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HomeMy WebLinkAbout1042 18TH ST - Building Permits.DDRE%a BUILDIND: 1042 W 18TH ST p�11LRSNANEIFKWANWARWICK DELBERT L ADMIEss:2095 HARBOR BLVD COSTA MESA,CA 92627 NPL. MUM ADDRESS: ARCHITECT OR ENGINEER: UC. ND.: uxr. CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: B 081059 PLAN CHECK NO: N CONSTRUCTION TYPE: V -N PERMIT TYPE: STR ARCH. OR ENG.'S ADDRESS: UHT: cDNTRAcroRsHAMEBURR ROOFING (714)548-2965 CONTRACTORSMNI➢q 711 WEELO DR ADD,EuCOSTA MESA 92627 CA mmo, 635586 UNIT: LICENSED CONTRACTORS DECLARATION: I barely, .dim uMa penalty of psrMy thm I am licarua l under pmv4iom of CMgar 9 (wmmencinp with Section 7000) of Division 3 of tM Susim m ad Prolesaone Code, and my liemnes is in full lace and a"sot. c uc. o.0116221 uc.cLAss:C 39 LIC.NN0 �.:/V555 EXP: 09/97 ` Contmcton \ .C7 �— R BUILDER DECLARATION: I hOmt y O funs under peruJY of perjAy MM I em ayanq Tom IM Cornmcion Lioama Lew lar IM Idbwip meson (Socio^ 7WiS Buanesa M Proleaiom Coda: Any ay « county rpuirom a partnit to omarud, eller, improve, demolish. or raper am uncture, prior m as issuance, Afw ralales the eppinem law h p«mtl Io fib a egmd eletement MMM «she IIae licensed Wnuant to IM P«itiena of dr C«amcton Liomme Law (Chapter 9 (commendrp with Section 7000) of D"ton 3 of tM Bininea end Profe siom Coded or tW M 0, end :.11 Maelrorn end Ma b M na -%9Od aemq:n. Any v 1041 of Sedan 7031.5 by am APPIloOm 1« a Wool subjects Me appGant to It dv9 PwWtY Of not m«e Men Me ItumlMd dollen (A50OD- ❑ I.mowmralM prapMy«my emgoyese wihwellamthenademnpemM:n. WDdo Mewak,adl iylome:nalnteMnd «alerts I«eab(Section TON.Butlmmand Profesdona Code:TM Contrason license Law does rot xpgymt, owneraWsu» jm Wide«i am tiIteded endwM foamlo.1wkhnneall«heresl«nrmp Hoerr Mrownin Om, OfoomPthatsuch imaova W.r ars mm IturdM «a(ersd 1«male. lt, ne, d wr. IM buidu19 pr bnp«anem: Om whhn em Yea a campblbn, ne ' owner-0uiltler will Mve tM Wdes d pnwiiq M «aha dN nc Wfid «improve la the gumma Of cele). ❑ I. es owns, of IM pmp", am actawhy ocntncip On fca sad aomacmn to mmaruc tM pojec (Section 70aa, Sum.. end Profmmi. Code: TM C«Orafon License LOW does not apply b an owror Of pmpaty, wdc bu0da or impwes thereon and rdn wndecb TO, wrh p rbcs with a oc "OdOns) Ucamad punuera to IM CoMracae L'mms Law). ❑ am attempt under S.r : B. A P.C., M dole roeeon: Dam: Owns : I do herby catiN Net I am ewae of Od uderut and bite mRdmmara of Caomm 1Malth end Slay GO& Sections 25505.25533. and 2553x. Ord na 10," Mum Wildvp ocapenl "I I will no, (acle ons) rood to comply wih maid data codes and tM reauin omm, M a pennh t«mnstmcion a modfWien AomIMAr aupelnaf Oicfc. Re ideaaw conmucion Mpfca.ars attempt 1. mmm Povisi«a. WORKER'S COMPENSATION DECLARATION: I arab/ alfa, under penany d ma O pwM, e ro following dectamiiom: ❑ 1 have and wil mantas a cm (rata of oceans ro ae/imua for wk mmpemMion, As prarided 1« by Saeiun 37M of tM labor code. I« the mdor na ce Of na wk I« which H» permit is humid. X❑ wand o whits A.MPem l o mound, My vmnlma' wn