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OWNEA PEREZ� FIDEL MESA DATE 7_3_(��
JOB ADDAFSS 857 West 17th Street BUILDING PERMIT NO. 1) 79A
AP. NO. 11C]-9ri1- A LOT T1i.ACT FIAE ZONE DESCRIPTION OF WORK ilomnl _ c ,�. �n..
INSPECTIONS DATE I GROUP � RI J �'PE V ZONE M_j
U:�:;;;�;�gi0und SoIl U.G. Wat¢P PERMITS ISSUED
v:t�:: �_______� ,.__ ---I SUBCONTRACTOR I .
OCCUPANCY
Form 410-5M-11-59 S-B P
�
COUN'tY OF ORti1\GE
BUILDING DEPT.
6t36 No. Broadway
Santa Ma, CaGfomia
Phone: KI 2-6211
. �_ .
' � � � Permit No... �. �-���
Applicatiori for Building Permit
AND fOR A � �1 - �
Certificate of Use and Occupancy �$2��"-� �°'-�qa�r
.-- _
nleulpoei j�"
OWNER'S NAME-----�.Y",I.}tl�L.1L1L.....YC..----..-/'1 .Q[2.!�.CJ ............._............------........ PHONE:...�'Ilef�.'J.?�.-------
n�7,/� � �/—%�
MAILINGADDRESS----3.�.7.....11.�._..I..?........�C/9L1�.....--........_ CITY.- . - - --�.Cl.�: e�-/-.----
Namc ......----..i. �c.r�ri.JL.�.-----" .................-----.....---........---
(Architett or Engincer)
Addrecs-'- .............._.... � ..........-' � '-..........._.... ------ ..
City-- � .......... ---- ----- - -........... -- --- - -- -
Statc
Lic. No.-------.....---- .................... Phonc..-----------------`---...---'--
PROPOSED USE :............
2. J LOCATION---jf-e7--/..--------------------.....Gf/�P.fJd...
(House No.) (Name of
LECAL DESCRIPT[ON: Lot.__.._..._._..._.......
(Metes and Bounds Dcsaip:ion—Use revcrse :ide o( form)
Name ... ---�7..". <�li1�......t'L,....C.L.FZ!//.�/1�..�Q....--
(Con[ractor)
Address....-----�---- -...----�--- - ............... .-......--- ..........--- . `.. - �-
City
Statc
Lic. 7
or School
Phone..l.���•...-------
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
� �� ���j ta�� .
S. SIZE OF BLDG.a3aL--X---.Z�?---AREA:------------------------SIZE OF LOT.�.aZe2- ----------_--.....ARL�n:-----------------.-------.----
6. HEIGHT OF BLDG.:._...___��_..f� ..............._CEILING HEIGHT:..A.�'t.�.........._....._NO. OF STORIES._. .�e_..._____....
--
�• n / ° �7 l
7. NO. FAMILIES....._i!..YJ.�.� ..................Size of Smalle=_t Eedroom:.../.�..�C.�...��..-....._....._.. Size of Kitchen.���.�/_�.1�.f.��
8. EXTERIOR WALL CONSTRUCTION:----�7�K-f.�-- .- • WALLCOVERING._.�✓.��-- ----
(Frame, Stucco, Ecc.) . (PlastcrvDrywall, Etc.) �,
9. SETBACKS: Front Yard From Center Line of Strcet�........a�f%.�.... ....�p�. ...,�N� .......................
�j � .,.� n�,
Ncarest Side Yard...Jl..�!/ 1_.....Rear Yard...+J..O.... _.:..Distance in Fect Betwcen Bldgs. on Same Lot......oZQ.�I . ..................
(J O
!0. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
Il. Accc�sor �1) Footing: Widch...._[.,�iT, .......................Depth in Ground.......(p-,%[n1.����i�f�,V�jall.����,L11,tt...---
y � n�u fA;. ZY
231dgs. and b Sizc of Studs:....�..�:. r.� �"CC Material��§I� iP�@7�AyE-��� I�.
.......S acin ... . � . .. .....
