HomeMy WebLinkAbout381 18TH ST - Building Permits�
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wFssaeuwua: 3A1 E 18TH ST
BWYEIFRAWN:LUCY V. ALDERSON
�/' ��SAME AS ABOVE
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719/646-3420
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1RCNRECfORFNf�MEFA:
urcx. op �a•a �oo�.u:
cam�crareru�ALL—COAST ROOFING
cwm�croxa�uta+o 2967 BAKER ST
ano�ss COSTA MESA
92626
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UNF
(714>650-2244
CA ��, 598490
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CONSTpUCf10N LENDINO A6ENCY: I IraW tlfirtn uMx pauEy d pajvy �Aa Ilra u a amYrutlim IriQvq epavry br tlr
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LENDEfl'8 NlYE:
LOIDER'S MONE44:
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�«°'°° ""°°'"' LARRY IAMS
on � �
Dme:
d Ow�w�/pru/Appf�aNR'aNema �
(51514B.WP) WM1na-BuidN 8 S.e1MY. G�w�Fde: CvwY-�GPkmtl: Pink-Re�anw:OaNe�vod-A*senor
CITY OF COSTA MESA — HUILDING PERMIT
FERM NO; B Uf1014II
PERMIT NO: B 080148 PLAN CHECK NO: N GOI,�T; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
iJOB DESCRIPTION : T/OFF REROOF W/ 20YR FIBERGLASS SQ FT: 6,7U0
CLAIM VALUE: 6,700.00 CALC—VALUE: 6,700.00 GROUP OCC: R-1 /
COMMEN'PS: RESIDENTIAL REROOF 4 UNITS
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FANT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42502221 ZNE: REF NO:
PLANNING NOTES•>
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D E V E"L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED.BY DATE;
BUILDING APPROVED BY : DATE:
� ��3-l�
APPLICATION ISSUED BY: DATE:
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LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG FhtT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 124.75 SMZP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 125.42 0.00 0.00 125.42 125.42 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 125.42 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
124,75 ,67
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I N D I V I D U A L F E E B R E A K D O W N
T'YPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 6700 ALTER BY VALUE RESIDENTIAL NOZONE 1.00 6,700.00
END OF FEES
EXPIREDo�
DATE � " � � 1� ` �
01 00217779-002177E0 TO T 125.62
DRTE: lU/23/95 TIt1E: 16:02
,RUCTION AND PLANNING . ' POOL 'oA
�sOVALS Permit # Date Inspector pppROVALS Permit # Oate Inspector
7. Temporary Electrical Service or Pole � 52. Pool & Equipment l.ocacio�'' �
2. Soil Pipe�Undrgmd. • 53. Steel Reinforcement • •
3. Eleetrical Conduit Utility�UndrgrrM: 54. Forms • '-
4. Elecirical Conduit�Undrgrnd. ' 55. Electrical Bonding �
5. Steet Reinforcement 56. Rough Plumbing & Pressure Test
6. Elettrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE
, 7. Footings 58. Electrical ConduibUndrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe•Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structurol Floor System �, . 61. APPROVAL TO DECK' '
1 7. Property Sewer Line & House Connection 62. Backwash & Receptor�Final :
12. Sewer Cap 63. Heater & Vent-Fina�
13. Roof Dreins � 64. Plumbing System - Pinal _
14. Rough Plumbing 65. Electrical-Final �
15. Rough Electrical•Conduit 66. Solar System�Final _ •
16. Rou9h Electric Wiring 67. Fencing & Access ApProval �
17. Rough Wiring Sign - � 68. APPROVED FOR� PLASTERING
i
78. Rou9h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducis, in Struaure - 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping OGas OOiI
23. Gas Pipe��Fough & Tesc 72. Underground Flush
24. Roof Framing - 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing �B�-�.,(.�� �(N� 74. Overhead Hydro �
26. T�Bar Ceiling IStructuraq & Monocoat 75. Dry Chemical ^ �
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27. Frame and Flashing . 76. Ory Siandpipe � � 9
F--�7
28. Lething & Siding 77. FiXED SYSTEM FINAL �-�
29. �nsulation 76. FIRE PREV. FINAL �
30. Drywall Nailing HEALTH DEPT. REQUIREMENT �.J
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric � Notes: �
34. Fina� Heating & Air Conditioning � -
35. Final Gas Pipe�Test
36. Hood or Canopy
37. Final Factory Fireplace �
38. Fina! Plumhirtg
39. Water Service-Final -
40. Gas 5ervice-Final
41. Solar pomestic-Finai -
42. Backftow Preventer
43. Backflow Irrigation
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations �
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Retease to Edison
50. Gas Release to Southern Calitornia Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
vxaEcr�ooxess: 381 E 18TH ST
OWNEfl'8 N�ME: LUCY V. ALDERSON
�ooxess: SAME AS ABOVE
714%646-3420
�RLNIENGINEEN:
IIOOflFS3:
REO.xO.:
uhrt:
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PEwnmEE: GENERAL INSTALLATION ( 714 ) 753-2541
�ooeess: 6558 WEST BLVD.
