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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
FOR BUILDING PERMIT
For Applicant to F'll in Completely��� �n'''�,ry�� REC7'jAY(ON
DATE$ECeEIVED' DATE NO.
BUILDING , ea
siL /J l/37�_L1f�fD
Llr1 S'..,�6
A DORESS P - T NO.
OWNER 4f --, . 1 • A.P.NO. „ f7_
BUILDING / ger,/ ADDRESS / 'a /pr. v..Z ADDRESS {{{
W IL TEL. TRACT L T BLOCK
a Z CITY NO.
Z N W A D TER REPAIR MOVING DFMOI ISH
CONSTRUCTION 1, /
-y LENDER
J D BRANCH ^ \\
J to OWNER �ZiC
CO J ADDRESS •
ALOE
m ARCHITECT TEL. USE AAem,dcr $ --_____
J < OR ENGINEER NO
U WFIRE /r/ %n
w CC ADDRESS ZONE PE ROUP ! 'L
0_Ly APPROVED / / II// �� 3
W Z CONTRACTOR BY (J[' C DATE42
L
Jp
m2 .
J ri ADDRESS
W W TEL. ZONE NO.OF USE OF NEW
f]= CITY NO.
_ PLANS BUILDING
ZF
—0 STATE CITY YARDS APPROVED YARDS APPROVED
IL
(n 2 LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O (FROM Cit STREET)
SIZENOF BLOCS.
OF LOT IO.NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. R.SIDE FT. • FT.
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
< EXTERIOR WALL ROOF
_ COVERING I COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
C- MAIN BLDGS. ACCESS.BLOCS.
Q VAR.# DATE
O C.U.P.# APPROVED
F APPROVED
Cl, —RV DATE
Z
O .
UI herebythe acknowledge oon I have readtthis application cation and state /] i/
that the above Information Is correct and agree to comply with ��//^/Y.A-. -Lt,•I•�//
CC all laws regulating building construction, and I shall not employ •
I— any person in violation of the workman's compensation laws of
(n the State of ail orn e. ,pto
Z I hereby certify that I am properly licensed as a contractor under SO. FT. G
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
am exempt from tf.e provisions of the State of California Business VALUATION
and Professions Cone,Division 3,Chapter 9. to
PERMIT FEE $ N
J
Signature
of
Permittee $,,,—'.' PLAN CHECK $ E
n /
0--) o
Authorized Agent Y/F//' LL
TOTAL FEE $
•
uu 0 _ \S73
•-
OWNER BILL'S RANCH MARKET DATE 6-1-59
JOB ADDRESS 1722 Newport Blvd. BUILDING PERMIT NO. 9431
GENERAL CONTRACTOR Santa Ana Neon Co. VALUE $ 700.00
AP No. 117-091-20 LOT TRACT FIRE ZONEDESCRIPTION OF WORK Sign
I. ECTIONS DATE I GROUP TYPE ZONEC 2
Underground Soil U.G. Water _ PERMITS ISSUED
Underground Gas SUBCONTRACTOR DATE NUMBER •'_10
Overhead Water and Gas " `7
Rough Heating . , /
Rough Plumbing r
Miscellaneous /1
Prop. Swr. Line House Con. St. Swr. J
Sprinkling System
Heating, Final
Plumbing Fixtures
Final Gas Test
Construction Pole
Underground Power
Rough Wiring --12-0:44 (�� ' -/"n � P2 7-S9 9o,'-
Trenches Forms Steel /Zery
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
",`.:thing _
--```.the and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final —?
Building, Final I
OCCUPANCY I
Farm 210-3M-4-59 9431
Tag #973
OWNER HUB FURNITURE DATE 10/18/63
JOB ADDRESS 1722 Newport Blvd. BUILDING PERMIT NO. - - 20871- - -
GENERAL CONTRACTOR Modern Neon VALUE $ 4,000.00
F-- No. 117-091-23 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Elee.Pole Sign
1. .ECTIONS Signature DATE GROUP J TYPE - ZONE C2
Soil PERMPTS ISSUED
Gas _ SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. ❑ Mr Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line❑ House Con.0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 0
Rough Wiring l// `)"t?w-"J r- 7- 6 4 .-(f 7 3 c -
Trenches 0 Forms 0 Steel Reinf. 0 472131411 -- AS
Floor System
Bond Beam C Steel Reinforce 0
Sheathing
Frame and Flashing
I,�athing — In 0 Out 0
n ,mer, brown coat
r', .