maionn amurrance wfer W policy mw W am: Stiction 3700 of DO, � Cooki. for tM padwma m d tM Cadw. STRTE FUND EXPIRES Percy Numb«: 07/01/97 firth 6aCNl1 need M1 M oomplemcl ifIM Pa'mi La 10/ «IG Ilmlldlad ddlM (i1DD) p IOO.) ❑ I ceniy, Net in the Wmnawe of IM work lar which the Pam's : ®ad, 1 NOI not ampby cry Person In wry mama a u to Wome embec to the workers' corwemmtion laws a Caforn ad res IW f 1 shouts Iswm wbjec Io IM workers' Q penealion Prav:iam d "Oo' 3700 d tM Labor Code, I APpli am:Fedum b eesun "A., companaatlon move ape b umY, end e1Wl augHcl en emploer m pdMoN p.1d" and up to ons hu almd dlpuaam/ dab" (3I040001 M e don b do pat of connmen"Wn, dama9ee u PmddW for In Sesdon 37(16 of Na Lebo, Coda, lid.L And adomay''s lea. CONSTRUCTION LENDING AGENCY: I hereby, affirm uMa P-AltY of perjury It IMne : a oomAmeinn kminp epancT' M tM pedom mos Of the wwk IP whidt this pomi ::wed (Section 3097. Civ. C). LENDER'S NAME: LENDER'S ADDRESS: I cenily the I have mad Mia apPlicaion Ord aMe IMt Iha above id«mabn: conicl apme to oomgy with all city and county oa in end araeleve whip to b ,%, mmnutiat and hereby auhonce repraesnbfvae d M: city to emw upon the above maMioned lop" 1«imps° �r'STEVE BURR DMa: /_ (5151- .WP) Masa BuiMip A Selay; GnemFb; Caner Oflimm: Pmlc wnu ; Goldemod-Aseesmr ERM NO; B 081059 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : T/OFF REROOF W/COMP, AND BUR SQ FT: 6,200 CLAIM VALUE: 6,200.00 CALL—VALUE: 6,200,00 GROUP OCC: R-3 / COMMENTS: RESIDENTIAL REROOF iE dE fF dF iE it dF df iE # N 1k dE 9E dE iF is 3F 1f dF dE 9E 9E if 1E 1f iE 1E dF if dt iF iE dE dk it 9E dE fE if iE dE iE iE 9E # dE # IE * )E iE iE dE iF 1(• iE iF dE dE iE dE iE fE )E 9E iE dE * * fE If fk if dF iE !f )E Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- ------ ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42433112 ZNE: REF NO:-- PLANNING NOTES,>- .00 BLDG PMT iE yF dE lE dE iE dE dE )E dE iE)EdE)E�1E'iE)E)EfElES(-1E IE fE)E iE 9E 9E fE iE iF iF dE dE iE dE iE ihlE dE fE fElE 1F dE �E dE iE iE iE dk fE 9F fE 1h iE 3E iE iE **IE lE 3E 9E 1E 3E iF * 4dE dE iE iE iE iE k # D E V Ef�L 0 P M E N T S E R V I C E S R E Q U I R E M E NST S v ZONING APPROVED -BY DATE: BUILDING APPROVED BY : APPLICATION ISSUED BY: iE dE 1h iE 1E fh 1E SE IE 3E * * 1E dE df'iE lh 1E N fE fp M LEGALIZATION:N' F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE PERMIT 124.75 DATE: DATE:) ��***if9EfE STRUCTURAL GMENT:Y SMIP/RES GRADING ,62 SMIP/NON—RES ISSUE FEE 1,,' BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS ---- > 125.37 0.00 0.00 125.37 125.37 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 125,37 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 124.75 ,62 1E 1E 1F dE iE if fF dE 1E iE fE iE IE 1E iE 1h ik da * 1E ih ih 1f dh * iE 1E 9h iE jE 3F SE 1E 1f dE )E dE 9E 9F 1E ih 161, IE 9h * * 9k iE if iE iF * fE it dE * iE * iF dE *!E iE k- IE * iE iE 9E 9E 9E iE 1E 14 iE iE 1E if I N D I V I D U A L F E E B R E A K D O W N YPE QTY D E S C R I P T I O N. UNIT COST TOTAL COST FR 6200 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,200.00 END OF FEES , 1 81-07-1997103:34 PH/025.37 PERMIT:081059 n CONSTRUCTION AND PLANNING, APPROVALS Permit # Date Inspector POO 3PA - APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrrtd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding S. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6, Electrical UFER Grnd, 57. APPROVAL TO COVER•GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test , 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK _ ' 11. Property Sewer Line & House Corinection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical•T Bar Ceiling69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71, Product Piping OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing 7' 17 Geiy 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 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 _ /v� A.9.1- bra 1 7=12 [ 11 �Gv 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39, Water Service -Final 40. Gas Service -Final - 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Z 6 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co " 61. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITYOFCOSTAMES��ACONSTRUCTION PERMIT Project Address �'�a�oU �• ill Applicant's Mailing Address Owner's Name 46/fr MAR �j� g N - hon +4+' l A Address ;- 14"Aii)P,, Ri'i Arch/Eng. License No. Address Contractor's Nam t /� ,thro�n�e. Address lmailing) 7P7, 11o�. I7t-i%1� N/GJ/7 9w�,I City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 o1 the Business and Professions Code, and My license is in full force and effect. - License Class �q nee N Date"'Zqr� Signatur WORKERS' COMPENSATION AR TION I,hereby'aff irm that have a certificate of consent to self -in a or a certificate f Workers' Compensation Insurance, or a certified c0 thereof ( ctlon J80O, Lab. C. �/` R-t/-I��t Policy No. �s J�� `-'� Company r r `w Certified copy Is hereby furnished. Date _I d c�10 py s filed with the city By clin I on. e 1 T_ Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLAR TION (This section need not be completed if the permit is for one hu red ($100) or less). I certify thAVIn the performayce of the work for which this permit iiissue0, I NOTICE: If, after making this declaration, youhould become lett to the Workers' Compensation provisions Of the Ulpi Cotle, you St forthwith comply with such provisions or this .permit Shall be dee ad revoked. CONSTRUCTION LENDING AGENCY, 1 hereby affirm that there is a construction lending agency for the performance Of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city Or Cmmty which reouires a permit to construct. alter. Improve, demolish or repel •erefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars ($500). I, as owner of the property Or my em Ploye05 with wages as their sole Compensation will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law tloes not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com. Diction. the Owner will have the burden of proving he/she did not build or im- nrova