HomeMy WebLinkAbout877 BAKER ST - Building PermitsOWNER NII
JOB ADDRESS
GENERAL COI
AP No. 141
INSPECTIOHS
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DATE
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
APPLICATION FOR STRUCI'URAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
FiECEIVED BV DATE RECEIVED DATE ISSUED
BVILDING
ADDPESS � -�l e
OWNER N\rSSLJ.� I 11�, A.P.NO/! �� � PERMITNO.
ADDRESS <�OOU 1 C�fO�..a1� 1ti(le BUILDING ✓A� '
ADDRESS /�(�
, ^ TEL. B R qCT LO Y BLOC�
CITV u, 1v , NO. � Q
CONSTRUCTION W '�'
LENDER N'a��
BRANCH -- OWNER /(/ s^ 4�I' I�� \•
ADDRESS D - - _^ /�' VALUE
ARCMITECT TEL. S ������ �� s
OR ENGINEER
FIRE
ADDRESS 20NE TVPE GFiOUP
1 APPROVE�
CONTRACTOR d �„JNe r' \iµ� B�' DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITV NO. '�� P�� D BUILDING
STATE CITV YARDSAPPROVED YARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLOGS (FROM C/L STREET
OF l0T 3 qG re S NOW ON LOT � RpNT P.
EXISTINGBLOG. �..b -� ��'R-34�— FT
Separate permits are required for L. SIDE FT r.
electric, plumbing and heating work.
REAR
USE OF BUILDING AND WORK TO BE PERFOFMED OISTANCE BET. BEf. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
j� VAR.gW DATE
_�J E' M-O \ IOfJ N L C•U.P.qW APPRpVED f'�
� IJe � 1 yv ( Q � � � APPROVE � /
1 hereby ecknowledpa Mot I heva raetl thl� eppllcotion entl stete °
�
that tha ebove Informetion Is eorrect entl epree to comply wit�
ell Iaws repuleting bulltling conrtruction, end I shall not employ
eny parwn In vloletlon of Me workman'a eompenxclon Inw� of ;
the Stete of CalHornie.
I hereDy certity thet I am proparly Ilcanxtl ea a eonirector unEer SQ. FT, o
Mo Suto of Celifornla Butinesf entl Profealons Cotle, Dlvialon 3, TME AMOUNT SHOWN UNDER VALUATION IS FOR p
Chapter 9, ontl t et such Iicences a II forea onC afiact, or I THE PURP06E OF ESTABLISHING A PERMR FEE ONLV: '
om enemDt from Me p�ovlalons oi tha Smta C ornie Bu6lnan �
VALVATION PERMIT FEE S
entl Professiona C tle, Dlvlsion 3, Chepter . u
C
SlOnoturo of � , a P�N CHECK S �
Parmittea S �/Qi/� �— TAX S ��O �
0� i/ (/ �
Authorizetl Apent TOTAL PAID S s
COUNTY OF ORANGB
BUILDING DEPT.
636 iVo. Broadway
Santa Ana� California
' Phone: KI 2�6211
t. OW[VER'S NAM
MAIL[NG
Application
for Building Permit PermitNo.___��;��2_
AND FOR A
Certificate of Use and
6�
: /--F.T t nT�----'-------'—•- -
IVame .._ ...._� . � ..__
"___.. ""'_"""'_""___
"'Arc i . -orEn ineer)
Address _��"-- =--- --- -__/.---------------
City"... ..""'---"-'--..._�----'--�---------.._..._"--'
Stace
Lic. No. --'."'------...__-'--....__'_ Phone -----------`-'---'_"---"_'-.
PROPOSED USE:
Occupancy
��:�-�,-.'" �� / 1`'s-
Date._'- -`-- ------"�'-----'-"""'/-__-_-'-"_.._ �
��v � - - ---- PHO E:------ ----------------------
- �-------------------- -- - -- - - - - /+
--�-� '------...---- -_.. CITY .--- -- -- --'- -'r.`----•--- ----------
IVame.__�!4�./.." ___k�%e�'__"___'_______—�
� _(:m�tsaawn)a.
