I hareby cer[ity Mat I am prOPerly Iicansetl es e eonttactor untler SQ. FT.
cha Stata of Celifornfa Businass entl Profeeslons Cotla, DNisicn 3, THE AMOUNT SMOWN UNOER VAlUAT10N IS fOR
Chapier 9, antl that such licansas are in full force and affect, or 1 THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY:
em exampt trom tha provisions of the Stata of Californla Busineu
antl Pro(essions Cotle, Division 3, Chapter 9. V ALUATION �J�
PEpMIT FEE $ �
SlpnaYura of r
Parmlttee S PLAN CHECK $
A�thorizetl Apant TOTAL FEE S �
:. • � 39675 �_� 7'(�-'�-�Fr����2�� ��,:*�2�;.z�
. COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 926Z6
APPLICATION FOR BUILDING PERMIT
For Applicant ro Fid in Completely qECEI V D BY oai
/ BUILDING �
, ADDRE55 ��wL —
OWNER � A.P. NO. � OV
MA I L M 8U1 LDING
Z ADDRESS ?e �O �` ADDRESS 1
�'.
dU CITY %'((y�fr�y�' i�L NOLQ/Pf'� G/' TRACT
ZQ COf�LSTRUCTION
O N LENDER
a p�
J a BRANCH
J � OWNER '
m � ADDRESS
� ARCHITECT TEL. $
J N OR ENGINEER
V � FIRE
w Q ADDRE55 ZONE T
aw �� APPROVED '
W � CONTRACTOR � BY /
J
m / .� /
J �[ ADDRESS i ( 6 �I„G(L/ � �'
LL1 W TE� ZON� NO.OF
Zx CITV � NO. f`Q P�'�
r
Wp STATE CITV YARDSAPPROVED
y[� LIC. NO. IIC. NO. MAIN BUILDING
� p SI2E NO.OF BLOGS (FROM C/L ST EET) �
OF l0T NOW ON LOT OM FT
USE OF
EXISTING BLDG. G
F^ SIZE OF NO. OF
z NEWa�. 3v �'3U ROOMS STORIES LSIDE FT. '
v EXTERIOR WALL ROOF
COVERING COVERING REA
J USE F BUILDING AND WORK TO BE PERFORMED DLSTANCE BET.
�' MAIN BlDGS.
a
Q �� VAR.qW
O C.U.P.qp
(n P , O�Z�'�S APPROVED F
z
0
M U I hareby aeknowloApe thea I have reatl thB apP���BHOn entl smta
� thei tha above information la wrnet entl aprea eo eomply wh�
aoff lawa reBulatlnB builtlln9 �onstrucNon, nntl I she41 npt employ ('O �., _ d
F, nny parson In violallon of Ma workman'a companutlon laws of � �«H/�}Gd�
y tha Ste[e Of Califomia.
z1 hnreOy certify thef 1 em proDerfY ���enxed as a contrector untlar SQ. FT,
the Stete Of Californla Bu�inese antl Profasslone Cotle, Dlvisicn 3, THE AMOUNT SHO'
Chepter 9, antl thet auch licenaes are In full force entl affect, or I THE PURP06E OF ES
am ezempt from Me provisions of the S[ate af Celifornia Businsu VALVATION
antl Professiona Code, DWision 3, Chaptar 9.
Sipnatura of p//i �l � � � /� �
Permittae � ' � �� 'z�^'t/�ui""_�— g � .t/✓l�`
� (/ 7/ //
Aut�orized Agent
I Y (' I PERMIT
n
USE OF NEW w��/
BUILOING /�n� 1
VARDSAPPROVED
ACCESSORY BUILDI
DATE
APPROVED
3- .S
87ATp -
VA
AP
TO7AL FEE S
d .
