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Home My WebLink About433 19TH ST - Building Permits(714) 754-5273 • Fax (714) 754-a856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lobAddress: 433 E 19TH ST Suite: Vicinity: DUPLEX Parcel Number: 11734134 Applicant: Address: Owner: Address ,i Status: �SSUED Applied: 03/26I2007 Issued: 03126/2001 Zoning: SCHIEFELBEIN, PHIL , ,, :, _ '- issueo sv: - _,.i�,� ,� _ 211 S STATE COLLEGE BL, i/G':-�- � _ .. . -, ---" - � � _ - � ///��r%�- _ Phone:� (714)2969838 ` � '- ANAHEIM,- A % � � � � �I � Zip: 92806 � �, � �� .- '",� �/i' nl.'%i-1A �' � '�_' , , ' / '� '��: A�,-�� MELARKEY, DANIEL C TR ` - � �' �,' , / VA; ��\ �433�E 19TH ST � � � - "` - . � ". � � � � � ,� �'� � � �� j�� Phone: - ��- � , � �� . � � �COSTA MESA, CA /,� i Zip: 92627 : � ,� ��,; � � �, / /� ` � CALIF RN A/ ITY ROOFING �_�, �� \\ iddiess✓ 271 S STATE COLLEGE BL / /!,�> i�/�/ / . /// � �ANAHEIM,CA i, Zip: 92806� � � � //,%// . —��} Phone "`- (714) 296-9836 �'License: 1649293a �,,n«n':_ � liu -� � � � � =��- ,. � � , � Address: �,�i �..i (y� �,. I . " _ _ . � ,�f �"%� � . � � ,. Phonei � ,fi� , i 2�' _ ' � / .. A.. � �,Zip: �i j �� V�Liiense: � V. �- 30# FELT t `\. � ,� �� \ , ,I J� � / � �l:/ / i � _' � T�,��.- ;� i,-� REROOF EXISTING DUPLEX (79 SQ). TEAR�OFF�EXI )ERLAYMENTJ6 REROOF WITH 25 YEAR COMPOSITIO �_ , I , i I'.. i � 1 � ��'7 _ _ �.� I P �Corri: Other� SETBACKS MAIN STRUCT ACCESSORY PARKING NOTES: $o 00 $9725 $0.50 / OA � '� i \ C \ , � - _� � i �) � _ '�� r ��\ ` � \�1 % ' Eng:� i -, . ti� .Addres's� � -_ � '�� V!,��, �" � \ ; `� �� ,Phone: � _ _ �� Cicense: � -� ` ; � l � '.- 'i � � , OPE OF PERMIT r.� �� ; � �� ,� r NG ROOFING 8 REPLACE SHEATHtNG AS NEEDED. INSTALL _� I HINGLES. ' ' � �� i i : i I _ _ _ 1MAR�i . , � - � i _,�,% ,_� _ _ / i- � . Calc Valuation: � �� Claim Valuation: =l' _ __ , j ��v.w � - � , ', � $0;00 �''�'��, '�, • . � �� y, � � �� " � � � � p�� ;. � � % �," .. . ' r SJ77S�A J-�- .�✓t.-'�Y - � �Go , � .:- �(t. �%n � �' � �i ��,� � ' o� ��/ \UG�� ' ��;PLANNING&Z�ONING�� r, �. . � �: �.�!_ � \;��-�.,��_, c tE`Fronv� 0-�0� /O Rear 0- 0.-.-_ -=— �.Left =0:.0- Right i l � i Fro \0 �0\ ROvea �O10 j-� 1�--\L'R� fC�4� `�\`� Righl� ' V � � L� ,� , i Existinp: 0 �; Reauired: 0— !.�� . Pr000sed: �'"0 �D� � _�o;_- _ ��/' �-`'c��c�o� �- NOTICE: The wark authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes antl related regulations. (Ord. No. 92-28, § 1, 12-21-92) El(PIRA710N: This permlt shali automatically expire and become void II work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicahle codes, end all requlred Inspectlona and finel approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expira�ion.of ihis permit. fOR INSPECTIONS CALL: (714) 754-5626 zaae-ae �aroo> i : i WORKERS' COMPENSATION DECLARATION: " , I �ereby eMirtn under penalry of perjury ana of the Idlowing dedarations: ❑ I heve end wlll maintain e certlficate oi consent to selFlnsure tor workars' compensetion, es provldeO for by sectlon 3700 oi Ihe Lebor Cade, lor the pertortnance of Ihe work for which Ihis permil is Issued. ❑ I haye eiM will maintain workers' oompensation inwrance. as requiretl by sectlon 3700 0l Ihe Lebw Cotle, for ihe peAortnance ol the work tor which this pertnit Is Iswed. —�My workers' �mpansatlon Insurance cartier antl pdicy number are: fhe pemtit ls veluetl rPa�lcy Number: O 6Q�/ 6�3 1�--�---_� ❑ I cenity I�at In t�e peAormance oi Ihe work for which this permit