LOS ANGELES CA 90043
LICENSED CONTMCTOP DECIAMTION: I �ereEy aKrm Ilut I am fxense0 iuMer D��skns ol Clupter 9(commendn0 ��� ��on
7000) ol Divisron 3 of t�e Business anE Pmtessims CaOe, an0 my Ike�e is fi IUA lorta an0 Bllecl.
cm uc.: 0 0 6/�J/j�`' 3 TAr� uc.:1518 3 9 �����f
I8: �tY�l ��_� $IG�dillf0: ��� i !�,'� r — '
WOBNEPS' CO PENS�TI OECIAF�TION: I hNeEy aXum WI I luve i CtNi al cmunt to ull-insum or a uNticate af Workers'
Compenueon �psxrapcy, ar g cp,n� � wpy Nereol (Se �38U0.� .��4 / 0 1/ 9 1
roucr xo.: b 7 b J V V
coMa�Hr: NM IC
❑ CenifieE mpy is nereEy fumiStceE. � CeNfieE copy's fle0 xilh IM dry BudOm Oivision.
ne: IWWipnt: � �-'�'+�"
' E%EMPIIO Ffl M WOflI EA3' CWAPEXSIITION OECUMTION: (ITk sxlim nxE not IeIeO tl tle pemit iS Ia me AuM2d (5100) w 1651.
I uNry tlut in t�e performanu o11M wwk iw wlric0 ttuc permit is iuueG, I stWl not empby a�ry person in any manmr so as to Eewme
subiect to t�e Warkeri Compens�tlon laws oi G4fomia.
Date: SiO��ure:
NOTICF: If, atter maNinp Ilus Uedaatbn. you shoultl Eemme subjM to Ne Workers' Compensatlan provtUore ai Ne Lahor
Code. you must IarthwiU camON �U wc� D�o�� ar IN5 permil SAall Ee AeemeE rawkeE.
LONSiNUCTION LENOINU 1GENLY: I here0y attirm Nat Nea b a mnstructian IenOinp apenty lar �Ae peAormanca oi the work lor
wtuCA INs Derimt is�iswe0l�«� 3W7. Gv. C).
LEMOER:
" �OOBESB: ' �
OWNEB BUILDEB DECUMTION: 1 hereEy afArm tAat I am exempt trom tM Contractors State Llurrse Law lor IAe idloxinp rzazon
(Seclion 7037.5 Business anU PrahssknL CoOe: My dry ol wunry �Mic� repulra a pemnt lo consin¢t, alter. imprwe. Oemolish. or
re0air azry strupure. D�or ro Itt issuance, also repuires tAe appicant lor SucA pemtit lo lile a 51pneU statament ttut �e/s�e is IlcenseE
pursuant lo me D�ore al IM Contradms' State Lkensa Law (CMpter 9(cammencinp xiN Sectlon 7000) ol OMsion 3 0l 1M Businass
anE Profassiotn Cotle) or tlut �dsAe I5 ezemD� ��reimm an0 Ue Uazis tor tM allepaA exemD�� �Y ���� al Seclion 7031.5 Ey
any aDD���m lar a'perMt suEjects Ne apWkant to a civll penatty ol mt more tlian INe AunAreO OWlars (SSU01.