Similar �� � p �'�� � ������ in co iia
Scrucc�res .!1?..�.r'��wtkti Qrdinance
12
13
(c) Sizc of Floor Joists:._.---- .................-------------..Spacing----•----..__...---...------if35� .��' C, 22,
. Th�re sh�ll (�e ng fae for this
(d) Size of Rafters:---_--------------------__..-.-----_---_.--_Spacing---..........---.....------_.--.R,.C.CRJIC(30r shall �his bUilding
b� i�equirecj (g ���form with
VALUATION OF PROP WO . I�ncl1uding all labor, plumbing, electrical wirin�HtiS�ifi�, f�'RC�ri�(Fus�H{}j�Kj� and
sewage disposal $....-----_/��/f�_.�,�F✓_ uN85s its` lse OF (1t:CUpBnC�l
Y v��►v shall be c!:an�ec� #�o,rp tl�at fioT
I HEREBY CERTIFY THAT TO THE BEST OF MY KNOVJI.EDGE AND BEL}E�'�PId�RI4�G�k�LA�LL�I IN THIS
APPLICATION IS CORRECT AND THAT.THE CONSTRUCTION WORK WILiitCQ2�'�D��A�Iy��U� OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLECld�T�jqlr kp �; �
� chsnge.
/ A, Signed:
Plans Filed: �/-v-O�Y-�-...._..... '--- ` -- BY
FEES:
Sldg. Pcrmit
Ylan Chcck
Total - -
Rcceipc No.
Paid to •
• DATE.- - � �.Y�.J...�..:
5N-2-01 /
PORCHES OR �t�Y OTFIER
SFiAtt.. SE-(,�;�f�wS;�eL6baF+tc]i
FOR DEPARTMENTAL US$?p�Y�y'Hi�H SERVES
OP
GROUP...� .__....... APPLICAT
��-� - � ZONING
- -
..-- - -- --
DIST. F'LANS AND
MAP.................... ...... ........ SPEC'S....-- - ------- - -...
SHEET IQO .................� COR2ECTIONS
..............................- --- ...... VERIFIED------------------..
INCLUDING
ANY
�-IEALTH-�-- -� - - --
FIRE
MAR SH AL.--------------------
STATE... -- �-- - - ��
ENGINEER
14�98
COSTA MESA BUILDING-SAFETY DEPARTMENT
�. a. aox e�� �o�� b�. ��Po��A
For Applicanf io Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRE68 �i h` S
COSTA MESA CALIFORNIA
MAIL TH
ADDRE55 S
TEL.
cin C r+o.
ARCHITECT TEL.
■ 81ZE � _ ___ I xo, or etoos.
� 88TBACK LINB PftON
DESCRIPTION OF WORK
'EXTERIOR WALL ROOF 1 n �i p1
COVHRING u%GQD COVBRING� �JK� (�'
USE OR BUIL�INC AND WORK TO BE PERFORMED
I HEREBY ACKNOWLEp08 TXAT 1 XAVB IiGAD THIB APCLIWTION
AN� BTAT¢ THAT THE ABOV6 IS CARRBGT AtID AGFEC TO COM-
PLY WITX �LL CIiY OItO1NANGeB AHD 8TAT6 lAW6 PBOULATNO
BLlILOINO CONSTRUGTION. �/�,�
81GNATURE OF x � ��r/v/ � � _ „ ,
■ AUTHORIZE� AGENT
FEE RECEtVED
;, JUn2vtsst
FINANCE DEPT. � �'l�
APPLICAT� f(�RQ�11��
BUILDING .
r
For Offiee Use Only
qBGHIPT NO. _ PCPNIT t�.
sv
�S`7 � / �r-�
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONB — I NO. OR I UBC OP N6W
PI.�N9 BUILDINO
88GRIPTION ' 1 " �n� 't� •
A. P. NO. �/ � � � i /_�
YARDS � ' EVES ^
APPROVED ALLDWLD1/
fC6NT6R IJN6 6TJ _ e A
THE AMOUNT BXOWN UNOBR VALUATION IB FOR TX8
PUFP08H OP CBTABLI6XIN0 A PEPNIT FE8 ONLY.
VALUATION �Q�
� PERMIT FEE $�/�
$�Q/ PLAN CNECK $ I