HomeMy WebLinkAbout402 19TH ST - Building Permits' Costa Mesa Building Department APPLICATION FOR PERMIT
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COSTA MESA, CAL FORNIA L���� B U 1 L D� N G '
, FOR OFFICE IISE ONLY
. FOR APPLICANT TO FILL IN� Receipt No. Permit N
e�ue��9 Z, �/� " - - I I�Si��
Addrese
Costa Mesa, C8I1f01711a, Recdved by / Date Rec'd Date issu
Nearest .�-1 �-� ��1� I!�' i%�� I � c'�-%
Cross St:, � '/ti$•/ / N Building �
� ..,�, ,\ Addreu Oo2— ���� �6
oW��,.,.1,Gi �e ^ �- r` s: Costa 1VEesa, California
Mail U / , � �
Address 7 � �/ j r NparesS �'y��
Tel: Cross St.' lL 5./ �„��
Gty �- ��. �: :�J�No.� n m�l Zone No. ot T-ype�/' Group
Architector �" Lia � Plans .I�4�.Y �
Enoiqeer No. Aooroved. c. _ h A
�-'��C�!7
c
ption � No. / � Bbck I�TractY 7 SUB�ECT�'f0 C�.'JG.`DcHT`,REB.
i Metes and Bounds) �� Pj ' a s���� �� �
No. of Bldgs _
Lot o a Nowon Lot B � DnF� —
I No.of I No.of �A
IiE7L
Demolish
.r�r�
Building q�c� �/f �/ (f i DO r Fountlation �ocanc
Forms, Material:
(1 � y�. Under-Plnning
d i Z - Freme: Firc Stops,
Bracing, BOlts
I hemby acknowledge th I have read this pPlication
and state that the above is correct and agree to rnmply Lath. Int
with all Clty Ordinances and State Iaws regulating
building Construction. // Lath. Ext
Sfgnatureof "7% (// '
Permittee f! 1� �.A�E• Plaster, Int.
Authorized Agt. Plaster, Ext
Valwation� Permit Fee $� �- d� Masanry Reinforoe
Plan Check $ ��L' gond Beam
$ l �.D Total n
Fee $ �` � O FINAL
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COSTA Iv�ESA BUILDING-SAFEfY DEPARTMENT
�� P.O. BOI9f! COBTA M68A, CALIPORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDINO �/_ ./, / j/ S
AOORESS �O C l/L.
COSTA MESA, CALIFORNIA
FEE RECEIVED
FEB 2 4 1984
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDINCa
For ONice Use Only
RSC[�RNO. �ql.yjyp`
� lJ ��7
ARCHITECT TQL BYrnV �y DATE V
OR ENGINEER NO.
ZONING
AL .S8 ' ��
� NO.01 UY60�NtW
•UNO��/ �111LO1N0
CONTRACTOR ��QAN C � r
D[eCflIR10N �Y �
ADDRESH I� I/VOIZC tZ- ^ h \
CITY COST E A A. P. NO. ^✓� J/ � v C�
Q
STATE TEL. 90'r TO S�IOE @ REAR p, LNG SHALL BE L888 TXAN ^
LIG. NO. 0�0 N. I I' S> SS 1— "
EAVE3
OFLOT � / I No.ololno0. ALLOWHD (U.B.C.RHQUIREMHNT)
How on wr
YARDSAPPROVED YARDeAPPROVED
USEOF /1 MAINBUILDIN6 ACGESSORYBUILDINO
EXISTIN6 BLDO. � 4l C
(FROM GLSTRHET7 `
BETBACK LINB PHOM / n FRONT FT. MT. I ,
ceniert oP eineei ' HAR YARD �
' l R. SIDfi Pf. '�-�Ti." 1
SID6 YARDI LBRT f RI6HT �
DESCRIPTION OF WORK �. aio Fr. Rr.
Nf" ALTHRATION ADDITION RHAR FT. � RT. � Ll
DISTANCH BET. BLT. MAIN B
REr..IR MOVINO DBMOLIBH MAIN BLDGS. ACCES9. BLD08.
BUILDIN� - !19 (iF VAR•� DATE
SIZE RIOOMB STORI'HB G.U.P.$C APPROVBD
EXTERIOR WALL���ftOOF� APPROVfiD � E
COVERING I COVERINfd BY
U86 OF BU ILDING AND WORK TO BH PfiRFORMED
L,N. -�T " l.ac `� a s C/'rI` �
' /-I r �s 7� �sa � S� �
1 NEREBY ACKIiOWL8U08 TXAT I MAVB HBAD TN�B APPL�GTION TMB AMOUNT BHOWN UNOB ALY�TION 19 FOH TM8 a
ANU 9T�TE TH�T TXe �BOVB 18 COqqHCT �ND AOP88 TO COM. PURPOS6 OP BHTABLIBXINO A PBRMIT P8H ONLY. p
PLY WITN �LL CITY OHDIHANCQi AND BTI�TB LAWB R[OULAi1NG ypLUATION ' m
BYILOINO CONSTPURIO . p
PERMIT FEE
SIGNATURB C1 m
PERMI7T8 ,�.
