HomeMy WebLinkAbout2562 ELDEN AVE - Building Permits SEP 28-77Pnto001479# **;-*-*5.50
CBSA
44726
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill
in Completely — Use Ink On�ly�
ADDRESS -� (�pL 1/�, O� CJs Q RECEIVED BY DATE RECEIVED ❑p-- ISSUED
BUILDING C. //f/`% _`Q 7��' 'm/
i 'J
OWNER ,( )// J L. v 0 • A.P.NO. S'^ifin p 2
AMAIL
DDRESS Fn/ 7 dun�.e, rsr, BUILDING % 3. iinC )400 -
TEL. )
ADDRESS ? 7/ i_sof
CITY 4,2C10/1),1_,:t—vYJ( NOL TRACT 1 (Q I *lit? BLOCK
CONSTRUCTION NEW ADD ALTER REPAIR (MOVING AF
LENDER
BRANCH
OWNER )00 (,(Z✓ 0I
ADDRESS ° VALUE �a hie/SeARCHITECT TEL. 7 S _ 7.• r AC �-
OR ENGINEER_-....•r 'IF c .e r 4 ge
ZINE
/
ADDRESSgliMrd. e/ FRE �J ' Y(oUP
CONTRACTOR ' � � `, O APBY ,1/' I�:��,
ADDRESS /til/J / • 4G/_J//US ZONE / NO.OFUSE OF NEW
e_ NOL PIANS O BUILDING /j
CITY (/ Lj
E`' STATE — S CITY YARDS APPROVED YARDS APPROVED
LIC.NO. go t�77 LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE III NO.OF SLOGS (FROM C/L STRE ET)/� /�
0. OF LOT NOW ON LOT •ONT FTS f ,/ 0 /FT.
HUSE OF - ---//10--//1 � . Com/
EXISTING BLDG. ��/��C/ R.SIDE FT. FT.
"±" Separate permits are required for L.SIDE FT. GI/1/'L r "
electric,plumbing and heating work. REAR FT.
rW. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
5S MAIN BLOCS. ACCESS.BLOCS.
Ci
Q 'J / n w ' VAR.. / .. DATE
/./�4, If4 VAR.# APPROVED /}./� /�/s
> APPROV , ' 4 f'^L `2
} HY DATE
Og
ILI
Al. I hereby acknowledge that I have read this application and state n
I>; that the above information is correct and agree to comply with m
O. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: —
vo
am exempt from the provisions of the State of Ca ifornia Business a
VALUATION PERMIT FEE E
end Professions Code, Division 3,Chapter 9. -A dI
co
.A' PLAN CHECK E 'n
Signature of $ — u.
Permittee - !a. �� - D TAX E Coc I ..V U
Authorized A. t ` TOTAL PAID E 57 c'
Costa Mesa Bunning APPLICATION IOU 1st:Milt
....111. 111 EAST 20th STREET 112 BUILDING 1
-aCOSTA MESA, CALIFORNIA
1 - FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. Permit No.
Building ..o /die
/ /•
Address LS • :
6 z) �dec /9/e I o2O 9.\
Costa Mesa, California Received by Date Reed. I Date Issued
NearestL- 72 // �/3- I -� d7-.S r
Cross St UFA . /7AR , Building'/
Address
Owner G;o 2 yF a R o wAr Costa Mesa, California
Mail
Address J-.-6 a' 4 if GN A- vr Nearest
�•t, _ Tel. Cross St.
City CO •S 1 /7. ti kis' No. Zone No.of Type Group- _
Architect or ---. tic. A'L{I Plans I V ���/
Engineer O jA/fJk A • No. Approved
by Date
0adress 5 AQ- b7 .g-- CORRECTIONS
City LIc.
....tractor O L(/AT j g ' No. . .. " .