is Issue4 I shall not amploy eny person In eny manner so es to �ecome sub)ect to Iha workers' compensetion lews at Celtlomia, antl epree thet II I should become sub�ect to the workers' campensetion provislons ot Sactlon 3700 of t�e Lebor Code, I shall forihwlih comply with these provisia s, / �AppllcanlSlg .neture: �� Da1e:..7�/�2'C, �� WARNINO: FAILURE TO SECURE WORNE OOMPENSATION COVERAGE IS UNLAWFUL AND SHA�L SUBJECT AN EMPLOYER TO CHIMINAL PENALTIES AND GVIL FlNES UP TOIXJE NUNDRED TFIOUSAND DOl1ARE (5100,0OO�.IN ADDRIIXJ TOTHE CO6T OF COMPENS4TION, DM4IGES AS VROVI�ED FOR IN SECTION 3]Ofi OF THE UBOR CODE, INTEPEST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm thet�em Ilcensed under provisions of Chepter 8(commenGng with Section 7000) ol Division 3 of the Businew enA Prolessions Cotle, antl my license Is in full lorce end eMect. Lic. M GT.� 6�/9253 Cless a, 9 Contreaols SlgneNre �L-�.iC�� /'oere: .� 2e. /a/ r - , CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that thera is e construction lentling agency for Ihe peAormance ot the work for which ihis permit is issue0. (Sec. 3097, Civil Cotle). Lendefs Neme: Lendefs Address: SlgneNre: OWNER•BUILDER DECLARATONS: Date: I hereby aflirtn Ihet under penalty ol pe�ury Net I em EXEMPT FROM T11E CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Professions Catle: Any ciry or counry whic� requlres e pertnil to consiruct, alter, improve, tlemolish, or repair eny siructure, pnor �o its issuance, elso requires t�e flpplicant far such pertnit to lile a signed statemem Ihat he or she Is Iicensed pursuflnt to the provisions oi the Contrectors LJcense Lew (Chepter 9(commendng with Section 7000) ot Dlvision 3 of the Business entl Professions Cotle) or that he or she Lv eaempt therefran end the besis for the allepetl exemptian. Any vialation of SecUon 7031.5 by any applicant for e pertnll sub�ects Ihe epplicent to e civil penalry of rot more than five hundred dollars (5500).): ❑ I, es owner o1 the properry, or my employees wilh wages as t�eir sde compensetlon, WILL DO THE WORK, antl Ihe slructure is not intentled or oNered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not epply to an owner of property who builds or improves thereon, and who does such work himselt or herseN or Ihmugh his ar her own employees, provided Ihat such improvements are not intended or oflered lor sule. If, �owever, ihe building or impmvement is sold wi�hin one year of completioq the owner-builtler will have the burden of pmWng �hal he or she did noI build or improve tor purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELY CONTAACTING WITH LILENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Business antl Profassions Cotle: 7�e contrectors Llcense Lew tloes not epply to an owner ot pmpeny who 6uiltls ar Improves Ihereon, end who contrects lar such proJed with a contractor(s) license pursuant to the ConiraIXors License LawsJ. ❑ 1 em axempt undar sec. Signeture: Owner ID verifled by drivefs licensa. ❑ Yes ❑ No Business end Prolessions Code for Ihis reason: Vedticetlon of OwnersNp by (type ot OocumeM, i.e. - properry teu bill or deed): DIVISION OF INDUSTAIAL SAFETY PERMR CERTIFICATION: Drivers License No. oate: Expires: ❑ I hereby carlity that no eacavation Ilva (5) or more feet in depih into which e person b required to descend, wlll be mede In connec�ion with work euthonzetl by �his permit, end Ihat no building struMure, sceXolding, felsewark, or