for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Con. tractors to construct the Project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner Of property who builds or improves thereon, and who contracts for such projects with a con. bactor(sl license purSuahl to the Contractor's License Law). I am aware that proof of( their Worker's Compensation Insurance Should be provided to me. 0 1 am exempt under Section B. & P, C. for this reason Date 'r - � /- G A Own ihereby certify that I have read this a I1Cat1On and State that the above formation is correct. I agree to comply with all city and county ordinances And state laws relating t0 building constructi , and hereby authorize repre- sentatives of th' cit to enter upon the ove-mentioned Property for Inspection r as. Signature 6255 1/22/85 TYPE OF CONSTRUCTION LI NEW U ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. Zone - DESCRIPTION OF WORK/USE OF BLDG. • S Main Building: Accessory Building: E TYPE OF PERMIT LJ GRADING U FOUNDATION ❑ STRUCTURAL T Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear ❑ OTHER A PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right KLeft' CONSTRUCTION TYPE VALUATION $ - ZONE GRADING CU.YDS. ACRES ping. Ref. # Parking Req./Provided Remarks: Planning Notes: 5.00 TL Z O N I N G R E Q M T S. Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink - Automatic Washer Transformer ❑ 15 -SO KW- - Constructior Pole Sub. S ❑50+KIN Backflowirrigation Sewer Cap Bathtubs Sewer Connection Cooking Unit r Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors 00-1 He 01 'A - 8 Floor Drains Swimming Pool w/Spa F.A.U. -, Inc -Solar 1:19-15 He 1116-15+ Floor Sinks Urinal - Fixtures - Microwave - 1 Gas Service Outlets Water Closet 2 Device Boxes Pole Light Interceptors Water Heater/ Outlets Range Kitchen Sink -Water Service Switches Sign Lavatories - Garbage Disposal 'Standing Sections P -Trap Generator 00-5 KW ❑5-15 KW Trash Compactor Roof Drains Reinspection Fee $15 Boiler Duct - Under Ground Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact, Bit. ICBO # Heating System & Ducting ❑0-100,000 BTU ❑100,000 Reinspection Fee 1 $15 CMF 0865-46, rev. 4/84 White - Building; CanarY - APPIi Cant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type I ❑ Canopy Type 11 ❑ Refrigeration System 00.100,000STU ❑100,000 System Repair/Alteration Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES Zoning Approved By Building Approved By Application Issued By REQUIREMENTS: Date Date Date i -Z-?_— BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF $ $ $ S.(Dd $ $ $ $ $ FEES SMIP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ $ $ $ 00 _ $ 3 •J CONSTRUCTION AND PLANNING _ APPROVALS Permit #- Date Inspector POOL ;PA. APPROVALS . Permit # Date Inspector: 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe:Undrgrnd. 1 53. Steel Reinforcement 3n:0eciricaLCond6ii Utility-Undrgrnd.