HomeMy WebLinkAbout375 17TH ST - Building Permits- Costa Mesa Building Department APPI,IpCATION'r'OR PERMI�
`'�s. �� ; 1N EA3T 20th STREET ,� 1084 p U I L D �l N G
.- " ' COSTA MESA� CALIFORNIA �
• FOR APPLICANT TO + �OR OF'FICE USE ONLY
� � . Receipt.No. I Permit No.
BUIlding %��
Address
Costa Mesa, Califorma Received by uate Rec'd. Date Issued
Nearest � 3 �/ _�
CrossSt. Building �
� Address
Owner . ' Costa Mesa, California
Addross
Lot
� Tract
� � 7��
IvO. OT 61O9A
a0 X 3ao NowonLot ~,
I No.of I No.oi
St.
� �
�
Setback
Vard
Alteration I I Addition
B���d��g.�o xz
s��a
or
APPROVALS
Location � Inspecto
Frame: Fire Stops,
I hereby acknowledge that I have read this Application Lath. Int
and state that the abwe is rnrreM and agree to mmply Lath. ExL
with ali City Oidinances and tate La regulatlng
building mnstnictl
SlBnatureof Plaster, Int
Permittee � � '
o, P a e Ext
Authorized Agt. -
Mawnry Reinforced
Valuatfon Permft Fee $� '
5 ��O Plan Check g Bond Beam
Total o
Fee S FI AL
FORM 204 G•H 2M '3-54 �
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: • PZOT PLAN .
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• � Show locatlon and disYances'from
� property line and between 6uildinga
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CbSTA MESA BUILDING DEPARTMENT
P.O.BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
� �S � I � : u-„4:
COSTA MESA. CALIFORNIA
� �♦ � �i �..�
�ula\P
TEL.
CITV NO.
ARCHITECT � LIG.
OR EN-'NEER �J ' NO.
AODRc» � `
UTY LIC.
CONTRACTOR % � �� P �/ NO.
�ECA� LOT
OESCRIPTION NO. BLOCK T
�
A.P. NO. , � � O
OiF LOT /— � � V Movr o�+ iois
USE OF
EXISTING B�OG.
SET64CK LINE FflOM /r^� I
CENTEfl OF STPEET V O REAR YAR
SI�E YARD RIGHT �r�LEFT S /
DESCRIPTION OF WORK
NEW ALTERATION AODITION
REPAIF MOVING DEMOLISH
BUIL�ING f NO.OF /
SIZE D X 10 O ROOMS I �.STORIES I
EXTERIOR WALI
COVERING
USE OF NEW
BUILDING
A�JI �
-��'" _c�-�s�- P
p COSTA�7za ���**39.00�
��OV ZO'S%f DNESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEHMIT NO
BUIL9ING �j ''J �
ADDRESS ,J / �� / 1 �
COSTA MESA, CALIFORNIA
FIRE
ZONE
20Ng NO.OF iVpE
/l L�NS / I/ I
u
�� p%�k G � DATE ��
CORRECTIONS
CITY OF COSTA MESA
o�y U� b
�
/`� �[J�/r/iTvePti 0.2, Mr�G: i
I NEREBY PCKNOWLEDGE TNwt I H�VE RE1O THIS RPPLIC4TION AND
STnTE THFT TME PBOVE IS COflRECT �NO .�GREE TQCOMPLV WITH 1ll
CITY OR�IN4NCE$ PNO $TI�TE L�WS XEGVLATING BUILUING.CONSTRUC�
TiON. VALUATI ON n/
I O� G
SIGNATURE OF PERM�T FEE $
PERMITTEE /�-2 -
g/�qLu� �"`— PLAN CHECN 5 / 3
f
I AUTHORIZED AGENT I �` TOTAL FEE $�9, �� ��
•COSTA�.MEB(� BUIIDING DEPARTMENT
R177 E2sf'20lh 6treet
'Costa�Mesa, California
CER
Building Permft
Use of Building.
N° 24'7 e
;� _ — r.
Date .................�'........ �.'.: r..........'�.�U.