FOR =
JLV: Q
m
n
7
7 m
`o
LL
. � " _
.•� �,.� INN 28-76c�5U�� 99(lt at.A��79.��j
� � -- �..1.�.3�
COSTA MESA BUILDING-SAFETY DEPARTMENT . '
' P.O.BOX1200 COSTAMESA.CALIFORNIA92626
AP A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
ADDREN �� /�.� (J /S RE EI ED DATERECEIVEO D%=E �SUED
i�-r r� r o
A/� / r '""� PERMIT NO.
OWNER (/ i/ � Q�r� A.P. NO. �D � ' ' �,. - 1
�y %� (� nBUILDING l �� [ y/� �
ADDRESS � � I ✓ � �?/q I�/ILGt/ C�� /" ADDRESS �/V � I / ��
^`/ TEL. �� �7
CITY C�'.S T� /VI !_ S f` NO. GY� `fS6 TRACT LOT BLOCK
CONSTRUCTION AD ALT P
LENOER
BRANCH �jr' h-, �
OWNER �l� 1 WG�
ADDRESS � ALUE
ARCHITECT � // p � NEL�S� .,�. L S $
OR ENG NEER G�%�lJ� � I7 A/I ��`S
� FIRE
ADDRESS ZONE T PE GFOUP'
{� APPROVED
CONTRACTOR J „�i�Mb'�� I�L(,t2 BY DATE
ADDRESS VL/�/d �% ,�/�j1/� �t�
GTV
/C y;/" . K.}.�L•�('/� NOL �INE PLAfSZ BUILDINGE G?/J�'J}�//v��
F STATE CITY /In/ YAROSAPPFOVED YAROSAPPFOVEO
LIC. NO. LIG. NO. G�l MAIN BUILDING ACCESSORV BUI�DING i
a SIZE NO.OFBLDGS. (FROMGLSTREET) �/
OF LOT NOW ON LOT ROM FT. T
a USE OF ' � I/
� EXISTING BLDG. � �� FT 1 � l
�' 1
F Separate permits are required for L. SIDE FT. U ,/ i
Welectric, plumbing and heating work. REAR FT. 1j��FT.
[.. USE OF B ING AND WORK TO BE PERFOFMED DISfANCE BET. Ef IN &
QMAIN BLDGS. ACC S5, BLDGS.
a�STA-U�Jic./T L/ GIIJ'7( I C URP.3W APPROVED
� APPROVE � � �j�
�
cs�
a �
w
a
Q 1 hereby acknowlatlpa that I hava reatl this application entl atete '^
n
G� that t�e ebove Information Is cor�ect antl apree to comA�Y with m
a ell lawc regulatine building consvuction, and I shall not employ �
Wany oerson fn vloletlon of Ma workman's compansetlon lews of m
5 the State ot Californie. m
I hereby cenify that I em prop0�ly Iicancatl as e conttector untler
SQ. FT. a
the StaTa of Callfofnie Busineu antl Profassions Coda, Dlvialon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chepter 9, antl ihai sueh Iicenses are In fuil foree antl ettact, or I TNE PURPp6E OF ESTABLISHING A PERMIT FEE ONLV: �
em exempt trom Me provisione ot the Sieta of Californie Buslnass y
end ProfessionaCode, Dlvision 3, Chaptar9. VALUATION -h PERMIT FEE $ �+ m
n � PLAN CHECK E � E� 0
Sipnatura of D�j��{ ` /�' -' n � _ J $ ' /D�O � LL
Perm7ttee ���'- N""V— �j TAX S �
v V
Authorizetl Agant TOTAL PAI D E
Costa Mesa Building Department '' AF�PI.TCATION FOR PERNiIT
� � • COSTA MESA,OCALIFOERNIA � �vQ� B U I L D,� P! G �
FOR APPLICANT TO F1LL I1V FO�t OF'FICE USE ONLY
I Recefpt No. I Perm}i/t No.
Bu��d�n8 � � •. aJ(o � �
Address �
• Costa Mesa, California Reeeived by Date Rec'd. Date Isaued
Nearest ����/ o�— /S `� 0`2� /� .�G
Cross S Building
Address
Owner � '
Mail Costa 1liesa, California
Address % �J (_ N � 4.c`-P Nearert
Legxl I Lot ��' '�.
