HomeMy WebLinkAbout328 JOANN ST - Building PermitsADOHFSSOFBUILqNG: 3Z0 JOANN 9T
°""E"s"""E'F'�r'"": WANGLER, ARLEIGH
'► "°o"Eu WANGLER, IMOGENE
328 SO ANN ST
/,w�. wuuxc �ooness:
COSTA MESA,CA 92627
AfILHRECIOX F1M�NHN:
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110EN5ED COMNRCTONS OECLANATION: I Mreby eflFm unAar panaly d pe�jury that I em I'rereed urMer povpiona d Cheqer 9
(mmmencirp wi�� Section ]000) M Diviaun 3 of Ihe Buainess anE Proleasiona Code, eM my licenee is in full brce enE eHe�Y.
crp.ejo�o.: ue. euss: ue. xo.: EXP :
� Cp�VepIX:
iEN BUILDEH DECLARRTION: I hareby elfirtn undar perely d perNry Ihel I em aMamp Irom iM Cmmreuwa L'xenea Lew la �he
'�bwig reesan (Sedion ]W 1.5 Buaibsa e'M Proleuions COEe: Riry c�Y a�nry v.i�ich requirea e permA lo oonshuct. eller. improva.
nols�, or repeir any ewcwra, pnor to ila esuence, aho raQuirw Ihe epplirent lor euch permn lo fle e eipned etelamant �het he or ehe
censeE Wnuen� io ihe pwvi«u d iM Comreawn licenx lew ICheqar 9(commerid�q xilh Sedion l000) d Diveion 9 d ihe
eusinesa end Prdasaiona COEe� a Ihel M m ahe in examq therehom enE Ihe bmn la IM elleped uempion. My vidatun d Sedian
]031.5 by eny ep0licent Iw e parmn eubptle iM epplceM lo e civil penelry ol nM moro Ihen Me huMretl Edlen �5500��.
� I, av owner d Iha prape�y or my ampbyeas wth wapea ac �Mi ede wmpenaeiion, will Eo tlro wwk, enE IM eVudure b m� inlendeE
«Meeed br xle I��on ]aa. Busin.w end Pmteaebns code: Tne Comreaon Licenae Lnwaoes iwl eppy to en Bwnar o/ v�aroM
w� wu, a:no� mme�, e�d .+,o eo.. a�w �x nm�n « n<n.n «in,a,on ne «ne, own «�por�. v�.a mm .ucn
impwamenu ere M imenCeC a oHered lor eele. X, haweveq the Wikinp a improvemenl ie eok v.�hin ona yeer M rompletion, Ra
owner-0uiNer will heve ihe buMan o( provirp M or eha dq iwt WiIE or improva tor tha WToee d sele�.
� 1. ea ox+ror W ihe propeily. em eadutivey conirecYmO �h lioenaed mnvec�on b conatrud IM qqM (Senion 10i�. Bueinme aM
Prolewione Cotla: The Cmtredon liceme lew Eoea na eppy m en ownar W popeM who builda w improvm ihereon eM wfio
n eeia la wuh prqeae wilh e wnt�eqor(e) Iceneed Wnuanl io IM Contemon Lioenea lawl.
� axamm��d�s�i :BP7044 8P. ihier O LDER
a�. ��.���'� (� %Y �`"`�`� �.�/
em ewere M arW uMenie�d tM� ente d CaIGw/'u IlaeXh eM Selatv Cod/xeiwn 2,5,505. 255J3. eM
m eny Mure WiiEinp oowDen� will / will nM (circb one) �ed m compN w�h aeid e�et/codee enE �he
De�e: Applicenl:
W OPKEfl'S COMPENS�TION DECLAH�TION: I hereby affiem uMer penelly d parjury ar� d the blloxiip detluetiona:
� I heve eM mP muntan e cenMcme d mnaent lo aeX-ineuro br wakert mmpenWion, ae povidsd Iw by Seaion 3]00 d �ha Lebar
Code, lor tM pe�lormence o/1M wuk for which thie pem�n ie iaeued.
� I heve eM xil meintem wrkere' mmpenaalion imurarim, m requirad by Seaion 3]00 d ths Labar CoEe, la iM pe�ormence af tM
wak fa wliich thia paimn ie iasued. My worke% mmpeneetion insurenca certier enE pdiq number era:
c�.:
Pol'ey Number:
� ihis se tion neeA na De rompbte� / Ne pemit is ror one huMreC Edlers /Sfaol a bv.)