CITV OF COSTA �MESA
IFICATE OF OCCUPANCY /�J�d7
//�Electrical Permit No.ir��%.�Plymbing Permit No ...................
r� � � - ✓ � `
C
�ot...........�f'� .......:................ �/.rl..�;/:.:rl�
(See reverse side for Me es and Bounds)
� ............
has been inspected and found to comply with the p:
d : ap ]icable thereto for a Group.....F':...�..
✓
IS ED : /� A. J.
/�L/._....._'-'.... City
. . .. � I--..... ... A.... .. .. . ... '
(Ownerof ilding) By.I
of all City of Costa Mesa Or-
CC: ❑ Orig,inal—Owner ❑ lst copy—Gas Co. ❑ 2nd copy—Edison Co./�] 3rd copy—File
IIorm 206 G-H IM 12-69 U �
11
- � ;�� � , ��zos
COSTA �MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA. CALIFORNIA '
Nc
55
MAIL \/
ADDRE55
QTV
ARCH"�CT
OR F IE
FOR APPLICANT TO FILL IN
�%�� /��
COSTA MESA. CALIFORNIA
LEG4L ILOT
OESCf��PTION ryp,
A.P. NO. �� � �
SIZE
OF LOT /,�,,,.0
USE OF
E%ISTING BLDG.
SETBACN LINE FROM
cErvr[n or s*nee+ ,�� REAR YPRD
TEL. '-� /�
No. L e>
LIC.
NO.
IIC.
NO.
E L.
O.
TR 1
OF BLOGS.
NEW
REPAIR
BUI�OING �
SIZE a
EXTERIOR W,
COVERING
USE OF NEW
aui�oiNc
RIGHTad� LEFT �r
DESCRIPTION OF WORK
ALTERATION � ADDITION
MOVING OEMOLISH
NO.OF
.0 X � �l ROOMS STORIES
; v�
." '� �. I�d,�.� L V� k i�
36, a o
FINAI�CE DEPT.
��r� rc �(�CTD P�F$a�
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. I R�µ/IT N;
� � L�+�
EC�fD BY OnT RECEIV , j]�TE/SSUj
SDDRE55 fJ �J L� � � —�
COSTA MESA. CALIFORNIA
FIRE S
ZONE /
IONE NO,OF TYP (
PL 5
APPROVE
BY . p%%h(I DATE � �
` � C(Tt' O� C�STA t�ESA
AR. No. �
'2,000 Q�
DA
6TI.TE TMAT TXE ABOVE 15 CONMECT ANO �GREE TO COMPLV WITM �LL �/' •
CITY OPOIN/.NCE$ �ND $T1TE L�WS REGUL/.TING BUIL�ING CONSTRUC�
r10N. VALUATION y
SiGNATURE OF PERMiT FEE $ [,
PERMITTEE � y
$ � �f //1\ P�qN CHECK S / `
J / (L L.
AUTMORIZED AGENT TOTAL FEE $
. . • 1t3��i
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPL/CANT TO F/LL /N COMPCE7ELY
TYPE OR PRINT
ADDREI55 3� S L� I I TM ST•
COSTA MESA. CALIFORNIA .
OWNER �Q�
MAIL ` VaYSHO E
ADDRE55 -~�� 1 � � �
ciTv
NE�v�e �r �6CM TNO.�.L�
�
�ADDRE55
LEGqL
STATE
IC. NO.
A.P.NO. �\-I � Z /Z � V`,
srze L2� X 7100 I�O.OF a�o�s.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
SEfB4CK LINE FFOM �
CENTEN OF STREET 1� A REAR YARD
SIDE YARD ILEFT �' O~ IRIGHT �O,
DESCRIPTION OF WORK
��� �ECEI�E�
io-��-si
FINANCE DEPT. �' �`
r.iry �� encTq naGcq
APPLICATION FOR PERMIT
BUILDING
Fo,e oFfic� usE oNcr
� I RECEIPT NO. I qEFMIT
�U �
qECEIVEO BY DATE FECEIVED O�q�)E IS'�
: r. ... � � I l!1 . /L/ �� /- /
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE i� ��'NO.OF
L' � I PLANS
� L. SIDE
REPAIR I IIMOVING I II�EMOLISH i
BUILDINCy O J� S NO.OF �
SIZE (�� �. ROOMS STORIES
EXTERIOR W L ROOF
COVERING COVERING BVI � �p.