demolition or dismantling thereol, will be more than thirty-six (36) feet �igh. (Chap. 3.2, Grp 2. Art 2, Sec. 34 i, Title B, Califomis AAminlsirative CoAa). ❑ As ownerbullder, I will not employ anyone to tlo work whic� woultl reqWre e Oermll Irwn the Division of IndusMel Sefety, es noted abova, unless such person hes e permit to do such work trom the division. Signeture: Date: DlWsion ot Industriel Safery Permil Number: CERTIFlCATE OF COMPLIANCE ANU AIJTHORQA710KOF EHTAY: I certiy under penalry of perjury Ihat I have read this epplication and state Ihat the Infortnetlon gNen is correct I agree to compty with all state lews end Gry ordlnances relelinp to huilding consWction, en0 authodze represente�ives ol the City of Costa Meu to enter upon Ue ebove-described pmperty tor inspection purpaaes. I egree not to occupy ar ellow occupenty ol eny building authorized by Ihis pertnit unGl final inspecGon. �� Signeture Ot Lepel Owner(s) ��Z L/ o//—'-� _ AnNOr Authodzed Applicent (�Deta—� . _ COOE I. INSPECTIONTYVE 1818 Fizetl System Final Fire Prevention 1288 Paal Spe Final 200 Final Ra-Root 201 Final Block/Fletaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolitlon PAiE' � �QpE1 INSPECiIONTYVE 206 Flnel Mechenical 20B Finel Plumbing 210 Finel EloctdCal 212 220 222 250 Final Flre Prevemion Fnal Plenning AOP�oval Final Sile Final Building/OccupanCy �g � � �L01NGe 433 E 19TH ST 110'0M'" MELARKEY LANIEL C Tk woness: q a 3 E 19 �I'H 5 T . CGSTA iNES1�,CA 92b27. MPL. IWl1N0 AWNESi , mNm�crars wu�: CONfi11CTOR9 YNI➢IG ADDHESS uc. ra.: UC.Iq.: p1fo CITY" UF �USTA MESA — RUILDING PERMII PERMIT NO: B 084073 PLIaN CHECK NU: 03734-97 L CUNSTRUCTION TYFE: V—N PEkMIT TYPE: STR Jt7b LESCRIPTION ; RECONC'ERI' ILLEGAL COTTI:GE TG GAAAGE uHr: 0 I w�r. 110EN5EU COMR�CTOpS UECI.�H�TION: I Mreby Nim uMs prWy d pajuy Nn 1 em ftaueE ivMs piwitio'u d Cheptr 9 (comme�q wnA Sec�ion )OW) d Oi�"vion 9 d the Buaiixw ud Prolmeioru CoEe. ard mY littnee u in hA Ma mM Med. cm uc. no.: uc, cuss: uc. No.: g}(p ; Iome: cam,a�. OWNER BIIILDER DECIAflATION: I Iweby eKum �vdx psuly W perjuy IMI I em aaemq hom �M Catlrtlon Lioema LaM In tlr taCowiro reesm (Seaion "lro1.5 Bumoa end Rdanoro Code: AnY Gy a opmly Ni'rA rapimae e D�� w munw. atlar.'vnpo�+. ; Eemd'e�, a repai am� avuduro. priar b ua e�ue�ce, ebo �p�o�a tM eppiuN la m�M pxme ro IJe e opneE petemw tlw M p she " e �icaneed wnuam �o ine womiom a ine caromas �kenee lew Icneq« 9(omimrmw ..ah secion r000) a Orveion a d tlr Bus�roe vd Prtles+'vn Codal a Ihel M a�he u exemq tMrehom ud tM bm la Me eOepeJ nemqion. My videtun d Sad'vn ,�1.5 by eiry apptiraN la a pnmi rbpas �M epplcxY lo s wi prupy W np maa �Iwi Ms hwN�ed tlWu� �SSOOD. yI.movmerdllaPWMY«mYemOM�r.ihwepeemlMicbmnW�s�.xiAdother.ak.eMNemuwniMvuadd s �.«dimadl«W.(SMian]Ou.euimmendPNntlanGode:ThaContmfanLioevalewdomnanPVNloenovmerapoperly ..no n� « ma�». �na.�..�a.n, m...�n..o�x �..e a na.x «wa,on w a n« o�.,, «�wrn... nwd.a mm.�n im0�'�mYs ere ml "vueMed a Mbmd la ub. tl. Mwwx. Ne W�dmO n inP� u wW vAhn arY� d mnWa�ion. tlro �owrierbuillar WI hew tM buNm d pvnnp he a eha dd na1 dNE a impow la iM µvpoas d Wa). I. m ovmer d iM V�OaM. em uanrveF/ mMred'n0 xilh Ydrmad wnVeclas lo m�mW Ihe Vol�= (Serlion )641. Buevw aM wd�,. cae: rn. cwma. u��.. i.r. eoe. �a woy m� o.�.