Address-'----"' --'--- -----'----" ---'-`-----------""--"'------"'
Ciry ---...
Scate
Lic. No.
2. JOB iOCATION'T� �--;.�c-=��---�-�--'�-�--Y-------------------------
(House No.) �"�'7 (Nnme of Streeo)
/
3. ,LEGAL DESCRIPTION: Loc __.___/.� _ ___________________..__Block .._._ ...___�.._.._.
� (Meres and Bounda Descripuon—Use resers¢ side of form) .
Phone
(Town or School Distrinct) /�
" ' _"'_"__Traa .L-�.'_'_ %ll.._G.�i�. ""
�_.
4. CORNFR LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( X) SLOPE OF LOT (
5: SIZE OF BLDG.: . �_ x � �_.__ AREA:.___? � �_��r__ SIZE OF LOT: . � �.. .�X .._. AREA: _..__.._.
6. HEIGHT OF BLDG.: _...�f �___________________.CEILING HEIGHT:..____..__.X.�.__._._.._...___. NO. OF STORIES __�____.._._.._
7. NO. YAMILIES ...__._..__./_____._ Sue of Smallest Bedroom: .._..______________________ Size of Kitthen:........ ___.___—._-�
8, EXTERIOR WALL CONSTRUCTIOI�J��. �.,'L'—�^--�--�.INTERIOR WALL COVERING .�[t�.._��e��,�q
.. . .
-- --�- - ---
(Frnme, Scucco. Ea.) � v� r� (Plasrer.Drywall, Em.) D
9. SETRF�.CKS: Front Yard from Center Li�e of Street'---"-_-�.,,Z.J_.. "'��---------_-'---------_----_---------_"---"""""'_""-""_'--."'
� -
�
Nearest Side Yard ._�S_,____._,Rear Yard __Ji.S�-�-..Distance in Fect Between Bldgs. mi Same Lot ... .__.
�Gr��ZGi:J�
1G. A COMPLBTE PLOT PLAIV IS REQUIRED, SHOWTIVG ALL STRUCI'URES AND USE OF EACH.
ii , 2 ii �
1 L For (a) Footing: Width _-"�� -' -". Depth m Ground _...�. "-' "'---- - Width of Wall ... � ___ ._. . . ..
'--' '-"'_"'-'
Accessory , ' /, , Q�%
Bldgs. and (b) Sizc of Smds:-"-�-�-5%--_'_--'Spacing_'--_��'---""-'-"-..._"CC Material of Floor.��±�,�.C�
Similar • •
Structures:
(c) Size of Floor Joists:
$pating ' " ..." _ _____ _ ___________ CC.
(d) Size or RaEters:��]. �L_d'.�[:-YG_{z��3-Spacing ..._._..Z-r/�----'----_"CC
12. VALUATION OF PROPO D W RK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal yK _. a'�
_ _ _ ._� __._�_'__'_____"_
li. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK �yIILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORLVIA APPLICABLE THERETO.
Plans Filed:'s��Gr�lS�--------------------"-'
Bldg. Permit
Plan Ched:
Total - -
Receipc No. �
Paid ro
Dace ... . . .....
� lM-9-90
BY' - ---------� --- ��----- --- ----------- -- --------------------- -----------------------------
� (Auchorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES:
� GROUP----- �--.__.. __._.
$ ---�'-3----m p -------
,S. — T"YPE.------�-------�---•-
-
$'--.__ .. -' ��-- DIST.
- ------�-L'�"'_--��--- MAP ---------��.....-------
' ----------�1--- SHEET NO..---�--------._�
DATE---------- ----/�-_/�.�----
-CC=�G BY
APPLICATIO EALTH __.
ZONING._...,.________ FIRE
MARSHAL-
PLANS A[VD �
SPEC'S. ---- ----------- -- --- ' STATE -----
CORRECTIO[VS � ENGINEER
VERIFIED--------------------- CAL..._.------
PERMITIS . DON UE COUNTY BUILDING
r INSPECTOR
---�---------------- --- - .. .-- - �-- -----------�_ .---------------------- ----
DEPUTY