U$,E�OF BUILDING AND WORK TO BE PERFORMED
{�.�.as Y�! w C�.� d A l'f G .__-.
si.)
�
� DATE /��-/ /�i
ING
USE OF N
BUILDIN
/1A4�'F /✓ �—
/�U. �Y'�, iD-N =
1 HEREBY RCKNOWIEOGE TMAT 1 HAVE RERO THIS NPPLICATION TNE AMOUNT SHO N UNOER VRLUATION IS FON TME
•ND ST/�TE TMAT TME R IS COFRECT PND qGREE TO COM-
PLY WITN /�LL CITY OR .� C NO TATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLV.
eui�oirvG <ONsin VpLUAT10N !
SIGNATURE OF - PERMIT FEE $ i
PERM ITTEE �� -
W+ i
�/ C� �-D �' PLAN GHECK $ I �
U
AIJTHORIZED AGENT ^ 6
TOTAL FEE S S �
�.. 2i�s�
. . �
% �OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 017 C08TN MB6A� CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT �
eui�oiNo 3 � S � S^�—'
ADDR 88
COSTA MESA, CALIFORNIA
OWNER ^ v L / 1`/
ADDRH88 • I :J� �'R O'� � • .
CITY l.W D YC3 NO. G
qa�...r�a -7EL.
OR .INEER NO. ��
_ �. ., � i � e r
BTATH THL.
LIC. NO. NO.
OF LOT I�D �C � 70 I NaM/ GN tAi� y
USE OP
EXI6TING BLD6. O U S�
BETB�CK L�NH FROM [/ �
<ENTHF OF eTHEHT � U RHAR YARD �
I �/ �
61DHYARD LEPT Z � R16HT / 0
DESCRIpT10N OF WORK
BUILDINO
61ZE C
EXTERIOR WALL
I1 XEN88Y ACKNOWLCOOe TNAT 1 NAV6
ANO BTATE THAT TMH ABOVH 19 CORpf
PLY WRH �LL CITY OHOj����' p µp
BU�LOINO CON9TPYCTIOR./ � .`"/ �
■ AUTHORIZ6D A6ENT
rtt Kt�ti
. IdAR 2 4 1864
fINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Ofiica Use Only
R6CeiPrNO. J1�qFY'{pQ��
er
MAIN
VAR. JC
wn
J �
IONIN(i
NO.OI �/'�' UY60�NBW
�uHs �/ auaomo
/ L — .f—v �
�O BMALL BE LE88 THAN
(U.B.C.REOUIRHMENT] \
YAROSAPPROVED �V
ACCESSORV BUILDINO ('D
FT. \../1
�.
FT. �•
DATE
1 /Nv �pwuv"^ .."` <
SQ. RT.
TNIB �PPLIGATION ' TXE I�MOIINT BXOWN UNDEP V�LU�TON IB FOH TXe F
iD AGHEB TO COM. PURPOSE OP BBTABLI8HIN0 ♦ P¢RMIT PE8 OMLY. Q
uwe neouLwi�Na yqLUAT10N m
/, PERMITFEE $ �
'`L'r s /�v � � �
m
� � . Sd s
._ _ 6
I •
� '' • 30732
COSTA MESA BUILDING-SAFETY DEPARTMENT
p.O.BOX1200 COSTAMESA,CALIFORNIA92626
For Aqplicant to Fill in Completely
ao�oAESS � �� � �_� � �
MAIL
BRANGH
ADDRE55
AFCMITECT
w � CONTFP.CTOR
J Q
m Z
J ¢ ADDRkSS
W w
� = CITV
Z F
W � STATE
y Q LIC. NO.