I, as owner ol ttw pmperry or my emp byees witn wayes as tneir sok compensatlon, will Oo Itre xrork, an0 tAa
❑ stmctureis notintenOeC orattereElorule�Sectlon 7001, Business ana Profe551onalCoUe: TAe Coniractors' SWta Licanse Law
does not aDDly ta an owner ol a pmparry wAo EuilUs or imprwes t�areon, anG x1ro Goes suc� woM himsell/harsall or I�roup�
Ais ar �er own emDlqroes, proNEeO tlut suc� Improvemen6 are not IntenOed or olleroE lor sale. II, Aowever Ihe Euil0in0 or
ImO��'ement is sdE wlihin one year ai comdetlon, the wmu xill twve t�e OurEen ol DroNnO �Ushe tlIE nat Eui10 or improve
tor t�e Durpose al sale�.'�
I, as owner of �M pmperty, am aduslveN contractlnp wit� IlcenseA camncton m wnswct tna pmjea �Sactlon 7014. Business
❑ anE Profasslons CoAe: The Coninctors' State Licertu Ww Eoes rqt appty to an owner al Droperry who Ou Ws or improves t�ereon
anA wAa cantracis lor such Dro�ecis vrith a contractoqs) license pursuant to Ne Coniractors' State License Law). I am awara
t�at D�aol ol t�eir Worker's Compensatlan Insunnce sAONO Ee prwi0e0 to ma.
� 1 am exemD� under Sectlon: B. 8 P. C.
lor this reason:
Date: Pxner.
I Uo hereby rertity tlwi l em eware al anE unOersUntl I�B repulrtmCnLt 01 CalifOmu Heall� anC Sal¢ry COUB SBctlonS 25505, 25533, an0
25534 anE IAat I or any fuWre CuilEinp occupant will/vAll nat (cirUa ane) neeE to comply wit� 5ai0 slate co0es enU t�e �e0uiraments Im a
permit lar canstmctbn or moEilication Imm Ue Nr Oualiry ManaOement Oistnct. NevCentlal wnstmction appliwtions are exem0� �rom
I�ese provl510n5.
Oate: Mv����:
I AereGy certity t�at I �ave ma0 this apDliatbn an0 state that tlx �Ewe information is cortect. 1 � ree ro compy vnth all dry an0 counry
arUinances and state laws reW6np ta �uiWinp cmSlrution mE IcereEy aN orirn pmsen tives NI u to enter upon Me aEme�mentlone0
propaM1y lor ins ci/iop pufpO5B5. /�
�Daie:___�y/ _7 ' `� Sipnature: �
Ddver's Lkenu or Sociai Security x:
1BI1de WMte—Builtliiq: GroerCOUe Enlarcamant: Canery—Applkem: Pink—Revenue; OOWanroE—Asanaor
CITY OF COSTA MESA — BOILDING PERMIT
PERMIT NO: P 047249 PLAN CHECK NO: N
CONSTRUCTION TYPE: PERMIT TYPE: PLU
JOB DESCRIPTION ; WATER HEATER INSTALLATION
PERM NO: P 047249
GOVT: N SUPP:
PURPOSE;
SQ FT:
N
�711I.1
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
coMMeNTs: RECEIVED JUN 1 9 1990
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Z O N I N G R E Q U I R E M E N T S
s s T B A c x s
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV: PARCEL: 42502221 2NE: REF NO:
PLANNING N6TES>
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D E V E L O P M E N T S E R V I C E S;� R E Q U I R E M E N T S
i
ZONING APPROVED BY `" DATE:
BUILDING APPROVED HY : � DATE:
APPLICATION ISSUED BY; �% DATE: � �Q �
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if iF iE if iElflk �E 1f �h rt if ik if iF if it if if if iE 1ElE iE ik 1E 1f if iF M it M 1k if iE iP k 9E if 1E 1E iE iF iFlE if iE iE if if 1E 1f iE it iE if if �E iE ff ff if �f iF if if iF if jE 3f iE iE aE M iF 3E fE ff af
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N
BLDG PMT PLUMHING ELECTRIC MECHANZC FIRE SMIP/RES GRADING
PERMIT 2.00
25t t.� SMIP/NON—RES
PLAN
ISSUE FEE 3.00
HUZLDZNG—DIV—> PERMIT ISSUE PL'AN—CHECK TOTAL PAID DUE
TOTALS----> 2.00 3.00 0,00 5.00 5.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5.�� . .