� w o�v .no cwa. «:,wo+s. md.d, .m .m conVacb ta wM W4�s rNh e mqretlor(s) li[erued P�ueN l01 i CON�anor� Limma lax�. A �l.yn axemq uMm Sectian: B. 8 P.G., la iNe . �. .FL // /% r Ihet I em ewera d vd uMenierM Ihe rpuiremems ol Cel�omle « eny Muro Wibi1p ocapent vnll / wil rid (ercb ane) naed b� hoinNws De�e: MWcenc WORKEfl'S COYPFNS�TON DEC�AN�iION: I Mreby dfim� uMr prully d pemry ar d tM Idbw'up EeCuatore: ❑ I heve enE xiA meinlein e cerliliuie d mnwni lo estt�ineuro lor wmkan' compenW ion, n pwkaE in by Sedim �]00 d tha lebor Code, la Ihe pa�lamence d tM xwk lor wlvch Ihn pmmN u Ivued. � Ihevemkwilmmnlenr.Men'oompnwtionirm�anoe.ve�pui�ypySwion3)OOdNeLeEorCode.btMpMmiwodtM wak tor �MiM thia P�n h bsusd. MY warNers' oanPMution imurenee mrier aM Pai�' mimber ara: c�: Pali,y Numbr. � fib extion mM irof be canOb� I Ns P�t u b wro M1UMnC Qo'len �StWI w,Im.1 ❑ I cenh � in Ne palormeMe d IM wak b r.fikh Ihie pemX i� m�ed. I Me! nd empby eery panon in ury meruier m ea lo becmie �ubptl to iM whw�' oompenwbn le�x M Caltlarie, aM ap�ee Nq i 1 ehwk beconr uibpd �o ihe wMun' cwnpen+etion provuiom d Setlian �)00 d iM lebar Code. I YUC taNwnh compy YEh Ihos pio�ievv. De1a: Appli�aN: Wam/nY: Fe9un ro�seun roMw�' nni�tlon rovupl b,oMMu4 uM NN a�bNn en r�Vlayw ro erbNrelO�dr mG c�w nn., w ro m. nu�mw mou,.ro ewrn (naqaaoA a��n ro m. co.� or comp.nuwn w�.. u oro.fa.a ror �n Ssctlon JM6 0/ tlu Lebor COM, Imw�st. �rW ettomry'� Ha. CONS1PUCl10N LENOINO �pENGY: I hsapy eifum uMy qruCy d perjuy IM Nan e a m�utriaion 4ndvp qpiiry br Or pMamance d IM xak br xtiiN O�e pnmi u eauad (Saeun �. Civ. Cl. LENDEH'S NNIE: LENOER'S MDNE9S: 1 crNY �hm I heva neE Mb eOP�Km� ud uw �hn the ebow iMamqion e cmW. I apna IomnPN wilh e0 WY end mvaYadvunan eM aieie kxs n4tiq to Wikip cnnaV Wion ud hmeEy eWw¢e repeeanteliw� M thu nmym emx upon �M ebae�meMioneE popany (5151�B.WP) WhusBuldnpBSelary:Omen-Fb:Gerory-�ppFant:Pink�lewniw:(3oNorvo�Anom PERM Nu: B 08467: GVVT: N SUPP: N PURPGSE: ALT s� Fr: i,000 CLAIM VALUE: 1,OO�.G"v CALC—VALIIE: 1,000.00 GRuUP OCC: U-1 / COMMENTS: GAkAGE iE ii� ie ii ii ii iF it �F 3E �i iE iE ## ie k rt i't if iF if i'r iE ii i'r �k iF #'fr iE it iE �1E ic'rt iE iE 3'r iF ii� yc ii iE ie 3i iE if j'r iE iE+F ic iE if i'r ii� if dE'r'r i'r ic �k iE iF w iE iF ii ii iE jb iF'rc �e iF ic ie ie Z O N I N G R E Q U I k E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSURY BUILLING --------- FkNT; FT IN REAR: FT IN FRNT: FT IN REAR: 11 FT b IN LEFT: FT IN RGi-IT; FT IN LEFT: FT IN RGHT: FT IN PARKING RfiQ: PRUV: PARCEL: 11734134 ZNE: k1 REF Nu: PLANNING NUTES� CVNVERT A 90G SQ. FT, GRANNY UNIT, CONIrERTEU WITHOUT PERMIT > BACK. TG [a 2—CAk GARAGE. — �f ic R�c sE ie fF i't x if if ii ii ii ii iE ii ii ie ii� �E iE iE ii ��e i'r iE iE ic iE iE r ii ie �ii ie ie �i iE ie iF iE iF 3'e ie ii iE <, ie iE iE ie �lE ie iE ii iF ic iF ie i't ii t iE ie ie r. � iF ie i'r ii� iE iE iF ii i< L E V E L U F M E N T s E k V I C E S R E Q U I R E M E N;T 5 Zi�NIiVG A�PROVED Hz DATE: `� BUILLING APPROVEL HY : LATE: -%-' I:PPLICATIGN ISStTEL bY: LATE• f'I 9 iiii�i'rieiiiiieieiEiFirii�iE?EieieiFieiE�'vf+e�F»xx-xhx+�xr,+rxtFxir-+��exn+esexxnx%�e�r3�xiF�e�rttfiEiEiEieieieie3Fif�r. �,� xx-w� -n iFie LEGALIZATION:N F E E S U M M A R Y STRUCI'URAL; SEGMtN'I:Y" bLLG PMT PLUMBING ELECTRIC MECHANIC FIRE ShiIP/RES) GRF�UING PERMIT 34.75 .