Descrfpti0n No.
(Attach Metes and Bounde)
SlzeoiLot �ql��'��d
Use oT
Existing BIdB�/}yy„�rQ,�/^
Setbaek L��e firom
CenterofStreet 'i-O'�' �
O Y 2 �„ po^of
u� or
No.
rvOW 011 LOL •
No.of No.oT
Famlliee Rooma
Rear Yard
side vard 3 6 �
�F woRg
II Addition I
Stories
��e.ur I �rpe'/
Plans /'
CORRECTIONS
� ;,
APPROVATC
Forma, Materials
UndervPi�ning
�ame: Fire Stopa,
I hereby acknowledge that I have read thls ApplicaUon �Lath.-Int.
and state that the above is correct and agree to rnmply Lath. Ext
with all City Ordinances and State Laws regulating
building constructlon.
Signatureof -i!4LL"'`"`'r"' Plaster.lr
Permittee �
Masonry Refnforced
Valuation pd Permit Fee $ (�, �
/� ,� Plan Check $ .� ond Beam
$ �V00 Total � o
Fee a VZN
. FORM 204 0-N 2M 9-sa
�
rLVl rLLil�l
8how locatlon and diatancea from
,I property Ilne and between buildinga �
_ , r . . : _ _ ' _ . . _ _ ' _ ' • ' "' . _ "
i ' "
i . ' fi
... .. ;, : .;. . :
<<Q 1 �i 55'PUy�sq �4Za ;.J.�O
tr. ; �• �.
. w t h
" � .
n����♦ .. " .
_ _ cosrA � ' ' ' g ��
: FLa 1 �y =SPDnesr :U?a �r-.�.a,.t
'. ' �- .,'." :c.,
'r , ., .
:a���,. . � -. , . �
. � � i... . .. � .
' _' '__ ' _ : '_ _,.—r' '_" '
i. . . . n. .. . _ - . .
. �. „ �
. . � ����v� � �
. • . ,. . . .� . ' �
t: ' . � . .
� . ... �� � . . �
, �'; i I �
t �
� ,'1
, �q
. Co"sta Mesa Bailding Department �
^ . 111 EAST 20th STREET
� � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FII.L IN
ewiai�s ,�� 1 7; . ./ Gl,b�.� .
Addresa
Costa Mesa, California
Nearest Q � y-
Cross St. ,,.C�,f=i.v[�-(�
"�
Owner .� �il ..A �. ��s,_!�� /IZA�i� _
Architect or
Engineer
Address -a
—�
ContracMr
Address
Size of Lot / �7 �
Use of
Existing Bldg. �
Setback Line from
Center of Street �2
DESCR
ue... I '1 I
Building.
Size ��� �
Exterior Wall ./ .
�
,e�-^ Rear VarC
0 r� Slda Vard
i Demolish I
� Stories /
[CATION FOR PERMIT �-
BUIL.D�NG � �
t OFFICE USE ONLY� I
Address
Costa Mesa, California
Nearest
Cross St.
CORRECTIONS
APPROVALS
Date
- � Forms, Materl
��%��.c�,,�. _,�-i,v � ,�.. Under-Pinnins
Frame: Flre Sto
'� ' - � .��-'� • Bracing. Bo�ts
I here y acknowledge at I have read this Application
and state that the above is correct end agree to comply �ath. Int.
with all City Ordinances and State Laws regulating
bullding Construction. �1 // Lath. Ext.
