HomeMy WebLinkAbout522 BERNARD ST - Building PermitsCOUNTY OF ORANGE
BUII.DING DEPT.
636 No. Broadway
Santa Ma, California
Phone: KI 2�6211
1. OWNER'S
MA]LING
Name .........
Address .....
City ....... '
State
Lic. No.......
Application for Building Permit
AND FOR A
Certificate of Use and �ccupancy
..............
i ,��%
(Archicea or Engineer)
Pcrmit N�l�.�..��..........
D,te.C�%,v�,:.e.. �_.�.9�5�
........... - -- - ....... -- ... .................................. PHONE:......7.�..,.--�-........... ----_..
ii uwiLo!..... - ..... - ..... -.......... CITY..L.��G...'..:..`":"�rR�........
. .................. Namc _..........�.�.�.r..............................-----.........
� (Concractor)
........_......... Addre:s .-- ...............................................................'-----`---...........
City
State
PROPOSED USE:.._........�cP...` -. .��!,-. ...._ ............. �....
. . ..
....... ... ............7.�......,...�..........�---- - �- ---...............
.10B LOCATION_���....G����JZ�� .............._ - -� - - �� � ...... -i�/C�¢E�
.--...._. - ...............................
(House No.) (Name of Street) . (Town or School Distric[ ���
Q . �
LEGAL DESCRIPTION: Lot. --- �- � ..... ........----- - .._.Block ... -`1J.. - - - ...- ......._. Tract......._ --- ` ....... .._....
(Metes and Bounds Description—Use reverse yde of form)
CORNER LOT ( ) INTERIOR LOT ) THROUGH LOT ( ) SLOPE OF LOT ( ) �
SIZE OF BLDG.:(...�1_1..� .��..._.AREA :�<....�.._...SIZE OF LOT:....._..I7.��X��AREA:.._..—...""_':".._..�e
HEIGHT OF BLDG .:...........�. /.__.........CEILING HEIGHT:..............`.........._._.....NO. OF STORIES..........._/...........
7. NO. FAMILIES----..._--_ ........................._Size of Smallest Bedroom:---..-_-_....._..----................ Sizc of Kitchen...............----.-'--'-------"--
5. EXTERIOR WALL CONSTRUCTION:.^ ........................................INTERIOR WALL COVERING............................................
(Frame. Smccq Etc.) � ---/ --'-"--'----- (PlastcrDrywall. E�c.)
9. SETBACKS: Fron[ Yard From Cenrer Line of Street._..�....... ................_............_....._................._.
Nearest Sidc Yard....l..�/..Rear Yard../0�../...Distance in Feet Between 131dgs. on Same Loc.l...C..../ ......................
10. A COMPLETE PLOT PLAN 1S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
� �� �� /
] l. For (a) Footing: .Width..._/ . ...... . . . . ...__Depth in Ground..............................Width o( Wal
Accesso
Bldsad 2XL/.... /(j
g . ..
Similar ib) S¢e of Smds :......... ............-....Spacing........_ ._-----......_.. CC Material of Floor........................................._....
Swctures:
(c) Size of Floor Jois[s:.........
(d) Size of
� �
--- - - -
"CC
"CC
1?. VALUA?ION OF PRqPOySF,D�ORK: Including all lahor, plumbing, electrica] wiring, heating, fire sprinklers, painting and
sewagc disposal $.........���1 ..........
13
I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUI�'TY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE� HERETO.
i
FSigned:--- ----------- ��--�------`- ---'---.._ ...................'--------`-.......---.....___....
/ ^30 'J � /j � (�w r)
PlansFiled:.......5?-------.........--•------------------------------------- �%"�,�
. BY:-�-c..=--�'�/---- ------.....GQ'�...�.....� ...........................---'------
FEES: P �
Bldg. Permic • 5...._�..o.G ................
Plan Check • $....�....-U--�---.........
Total . , . 5-�-�--� .................�--
Receipt No. • .r�%..H..� ...............
Paid to - • �".� .................
Date -- ........................�r.-.��_---`'?Q..----
DATE.......L?......�a......s �......
5 M-B-iI
FOR DEPARTMENTAL USE ONLY
GROUP.._� ---....--� -........