�0 SMIF/NON—RES PLAN 22.59 ISSUE FEE BUILDING—UIti—� PERMIT TOTALS----� 35.25 ISSUE PLAN—CHECK TOTI�L PAIU UiJE G.0"v 22.59 57.84 57.84 .00 kEVENUE UIVISION TOTALS--� COLLECTEU: 57.89 OVEk/SHORT: .GO BLUG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECK 34.75 .SG 22.59 iF i'r ie iE fe ii ?E iE iE � ic iF ie if ic ii ic ie iE iE i't iF ie ii ic ii� iF ie iE iE rt ic ic iE 3F ii ie if if ii� if if iF ii ii x iF fF ie iE ii ie iF if ie if if i'r ic iE jt ii�:{ iE iE if t ii ii ie ii't' �ic ic ��k sc ic �ti I N U Z V I U U A L F E E B R E�, F( D G W N TYPE QTY L E s C R I F T I U N UNIT CGST TOTAL CGsT SFR 1G00 :vLTER HY" VALUE R£SIDENTIAL NOZONE 1.u0 1,0O�.Ou END OF FEES D �� 111997 D SEP CITY OF COSTA MESA ; �s� f' ;NSTRUCTIdN AND PLANNING APPROVALS Permit # i. TemporaryElectrical�Serviceor Pole . 2. Soil Pipe�Undrgmd. . °• Elect��ca� Conduit Utility-Undrgmd. 4. Elect�ical Conduit-Undrgrnd. 5. Steel Reinforcement . 6. Electrical UFER Grnd. 7. Foot��9s 8. Foundation 9. Wate� PiPe-Undrgrnd. 10. StraCtural Floor SVstem 11. Property Sewer Line & House Connection 12. Sewer Cap � 73. Roof Drains . � . 74. Rough Piumbing . � 15. Rough Electrical-Cqnduit' � . 76. Rough Electric Wiring � 77. Rough Wlring Sign ' " 18. flough Electrical-T Bar Ceiling 79. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducis, in Struaure 22. DuMs, Ventilating 23. Gas Pipe-Rough &'i'est 24. Roof Framing 25. Roof Sheathing 26. T-$ar Ceilin9 iStructural) & Monocoat 27. frame and Flashing 28. Lath�ng & Siding 29. Insulation 30. Drywall Nailing 31. Pla:ter Brown Coat 32. Electricai Power Meter-Final 33. final Electric 34. Final Heating & Air Gonditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Wate� Service-Final 40. Gas 5ervice•final 41. Solar pomesiic-Final 42. Back�lo4v Preventer 43. Backflow irrigation 4�. Landzcape Irriga[ion System 45. Sound Attenuation 46. Handicap Regulations 47; FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Elearic Release to Edison 50. Gas pelease to Southern California Gas Co 51•. CER7lFlCATE OF OCCUPANCY Dare 'Date POO SPA , APPROVRLS Permit # . : 52�. Pool & Equipment Location - � , �53. Steei Reintorcement � 54. Forms 55. Electrical Bonding ' S6. Rough Plumbing & Pressure 7est , - 57. APPROVAL TO COVER�GUNIT.E 58. Electrical Cqnduit�Undrgmd. 59. Gas Pipe, O UncJrgrnd., Test 60. Backwash Lines, P;Trap, Ci Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent�Final � 64. Plumbing SYstem � Final � 65. Electrical-Final � . . 66. Sola� SYstem-Fina! 67. Fencing & Access ApP�oval 68. APPROVED FOR PLASTERING �69. POOI/SPASYSTEMSfINAL '' FIRE DEPT. REQUIREMENT APPROVALS Permit �F Date � In:pector 70. Underground Hydro 77. Product Piping � Gas ❑ Oi1 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oii 74. Overhead Hydro ,^--- ' 75. Dry Chemical . ' 76. Dry Standpipe , �"' 77. FIXED SYSTEM FINAL �"' • � 78. FIRE PREV. FINAL y` HEALTH DEPT. REQUIREME�V.T. ,. 79. FINAL INSPECTION ;I 1.:_.- ,. 80. POOD CER7IFICATE tSSUED I �. 4Votes: � � � ?. 3. COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ana, Califomia Phone: KI 2.6211 r( ., . . �_ �," Application for Buildinq Permit AND FOR A Certificate of Use and �ccupancy Pcrmit N�.I�J/./ _...� J� . � D.,te- - / _3 � - -- .._.. - ^ . %� OWNER'S NAME. �EN.IR �-...-Y-".- �.�/-._/-.�'f.l."1N f v.I� --- -- - - . PHONE:.Al.S'�......�0.. Y8y MAILING ADDRESS �-�.!_ E- �L.Q-- ��..�-- - _`�--T - - - - CITY. CQ `S T�--f.._"L.C�S� -- Name ....... (Arthitect or Engincer) Address Namc-------------�/r-��--_--------------"'----.. (Contractor) Addre=s ----------- ......................._-------....._---- City .....- - -.....- . - -- - - ........- -- - ......._. rt Y State ' Statc Lic. o.----------.......---------.... Vhone----" ''"�-----------............ Lic 1 PROPOSED USE: - ...._- --� i�J C�..--I . _�.� �3 ..t/ �� C... � �-- JOB LOCATION........ / _.L-� � - - -- ...._ -.L-T .....� ... � � (House No.) A, / (Name of Svicet LEGAL D$SCRIPTION: Lot!C.� ��9..--�_.-.-_ ..................Block .... (Metes and Bounds Descriptiun—Use reverse side of form) Ph on e-----------....... 4. CORNER LOT ( ) INTERIO�LOT ( x) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:.._,�. 3Y�.�.lAREA:..._L�Qy.(��IZEOFLO%:....(�'f.�1�L.��.�.AREA:__�3j8./Lf_� � !/ � �w� 0 6. HEIGHT OF BLDG.:-.-------_L.y__._----------------_CEILING HEIGHT:---._-.--------------------_....NO. OF STORILS------.`..'..'.`.'S-_- .--_-_. 7. NO. FAMILIES----.-_--_1�---...-.-.-._---_Size of Smallest Bedroom:---.�.�}../_�..�..�....-_------..---- Size of Kiuhen._. ...�.�4 -- - 8. EXTERIOR WALL CONSTRUCTION:....�r `" `�(7 .............__...IA'TERIOR WALL COVERING.....1..... _........ (Frame, Stutto, Etc.) - r,L (PlastervDrywall, Etc.) 9. SETBACKS: Front Yazcj From Center Line of Svee[........V...7... .'._.. .........- -------_----_._--.._:..---...-__.-__ ..................._._.. / 1� p '/� Nearest Side Yard....(O_.��Rear Yard......a.Q�Distance in Fcet BetN�een Bldgs. on Same Lot.....'YU .._ ................_.. 10. A COMPL,ETE PLOT PLAN IS REQUIRED, SHaWING ALL STRUCTURES AND USE OF EACH. N 5 `� I l. For (a) Footing: Width.._------�. y._-----.._.......Depth in Ground.....__�P--------.......Width of Wall------L--,--------- Accessory Bldgs. and y � l��% y Similar �b) Size of Smds:..-_--f-.----...�.-----Spacing----.__1�.........--_'CC Material of Floor----..---�.--_------------- Structures: H ` (c) Size of Floor Joists:-----YIL_G---------..._---Spacing-----------�.�-------------....,.CC a (d) Size nf Rafters----------------i�%�---�......_..----__S acin � "CC P g .........- -�� - - 12. VALUATION OF PROPOSED WORK: Includ�ng all labor, plumbing, electrical wiring, hcating, fire sprinkler=, painting and sewage disposa] $.......----'---- -- -- - - -- -�. .. fd �. ;�; . -13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF TH� INFORMATION ]N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ^ -•---- ------. Signed: Plans Filed :.................!/�.. .�- --�/ . By: Bldg. Permit Plan Check Total - - Receipt No. Paid to • Date �.........._ FOR DEPARTMENTAL USE ONLY FEES: �' S.- .. �... �.--- - GROUP -r.f..�_��'-r_ _:..- 5....- - -- -`�% �- TYPE-- - `y.......s��• .....f ��} -�rr�� ... DIST. � C�-._DB..!__��.._- _ MAP-- ......�,...�..._...� ...,. ��e�P.��.. . SHEET NO. . ,�,��.... DATE............J.� .. ..... y/.. v M-B-51 / �^ (Au�horized Agent) C / � BY APPLICATI / EALTH ............................ � �' F s ZONIN ----- --- ------- PLANS ARSHAL------------------------- SPEC'S.. - -� - - STATE..... - - -- - - .... CORRECTIONS ENGINEER COUN'CY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ma, CaGfornia Phone: KI 2-6211 1. OWNER'S N Application for Building Permit AND FOR A Certificate of Use and �ccupancy MAILINC ADDRESS..3.0-/-- rt-.. /....�' �W..r� .1 .T'..-- ... Name ... Address City ..... S[ate Lic. No (Arthi[ect or Phon e..------ ................ ------..... Permit N��✓../...ly�...� D,te -- - - '--� �j�f � -- ...... � / .. � -- - - PHONE:._ .E�-.lo..Y� --.. c,T>>....�'.o.�'.T/� - _ _E.l: A- A'ame "..9.M_�.._--------------.......... . (Contrattor) Address-----------------.........__ ......................_--------------------- City' ....---------.._-----------.......