_� SI2E
OF LOT
USE OF
EXISTING BLOG.
� SIZE OF
Z NEW BL�.
U EXTERIOR WALL
COVEliING
• USE OG BVILDI
a
�
H
y
Z
O
H
TEL.
TEL,
NO.
CITY
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
NO. OF
ROOM$ STOi
ROOF
COVERING
WORK TO BE PEfiFORMED
SEP -4-69�Msp00 117 v*****5.00
APPLICATION FOR BUILDIf�1G PERMIT
REG V D TE CEI D DA ISSU
' 0 �—
PERMI/ �i
A.P. NO. � O �1 /
BUILDING �J b�
ADDRESS. �, / / � i
��'pi7ACT� LOT BLOC
W A P
i /
OWNER
V UE
S S
FIRE
ZONE TYPE GAOUP
APPROVED
Bv DATE
ZON NO.OF USE OF NEW �
PLANS � BUILDING �
YARDSAPPROVED VARDSAPPROVE
MAIN BUILDING ACCESSORV BUILC
(FROM C/L STREET)
ONT F . FT.
FT
E FT. FT.
REA FT. FT.
DISTA E BET. BET, MAIN 8�
VAR. �
V I herebY acknowledga that I heve reatl this appllcallon antl state
� that ih6 above information is correct antl agree to comply with
� all laws reg�letin8 buildinp construction, and I shall not ¢mploy
F any Derson in violatian ot the workman's compensetion lawa oi
y thn Sm[e of Califomie.
? I horeby certify that I em properly licensetl as a contrector untlar SQ. F7
the Staro ot Calitornia Businass entl Profeuions Cotle, Div(sicn 3, THE AMOUNT S
Chapter 9, antl that such licenses ara in tull force entl afieci, or 1 THE PURPOSE Of
am exemPt irom the provisions of SheState of California Businezs VALVATION
antl ProfeSsions Cotle, Divisi0� 3, Cha y
$IvIlOtU B O} � � /�D �
Parmli[ee - �
�% `
n�cno.izoa aye�c
DATE
APPROVED
r'
�
a
0
UNDER VALVATION IS FOR ^
LISHING A PERMIT FEE ONLV: Q
'N
RMIT FEE 5 � ]
m
4N CHECK S �— E .
c
LL
TAL FEE 5 i /
�
i
•
38&4� � .�n,; 12-74cns�007095� ����*0.50
`COSTA MESA BUILDING-SAFETY DEPARTMEN7 �
p.0. BOX 1200 COSTA MESA, CALIFORNIA 92626
P LI TION FOR BUILDING PERMIT
For Applicant to Fill in mpletely
R I E BV D TE CEI E D E ISSUED
BUILDING �7( r' �'7 �7 G � �
ADOFESS /�J - / � �/� �
. P R 1
OWNkR A.P. NO. - � . �
MAIL � �
ADDRE 5 � "'J^- / / � / / ` �
Z AODpES
wa U TEL. (' I.(.(.
CITV � NO..ST� ,�� LOT C BLOCK
H Z
Z Q Cpry$7RUCTION
ON LENOER ._.
am
J � BRANCH (/_����
J �� OWNER S � �-�IV S�- '
`� ADDqESS VALUE �� '
ARCH�TECT TEL. $ ��O
J N pR E GINEER ` ' �
V Q FIRE {�
yZj � AODPESS ZONE YPE� GFOUP I 1
d w � APPROVED �
w Z CONTA�+CTOR BY OATE �' 2�
J O / �
m Z
J � ADDFESS �O � � (y �
W W TEL. �ONE NO.OF USE OF NE �`
Z= CITY NO. ��`�'O BUILDING .
F �� STATE CITV 1'AROS APPROVED VAF�S APP VED
y� LIC. NO. �., "'� LIC. NO. MAIN BUILDINQ ACCESSORV BUILDING
�� SI2E NO.OF BLDCS. �FROM C/L STREET)
OF LtlT NOW ON LOT RONT FT. � FT. I �
USE OF T
EXISTING BLDG. F
F� SIZE OF NO.OF
Z NEW BLOG. FOOMS STORIES L SIDE FT. -
U EXTER�OR WALL ROOF
COVERING COVERING REAR FT. FT.