Signatureof .0�. // ' / �
Permittee __ (1 •�(• r7 aio�tP�. Int
Vatuati / Permk Fee $ l lf � Masonry Relnforced
�O�Q' a' Plan Check $ 3 Bond Beam
$ Total 0 p
Fee $ FINAL
n.�r nna w_..n nw. o �.
f
.�. LV1 1 LL11\
Show Iocdtion and die4ancea from
property Iine and between buiidinga
' . • :
. . .,
� _ . il r
CEP-7-SSPDrEsnA•75�� �"**`2I.00
_
� <, ,
'' _'—
��( p // i -
{1— � O�i� ADp��W�t t0 fill In �II fpaees e%eept those wlt�in �aavy CO/Ea� Ilnit inG sign all iDG/OG�IatG Getla�ations.
CITY OF COSTA MESA '
CONSTRUCTION PERMIT .
App�icam'a Mailing A rea .
Project Address �
Owner's�Name � Phone
Address
Arch/Eng. Licenm No. �
Address
� Contractor i Nam � � ��{� � � u
Address (mailing���` q �W��'��h�L LS- f�'' /
Licenae No. 9��?
LICENSED CONTRACTOR DECLARATION
I hereby affi�m that 1 am Iicensetl untlar provlslons of Charter 9(commancinq
with section 7000) of Divlslon 3 of tha Buslness antl Professlons CoAe, antl .
my IlCenm Is In full fo e anG fte< ' A�� l.{-Z /7
^ Llcenso�Clafs _ e s o.�� .��
,` Oate� � — �� � ' ,
_ �/.ORKERS' COMPENSATION D RATION �
�„`a,Y" ra0y atfirm that I �ave a certif te of conzent to seHinsuro or a certlflcate
��:�W�or�bz' ;ompansatlon Inzurante, o� a certlfietl'copy thareot (Sectlon
Poilcy No. � � � Co pany �
eCertlfletl�coDY �s �ereby furnisheA. � •
Cerytle4cqqy ii j�la4 wlth the �clty B�Itling Iv 5} n. _ � , '
less)Suction naetl not De Completatl If thb,}iermlt IS (or,one hunEretl (5700) or
I tertify that In the per(ormante of the work tor whith this Derm�t Is Issuatl I.
ihallinot em0loy any parson in any manner so,as to Eeroma subjett.to the
Workeri'�ComOensatlo%LawsofCalifornia.� ' �
Date � � c�g�ature � '
�NOTICE: 11,�after makin9 �his tlaUalatlon,-you Shoultl beCome SUDfect to the
Wo�kars'� Compensatlon� provlilons of the Labor Cotle, you must forthwith
comply with; such .provislons'or.this Oermlt shall be tleametl, revokeC.�
CONSTRUCTION LENOING AGENCV -
I hareby alfirm that t�ere is a con5truction Ien01n9 agency tor the performance�
of the work for . whith this Dermit is luuetl (Sectlon 30B7 Civ. C.)
LenEer'S Name
Lantler's Atltlrass � � _ _ _
OWNER BUILDER OECLARATION -
1 hereby affirm that I am exempt from the Contractor'S License Lnw for tha
following reason (Sactlon 7031.5 BuSiness antl ProfeSSlonal.Cotle: Any city ar �•
counly which requlras a Oe�mit to construct; alter Improve, tlemolish or reDair
anv ztructure: orlor to its Issuance. also reqWros t�e appllcant for such permiL l
„y � �
t�e �applicant to a civll �
u �, as owner oi ine propany
compensatlon will Co tha work,
for sale (Sec�lon 7044; Busines�
l.IC8n5G LdW OOes not dOP�Y t0 an
Dletlon, tne owner wlll have tna burCen ot proving ne/ine aia noi ouiia or im-
�rove for the purposa of. sale). � , ,- � I
I, as ownei of the property, am axclusively contracting'with.IlcenseE con-
� trac[orsto construct the D�alect (Section.7044, Business antl Aofesslons Cotle: _'
The Contrattor'i License Law does not apply to an owner of property who
Guiltls or Improvas thereon, antl who contracts for such projecis wlth a con- ,
traclor(z) Ilcense pursuant to lhe Contractor's License Law). . �
' Q I am enemp[ unEar Section , B. & P. C. for this reason
Date Owner
� I hereby certity-that I.have reaE this apv���atlon antl itate�that the abova
' IntofmaHOn IS co(IeCL I agfee t0 cOmply with dll city antl coUnty OltllnanCBS
antl state laws relating to Gulltlin9 constructlon, antl hereEy authorize repre-
santatives o7 �this �Nry; ta enter upon the abova-mentlonetl O�operty for ,
Inspectlon ourposei. � Date
Signature _
1 Drimrs' Licensa or 55 #
CMF 0865-46 rav. 12/B2 W�Ite - Builtling; Canary - Ap011cant Pink - Accountln9:
ALTERATION LJ REPAIR
CONVERSION
:CRIPTION OF
T,VPE OF PERMIT 'IJ GRADING IJ FOUNDATION LJ STRUCTURAL
' ❑ TENANT�ELECTRIGAI ❑ PLUMBINO ❑ MECHANICAL
O,9THER
PRQIECT DESCRIPTION SQ. FT. OGCUPANCV_
CON STRUCTION TVPE VALUATION $ �
20N$ � � GRADING CU. VUS. .ACRFc
Remarks: ' .