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I N D I V I D U A I:. F E E H R E A�K D O W N
TYPE (jTY D E S C R 2 P T I O�N UNIT COST TOTAL COST
PLU 1 WATER HEATER AND/OR'VENT 2,00 2.00
END OF FEES
i
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0? �00635�5-OOOb'a50.5 T CtiT S,Qu
DA7E: 06/19f90 TIHE: 15:24
CONSTRUCTION AND PLANNING - - POOL � A
':4PPROVALS Permit# - Date Inspector pppROVALS Permit# Date Inspector
. .
1. Temporary Electrical Service or Pole . 52. Pool &-Equipment Location .
2. Soil Pipe-Undrgrnd. , . 53. �Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. , 54. Forms'
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. 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 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. fiough Electrical-Conduit . 66. Solar System-Final
76:� Rough Electric Wiring . . 67. Fencing & Access AnProval
17: Rough Wiring Sign �- . 68. APPROVED FOR PLASTERING -
18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA'SYSTEMS PINAL -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,
20. Rough Factory Fireplace � _ APPROVACS� � Permit #
21.�Ducts,in,Structure ' ' 70. Underground'Hydro
22. Ducts,Ventilating � ' � � �71. Produc{'PipingOGas ❑Oil
23. Gas Pipe-Rough & Test . _ 72. Underground Flush�
24. Roof Framing l � � �73. �Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing " 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat � , . � � 75 -- Dry Chemical , -
27: FrameandFlashing � 76. DryStandpipe . �
�
28. Lathing & Siding , ' 77. ,FIXED SYSTEM FINAL
29. Insulation �� - _ 78.��FIRE PREV. FINAL
30. DrywallNailing HEALTH�DEPT�RE�UIREMENT
31. Plaster Brown Coat � 79. FINAL INSPECTION ^
32.-Electrical.Power Meter�Final � 80. P000 CERTIFICATE ISSUED
� 33. Final Electric - ' Notes: % ZY QD J F�C U/1�F N�vmb� c�
34. Final Heating & Air Conditioning ; '
35. Final GarPipe-Test �
36. Hood or Canopy . ' '�
37. Final Factory Fireplace �
38. Final Plumbing .. !j� L� ,
39. Water Service�Final � -
40. Gas Service-FinalFs _ ' -
r+
41. Solar pomestic-Fi�al -
42.� Backflow Preventar � '
43: Backflow Irriga{io�n - '
44. Landscape Irrigat�,on System _ _. '
'45. Sound AttenuatTdn � . �
46. Handicap Regu�,a�tions
47.�FINALSTRUCT�URE & BUILD�NG ;
48._FINALPLANN�NG ' !-
49. Electric Release to Edison �,
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
N0. Date
/� ���(� ������crP�r-sePOuE'st.� Qba �iri4df.�00
'7�U�
�COSTA MESA BUILDING DEPARTMENT �+n�"'�� �'F,P�•
P. O. BOX 317 ����i:iY r�
COSTA MESA. CALIFORNIA C�� �I e� "� �
FOR APPLICANT TO FILL IN APPUCATION FOR PERMIT
ADpRE55 Q / /.-� ��' .,� j. BUILDING .
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
OW NER
EiUR � r y�CO , aE�E�P. �o. PE4o �
MAIL /! � /^�jC RECEIVEo BY L�nTE pEGEIVED D4 �ISfSU �
ADDRE55 �7 Q� h�/T ✓T �� �� L O^, - �� 7/ S
QTY CA TEL. BUILpING ��sy /
L/ S��' M ES�' NO. ADDRE55 /� 4 / �!. I
ARCHirecr ��c. COSTA MESA. CALIFORNIA 1
OR E�' :INEER NO.
AOD�. �5 �3/-l�3hb3 ZONE � �
J�t `, 20N NO.OF TYpE GROVG
CONTRAGTORlyG'HI�� /�,��cKM.4Wv NO. )��i P�aNs
A40ftE55�`J� ��NYYL�Q1, S�~T�NOlt�-� �✓7.2 BYPFOVED � ��L TE ,O �- �
�E�A� �or �j /�'�-`wF�'�'� CORRECTIONS
oEsca�vrioH NO. �✓� � BLOCK TRACT F'/-fi%=)
A.P. NO. "'� — S
SIZE /- /{ / /( �( � NO. OG BLDGS. / � \ �
OF LOT (f�V X lJl`O NOW ON LOT •� I
��Q 1
use oF C C CITY OF STA M<E:iA
EXISTING BLDG. FJIA.E/VCI� .