TYPE........� --- ----.........
DIST. Iq
MAP......0 ....tC.- �------........
SHEET NO....� ................
APPLICATION.�.
ZONING......... Y..........
PLANS AND •
SPEC'S. ----.....--�-�-
CORRECTIONS ✓
BY
HEALTH ......................... ..
FIRE
MA RSH AL ..................�---..
STATE----•-�- ................. �--�
ENGINEER
•� �. '
i� � ,I i �� • , � �,•.
.-
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FEE RECEIUED
� �-�°�"� � I� Nov 29 �ssr
COSTA MESA BUILDING-SAFETY�DEPARTMENT J`" fINANCE DEPT.
P. a. aox s,� COBTA M68A. CALIFORNIA CITY OF COSTA MESA
For Applicanf to Fill In Compleiely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING (�
ADDRESS ��V ��U�'�� S
COSTA MESA CALIFORNIA For Offlce Use Only
OWNER GP��S ��S LC�<« RHCeIT NO. PH�IT Np.�
�
MAIL ��i� i/ �/l/���. /i� �� ��=I�i(/ DAT6 peCH1Vgp I OA�a 183U[D
AOORFL'.0 lJ f' %t' C_ I //-27—/.A /� /� /
G', { � NE�L•/fr ��7 BUILDING
/�� ADDRE68
rE�. COSTA MESA. CALIFORNIA
APPROVED
ADORESS �// `!�-/ ��«7/J�L� � j� /� ZONING
%�� /- / ZO NO. OP U88 OP N8W �
CIN /�/C1%/� £ C� /� �� I PLAN9 ��9UILOINO
�C.TNO. /��I J // �J.L NO. DBBCR�wr�oN n
SIZE // 2 NO. OR BtDp9. '] �
OF LOT ✓ X�O3 I Now on LOi � p, p. Np. �'� �j� I �
USE OF i�� (_ / C A�4 yqqD6 EVE6 �
EXISTING BL�G. -J �Y APPROVED ALLOWE�
86T9ACK LINB FROM IC6NTtR LINt BT.1 � �
cerrrert ov sixeei REAR YARD FRONT � FT. �N.
SIDE YARD I LEFT I RIGHT R. SIDE � f T. IN. J
DESCRIPTION OF WORK L. SIDE � FT. I1J. ��
NEW I ALTERATION I IIADOIiION I REAR FT. JN. . �'q
REPAIR I IIMOVING I IIDEMOLISH I APPROVE Z
/, BY DATE '� � �
8 Z EiN��LX. B ROOMS `T STORIES � � - '�
W
EXTERIOR WALL IROOF � �Y
COVERING< /.SGN `t- COVERING —�G/��- �
USE OF BUIL�ING AND WORK TO B PERFORMED �
�G�LS1��'�«G� ��?/r L W
,/--il�.,� L� � a
¢
U
1 HBPEBY ACKNOWL8O06 THAT 1 NAVE R6AD TMIB APPLIGTION {Hg AMOUM BNOWN UNDHR VALIIATION I! PDX TXH C.
ANO BTNTE THAT THE ABOVE 18 COPRECT ANO AOReE TO COM- pUHP098 OR 88TA6LI9XINO • GERMIT FHB ONLY. f/)
PLV WITX ALL CITY OfiDINAHCEB AND 8TAT8 L/�WB pEOULATIHO
BUILDINO CONBTRUCTION. VALUATION O
BIGNATURE OF Cr7 PERMIT FEE $ /( � e �
PERMITTE • �
// S(%/ � D� PLAN CHECK $ C� �
AUTHORIZE0.AGENT +� � Q
�� ��� /` TOTAL PE6 �� y i
OWNER CRISWELL, CHAS. -
JOB ADDRESS-522 B Bernard Street
GENERAL CONTRACTOR Harmony Bldrs
AP No. 115-301-16 LOT TftACT
INSPECTIONS � Si�nat
FIRE ZONE
DATE GROUP
DATE
NO.
VALUE 3 6•jd0,00
D�SCRIPTION OF WOAK
TYPE p ZONE
SUBWNTRACTOR
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