Si�k
kflow Preventer
Drinking Founteins
Floor Drains i
FloorSinks ' - -
Gas Service -
Sewer Connection .. _ �
Solar Collectors
Solar Piping ' � '
' So1ar Tank .
Swimming Pool w/Spa �
' Urinal
Water Closet •
-t - �Water Heeter, - - �- —�
' �Watef Service � - '
Lavatories . . .
'—Trap � ' • �
Roaf Dreins; ' �
Showers =. , �
Service Sink � ' -
Boiler
Duct-UnderGround � �
Duct-Structurel • .
Duct: Ventilating � � , .
Exhaust System ❑ Multipie ❑
Firepl/Eect. Blt. ICBO #
Heating System & Ducting
❑o-�oo,000 eTu 0ioo,000sr
Hood oi Type I ❑� i
CanoPY Tvoell ❑I
Registers .
enrotl - A55e55or
Reinspection,Fee � $15
laue Fee � a 3
❑0-700,OOOBTU ❑100,OOOBTU
System Repair/Alteiation ,
ti
Reinspeetion Fee�
Isi�a Fee _
$75
$ 3
PLNG.REF.#�
LEFTSIDE VARD
PKG.SPACE REQ.
STFEET WIDTH,
Wesher
Cooking Unit
Dryers ❑Gas
Fan,
F.A.U. �
Fixtures
Device Boxes
OUtletS
1�404 6/29/8�
ZONE
' BUIL�DING
+ cr rv rn
'REAR VARD (TO P,
RIGHTSIDE VARD
PARK
EeC' TL
S � :- '
CLG4�I��VML . _ �
� � �Meter over 7 W amps_: .
Sub PaneP � ' �.
�Sub Pole ' '
� Motors �0-1 HP ❑t'h-8 �
�� InaSolar 09-15 HP �16-75+
�Microwave � �
�
Pole Light � '
� i I
� Range
" Sl9n , i_
• StandingSections � � �
, � � ?rash Compactor
Garbage Disporal �
Generaror �0-5KW 05-15KW
Trensformer �75-50KW
�5U+KW'
�
Meter ❑up to t00ampi '
Zoning Approved By
ApPliption ApProvad By
Application laued By `--+
' ; SUMMA
�BUILDING PERMIT $�
� PLAN CHECK $� '
PLUMBING $
�7LAN CHECK � $ .�/
ELECTRICAL $ �
PLAN CHECK $,
MECHANICAL - $'
PIAN CHECK� $
� �
0
Fw � ' $15
••axa
+ oete ,l a9- S� "�
)F FEES � . � . ,
i SMIP • . � $ r '
PERMIT '
' ISSUANCE $ �
GRADING , ; $ :
' $
MICROFILM $ ' '
TOTAL FEE $
LESS ' '
, ADVANCED;PC $ , �
FINAL FEE' E '