SETB4CR IINE FqOM � 1V , a`
C£NTER or srr+eer ,� �' REAR YARO ,1. J�7 ` SUBJECT TO G. DEPT. REG. ` I
�,
/ n . 1/ q \ I
SiOE VARD RIGHT � D� LE T 7 b
DESCRIPTION OF WORK . BY ` D Tc - � j
NEW ALTERATION AOOITION � I
Y�L�
REPn.n MOVING DEMOLISH I
S�ZIEDING/�� �oI ROOMF��f'���i��STORIES I �I
COVERI�NGWAL-�/N�N� COV�EFING 5<//NG,tF_ i
USE OF NEW
9UILDING
T7; s'/N6 ,Cr G',i Rq �r --
I MERE9V ACKNOWI.EOGE TNAT I H�1VE PfAO THIS tPPLICATION AND
ST/�TE TM4T iHE FBOVE IS CORflECT aND A6HEE TO COMPLV WITM PLL
CITY OFDINANCE$ PNO STATF I.PWS FEGULPTINC BVIL�ING CONSTFUC�
TiOru. yALUATION �y�(J
SIGNATURE:OF C _ � PEFMiT FEE S �
PEftMlTTEE� _
� � ^ � �� PLAN CHECK 5 ✓
.�
AUTHORIZED qGENT � TOTAL FEE S �. �oir
I
.;.t3 � -
COSTA MESA BUILDING DEPARTMENT
P.O.80X 31�
COSTA MESA, CALIFORNIA
FOR APPLICAM TO FILL IN
� t�i £� �,G: ZL�,. . ._
OWNER
MAIL
A�DRE55
CITY
ARCHITECT
OR F"^INEER
LEGA� ��[
oescrxiarioN L
A.P. NO.
—�
SIZE
OF LOT
USE OF
EXISTING BLOG
COSTA MESA. CALIFORNIA
i .
' ��a� ���
�-/ TEL.
Yh/e��� NO.��
�_.
LIC.
NO.
�1 "',�'' z aTv uc.
J�r�` NO.
TEL.
_ NO.
BLOCK TRAC
'/ � � S
,,,/ /\ �( J� /S NOW ON LOGS.
SETBACK LINE FROM
CErvT[q oF Srn[[T �f� 'REAR VARD -G
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW ALTERATION �ADOITION
REPAirt MOVINyG DEMOLISH
BUILDING��QqzQO.OF
SnF ROOMS STORIES
EXTERIOR WALL
COVERING
USE OF NEW
IBUILDING
ROOF
COVERIN
� /7
n��� RECEI��U
F��bAN 9 lo�y �
hfAI�CE DEPT.
CITY OF COSTA MES�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. " �p6f�'✓ T�NY�
V� :Vl.
ECEIV£D BV OATE RECEIVEO TE ISSl1E
�_._� i— �_s—�> �.'y ,s-
HUILDING J/
A�ORE55 /�L
COSTA
FiRE
ZONE
ZONE� �0
PLA
APPROVED
BV
� ,
LIFORNIA
pE � GPOUP
DATE I.�
CORRECTIONS
� ���5�
'v..�.�_
�z9r. rszc.
�ev..�
STqiE TH4T THE ABOVS �5 CORRECT AND AGREE TO COMPLY WITH 4LL purpose of estabishmg a permit fee ony.
