HomeMy WebLinkAbout1776 ANAHEIM AVE - Building Permits •
' r CITY OF COSTA MESA --
BUILDING DIVISION
�� , DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER
PERMIT
"OMaenw B05-01222
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. 3.tsG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDINJob Address: 1776 ANAHEIM AV Status: ISSUED
Suite: Applied: 07/25/2005
Vicinity: ROOF Issued: 07/25/2005
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 42427207 Zoning:
Applicant: TROY ALEXSON
ISSUED BY:
Address: 1653 SUPERIOR AVE
.-,:i`-Phone -4,(949)642-7222
COSTA MESA,CA "< . IT" Zip - 92627
Owner: WALLACE, JEAN L TR- �"
Address 1776ANAHEIM-AVE �' � „q` �
Phone
COSTAMESA CA �, "iliq 92627 -�„ ""'
Contractor: LEE ROOFING OF"COSTA MESA
Address: 1653 SUPERIOR AVE �• "
Phone: (949)642-7222 •
'
COSTA MESA;,CA - `
-Zip�.;92627 License: 349686
•
. Arch ,x�, :; • -•
Address: "
y , (
Phone: � - ��Phone
g Zip:, '- License: 'x.Z License:
':�� SCOPE OF PERMIT,
TEAR OFF EXISTING ROOF INSTALL-1 LAYEROF 30#FELT,CLASS A,COMPOSITION SHINGLES AND 7116"OF O S.B TO 9 SQUARES OF
`' K- ,i,•.
' FEE SUMMARY
Plan Check: $0 00 :Calc Valuatio ? $3,795.00
• Permit:' ,$97.25 - r T "'" "-o • Claim Valuation: $3,795.00
SMTP Re§: $0.50.• -
SMIP Com.
Other. $0 00,
Inspedtlon. $0.00,' • '4
•
Total $97 75 *'
7:1::
PLANNING &ZONING
SETBACKS ,j"
MAIN STRUCTURE Front 0 0`3, ,,Rear 0:0 Lefty 0-0 "" Righty 0 0 •
ACCESSORY Front 07,0,,i4 Rear 0-0 • Left , 00 Right 0 0
PARKING Existing: 0 ".4. Required:. 0 e+•- Proposed
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5628
2446-48(amo)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: � Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.a Class N
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apemit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes E No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No
8 (If'yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE# INSPECTION TYPE DAIL MALE CODE* INSPECTION UPC PATE QSDAEE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof O 'Z-0 5 __A3/4„, 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
ADDRESS OF MOM:I
1 f /b ANAHEIM AV WIT: CITY OF COSTA MESA — BUILDING PERMIT
ONNERS N.WElp MOWWALLACE, JEAN L TR PERM NO: B 0 4Cyt
ADDRESS 1776 ANAHEIM AVE
COSTA MESA,CA 92627 PERMIT NO: B 084590 PLAN CHECK NO: N GOVT : N SUPP: N
r *net.MC(1NGADDRESS: • CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT ORENGINEER: lit ND.: JOB DESCRIPTION : REROOF OVER 1LAYER INSTALL COMP SHINGLES SQ FT: 350
ARCH.OR ENG.'S ADDRESS: WV: CLAIM VALUE: 350 , 00 CALC—VALUE: 350 . 00 GROUP OCC : R-3 /
CONTRACTORSNW: COMMENTS : SMOKE DETECTORS REQUIRED
CONTRACTOR'S YAWN lf!!l**********9['*9f'If']E'****'R'jt)f'**9f'*************'h*********f{**********it*****it*****fl'*****
ADDRESS: • DC.NO.: ZONING REQUIREMENTS
Dom` SETBACKS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 7000)d Oiviaion 3 d the Business and Professions Code,and my license is in full form end effect.
CITY LIC.NO.: UC.CUSS: UC.NO.: 1r MAIN BUILDING ACCESSORY BUILDING
FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN
nate: contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
VNER BUILDER DECLARATION:I hereby affirm under peaty of perjny that I am exempt from the Commtons Limine Law for the
.nlowing reason(Section 7031.5 Busbess and Professions Code:Any city of county yAth requires a permit to constuct.eller,improve. PARKING REQ: PROV: PARCEL: 42427207 ZNE: REF NO:
demolish.or repair any structure,par Io es issuance,also requires the applicant for such permit to fib a signed statement the he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the > ..