� I cenly I�al in ihe perloimence d iM xrork lor wh'rh thia parmil is beuad, I NWI � emdW �Y Ge� in eiry ma�rer eo d to
bacome wbjae m �M waMaie' wmv��ion kwe d celitomia. eM ea�ae ihet X I ehwk became wbjetl io iM w1keri
compenmtbn pmvisiona o15e tion 3)00 M iha Lebor Code, I Mall lorlhwilh mmON �h Ihoee proviaiona.
Dma: Appl'ram:
Wemlip: Fe/lun ro,ec�ro wolkeri rompxuetlon cowrep� l� unlewNl, �rW alull �u�)xf an smployer b crlMiW poneMu entl
clvll flna� up ro om �unJretl thouunA Joller� (f10q0001, M atltlltlon N Ms eosl ol compensetbn, Gmepes �a provlCSA for /n
9xtlon eRl6 0l Ms LMor Corb, Inhnif, enJ ettomry'� Ina.
CONSTFUCTION LENDINO AOENCY: I hereW effiim undar panelry of perN�Y �hm tMn ia e mnstivaion bMirp epeiwy br IM
parlormence W Iha vroM iw which �hu permi is eaued (Sequn 309), Crv. C).
LENDEF'S NAME:
�ENDEP'S ADDPE39:
I cenily t�e� I heve raed �hie epplkalion enE elete thm tha ebova iniwmeiion ia mrteci. I egree m compy wnh ell rny end munty oMinenoee
eM etme leus relelNB �o Wildinp wnurwian eM hereW eNhwrse reWeaenteiivee d Iho rilyto emer upon IM eEwe�memioned pmpeity
lainspeaion purpwea.
s�E�lRLE/6N kIA�G'Lg'eC
Dete:/��
(5151de.WP) Whna-Buildiiq 8 Sefeq: �reeo-Flle: Canery-NDpYcem; Pink-Revenue: GdCenro�rleeesaor
, CITY OF COSTA MESA — BUILDING PERMZT
PEAM NO: B 07552
PERMIT NO: H 075525 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
SOH DESCRIPTION : T/OFFD RESHEATH 6 REROOF W/COMP. SHINGLE SQ FT: 5,200
CLAIM VALUE: 5,200.00 CALC—VALUE: 5,200.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTOAS AAE RE(�UIRED IN EVERY HEDROOM & HALLWAY
ieitieitxie+�ie�*+rie*atx*��at*�r**iEifiE*ie*+t�* �it�t*�tat�r**�rititit**+�*+rit�rit*�*it*�r�r�*itat�*iEit*it�***rtie**
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: ET IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41905204 ZNE: REF NO:,.,
PLANNING NOTES>
�: �
1E aF iE 1E if' 1E1E 1E'7h 1f 1E 1f 1E 1E iE 1E 1f 1E 1E 1E 1E 1E iE iE 1F iE 1f 1E iF i(� iF * M 1E I(� IE IE 1E 1E 1f iE 1E if if �lf 1f iElE k!E 1f If iE iE fE IE iE'1(' if �E �E 1E 1E iE fE IE 1f 1E If 1f�1E 1E 1E 1E 1E iE iE if iE
D E V E;FL O P M E N T S E R V I C E S R E Q U I R E M E N;f S
t -
ZONING APPROVED BY DATE:
HUILDING APPROVED BY : DATE: (�
APPLICATION ISSUED HY: ��_ DATE: ` �
�*�*,�*�.*,�*���*��**��*�������������� ������,�,���***��** � **
LEGALIZATION:N F E E � S U M M A R Y STRUCTURAL S GMENT:Y
� � .�
BLDG PMT PLUMBING ELECTRrj� CHANIC FIRE SMIP/RES GRADING
PERMIT 81.00 ���r SMIP/NON—RES
ISSUE FEE �`"'"`� ��-��,[ ` ��T(,�j
TOTALSNG_D�V—> PaRM52 IOS00 PLAN—CH�EC�K�����F[�.'OT5�27 S1A52 D00
�
REVENUE DIVISION TOTALS--> COLLECTED: 81.52`�^�SVER/SHORT; .00
HLD81P00 pLUMHING ELECTRIC MECHANIC FIRE SMIP/TO� GRADING PLAN—CHECK
i81E 1f 1E If 1E if iE 1E 1E 1E 1E iF1E iE iE iE 1E'1I� iF ik 1E'1F 1E 1! iF if 16 if iE 1E 1E 1E fE fF 1F 1(� 1E 1f Ik 1E 1E iE iE 1f 1E iE 1E 1E 1E if if 1f 1E iE IE 1E jf' 1E 1E 1F 1klF 1E iE 1b 1E iF �F �t iE iF if 1E iE 1E if iE ik
I N D I V I D U A L F E E H R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 5200 REROOF HY VALUE RESIDENTIAL NOZONE 1.00 5,200.00
END OF FEES
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D., - ' 1 ".i. ,:- . _ _ _
• i�.- -
CONSTRUCTION ANO PLANNaNG i ;=Y � POC SPA
Date i�spector, Date Inspector
?4PPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location
� i,
� n
2. Soil Pipe-Undrgrnd. . '�•53. Steei Reinforcement ��,;
i
v�a'ElflCtrical Conduit Utiliiy-Undrgrnd. 54. Forms �.