CITY OR�INANCES AND STATE LRWS REGULM1TING BUILOING CONSTRUC�
norv. VAIUFT.�ION/�,
SIGNATURE OF � � �y� '�� PERMIT FEE S ;J� �`
PERMITTEE � ^
PLAN CHECK S
�,
AUTNORIZED AGENT
TOTAL FEE $ � / "��s
.`' �_��4_1 �� !��M�.� � �����
COSTA MESA BUILDING-SAFETY DEPARTMENT [ •C-J '�—�a—Sy
P.O. BOX 31] COSTA MESA. CALIFORNIA rINf;I�CE DEPT. -
fOR APPUCANT TO F/LL /N COMPLETfIY APPLICATIONrFOR,PERMIT
TYPE OR PRINT BUILDING
BUIILDING O _ / , �1
ADDRE55 O
COSTA ME , CALIFORNIA FOR Off/CE USE ON[Y
I HECEIPT NO. I. PE�M�T .� /
OWNER /
MAIL ftE/C8lVyE�D BY �ATE NECEIVED OATE I86{�ED
ADDRE55 / .Yl //V I IO �Y �' � �/p �I �I?` -J
CITY TNO. BUILDING ijC '�/'�l f��
ADDRESS J O y
ARCHITECT �Ic. COSTA MESA. CALIFORNIA
OR ' .IIJEER NO.
FIRE — � � /
ADDnc55 ZONE TYPE -GROUP V•
STATE APPROVED /� .�/ S
CONTRACTO C.NO BV DATE
ADDRE55 � r����,. _ �ZONING ��,,,�, ���
LEG�L LOT �7 /- � I�ry1 _' 20N8 NO. OF � UBE OI NEW �
Oe8cnivrioN I NO. � �h LL I BLOCK RACT ` "� I P�^�s �I ouaolHO� N� •
A.P. NO. � � d� O�_ �% APPROV D� DATE I Y—��' 2� \
- a„ i�i,�. ) �
SIZE � �1 R, 1 I I nO.OF eLOGB. / ypRDS �'rEVES '
OF LOT .� V C/ How On loi REQIIIRED ALLOWED ```
USE OF �I (CBNTEP LINE 8TJ � �
EXISTING BLDG. _T� FRONT �D FT. I '�. IN.
SETBwCK LINE FFOM '
c[rvicn Ov BiPEET REAR YARD R. SIDE I� FT. IN. 1
� �
� \ 1
SIDE YARD LEFT.- RIGHT L. SIDE •�FT. IN. �"
DESCRIPTION OF WORK ��� � � �N � �I
NE" I ALTERATION I IIADDITION I REAG�- ��� �'[,Qy�C.Y[ VLti,�Q1�
REPAiR I IIMOVING I IIDEMOLISH I
BUILDING � O.OF �'^
SIZE � ROOMS V STORIES / I�—
EXTERIOR IROOF
COVERING COVERING
USE F BUI ING AND WORK T BE ERFOR
. � f �
`�. �
1 HEPEBY ACNNOWLEDGE THRT I MFVE fiERO THIB APPLICATION THE AMOUNT BHOWN UNDEH VALUATION �S FOR THE
•ND 6TATE TH/�T THE ABOVE I6 CORNECT AND AOflEE TO COM-
PLY WITH /�LL CITY OROINqNC 5 AN� STATE L�1IEGULATING PUflPOBE OF ESTABLISHING • PENM�T FEE ONLY.
BUILD�NG CON6TRU ION. VALUATION
SIGNATOftE �./ ` JY/ �— PERMIT FEE S Y� �-- -
PERMITTEE p� O //
s .j/
6/O �• P_LAN CHECK 5 ��/.
AUTHORI2ED AGENT � v F ' TOTAL FEE S J(G.'
. , g��42
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA'MESA. GALIFORNIA
fOR�APP[/CANT TO F/LL /N COMPLfTELY
1 ' , TYPE OR PRINT
BUILDING2iJ/ �4. () I�`�J•.
ADDRESS .ld d
COSTA MESA, CALIFORNIA
i � �% •
TEL.
NO.
LIC.
NO.
Ga
LEGwL I LOT � I '�%�iI f%I '%�'
oESCaiaiiOn NO. � �� BLOCK ��TRACT
A.P.NO. � � •�� L!
