HomeMy WebLinkAbout496 COSTA MESA ST - Building PermitsCOUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway
Santa Ana� Califomia
Phone: KI 2-6211
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' �j �/ �� � Permit No�� O ��
Application for Building Permit �
AND FOR A
Certificate of Use and Occupancy
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1. OWNER' i NAML---- ---- --=- - - �--- - ---- - - - - ` ---��-5'`- - ------ - -- PHOI�E/✓P�---(D•���
MAILING ADDRESS --1 �-� --f `- --� 7 ��'-'----`--r�-- -- - ----- - -- --- CITY ._.�.LSCl+..._1�IPSFL,,,---
Name....__--__________..____._______- __.._______._..___________.."_...___
(Archfaea or Engineer)
Address-------------------- --- ----------------------------
City----' ---- - - --- --- -------- - ------ --- - - --- -- --- -- --
State
LicNo. --------...--------��-------.Piione -..------------------------
Name__ .�%_P.D.`._-C._"!:___/_!__OL��I/L_�%___�-f�?Lls
// ' (Contra<tor)
Ac{dress ../`�'-`�- — �. ----�.%--r�-^-5�-------�---------
City-.�.�f�f-- -/---l-lOcl�_'-'--------------'-------
Statc ,p �
Lie No. --- . -------------- Phcne/.J.Q4�----1-'-----� --
PROPOSED USE: --- - �-SL�J_P� [° -- --- --�.�1� r4f�- -- - — - ----- ------ --- ..
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2. JOB LOCATION..--�'rJ/ -- —f----Cr_._OS/.G--//�s�°54----,5�---- �115?`G---��c�a'�_--------
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(House No.) (Name of Streec) (Town or School Diserict)
3. LEG.AL DESCRIPTION: Lot ------�j- �--------- - ------------BLock -------'---�-----------------Tract --- �r���-----------
(Metes and Bounds Description—Use reserse side of form)
4. CORNER LOCT� (,�� vINT�FRIOR LOT�(. � �THROUGH LOT ( ) SLOFE OF LOT ( ) �
f! /� 2l/ t- �D
5. SIZE OF BLDG.i���_J._�AREA:__.L/`�_O__.___.SIZE OF LOT:..7Oj�/J'�AREA:..._"�/_�i�Q__(__..___
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6. HEIGHT OF BLDG.: __._____L�__.
7. NO. FAMILIES
CEILING HEIGHT:.___._..p_
Size of Smallest Bedroom:
_ NO. OF STORIES___ �____..__..
Size of Kitchen:
s. EXTERIOR WALL CONSTRUCTION:_1_-_<-Gm_�_________INTERIOR WALL COVERING....���-r�L'�__
(Frame� S[uccq Etc.) � � (Plasrer-Drywall, Etc.)
__9. SGTBACKS: Front Yard From Center Line of Street----�-�____-'-_-----_---------_____-'_-_.-_-._-----___-----------_-_-------__--.---
/ /
Nearest Side Yard.______�____._Reaz Yatd___7Q____.__..Distance in Feet Between Bldgs. on Same Lot __�Q.-__-_-_.-_-- ----____
1G. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCfURES AND USE OF EACH.
I1. For (a) Footing: Width.____._..��___~_.__....,.Depth in Ground::____�'�__h....__Width of Wall.__SG__~._.._._
---
Accessory �
Bldgs. and 6 Size o£ Studs: ___ .�G._�____S acm � _.._______.__"CC Macerial oi Floor
Similar ( � '� P 8-------� --- -�-�----------'
Structures �_ �i
(t) Size of Floor Joisu:.-__��-�__-___---Spacing _--._�_ `CC,
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(d) Size of Rafcers: ---�---'Z'�---�------'-----Spacing ..---'...�-`x'-- -------------- � CG
12. VALUATION OF PROPOSEL) WORK: Including all labor, plumbing, electrical wiring, heating� fire sprinklers, paint-
in and sewa e dis osal � �
8 S P $ -- -�- -O--c ----------
1;. I FiEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE COIVSTRUCTION WORK WILL CONFORM TO ALL
LAVUS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
, Signed:.__.— �_'�r___+L�,t��-�-�-
/ ______
/�Q/�.�^� wner)
Plzns Filed:.__.__.___.l.__�____,F�.�]__f/______ B
TY `--'------------ - -r-_ - r-- --- - - - - ---- - - — '__.......- -'- - - - — - -'- -"---
(Au[horized gent)
FOR DEPARTMENTAL USE ONLY
B1dg. Pei�nic
Plan Check
Total - -
Receipt No. -
Paid ro -
Datc
DA
9M-) 50
FEES:
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GROUP_- - -__---. �
TYPE --- -------
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DIST. /�
MAP---�- ( _i_____�-------
SHEET NO_____________ �_
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APPLICA
r��rr.�y
CHECKING BY
Ti�__
8�I'ATE ----..
ENGINEER
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