Address 5 A- H f '�77// _
Description Legal I No.Lot 32 I Block I Tract ✓37 '1 j
(Attach Metes and Bounds) 4e #i f _07D-3s 71,Inli:8 — u S 1 { �;No.of dgs.Size of Lot 6 6 X90 6 I Now on Lot �� 0
Use of +No.of I No.of 1455 >7
Existing Bldg. RLSJ�F/Y.e4 Families RoomsO
Setback Line from y� Rear Yard ..a r+.r_.•(S-, _ Z
Center of Street ,� .Side Yard .5 r !� 1 Or- D
DESCRIPTION OF WORK A MESA " r
New I x l Alteration I I Addition I X.
Repair I I Moving I I Demolish I
Building No.of I
Size /6 x 22 Rooms 0. -. Stories
erior Wall Roof /� `
tering s!(.�(oeO -I Covering (e'0 AI FN. i APPROVALS
Use of New !") : / L • V
Building -r�-= ,� Foundation Location Inspector Date
/ 1g /'le Uorms,nder- innerials,
(• -nj 11/ ACX � Under-Pinning
�.n�C � AO Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have rea this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building construction. �
Lath. Ext
Signature of lv""�."'''
Permittee K
Plaster, int.
Authorized Agt. Plaster,Ext.
Valuation �-0 p,-- Permit Fee $ /0. u C Masonry Reinforced
at O r Plan Check $ /. D O
$
4c2/Ha-
Total Bond Beam
Fee $ t/. o J FINAL
/
FORM 204 S-BP 224 6-55
u
c u
J �
G J
e a nri CO!'T'
a a
a.
Street
PLOT PLAN
Show location and distances from
property line and between buildings. ,
A `p' 6616
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 317
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL
�/INS// APPLICATION FOR PERMIT
BUILDING 3 >14 2 / L�� /l/ /7 /�L d 6.(�0
ADDRESS 7 BU R1I LD �t,an Sohn ****
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
AML ) RECEIPT NO. /PERRMIT NO.
OWNER es e eR &. /7no vu N 664
MAIL �A ((�� l� i /� N /REECCEIVEDD JBY DATE RECEIVED•� DATE ISSUED
ADDRESS X & L. EJ_ Leh cf/= .."71A-tai LA-(7-g 4 -17-S.
972./SA-
//// TEL. BUILDING
CITY ab J _N M�- s p NO. ADDRESS '
ARCH'--CT LIC.
ARF ITER NO. COSTA MESA. CALIFORNIA
FIRE
ADDRESS ZONE
h ,I I r`
ZONE NO. TYPE / GROUP
CONTRACTOR l ; �y N CITY NO. PLANSa.
,Y/
TEL. APPROVED
ADDRESS NO. BY DATE
LEGAL LOT �-
n q CORRECTIONS
DESCRIPTION NO. 3 BLOCK TRACT•QQJ /) I(�
A.P.NO. t l ei -d c- 33 `
OF L• - 3 C 3 INO.OF SLOGS.
OF LOT .( NOW ON LOOT;
EXISTING SLOG.USE OF
CQ V..-ff L4 i 'i c\
SETBACK LINE FROM , J JAT }fes ppp\��
CENTER OF STREET M� - REAR YARD It '+ l ALJ � OVED
SIDE YARD RIGHT r LEFT 7 f CITY Or CCSTA MESA
DESCRIPTION OF WORKPLANNING DEPT.
c I • -LDG. DEPT. REG.
B
NEV ALTERATION I ADDITIONX. U •
REPAIR . r MOVING I DEMOLISH Yl�( .A! �{�'Jf
BUILDING ) q , NO.OF 11 PLAN TECH. DATAN </
SIZE �� /fes ROOMS S STORIES i
COVERINGEXTERIORWALL n.c..cc COVOERING C Th. /0. ✓n]
BUELDINGEW /...J S(1 I/-Cr Ait/y et&Lc.