SIZE I� �[ �`, �` D � I NO.OF BLOGB. I
OF LOT t Il JC i� wow ow �ei �
,[�, i /� I
SIDE YAftD LEFT �.! RIGHT /G
. DESCRIPTION OF WORK
EV I� II ALTERATION I II ADDITION
OF
wogK
. �� �ECEi�lED
�C.CJ � c:' � 2-1 — S�
r inn�nr n n�r
APPLICATION FOR PERMIT
CITY OFgUI'L�D�IIVG
fOR Off/CE USE ONLY
I PECCIPf NO. I P MIT
�'�
EIVED.pv I OAT�oE^EIV�O� DAT� 1�
� v� � fI r �! �� J
'SS l �I KJ I /`� � / (J
COSTA MESA, CALIFORNIA
BYPROVED �'�-DATE���/°
ZbNiNG �N,�
ZONg.� � I NO. OP �I UBE OF NEW
'v; PLANB BUILDIN6/� � (
BYPROVE//I / �l .DATE /Cl "✓
1��
VARDS r G'EVES�
REOUIRED ALLOWED '
(CENTER LINE ST4 �/� �
FRONT / O FT. �� 2Q/I�.
R. SI�E � l� FT.
L.SIDE ✓ Ff.
REAR /� � Ff.
r��K��h h�p�.Ra_-
-• •���
• w -v wvi �a+ �- �-�-
I HENEBY ACKNOWLEDGE THAT I HAVE FE/�D TH18 APPLICATION THE AMOUNT BHOWN UNDHH VALU/�TION IB FOR THfi�
ANU BTATE THAT THE ABOVE 19 COFNECT �NG AG1iEE TO COM- pUFPOBE OF ESTABLISHING �A PERMIT FEE ONLY.
PLY WITH ALL CITY OflDINANCE$ ANO STATE LAWS f�GBULATING
BOICOING CONSTRUCTION. VALU I/OyN .
SIGNATURE ,������ �y�%/,�� PERMITFEE� S �� �
PERMIITEE � O // � /� �
Ab��' PLAN CHECK $
AUTHORIZED AGENT ��� / TOTAL FEE 5 ��
11�92
• CO�TA MESA BUILDING-SAFETY DEPARTMENT
,P. O. BOX 817 COBTA MEBA. CALIFORNIA
For Applieant fo Fill In Complefely
TYPE OR PRINT '
ADDRESS � �/ /�^ v � �+ T�. v �
GOSTA MESA. CALIFORNIA
3 S�/ E ��T•} Sr.
�
U C / TEL.
V NO.
Y .3oo.i
I $ae.mcv nv'Na vfpOM h�.
sr J �/
6�EE RECEIVED
�' — � � —(o D U c�
' FIIVFA�PP�IQaT�'O'N FOR PERMIT
C(T� Uf COST�tlILDING
For Offiee Use Only
nece�vr No. re� ��N9.�
1 �
ae iveq ar I n,yTp, ne�C�� p ol ,� z�auqo
;.�- y � ro �
BUILDING h8/ I�%,� � /fii� �/_
ADDRE68 •J �o Q �
COSTA MESA, CALIFORNIA
P r` � vo U ZONING
Z INO. OF I U8H OP N
PLANB BUILDINO
�_�v �� OeeCRIPTION V K
NO. OP B1D09.� q (
Now ON LOT A. P. NO. "�' O�' .J
'C�S YARD& EVES
APPROVED ALLOWEC
_ �_ IC6NTEP LIN6 9TJ . �_ f)
DESCRIPTION OF WORK
BUILDING 9[` '� NO.�OF ^�-
SIZH J ROOM6
EXTERIOR WALL ROOF
COVERING STUt!(J COVERING CO
U6E OP BUILDING AND ORK TO BE PERFOF
S C / L`.5
Ini/itiT.4rNrr� C.y,v,
I XHqCGY ACKNOWL6DOH TXAT 1 HAVE R8A0 THI9 APPLJGTION
ANO 9TATH TH/rT THB ABOVB I8 GONRER ANO AOR6E TO COM-
PLY WITX ALL CIiY ORDINANCE9 ANO BTATH l.AWB R86YLATINO
BUILDINO cONtlm%U�j/1�/j�
SIGNATURE OF /.Lp ,.�� � � � ��
.)Q l
C �ti.�.L
l
0
THE AMOUM BXOWN UND60. VALUATION Ip POR TX8
PURP088 OP E6TABL19HING A PHRMIT PHH ONLY.
VALUATION �/�(�/
` /� ���// PERMIT FEE S �" / —
S "l� 3� �y PLAN CHECK $ �� —
� � D 70TAL FEE � N'—
l�
n �.1L d ��
C�STA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COSTA MBHA. CALIPORNIA
Fo� Applicant fo Fill In Completely
TYPE OR PRINT
C05TA MESA CALIFORNIA
� MAIL
� ARCHIT8C7
UBE OF
E%ISTING BLDG.