• - s 54. Forms 4 M1Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' , - - 56. Rough Plumbing & Pressure Test 6: Electrical UFER G;nd. - 57. APPROVAL TO COVER-GUNITE 7..Footings - 58. Electrical Conduit-Undrgrnd. B. .Foundation 59. Gas Pipe, 0 Undrgrnd.; Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10'. Structural Floor System 61. APPROVAL TO DECK 11.,PropertySewer 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. Solar System -Final - 16. Rough Electric Wiring 677 Fencing & Access Approval 17. Rough Wiring Sign': 68. APPROVED FOR PLASTERING 18. -Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace _ ... 21. ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping 0Gas El Oil 123. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydra 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 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 i 40. Gas Service -Final .. , 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE &BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' I COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA "-E RECOVED FI)AR 1 0 r�r 195 FINANCE DEPT. A UESA 1s VvdF C11Y OF COST FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING i ADD EISS _ . COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY l ry CIO CO RECEIPT NO. PER�M%IT NO. OWNER lif/1 V RECEIVED BV DwTE RECEIVED DATE ISSUE° MAIL ADDRESS O '1 TEL. IL 3E✓tP%Y BUILDING G CITY p �F.ji/ NO. p ADDRESS ARCHITECT LIC. OR GINEER NO. COSTA MESA. CALIFORNIA FIRE ADILNESS ZONE ,I CITU LIG. NO. F PLANOS TYPE GROUP CONTRACTOR 1,14 / ZIII NO. EL. APPROVE ? NO. BY .ADDRESS LEGAL�j 7- NEiJ DESC aIPT ION NOT O BLOCK TRACT EI /7=117 � r A.P. NO. / {j 6J q. OFZE LOT 2.]O ,3,30 NO. °F BLDGS' NOW ON LOT CITY OF COSTA MESA PLANNI ' Uh . USE oF� E ISTING BLDG. DEPT. REG. SET BI CK LINE FROM 5 CEN TIEROF STREET REAR YA '2 00 L r q / /L DATE 3 SIDE YARD RIGHT FT BY DESCRIPTION OF WORK ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO. OF SIZE 3 ROOMS STORIES E%TERIOR WALL ROOF %//T- COVERING COVERING USE OF NEW o E BUILDING �/ The Amount shown under valuation is for the IISHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND establishing a fee STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY WITH ALL permit only. CITY OR°INAB TE EGULATIN VIL G CO TRLC- LUATION Q - /0 - TION. SIGNATURE PERMIT FEE S PLAN CHECK S s - P PERMITTEE S C/L UTHORIZEO AGENT TOTAL FEE 5 /v 1s VvdF • -1�' 1770a COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely 11. ° TYPE OR PRINT BUILDING' TM ADDRESS COSTA MESA. CALIFORNIA - FEE RECEIVED ���AAUG 24 1952 APPLICAI J,Q�7'; ivisA ILDI For Office Use Only I 1 RECEIPT NO. PH NO. //'' * OWNER . L /V MAIL - Y//- RECEIVED BY I D TE RECEIVED DAT€�9U / 737 ADDRESS, -Z 1 _,' 7[ 7/I /Jfo (� \ BUILDI G CITY NO. ADDRESS A ITECT �, TEL- GINEE C S ER NO /- -05t ' COSTA MESA. CALIFORNIA "e .. 6talovdg-T_ FIRE _ A ESS 10' OA.% ZONE APPROVEW,0;7 BY TYPE / GROUP -"--DATE/�'fo CONTRACTOR (f/ L ZONING * hJ ADDRESS l 2 :NO, OF I PLANE Y UBE OF NEW BUILDING CITY-� LEGAL DESCRIPTION O G L STATE TEL. LIC. NO. NO. 81 ZE / /. I NO. OF BLD". •Z OF LOT' D Now ON LOT A. P. NO. I U USE OF EXISTING YARDS EVES BLDG._Fi APPROVED ALLOWED SETBACK LINE FROM/ / (CENTER LINE ST.) CENTER OF STREET REAR YARD Z& FRONT FT. / IN. /t I I BIDE YARD LEFT RIGHT R. SIDE T. -s^�- IN. 