Business and Professions sinesor she is exetherefrom and tfebasis for the alleged exemption.My viola
tiondSection
7031.5
by any applicant
for a perm)suh «the epiml to a cilpenally of not more than the hundred dollars(50 . ********************************************************************,******if****
J
I•as owner of the property or my employees with wages as their sob compensation.will do the work.and the structure is not intended DEVELOPMENT SERVICES R E Q U I R E M E N/T S
or offered for sale(Section 7044,Business and Professions Code:The Contredon License Law does not apply to an owner of property
who buldsoriinproves thereon.and who does such work himself or herself or through hi or her own employees.provided that such ZONING APPROVED BY DATE:
improvements are not intended or offered for sale.n,however.the building or improvement is sold within one yew of completion,the
ownerbuilder will have the burden of proving he or she did not build or improve for the purpose of ale).
❑ i.as owner of the p.;Iperty.am exclusively contrarily with licensed contractors lo consbuct the project(Section 7044.Business and BUILDING APPROVED BY : / DATE:
Professions Cods:The Contractors License Law does not apply to en owner of popsy who builds or',Wes thereon and who
connects for such projects with a oahlmdaRe)licensed pursuant to the Contractors License Law). APPLICATION ISSUED B Y: I� DATE: �
P_ rem exempts B.a P.C.,for th ***************************r***** x* .c* .. x******************** IT >t **
1, Ig Q. 7 Owner: egS)pQ Li7o&...7 n.1.'o LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y
���ereby certify that I am e e of end understand the requirem of tom' H h and Safety Code Sections 25505.25533,and
25534•and that l or any Mune building occupant will/w sl not(circle one)n to ply said slate codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit for construction or modification from the Ar ire i�ty anagemenl Diadst esidentid construction epplcatioa aro exempt from thea PERMIT 21 . 00 . 50
provisions.
SMIP/NON—RES
Dale: Applicant: PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ISSUE FEE
❑ Ihave and wilmameoacertificate dconsent tosenbmaefor worke�apmprimlxi,esproidedtoSection byS3703ofthelabo BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code.fotheperformanceoftheworkforwfichtisprmite®ued. TOTALS----> 21 . 50 0 . 00 0 . 00 21 . 50 21 . 50 . 00
I have end veil maintaii workers'compensation insurance,as required by Section 3700 of the Labor Code.forperformance the performance of the
m «whet,work the permite
iaued.Mcompensationkecompensation
ion insurance martian ane poky number are: REVENUE DIVISION TOTALS--> COLLECTED: 21 . 50 OVER/SHORT: - . 00
Carrier:
'"a BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
Ploy Number:
21 . 00 . 50
(pis section need not be completed I the panne is ler one hundred dollars 1$1001 or less.)
ril Icertify thminthe toperformance al the work thearbordcmoonamorwhichlheaensflaiaue1,lehallrwlelnplo ld ormanof subject to the worker'
compensation provisions d Sedon 3700 d the Labor code,I Ball f«ihwlh campy with those provisions. INDIVIDUAL F E E BR EAKDOWN
Date: Applicant:
Warning:Failure to secure welters'compensation coverage Is unlawful,and shall subject an employerto criminalpenalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
OM fines u to one hundred thousand dollars($100,000),In addigon to the cost of compensation,damages as provided for In
Seaga; SFR 350 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 350 . 00
of due Labor Code,Interest,and afiemeya fees.
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency forthe e tND OF FEES
performance of the work for which the pend is issued(Section 3097,Ce.C).
LENDER'S NAME: •
LENDER'S ADDRESS: ' •
I certify the I have read this application and state that the above information is correct.I agree to comply with all city end county ordinances
and state laws relating to building conaudion are hereby authorize representatives of this city to enter upon the above-mentioned property
for i peoon purposes.
ilii.7w 4
'j . E9-08-1937/03:@7• RCPT# U1- 011941
-...E:_ tri 1 AC2I4 4 CDene (al9 2 PERMIT:084550
nature of OwnerlAgendAptAandc«h fartor
(515146.WP) White-Building A Safety:Green-File:Canary-Applicant;Pink-Revenue Goldenrod-Assessor
CONSTRUCTION AND PLANNIN. U. & SPA
Date Inspector Date Inipector
APPP,OVALS Permit# APPROVALS Permit# • •
-
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 • t •
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE•
7. Footings 58. Electrical Conduit-Undrgrnd. - -�1
8. Foundation ,59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. t , 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System ' - • - .; 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection - t 0.62. Backwash & Receptor-Final
12. Sewer Cap • 4 63. Heater & Vent-Final .
13. Roof Drains , 64. Plumbing System -'Final
14. Rough Plumbing - ' ,fr' 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 Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT.