'�;_�4w'Eic�trical Conduit-Und�grnd. ���f 55. Electrical Booding �� r
'c;rr'Sigel Reinforcement 56. Fough P(umbing & Pressure Test �
-'- 6. �{�triwl UFER Grnd. " 57. APPROVALTO COVER�GUNITE � j
�C.H�
:7.-`F`opjings 58. Elecirical Conduit-Undrgrnd. �
Yrt'�T1Foundation -._ j� 59. Gas Pipe, O Undrgmd., Test '
'3 -
'r9"'Water Pipe-Undrgmd. ' 60. Backwash �ines, P�Trap,'� Undrgmd.
10. Structural Floor SYstem -"1 �67. APPROVAL TO DECK
11. Pro�ertY Sewer Line & House Connection - 62. Backwash & Recepmr�Final
12. Se�yer Cap �,r 63. Heater & Vent-Final
13. Roof Drains - � 64. Plumbing SYstem - Final
14. Rough Plumbing r+ '7 ''65. Electrical-Final
l
15. Rough Electrical-Conc(uit �" �� � 66. Solar SVstem�Final
76. Rough Electric Wiring � . 67. Fencing & Access Approval �
.�
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
78. Rou9h Elecvical�T Bar Cei{ing 69. POOUSPA SYSTEAfiS P.INAL
19. Rough Heating & Alr Conditionin � f ry � Y' �, F�pE ��PT.�$EQUIFiEMEI�IT ��
t J , �; n � � �^, :� c . . „ ., � O �; r ?+ ";•
20, ftou�Fac�or�Fi�ace ��,., � � ,,.. �.,�. APPF3,OV.�{,�F,Permit#�_„
21.Buctiyin5tru3�ur�* . .. -+ * -= r ' # 70.`Undergrc~u��l�dro �v
��r, c i. r� C i-� r. . A.
22. Quct�; V^x�tilal�ng�.', ��r .r. C� ��~ �' 71. Product in ��&as
�t i rC r-"Y �. �'JP 9 �Oil
23. Gas �Pe�Roush & Tast i �l_ *. � r .� r i 72. Undergr.�rid F�,�Lis'-iF =" F"'
r� x T R :N
s .� �k � t-.E- � � _, � ` .� i:. � J t�p�.� x .�
24. F}bofifra�ning" �,T : G H;� . 7�7 U�dergrnd. Stofaq�lanlaO Gas ❑ 6iI
J `-3%'.�,�'' �;�(!di' 7d'�verhead HYdr�� '•`
25. Roo he�hing �..x �
� �
26. I-Ba�Ceifing �Str�rei) & Muyqcoat �� "' T' �; �,. 7�_�ry Che�nicat F.� � J V ;r
r w w . _. � `. _:
27. Eiarrrzand.Fla�hirtqi�. =,x� '+� � :+ 4'� 76. DryStarj�pipeF�� ' '�
., . , �r., � o r.}
28. Lath:ng8c>SictLii9 =�•-� `�F � -y` .• ..� 7�j FIXED��$7�C��INA�.- .. �
r29. InsulatiofL� V n',: �� 3.... ., r � � �' 7^ FIRE PREV. F' L Y=' r" -
'-30. Drywall (�iling `T� ,....� yY.' �� ' k �' �iFALT�;DEPT. REQUiR"�MENT
i37. Plaster 82iwn;Goat't s ^t*' � � �` •' 79.� FINAL I7slSAECT{DN * "
4- l{1 � `� 'l' ^ r�.'