'f DESCRIPTION OF WORK L. SIDE /� V FT. IN. N' I I ALTERATION I I ADDITION IL— REAR ASYPROV D` FT. IN. DATE - ' REPAIR I .II MOVING I DEMOLISH I BUILDIN �• j / NO. OF rte, / SIZE S O� ROOM S STORIES G. EXTERIORWALL ROOF COVERING 400'E- V COV RING F0141. USE OF BUILDING AND WORK TO BE PERFORMED - i to -ou7 6tT 1 HE R Y ACKNOWLEDGE THAT I NAVE READ PLICATION WN, U`_NDER VA�LULl 9 8 OR THE AND ATE THAT THE ABOV! IE CORRECT- AGR!! TO COM- pURPOBE OF ESTABLISHING �A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDINGCONSTRUCDON. - S SIGNATURE OF PERMIT FEE $ 9D SU L PERMITTEE'2j) h,y� PLAN CHECK $ AUTHORIZED AGENT L��, / O 7, 37,2,5- TOTAL FEE v `5 1 v -1 19268 .COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING I:.:'. ■ COSTA MESA. CALIFORNIA ■ CONTRACTOR A.AQ/L/U C V�i�n rBUILUING RESS %�% J/•y@ TEL. NO. NO NO.OT %v NOW ON LO TT NG BLDG. GACK LIN[ PROMen or [TRHSTREAR YARD YARD LEFT AlGlirDESCRIPTION OF WORK � ALTERATION ADDITIONAIR MOVIN DEMOLISH DING NO.OF ROOMS STORIM RIOR WALL ROOF ERING COVERING OF BUILDI NB AND WORK TO B! PHR�F9RMHD .UC. CCI" a .( -7 I1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PLY WITHALL CITY ORDINANCES AND STATS LAWS REGULATING I IGNATURE OP ((D��CfI//GN PERMITTEE cV l�•&11d_O, AUTHORIzID AGEFPf-tr A. 1. H.. FEE RECEIVED . AP \ , FINANCE DEPT. AMIFWWEft "IT BUILDING For Office Use Only V RBCHIPT NO. p M T N,O� DAT C81 BUILDINGc ADDRESS !u r(1� ✓' FIRS ZONE T ! GROUP - APPROVE Y DATE G ZONING /,,I ZO�ji -NLA -Ue[OFN[W -1+ [I — I nuns �1)RoUILOIn, �q , PJ LEGAL DISCRIPIION (/FJ '"`l r `� Gil w wv I v A. P. NO. I _ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/ 8 REEF) FRONT FT. R. SIDE FT. FT. L. SIDE 73PT. PT. REAR tro Fr.rJlr FT. f DISTANCE BET. BET. MAIN e z MAIN BLOCS. ACCESS. SLOGS. Lu VAR. # DATE UJ. C. U. P. F APPROVED L' APPRO / b BY DAT! d 'E' Lvk)L -1 -6 W-oN 0164 D €p CPiUuel� a OF u a u, /}Crr-r-- D Al 77777L 7, / $0. FT. a - vl TNR AMOUNT KNOWN UNDER VALUATION IK FOR THE PURPOSE OF HKTABLIKHINO A PHflMIT FEEONLY. O (Y VALUATION 3 / PERMIT FER Ij s �pA CHECK p COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOE all COSTA MESA. CALIFORNIA For Applicant to Fill in Completely TYPE OR PRINT 0 BUILDING ■ MAI STATE LIC. NO SIZE OF LOT lrlw-ja N USE MESA. CALIFORNIA r1/ S P, 4. )A& eL_ -d V�5 .67 Wn-C r"Ki, Cr X O(�/NO. -7v X" 33bX13 `%t'.�ob NO; OP BLDGE. I DESCRIPTION OF WORK Xiad IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 1E CORRECT AND AOREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE /J n AUTHORIZED AGENT 15 i/ 1L FEE RECEIVED MAY 2 "1963 FINANCE DEPT. CITYAPFLIG� IOPIHNV0 PERMIT BUILDING For Office Use Only • RRK.KIKI�PTTjNO, I�N� RECEIV'DeY V/�D ��✓ , f1V{R3 .�/CJS .O `zIBB63 G�� BUILDING FIRE ZONE TYPE / GROUP APPROVE J Z BY DATE (O/ ZONING ZONE PLANS UILDING LEGAL b ) ,1 DESCRIPTION . +-V A. P. NO. 116—I3O-�7 �Pr•MESI}-T NOTE: NO EAV E OVERHANG SHALL BE LESS THAN 90" TO SIDE B REAR P. L. EAVES ALLOWED (U, B. C. REQUIREMENT) YARDSAPPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET FRONT PT. FT. R. SIDE / FT. L. SIDE FT. FT. REAR FT. FT. DISTANCE BET. BET. MAIN B: MAIN BLDGS. ACCESS. BLDGS. VAR.