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 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 411
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
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 17,6- / 4/
48; FINAL PLANNING r
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
„1 .. i�pyj""'::•`.
JJ � n3, 5111.rh.A4 Vie' lir'''.•' 1131 • • • i
�, CITY 0 OSTA MCLtj. tPAaIA
La
ICJ. .
1:4P;61-:::''
- ' tF / a.�?i� ;' CALIFORNIA P.O. 80X NCf Mai-683_._..x_. -
•
.- ': ! FINANCE�DE�PT. Eff,_._125.CO.___-._____
`PAilat ' ' APPLICATION FOR VARIANCE intriZi ,_ CITY
rth fGITi�VP COSTA MESA .` ito,,,i'--,,:,i,..
: �E ;se}• Morxl ►N d a0 eye.w A11ra fM wh.f sleae w Ire.,l.se, rc .S c.! n r4atke . / note DNn.. ud/.. an I :1-x. ate'renermeMerlon J ca. )• i .,'c.
ff-41 t,L et.ta. .e,w7 /'�i%f. i' % /�i ,//// '.4t i ,. 6Jikainc//%- is,.... a . (4 �...y._ -,/' 's:'
i`. ' '''a it Nemo,_-YII3.lANS___�—. CEIWE t. _._._ _.._E.*.. l t... r. ou.4• 1:[ Admla.._8n6-_�...- -'nlm____Qntarto, Cs11t..-_ 1' fbnce .-111- .l6-- f1 zl
'a .r... 'J.� fir) ,�S tc7. S Engineering.__LiC:c*41 ./, - 2 Sk '
52,
° i,tt?td tk=ly v' YbkphoneNO__ _ - _— rs lei-.qty v -- - --- -- - eDheit.ge_..---_”0 �kt`^{eye I` I RI[hI M W.Y��._ vU�n' .
S t Requesting Variance For:.Rear.yard amoroactment10.h01 a
.4.1:fir s into required 2).k' rear yard setback 6 9' between fltrt.t. _7 �//41/,�' _
;�t -. � ty r Wen__ 1, C•.
.". `�rl ICI -.---
440..2.:,;),.?;
.---
t„t„� ; Legal Description/Parcel Numbcr..J.ot.R7._81aek 4e_Tixtci-18 vull Un- .-.
'r at3t?, N.M. 9->1D -- Rs.
>r.6Y• 4
. % Loatlon of Property:_1776 ,I is-CUSLa JYaa.,_G1e1.lt. W.tee_4 '..,
.�.ipp I y(
a'Jf irit Tn«-_RJf_--�/Viii ILn Y
Y,: --
,, f
��. '�r t' APPLICANTS WAIT rat OEM rnrsrta'rct.r, .........,.....,.... 6��:,
*l . .
w"+` 4 (I) What exceptional or extraordinary circumstances or conditions apply to ads property? +,yy•c
5,. y) striating w
, There is an sting guest house on the rear of this lot and would like to maks
A4.
,, '{ t an apartment withn
a kitchen to obtain an added incise. ` 7
< ,•1
k r d. x'3
h l_=
e"-zein',11,' (2) Why is Nis variance necessary for the preservation and enjoyment of subotantlal property rights? ,•1' r s
S `fi`7-11` •The guest house is already existing sal we only plan to enlarge it aM include a kitchen. '.- ,v•:..
1.;: 0 The e granting of this variance will not be materlaDy detrimental to the publk welfare or Injurious to property tt '
" -sexy., In the same zoning district basin:Yi.t
-,:ii“'JR',t' This viii be on the rear of the lot ad vlll not be detrimental to the adjoining property. 'w p' �r-
;Yq}K;.;. (4) The granting of this variance will not be contrary to the objectives of the Master Plan because: ....8„ `
4.44. 1?", 1hL is is a multiple sane -- R-h. h ?� ';q
n //i ry i y I .,.P -,,:
i�4 Mr•:` L 7, 13 I
} C,?. - Signature_ ___ __ _— PLANNING COMMISSION: november 9, 1959 $"u
z} , '-/' -n / / Recomaended for approial with an encroachment 17.,.:4 `�:,
vT ,.,, :' Signatur.eC (i;f' z_ ft'-!1<('! 'Q_-'' of 15'iinto the required rear yard setback ' :`if:
c:4-'12.‘.••Yes _;;= u "'`'ts of 25''•subject to the following conditions: at x'?
tt s .
i*j v' Ad:1i~ 8716 Ela —9nt'mrioe_.Califumnta (1) Ail the requirements of the Department of "
t4 `: •• Nan° ...t'. erre Building Safety; (9) lvo for one off-street 4,„ "-
1' i ri gl�ee
parking under thr direction of the Director of cazM1 .