1
8 � � o
AUTHORIZfiO AOHNT r �� n
�i d � � TOTAL FEE
�
COUNTY OF ORANGE
BUIGDING DEPT.
636 No. Broadway
Santa Ana� California
Phone: KI 2-6211
1: . OWNER'S
MAILING
.
ame _..._____._.
Address _.__.__.___
C;ry - - - -------
State
Lic No. ---------
z.
3.
4.
5.
6.
7.
8.
�
Application for Building Permit
�
AND FOR A
Certificate of Use and Occupancy
Permit No.._�-�--�-5-5-5-�
Date."-----/a��-a----------'-_'_"_--'-'..
(Ar<hi�eco or Engin¢er)
Phone
PHOIVE:./.�ea._.. ��z._r..7
�os�- -yf-��s"4-----
Name.__� O-.'.._.�.._. /_/_Ol.S�%e%!iT_� .__�G4 S
// (Contracror)
Address ---�4 L,- L�---i7-T�------�--------------------------
City -'---.S�Q.S/--u-----l._CP.fC4---------------"-----------'---'---
Stace
Lic. No..��y..�l..�._�.�-- Phone�BG-�--����--T
PROPOSED USE: -- - l I._ES/I%E/✓��_ --�_: .�9_..,�A..��. _.f�7T��HE�.._.... -- ---- -...- -
--- - - -- -----
JOB LOCATION----- '7/02._✓_...�,--/9--7h-_:-5�-.. -------------------�rzs .T..A------�!lE-SrSE----------
(House No.) (Name of Street) (Town or School Disaict) '/
LEGAL DESCRIPTION: Lot----------�---�----------------Block.--------------'-�-------------------Tracc------�'�-8-7"---��----
(Meres and Bounds Des�c ipoion—Use reseree side of Eorm)
CORNER LOT (✓) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
O 6 Q�
SIZE OF BLDG.:._.,�.7X,3,`AREA:..__.�Z�_O_.�1LlLSIZE OF LOT:._..__7Z�.k/.�,�AREA: _.. "l�4QQ ...............
� .7� o �s2� �^ /
HEIGHT OF BLDG.: ___.__�y�____________________CEILING HEIGHT:.______.__O��-_____.____..___ NO. OF STORIES.____%__..___......
NO. FAMILIES .__.______�._______________________Size oi Smallest Beclroom: __./�_X_J_Ji__ Size of Kitthen: _._$./9.-�c__./�_____
EXTERIOR WALL CONSTRUCTION:.�Gq?G_�,�yCGd INTERIOR WALL COVERING .../��..LASj" _ .
(Frame, Stumo, Hm.) - � / (Plasrer�Drywall, EtcJ
9. SETBAC-KS: Front Yard-from Cencer-Liae of Streec___d:J___. r___.^—___..._...___.._._.___..__._....________ .__
i / / '/
Nearest Side Yard ____�z-._._t�Rear Yard..._.7d..-�_�istance in Feet Between Bjdgs. on Same Lot __�N�
1U. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
'/ � � n
-_---_-_------De th in Ground.-_1,.Z----.--_---------.Width of Wall__�
11. For (a) Footing: Width---_---.-�7 - P -- --_-_'_
Accessory
Bldgs. and '/ �
Similar �b) Size of Studs:.____�.�C__�r-______.Spacing._________�.�p.__.._._.__."CC Material of Floor._.._____._O._G�___.._
Structures: / / "
(c) Size of Floor Joists: ..-_�)._(,�.__--._....--_.Spacing ---.----/-fo.---_...----_-.__"CC
(ci Size of Rafters: "
) ._.__..Z.Y.--in.------------------Spacing ..-'.-----..Z �iL----------- CC
12. VALUATIOIV OF PROPOSEL? WORK:,�C�Inc(uding all laboq plumbing, electrical wiring, heacing, fire sprinklers, paint-
ing and sewage disposal'$.---�-- .-3�1---_-�['���d._� ' �
�i O / '
1;. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTIQIV WORK WILL CONFORM TO ALL
LAWS OF THE COUIVTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed:------�'--rl/L -----'�°�y�x��---�- �------------
Plans Filed:...... ��_" -�' �O
------------------ ---'_"'------------------
. BY �--
Bldg. Pennie
Plan Check
Total - -
Reteipt No.
Paid ro
FOR DEPARTMENTAL USE ONLY
FEES:
B� �
GROUP---- ---- ---- - --- ----
� - Q-�m----- ..y�
� - -- ----"�---------- T'1'PE --- ------[� --- ----
$----•��--� --- DIST. /� /�
--------� -�7-�------ MAP-------ir�i-------- -------
- ..-----�---------(�Cn, SHEET NO. ---- -J-l--_.-..- ----
-------- -----�-� ---"-6 "� "t a1----------------------- ------- -------
DATE------------------------ ---------------- ----
3M-].50
APPLICA
PLANS AND
SPEC'5.------- -----------------
CORRECTIONS
�
� HEALTH.- ---------� -----
FIRE
MARSHAL ----- ---------- ---
STATE ___._. .
ENGINEER
PER T ISSUED BY:
C. W. DUlVU(I���� COUINSP CTORING
DEPUTY (,' �