,v�t:��g. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final _
Final Gas Test
Electric Fixtures, Final ea /- '-C.r
Building, Final e —/-9-G4'
OCCUPANCY
Form 73U4-5M._3-53_s-B P 2(1171
Tag # 1026
4{ OWNER HUB FURNITURE DATE JAN 7 1954
JOB ADDRESS 1722 Newport Blvd. BUILDING PERMIT NO. - 21285 -
GENERAL CONTRACTOR Moderil Neon VALUE $ 1,000.00
r ! No. 117-091-23 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK E1.Roof Sign
1. _ECTIONS Signature DATE GROUP J TYPE _ ZONE C2
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground Cl Power :0
Rough Wiring Moo6RAt A/FON /- 7-6s4 2-77 Poto7i
Trenches i] Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
7,^Thing— In 0 Out 0
ter, brown coat
r frig. 0 Air Con. CI Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test � 1
Electric Fixtures, Final ee�7-{"� - 2-5(¢/
Building, Final t et4 z_25 c'-f
OCCUPANCY
Form BU4-5M-3-S3--S-B p .J17}{S
OWNER • SAFFWAY STORES INC. DATE 5-11-55 01s
JOB ADDRESS 1722 Newport Blvd. f BUILDING PERMIT NO. 1297
r-"NERALCONTRACTOR Dwner-$Utlder VALUE $ 350.00
LOT 91 BLOCK TRACT Npr:* Heights 5x12 platform for paper
storage •
GROUP J TYPE V ZONE C-2 FIRE DISTRICT 1313
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench
Foundation Forms and Grade to Garage
Rough Framing (d
Plumbing,Rough to Slab
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough
Heating,Rough ,
Heating, Final
Seaver, House Sewer,St.
:lc Tank or Cesspool
teething, In Out
Plast@ring
Plumbing,Final,Fixtures Complete
Plumbing,Final Gas Test
Wiring,Final i d
Occupancy 4a-27
_ -- Mr
v,.,.,,,9111 f' 1-1 1 c11O 1 sc
COUNTY OF ORANGEI _
BI,:DI0 5 ,5
: 636UYo. BNGroadDEPT.
way Permit No
Santa Ana, California Aprtication for Building Permit
Phone: XI 2-6211 AND FOR A . - ----\
Certificate of Use and Occupancy
Co -) "7-.- re)
• 1 Date
1. OWNER'S NAME % a. ce w a y 5f ay e 3 /He PHONE• •
MAILING ADDRESS
..-61.2
- CITY
Name . e--./-Q•.-�---- i /Q Name - pL /A Q
L-z
-eP
(Architect or Engineer) (Contractor)
Address _.Z.�3Z �� V - i -7- 1G:L Address. __
City..... .1.70. t_ _72_4te L0,S. / . /i, ir- e°� 4tie
lens t e
H- /
f' ,,--
State State /
Lic. No. Phon//e Lic. Ng�o. _p d GIT P. Phone,,22_.Z..s 4t/ rei,
PROPOSED USE:
2. JOB LOCATION s/ 7 7 1 /14-121 40e/k-7 %Sito 4//,7 C....; 5;�f3 lcG'egs-•• '
(House No.) (Name of Street) qq (Town or School District)
3. LEGAL DESCRIPTION: Lot '1: 1/' B1ock. .Este/0 'YL}f U gA4.Tract—efk .rie_Nr1
(Metes and Bounds Description—Use reserse side„of form) /4. CORNER LOT ( ) INTERIOR LOT ( !/�THROUGH LOT ( ) SLOPE OF LOT ( )i
5. SIZE OF BLDG.: y >1-/Y AREA• l SIZE OF LOT• _---
AREA: -3 • G C 4
6. HEIGHT OF BLDG • 2 2 /d't. CEILING HEIGHT: pi /0 Ce NO. OF STORIES._G--. r.
7. NO. FAMILIES Size of Smallest Bedroom: Size of Kitchen:
40 -
8. EXTERIOR WALL CONSTRUCTION- f ' • -' - INTERIOR WALL COVERING ._ /a_t tIrt__..
(Frame, Stucco, Etc.) }Plaster-Drywall, Etc.)
9. SETBACKS: Front Yard froj Center Line of Street 4/D A;Am_ yon I"- 4,ngit----c//41./7—
(P '/ h
Nearest Side Yard . 7 Rear Yard / / ' Distance in Feet Between Bldgs. on Same Lot / /l a/1/Ca •
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width Depth in GroundWidth of Wall
Accessory - -
Bldgs. and (b) Size of Studs: Spacing "CC Material of Floor
Similar
Structures: -O
(c) Size of Floor Joists: Spacing 1 "CC
(d) Size of Rafters: I Spacing ._ "CC
12. VALUATION OF PROPOSED WORK:'i Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint.
ing and sewage disposal $ 1/ 00
l3. 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:._J .t 4•991
W / -.P r_t_f
./.Za •
(Owner)
Plans Filed• �' e — c0 By' f� ' etel `�� ,
horized
Agent)
FOR DEPARTMENTAL USE ONLY
FEES: / CHECKING BY
Bldg. Permit $ (n ri GROUP APPLICATION 42y117:HEALTH417
Pl• an Check $ of 3 TYPE / ZONING._.a•el FIRE
Total - - - $ DIST."... -2--• MARSHAL
Receipt No. - - 3_7 ---- MAP ` C. PLANS AND T �,
P - SPECS - ' STATE
Paid ro __'_LJ SHEET NO CORRECTIONS ENGINEER
Date ,'' i;:JP VERIFIED. CAL
,` /'� PERMIT I"a E f G COUNTY
y/Z 41 — I/ iONOIIUL BUIL:;ING
Z — �'o s INSPECTOiZ
DATE � � '�
/ t #,. IN:,; / DEPUTY
'I'Y
METES AND BOUNDS DESCRIPTT N: t '
Ar
•
•
1,0 2,0 3!0 • 4,0 5,0 610
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