�, C f ...t,,.... Planning; (3) installation of residential side-
r calks on Anaheim Avenue under the aireetton of; 4r �.fs;"
till" .e Addts SI•sss* snots• MTV the City Engineer. _;I`+`k , ;
• -t 'Mecham No — .c-
(carried unanimously) r
5 -•, .as.. c
FF'' • I Y 4> - 1
art couNat: gaweaber 16, 1959 'tai fy+''0t
a
'r , Approved subject to the rec® aendatia of the Planning Comission, h r
as listed above. • �`
.
. ;7' 6 n. ,�v 1' . •
.
t.,:-.-4;;;, k1'1. ', • ,nib
- :.r
.. . ..... . . . ..... ,3333 .. .-: + ,>.�++.*
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET BUILDING 1
COSTA pa, CALIFORNIA 5
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
Receipt No. I
Perrmiitt/No.
Building 7 7 (• �. yte // T3
Address « .....
Costa Mesa, California Recely by Date Reed. Date Issued
Nearest ^ 1 (� /o -3-- r ko -3 S',
Cross St �n cCw10 t1.7 Building , �� ,
Owner' L Ce. ��,cq Address / 7 6
Mail Costa Mesa, California
Address 5 ger bC 1 a A Nearest
.
Cross,
City S—c--' it.�-4., NOP-- SV Ga Zon / I PlansNo.of I Type _ / Group.+
Architect or Lic. f— V
Engineer No. Approved
by Date
Address CORRECTIONS
City Lic.
Contractor a No.
AddressLe ��((��
Description l I No. , I Bloocckk/��7 1 Tract 77
(Attach Metes and Bounds) /g///—. /72 �'
/ rI (No.of Bldgs. /
Size of Lot 9 X ae I Now on Lot
Use of / No.of ,r No.of 52 700
Existing Blie •,aril Families, I Rooms J 0
Setback Line fro G Rear Yard Er,
Center of Street L X, Side Yard /_ Y,, D
DESCRIPTION OF WORK
New I ',Alteration I I Addition I
Repair I 47- oving I I Demolish I •
Building No.of •
Size Rooms' Stories
Exterior Wail I Roof r�
Covering Covering APPROVALS
Use of New
Building it2 '*--1-12-- c Foundation Location o Inspector Date
Forms,Materials, r,
L �.J Under-Pinning -'
.‘t,~ ' Frame: Fire Stops, a
Bracing,Bolts 'n
I hereby acknowledge that I have read this Application vi
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating -, o
building rnns`trucJjon. // � Lath.Ext. "I`~
Signature of �/� ,1
Permittee Plaster,Int v
Authorized Agt. _ Plaster,Ext. Da
Valuation r Permit Fee $ Q , G Masonry Reintaroed
/3 a= Plan Check$ Bond Beam
$ Total o 0 v
Fee $ .77. FINAL
FORM 204 S-BP 2M 6-55
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Street
PLOT PLAN
Show location and distances from
property line and between buildings.
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FE`� RECEIVED
i' 1,5 y5- 66 vL,—
CO4"FA MESA BUILDING-SAFETY DEPARTMENTFINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT , r
•
BUILDING
aULRDN // 6 / -4nt - w',A--
COSTAMESA. CALIFORNIA For Office Use Only
// e- T RECEIPT NO. I 715-
RECVENY
PERMIT NO.
OWNER ezia",�C i® rf I MAIL �-c �'i I TE RELHIVFp b
ADDRESS ' -// .� /�J�' �L'/KS- !/O(J� ( .