* DATE C.U.P. # APPROVED APPROVE 'moi BY ATE SQ. Fr. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION $ZSoo,Oo P PERMIT FEE PLAN C TOTAL PEE $ I� P�c I 20169 i OSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely OR PRINT MO IN -TTYPE BUILDING/ Ii �y AODR ESE ALLOWED LOT 0� COSTA MESA. CALIFORNIA I NOW GN LOT OWNER USE OF ADDRESS O (��%, MAIL L I AD[ MAIN BUILDING CITY SA� NO.TEL� FIR ZOO ARCHITECT 1. / I .. i rrA TELA_ . ....-., avF tr FEE L�q �RJECEIVED JUL TAPPLIO ON FOR PERMIT ,,jpFIN1I60PT. R8C8IPT NO. PEI [INBD BY I DATE RECEIYYD. I OAT ZONING W Z / NO. OF ^ I USE OF N6 PLANS y BUILDING SIZEOF �� 770 MO IN NO.OPBLDGS. ALLOWED LOT 0� DISTANCE BET. MAIN SLOGS. BET. MAIN B ACCESS. BLD S. NOW GN LOT YARDS APPROVED USE OF DATE BUILDING MAIN BUILDING EXISTING BLDG. SIZE ROOMS ST�C.U. P. (FROM C/L STREET) SETBACK LINE FROM �/ � A ^'1COVERING DATEL7/ CENTER OF STREET _� / 60 /T / s_ REAR YARD LI FRONT FT. f SIDE YARDI LEFT �.I I RIGHT l( R. SIDE FT. DESCRIPTION OF WORK L. BIDE Z G, PT. 9 (J,f flag It � SHALL A LESS THAN (U. S. C. REQUIREMENT) YARDSAPPROVED ACCESSORY BUILDING K_ wIR MO IN DEMOAR DISTANCE BET. MAIN SLOGS. BET. MAIN B ACCESS. BLD S. DATE BUILDING �O NO.ORVAR.* SIZE ROOMS ST�C.U. P. APPROVEDEXTERIOR WALL 0� ROOF Qb enveRlun APPROVED RY 1,411 ^'1COVERING DATEL7/ 1 NEREBY ACKNOWLEDGR THAT I HAVE READ THIS APPLICATION AND STATE THAT THE A®OVE IB CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNAITU EO /.I A �) �'t AUTHORIZED A T ft' „ V�/U D SQ. FT. _ THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION fyI PERMIT FEE s QD PLAN CHECK 6_0 TOTAL FEE APRLICATION FOR BUILERIUIIT COUNTY OF R�PLICANT .TO FILL IN AREA WITHIN HEA ONLY. ORANGE 2 B�ILDINGIoIa ADDRESS O "S' DESCRIPT�IO/NOF WORK NEW ❑ ADD ❑ ALTER I(L REPAIR © DEMOLISH ❑ P n�� SIZE NO. OF NO. OF SO. FT. ad STORIESFAMILIES.*, MAILIN ADDRESS O USE OF �J�+ —j— I/� /I'C�/SILO / STRUCTURE �(/ ��T ) .f///r mA �/r CITY // _� LEGAL ,,' DESCRIFT IIOIIQ L.O/T BL�O:CK TRACT ARCHITECTOR (PLS ATTACH FAETPSAND BOUNDS) SIGNURE ENGINEER O ADDRESS t i/ APPLICANT CONTRACTOR ADDRESS 119 ADDRESS ///1�� U VALUATION $ / OV G P. E $ ZONING REGULATIONS FEE $ I FEE CHECKED BY DAT AICCLEAR D PLAN FULLY DIMENs1onE01 YE NO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. CATION AND STATE THAT THE INFORMATION I HAVE PRO. r, euILDINGS SHOWN ON PLAN (PER APPLICANT)1 VE MAIN USE ACC. UsEla—eON DIST VIDED IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCE STATE LAWS REGULATING BUILDING CON. BTRUCTI / SfGNAT RE REQUIRED BUILDING SITE FRO NTAOEI Y a NO PER m BUILDING HEIGHTI sTORIE D FE ADDRES 1� REQUIRED LAND AREA? YE INSPECTION RECORD VARIANCE REQUIRED? PPR NO APPROVALS DATE INSPE GR SI n T FOUNDATION: LOCATION STREET WIDTH CORNS INT. LOT BUILDING SETBACK F'/L s ' PRO RTY LIN- FORMS AND MATERIALS. f G� REINFORCED SIDE