•
W. ct VLA (= . t / i C!
`I HEREBY ACKNOWLEDGE THAT I HAVE REAOTTHIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. VALUATION
'SIGNATURE OF PERMIT FEE $
PERMITTEE 'h "`ra,_ :ACLi /"? raw-
v\,l (76/V/J,/ oI
PLAN CHECK $ —
$ 4/
AUTHORIZED AGENT TOTAL FEE S , — AgAIF
COUNTY OF ORANGE
BUILDING DEPT. Permit No !!3 272-7
636 No.Broadway
Santa Ana,California Application for Building Permit
Phone:KI 2-6211 AND FOR A
Certificate of Use and Occupancy
Date / Lt' _ I rf p Z
1. OWNER'S NAME ( 2 f=C /Z C I' I- it es VI'' N ' PHONE-
MAILING ADDRESS 5--&'4' 40. 1 La/F I- NI L r`-. CITY.c .OSA T'+ I t S!•(
Name Name
(Architect or Engineer) (Contractor)
Address Address • '
City City
State • State
Lic. No Phone Lic. No Phone
PROPOSED USE•
L 5�.y R 'c -
2. JOB LOCATION A c i.-lir /V "/ C. n g� 1,1E A
(House No.) `ame of et (Town or School District)
3. LEGAL DESCRIPTION: Lot Z - BlockTract 7
(Metes and Bounds Description fe
4. CORNER LOT ( ) INTERIOR LS ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG -g JL Y ? �- AREA- SIZE OF LOT:..( .^c..3 .r
.0-"j-a AREA: P 23
6. HEIGHT OF BLDG.:-_.f..t -e---t CEILING HEIGHT- C • •t NO. OF STORIES �` --e--,.
' 7. NO. FAMILIES 2- Size of Smallest Bedroom- I I - 1 (,c Size of Kitchen ��/ 1r_'
S. EXTERIOR WALL CONSTRUCTION- - INTERIOR WALL COVERING t-1 •('. • .. 1(
(Frame, Stucco, Etc.) (Plaster-Drywall,Etc.)
• 9. SETBACKS: Front Yard From Center Line of Street /
d 1
Nearest Side Yard St Rear Yard oJ Distance in Feet Between Bldgs. on Same Lot -b=E I- 6 r /
r
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
I I. For (a) Footing: Width J 4'/ Depth in Ground Hoe Width of Wall —"
Accessory
Bldgs. and (b) Size of Studs:.... v 1' Spacing / 4 ^ - '
Le- Material of Floor.0/^ n r ki fir' ) /
S i A u
Similar 1
Structures:
(c) Size of Floor Joists- Spacing -CC
(d) Size of Rafters- •X 1 Spacing -I 1' l^ 1' "CC
12. VALUATION OF PRSED WORK- Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $ (..-b...o. .
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 COUNTY OF ORANGE AND THE STATE OF'CALIFORNIA APPLICABLE THERETO.
Signed• ..e2_ n-1. .:(1.51__.--n...-��Ul• `'v`P�...%a
1 4_ $ ), (, (Owner)
Plans Filed• B 1ti'-et_.c f 13
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
. FEES: r /CpHECKING BY
Bldg. Permit - $.12.,..D...L? GROUP .4 APPLICATIOTO HEALTH
Plan Check $ L...Ot TYPE ..Y ZONING �.r"".. FIRE
Total - • - Pic $.../..1it:..0.. DIST. c p MARSHAL
PLANS AND
Receipt No. MAP SPEC'S STATE
Paid to ..... SHEET NO •
CORRECTIONS - ENGINEER
Date .u. � VERIFIED CAL
• 1�7— PERMIT I SUED`BYnI I IE COUNTY DUILDING
—6
DATE �.I.,
E"r Il
5 M-a-51 --...--...
o
METES AND BOUNDS DESCRIP" V: pi 7 . ., ,. . . . ..a
•
110 - • 2I0 i 3I0 410 3 0 610
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