CITYTE
�4j ` / NO 4f'UDDRESS LDING �774 ll✓�t,�il2.(i1'!4i N'1
ARCHITECT �_�. TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE
n ZONE TYPE GRROOO U/JJ
CONTRACTOR �/ ✓�� APPROVED ^� .i// DATE"> (�D
BY /� �f-
ADDRESS .Ir- - �. ZONING
CITY ��� O, I PLAO.NBF SE OF' 1_I BUILDING NEW
~
"� OEa a ? fr-cl%'
STATE _-� TEL. .�4- LEGAL
LIG.NO. //Q// NO. � oeBCRIPTI ON /
SIZE 4 / wC. I �/ ,� I NNow ON O. OF LOGS.T A.P.NO. /t g._ 7p- (J
OF LOT /
USE OF t/L/i%.007� -�1,(/ ,�((✓K YARDS EVES
EXISTING BLDG. '� --I//+(('' � _ APPROVED ALLOWED
SETBACK LINE FROM CL f fr I L+ (CENTER LINE ST.)
CENTER OF STREET (REAR YARD FRONT /g// FT. /P IN.
SIDE YARD I LEFT I RIGHT R.SIDE 4 FT. AV//J IN.
DESCRIPTION OF WORK
FT. IN.
/
NEW I II ALTERATION 'IC%. RESIDE
I� REL.SIDE 6 FT. Q IN.
REPAIR I II MOVING I II DEMOLISH I x APFROVE• - b �I • �1 '
BY S I, ItIII
BUILDING NO. OF `/)
SIZE ROOMS STORIES l y/ at/a II
EXTERIOR WALL ROOF �/ -
COVERING (.COVERING Gc l' ..ay / (}tLy
UStOF BU DING AND WORK TO BE PERFORMED (C-!(tea t�-�_et , �' e(- v1/� s's (- _ I
lNt•Iw�')' / I /` / 4�j� 'S�'pC 4 tf r 2 ' ,, 4./ ..-e---
•
itis✓I9I .i e-A-Z . . E
I HEREBY ACKNO •DOE AT I HAVE READ THIS PPLI CATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. .,
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTIOJ1. VALUATION
SIGNATUREOf/f f < l -�� PERMIT FEE $ /O
PERMITTEE �L '/ LL e_
$a --0 Cf PLAN CHECK $ 1/45-
AUTHORIZED AGENT /
TOTAL FEE - $ / (-- -
a
_ I Ii 88
COMA MESA BUILDING-SAFETY DEPARTMENT L E�C
P. O. BOX 917 COSTA MESA. CALIFORNIA rfd-/6on '6O
For Applicant to Fill In Completely APPLIAmiw Qlt`PP+ma
TYPE OR PRINT 1.' (BUILDING ivt
BUILDING /77‘ // _ e / got-
ADDRESS COSTAMESA. CALIFORNIA' LI�IA•✓ For Office Use Only
////j1�/J �J� q / RECEIPT NO. PE MIT>NaLO,a�-,j
OWNER [io////geo-/ J\/�f/e/47 /C - J iii on
ADDRESS a / �IC/ / R BY I DATERECEIVED"„ /!SOUL
(/QL yam-" / TEL. BUILDING / /(o/,'� //p
CITY {�jy�p� NO. ADDRESS �7,7(O ZCsT A c.rrJ //GL4E i
ARCHITECT TEL C STA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE
/�( ZONE TYPE GROUP /- £ ,
CONTRACTOR(,/}/�/�(}- e(47/-a/�� - APPROVED !.jnj --/. •ATE".Jy 0OD _
ADDRESS }�/�j�r_L_� LONING
T�He I NO.OF 0 I BBE OP NEWG
CITY (JA PLANE BUILDING ��'///
STATE TEL. LEGAL
LIC.NO. NO. DESCRIPTI N SIZE ''``
I NO. OF LOTS. 11 6 l 9 P -V I LOT NOW OH LOT A P NO.
USE OF YARDS EVES
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.)
CENTER OF STREET REAR YARD FRONT n FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE �C--- FT. IN.
DESCRIPTION OF WORK / /
L.SIDE j/�{ FT. IN.
NEW I V ALTERATION I- II ADDITION I J •
( /` REAR �/ FT. IN./
REPAIR / ✓ MOVING I V DEMOLISH I APPROVED (VL Y� DATE .1"r/I -6 v
BUILDING /e X $D NO. OF //
SIZE ...2 0 X.20 �/RL ROOMS �f`- STORIES / ��/
EXTERIOR WALL O I ROOF /
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
r7 g;St/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. . VALUATION
SIGNATURE OF. .�A/'.'- / PERMIT FEE $ �•
PERMITTE / e� _ - 0 O N
$-���/ PLAN CHECK $ ilk
OOOJJJ S
AUTHORIZED AGENT - 0
. TOTAL FEE $ y