YARHT RD CTION MASONRY OR CONCRETE 61DE YAP LE AVE OJECTION RYAR P/L) WI H OF ALLEY BOND BEAM S P H. N UILDIND UNDERPINNING _ CHIM IN UI ED RD P OJECTS `y.y ROOF SHEATHING POR 1 UIRED YA PROJ TS ROOFING rST S I REOU IREO Y RD P JECTM ( A� INO AREA I D C PCyrY. C i ///���"��Y��Y yam— /i��' ii !J ` FRAMING `' \ LATH OR DRYWALL INTERIOR A— G LATH ' EXTERIOR .I b � PLASTER BROWN COAT OR OFFICE USE ONLY Racerve ar I -R cIDAYS -ISSUED �. PLAN oH¢c ver I PZRKW ArPRoveo ' FINAL G vn Llvwrlory er DISTRIBUTION 1. ROUTE IMMEDIATELY E. OFFICE S. STATISTICS FILE 4. OWNER'S COPY OF COPIES: TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT C. W. DONOHUE - SUPERINTENDENT SSS N. BROADWAY SANTA ANA. CALIF. HAROLD L. GOLOY DEPARTMENT OF BUILDING AND SAFETY VALIDATION CHIEF BUILDING INSPECTOR A MAY 3157 98137 .12.00 1 6.00 7 18.00# APPLICA OR BUILDING PERMIT COUNTY OF \ APPLICANT TO AREA WITHIN HEAVY LINES ONLY. ORANGE �' u BI'lI LDI NG DESCRIPTION OF WORK NEW ADD ❑ ALTER ❑ REPAIR ❑ DEMOLISH❑ ADDRESS O ,s OWNER ` - �j J� SIZE � ` STOR ES SO. /y/ MAILING ADDRESS —FAMILIES OF r _ STRUCTURE /LS CITY .P LEGAL LO DESCRIPTION /g'LOCK TRACT ARCHITECT OR (PLEASE ATTACH METES AND BOUNDS) SIGNATURE ENGINEER OF ADDRESS B APPLICANT CONTRACTOR iJ ADDRESS " `�- ADDRESS VALUATION /r- J P.C. �P2_ FEE $ ZONING REGULATIONS� 'J FEE' G 4� CHECKED BY Dwic CLEARED`'S DATE I 'LAN FULLY DIMENSIONED? YES No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CATION AND STATE THAT THE INFORMATION I HAVE PRO. AL. BUILDINGS SHOWN ON �PL/y((PER ArP�PLICANT)? - MAIN use ACC. USE ✓ zoN DI T. M.- O VIDED IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ATE LAWS REGULATING BUILDINGg CON- STRU CTIO REQUIRED BUILDING SITE FRONTAGE? YES �� NO l SIGNATURE OF l PERMITTE BUILDING HEIGHT? STORIES__! AND FEET ADDRESS REQUIRED LAND AREA�S� NO INSPECTION RE VARIANCE REQUIRED) PPROVED NO - �/ APPROVALS DATE INSPECTOR SIGNATURE FOUNDATION: LOCATION FORMS AND MATERIALS. r STREET WIDTH\�'I •-it ' CORNER LOT INT. LOT ��''?? I 1 ? (: ST UV '✓ ' r6 £� BUILDING SETBACK C/L PROPERTY LINE REINFORCED SIDE YARD, RIGHT EAVE PROJECTION -9 MASONRY OR CON.FTSE., SIDE YARD. LEFTJ�(a '/ SAVE PROJECTION 1 BOND BEAM REAR YARD ITO P/L)�''JJLCZ))-�� / WIDTH OF ALLEY f hl SEPARATION BETWEEN BUILDINGS Y li( • I UNDERPINNING CHIMNEY IN REQUIRED SIDE YARD PROJECTS �- �"�-- PORCH IN REQUIRED YARD PROJECTS , ROOF SHEATHING ROOFING L STAIRS IN REQUIRED YARD PROJEC' S PA' -4G AREA REQUIRED `'--s CAPACITY. CARS ...��_ FRAMING LATH OR DRYWALL INTERIOR FOR OFFICE USE ONLY LATH EXTERIOR necelveD av I DATE nuc D. DATE IBBU.D LASTER BROWN COAT I PLAN CHECKED BY I PERMIT I880ANCE APPpOVED VALIOATION BY FINAL O DISTRIBUTION 1. ROUTR IMMEDIATELY 2. OFFICE S. STATISTICS FILE 4. OWNER'S COPY OF COPIES: TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT G. W. DONOHUE- SUPERINTENDENT 63O N. BROADWAY SANTA ANA. CALIF. DEPARTMENT OF BUILDING AND SAFETY VALIDATION A MAR 28'581055 87 2.00 1 TELLER DATE PERMIT NO. PERMIT F£e HAROLD L. GOLDY CHIEF BUILDING INSPECTOR 1.00 7 3.00# COO£ PLAN CHECK TOTAL