---..........._.... S[ate �1 f y 3 Lic No.. -- -- - _ _ .._... Phone. PROPOSED USE:......_ -......- -��.�-.1�.�.._� r - �Q % 2. JOB LOCATION....T...3.�..-� �- � '.L_ �... `7A' �_r �.......... - -...... --- - -. C- a-S.T'ff.. I�'j..t:....t� �...... (House No.) A' (N of Street) (To.vn or School District) 3. LEGALDESCRIPTION: Lot!Y'.�.I•3�I•G��..,..........IIlock -----------------..---- ..............----- Tract.......�0 �•! --- ...- (Meces and Bounds Desuiption—Use reverse side o( (orm) 4. CORNER LOT ( ) INTERIOR LOT (�C) THROUGH LOT ( ) SLOPE�OF LOT ( ) p.�. y � 5. S1ZE OF BLDG.:.yQx.Yv...._...AREA:.....�Otj/t�_.A,I SIZE OF LOT:_...bO-yX�j,.YAREA:..F,I.��" /� �� v ��i G. HEIGHT OF BLDG .:............ �.L.!/j�.-'.........._..CEILING HEIGHT:.....$�i/�'J...'....__.....NO. OF STORIES... ��................ l� �� 7. NO. FAMILIES .....................:. ._----....Size of Smallesb Bedroom:----....------_ �.-_........ Si:e of Kitchen.--_^-___.---.--_--.-__ R. EXTERIOR WALL CONSTRUCTION:----��C.�......._.._.INTERIOR WALL COVERING........^------. ..--- (Arame, Stu<co, Et<.) ' � , (Plastyr- �11, Etc.) . / . 9. SETBACKS: Front Yard F�m Center Line.of St�eec ...:............._-..._-� ./�._--�........... ..._......----._..__---_--'�'_-.--_--.......... . / Ncarest Sidc Yard....ryd..........Rear Yard:_.:.�Q............Di=_tancc in Fcet Between Bldgs. on Same Lot_..._..7.U...........__............ 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. k 11. For Accessory Bldgs. and Similar Structures: (a) Footing: \Vidth....__...�..� .............._.----Depth in Ground__--....6._......_.......Width of Wall ._.. / u (b) Size of Studs.__�_1�...�:.......Spacing........�(�....__......"CC Material of Floor .......... .......... - - '- (c) Size of Floor Joists:.----------------'---'- .............Spacing.---------._....----------..........::'CC `r N �d Size of Rafters:_.._....i�.%� �i- •..-_-------_S acin ��.. "CC ) ._... ---- P g-..... - --- � - - - 12. VALUATION OF PROP I�i�nduding all lab�or, plumbing, electrical wiring, heating, fire sprinklers, painting an� sewagc disposal $....._----_--- -��- -- � . -- - ----'-----.... 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMA'TION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUN?Y OF ORAf�1GE AND THE $TATE OF CALIFORNIA APPLICABLE THERETO. - Signed :.... . ..... ... .. .. ....�1/�'.. . . .. ..........VY.!vtM /2 . ' (Owner) -----. .. .- -' -- �-----------,_......- Plans Filcd:----..._--f..-�.."._.....�--'� ............................... By:.._......-- - --� --- - - ........._-'-..' _- - -- ... - ....._.. . ( thorized Agent) FEES Bldg. Permit Plan Check Total - - Receipt No. Paid to • FOR DEPARTMENTAL USE ONLY " _ _ I GROUP � DATE-----�.� C,��-` 5 M-O-•vl DIST SHEET ECKING BY .. ............ APPLI .:�"+ ' HEALTH........ _... `'."'......... ZON G....�' FIRE , ........_..... MARSHAL - " PLANS � .........._..._ SPEC'S--- -- ----1 / -- STATE..... -.. �- � - CORRECTIONS ENGINEER J� ��28 PA10 �EC 14-73�N� �0 543a ****1U.