88TBACK 4N8 PROM
� J
TEL.
�EE RECEIUED
FI ANCE DEPT. ° ��
CITY Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
NHC81Pf NO. P8F
RlC61V�D � I OAiB RBCH V60v I �� r!
��T � v
NEO. L � ADD E'S6 �D � OU_ ii �P � �C y� .�LG
7E�. COSTA MESA. CALIFORNIA
NO.
RIRE 9 � o`
ZONP I TYPE V GROUP F-�
a .' � I NO. O^NBlD08.
NOW
DESCRIPTION OF WORK
� EXTERIOR WALL
ROOF
� ZONING
ZONe NO.OF U88 OP NHW
�� I PLANe � BUILOINO .i
�eaw� Q ;� �. �b-1` �'Y�
oesu�rr�oN
A.P.NO. II ��.1-d �'�.S
YARD6 EVE6
APPROVEO ALLOW6D
(CHMlR LINH BT.1 .
APPROVED
0
6'
1 XHHBlY ALKNOW48C6E TXAT 1 XAVE RBAD TH18 APPLIGTION 7Hg AMOUM BXOWN YNDER V�LUATION �! POR TNB
AND BTAT! TXAT THB ABOVE IB CORRECT AND AGRLH TO COM- pUPP08E OP EBTABLI9HIN0 A PHRMIi P68 ONLY.
PLY WITN ALL Cli�' OPOINANCE6 AHp 6TAiH LAWB R@pULATlN6
Bu1LDINo CONBTRurn . VALUATION //
81GNATURE OF ��y / � PERMIT FEE S � Y--
PERMITTE � ��b
���1` S J � PLAN CHECK $ /�
AUTNORI AGENT � 6 _
TOTAL FEH
� � ` � �����
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f7 COBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYPE OR PRINT
no�Resa /� 8'I �, r6 T/�` ,�`�.
COSTA MESA. CALIFORNIA
OWNER ///�• //���P / f /LG
ADDRHBS � O L r Q' %// ��•
CITY Q S
/ /L�SA NO.�/� ¢��S/
ARCHITECf �• TEL.
ADDRESS ��VO A`�PUX�T �Cl�
cin e0 ST ,E'S
LIG. NO. � 7 D G � NO. �. / �-S
slzE � d ✓�Q � �/ I Ho. or e�ca
OF LOT il 3 qpy/ pN LOT
USE OF � S'/�JL„�/C �'f
EXI6TIN6 BLDG.
8[iB�CK LIN! FROM
ceNTaM OP eixeeT � REAR YARD
SIDE YARD I LEFf S I RIGHT 5'
DESCRIPTION OF WORK
'COVHHINGWALLSTUCG!% ICOVE
USE OR BUILOING ANO WORK TO'.
FE� RECEiVED
� �- �8- eo v�
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Offiee Use Only
ReGe1PT NO. 081
//
i�Y I D�*� A8G�1iqn I DAT
Y �"/o b d .f .�
38/ ,�'. /�' y,c ,��,
COSTA MESA. CALIFORNIA
FIRE
ZONING
NO. OF U88 OP N!W
rurve'7� eui�.uino
�.¢w�
A.P.NO. ����� Y��l I.�i
^�
YARDS EVES
APPROVED ALLO
cCBMlP LlNB BT.) /� R �
�y
0
I N8R8BY ACKNOWLHDOB THAT 1 NAVB RBAD TMIB MVIJGTION 7Hg /�MOUNT BHOWN UNDeH V�LUATION IB POR TNB
AND 6TI�T8 THAT TH8 ABOVH IB CORPHCT A!ID AOR88 TO COY- pUI808[ OP B6TABLABHINO A P6HNIT p68 ONLY.
PLY WITX ALL CIiY ORDINANC68 AND @TATe LAW9 R80ULATINO
Bu1LCINo CONeTRu �� VALUATION ^-
SIGNATURB OP � PERMIT FEE $
PERMI7TE ✓
' P /�� S � ^ PLAN CHECK $ �_
AUTHORIZED ENT � ( y -
TOTAL FHE