USE OF BUILOING AND WORK TO BE PERFORMED D4SfANCE B . BET. MAIN &
MAIN BLDGS. ACC65. BLDGS.
Q �A � VAR.qW 0.4TE
Q `/•`O / C.U.P.46 APPROVED
N� APPROVED^ P. � I�' �
O l �
VI herebY acknowladpa that 1 have reetl this appllcation antl state
� that tM1a above intormation is correct antl aB�ee to comply with
� all laws reBulatinB builtlinp construc�ion, antl I snall not amploy
F any pa�sun �n violation of Ma workman'a compa�setion lawa af
(q the Ste�a ot Californle. , t'qe m
Z •11V1
I harebv cartify thot I am properly Iicenaetl as o contractor untlar SO. FT. o
tha Sta�e ot Californle Businasa antl Professlons Cotle, Divlslcn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, end the[ such Iicenaes ere In tull forco entl affect, or I THE PUf7�06E OF ES'fABLISMING A PERMR FEE ONLV: ¢
am ezempt trom the provisionf of tha State of Celifornie Businocs VALUATION
antl Protesslons Cotlo, Dlvizlon J, Chepter 9. � H
/ n PERMR FEE $
Sipnat��a of /�� �� // / /` �� m
Permlttae L —� � § //�/'S,� p�qN CHECK $ E
�ov��
`o
I Author��etl Apent LL
TOTAL FEE $
� � `: 2�sib
tiDSTA MESA BUILDING-SAFETY DEPARTMEM
P. O. BOJ[ 91] C09TA MH6A� CALIPOPNIA
For Appllcant to Fill In Complefely
TYPE OR PRINT
BUILDING �%O � � ST.
ADDRES9 / �
GOSTp MESA. CALIFORNIA
�wtiFA �, r. i� �� N
� Po^.HITECT
OWNEtZ ;f3vi�DE
�EE RECElVk.0
MAN 31 1984
FINANCE DEP1.
a6bi%,Q�ioi��� ��ir
BUILDING
For Ofilca Use Only
, -- -- -
v�ae �
�fr 7 zone
MPROVHD
BY
ZON[ .NO.OP
� -�/ �ue�e
L80AL
DBfCR I110t1
♦ O Nf1 � I / �
STATE TEL.
LIC. NO. NO. -
OF LOT :/- �!� Z.. O �• i� �I no^w oN I.�oi�
USEOP Cj-Rp��y { ,� / o%Z,�,�
EXISTING BLDO.
9HTBACR LINB FROM
DESCRIPTION OF WORK
Zx NO.OP
� i �
1 �I X I ROOMS
usn ur. eu iw�rvu AI�ID WORK TO BE PHRRORMBD
�
e ca�eS
1 HHPBBY ACKNOWLg008 TXAT 1 XAVB RBAp TXIB APPLIGTION
•ND BTATB TNAT Tryg �BOVH pplCT.�ryyD1�aP88 TO COM.
PLY W�TH ALL CITY ppO�NA A 9 AT{ WB R[OULATIXO
BUILDINOCONHTqUCT ry, �� �
61GNATUREOF � ��
PERMITTE C/�
AUTHORIZHD AGHNT
YARDS MPROVfiD
MAIN BUILOINO
��
VAR. SC
YYt 01 NHW
�� I �
6HALL BE 4E88 TMAN
(U.B.C.RHOUIREMENT;
YARDSAPPROVED
ACCESSORY BUILDIN6
DATE
'-3/-
s dn �
s4. �. �
TXH �MOUNT BHOWN YNOEH VALUATION 18 ROR TXB =
•UHPOSB Op 6/TABLI9HIN4 A p6qMIT p88 ONLY. p
VALUATIO ^ �� �
` •, PERMIiFHE $�J
I�{/ �
s.�y�Qo e
/ '
/ OLL
TOTALFEE ��