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 A P IC TION FOR BUILDING PERMIT For Applicant to Fill in Completely REc on e a c iveo DATE IS i BUIIDING�� 3 r. 19t'' sT �� " ,� ADDRESS OWNER� �, � 2r �- Kr A.P. NO � M A � � �± BV ILDING Z AODRESS �� 1— . j q }� ADDRE55 dU CITV O A � S� NOL�Y��C� TRACT (�JV— Z Q CONSTRUCTION W O N LENDER am J � BRANCH JN OWNER � J ADDRESS �� J m ARCHITECT TEL. S a OR ENGINEER N V N FIRE Wa ZONE T Q ADDRESS aw •, APPROVED J O �CONTRACTOR OC.Ci'y l� iZ �/ ��," BY m Z J ¢ ADDRESS w W TEL. Z�NE NO.OF Z= CITV NO. P�� r- w Q STATE CITY ARDS APPROVED y� LIC, NO. LIC. NO. MAIN BVILDING _� SIZE NO.OF BLIX'.S. (FROM C/L STREET) OF LOT NOW ON LOT qOM O F USE OF • E%ISTING BLDG/. S I � £ F� 512EOF •/_k ! /�� NO.OFI Z NEW BLDG. v �� ROOMS STORIES L SIDE U EXTERIOR WALL/,/ �_ ROOF COVERING ✓� COVERING F7EAR J USE�F BUILDING ANO WOqK TO BE PETRFO ED DISiANCE BET. d F � T'O C MAIN BLDGS. a Q VAR. q1E O C.V.P.aW F' APPROV N Z O VI horeby aeknowleOBa ihat I qavo reetl [his applicaiion antl cm[e� � [hat the ebove infa�mation is �Orreet entl aBree to comply with � all laws reB�letin8 builtlin0 consttuction, and I shall no[ amploy' F eny person in vioiation of thq wprkman's compansation laws of y tha State of Califomia. zI ha�eby ce�tity that I am ptopa�ly licansetl as a contracto� unde�J SQ. PT. cbe State of California Businosy entl Professions Cotle, Divisicn 3,_� THE MOUNT SHO� Cheptar 9, end thar such lican�s are in fuil torce antl atfoct, or I THE PVRPOSE OF E5 am exempt from i1 e provi 'ons of the Stare ot California Businass VALUATION entl Protession5 Cnoe, '�siD 3, Chapter 9. SIB^etureof ��„'_�v(� / //� :'� � Parminee 5 / � �y� fj' l Autho�izeA Agent � . i LOT OATE NE��U' O.S P, JSAPPROVED BEf. MAIN ACCESS. BL DATE TOTAI FEE 1c1 m b O IS FOR ONLv: ¢ �� m r � m PAIU OCT 15-73��S,OO 572t �*¢�*5.50 �7 '=.�; COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 � APP I ATION FOR BUILDING PERMIT For Applicant to Fill in Completely F C IV D V DATE RECEIVED DATE ISSUED a��o�N� ,�� s � ,y -- �- �- co - -, nooaess V ' � PERM T NO. � OWNER T,� Max R� A.P.NO � -� �� ="i MAIL BUILDING "J� /_ /� �T, � ADORE55 � � /� �� a P.DDRESS ..7 � s W W TEL. TRACT L T BLOCK d U CI7v S%�, rv0. Z Z Q CONSTFVCTION W R O� LENDER am J � BRANCH r/ J N OWNER , y � �P.i m J ADDRESS /. ' VALUE /�� m ARCHITECT TEL S L�� (/�/Q�L� 5�""' J a OR ENGINEER , �� M Uy FIRE 1 "� wQ ADORESS ZONE TVPE GROUP `•� � d W APPROVE � J O CONTRACTOR � BV DATE �'- `' m Z f J � ADOFESS . W w TEL. ZON NO.OF USE OF NEW ��' Z� CITV NO. —/ P�� BUILDING [,L� /� W � STATE CITV �'AiiDSAPPROVED VARDSAPPqOVED �� j O LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDGS. (FROM C/L STREET) � � OF LOT NOW ON LOT FROM FT. D FT. � � USE OF EXI5TING BLDG. O FT F SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L SIDE FT. O FT. U E%TERIOR WALL ROOF r � COVERING COVERING :�EAR PT, iFT. J VSE OF BUILDING AND WORK TO 8E PERFOflMED OISTANCE 6ET. BET. MAIN & a MAIN BIDGS. ACCE�. BLOGS. a Q /� N / VAR. # DATE O "7� C.U.P.qW APPHOVED ~ � iT �.Lln CO�LC G . APPROVED /� � N O P� V1 hareby acknowletlpe thet 1 havo raetl Nis applicotion antl stete = that tha above informa[ion is correct and aBrae to comply w)th — � oll Inws repulatinB builtlinp consttuction, antl I shall not amploy � uny person in violation o( thn wOrkman's compensation laws ot y tho State ot Californle. ,my ZI hereby certify that I em proparly licansetl as a contra[tor untler SQ. FT. o No State of Calitornte Businezs antl Profewionz Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � Chaptar 9, and the[ such licans¢s are in full force nnC efiect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q am ezempt from tt�e provi5br�5"qf the Sxate of Celifornia Business yqLUATION antl Protessions Code, Division (Chapter 9, m PERMIT FEE $ �� j Slpnature of � m , Permittae � 5�� PLAN CHECK $ ��j E ��J � I Avihorizetl Ageni LL L TOTAL FEE $