32. E"�ectrical;f�ow� N�r�P�al � � �" � {* `� SQj FOOD CERTIF�,ATE I�SVEO... �
33. �C I ��M " . �• �M i • .. . -
�aF,�leciric=: �r tn ' � * � * Notes: '7 7ti '". .7 i"'�
�
�34. FinaHileaiting�A��o�ditionirig=� �'i .Y ^ I .z c; � ',s y .. �7^
r t � ;yc .-� F C,
- .^ � 1 .. _. C• �.
i 35. E+nal Gasipipe:7est_;,� �,. �• x �• � � �� xc C" � F-^
��t� -: � .�.�_=�.;_ �
^36. Hood'or CanoPY �: - . D' = a. x � � I ��+ : � [�c > -'a"^.
S c r' ry, c i1 C.f' ... X .�_ 7:r, r..:•. 1Ii
- m ; ti ; ... • W . iv ___r- :
y37. F:�nafFactpry Fire`Rlace u ��H o w x ' ^ {�
•. f M Y.
- 38. Final'FPlurfl-bing �',� r;f� � � .# x` y a: � � y --'
F � •
�39. 4Nater Ser`�ice;Fina� F E � �r �, � ,r ` ' � . � t �
c., �--i .ri
�: 40. Gas Service-Ffdal ,u^,�'+: n �Cc�"- S ; M ' -* G•- *
ni ". c. � Crl ,K i If [.-� . x i
� i .. > I > ��� • - .
= 41. Solar por�.�sf��s,-Fin3f. ,. ` � m -jca v' n:c �
' r.
� 42. Backflow:PreventeNx � '} ' 1 � �e � = F' • '" �" "''
n i'1.-��., :r, r- r ...r�N + ..
z
43. Backftow'ltrigatiop�* j��'S .., �;; i� � n •
_ w ,
A4. Landscape�lrr{qatioi�&Ys[em "���= � '� �' C% ^ c's t "� N �: - ° �� ,=
.,. r,.�... ;., ,: � e; er .��:' f�. m Gr r..� E�
r ., .. Qv r,^:r� C; M. . . -�+�i -, .-i �..
4'5. �ound Atienuatioq,. ... -i r.; �ik p, rn �; • �.� r
�
!�6. Handicap�Regulations �` �' �R '' G '`� '�" �' '�
r I �.., tT',,�Ci :J a:
47. FiNAi S7RUCTURE & BUItDING � lZ=�� �� ��'�" i c� k ^
48. i�NALPIANNING+" ' �`^ *�r,, r'. m �S • y�,.
%f. I /< . ,;, (U ' `: '
49. L�Tectr;v,e Relea�e to E��son � '�"� � � . � �
-� r
50. Gas R�lea3'e to-Southem Califor�iaGasCo * �• �k � . _ =�c � �', � � �
Bt. CERx1FICATE OF QCCUPANCY � • � " "
N0. Date
" COSTA MESA BUILDING DEPARTNOENT
'll P.O. BOX 3I7
COSTA MESA CALIFORNIA
H
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C.L. OF STREET
' ��PROP. LINE _
r 10 FT. FOR 60 FT. STREET
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LEY QR
_1�PROP. LINE___
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C.L. OF STREE
�IN
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ANCEI DEPT. I ti'�`'
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S T.
ONAXIMUM 4 FT. FENCE MAY BE PI.ACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SO�ID LINES
I 'i�� I
FOR APPLICAyNT� �T/JO FILL IN
.nrrirnirTr-� nnnnrcc .� � J -/�.��r)'9��
Mail Addres� � �•^�-x-' J
City ��� ��y''.�-- Ph. No!C / �G ��f =
Contractor ���`-z+z `���-`-'�i. No.
City Lic. No. Siate Lic. No.
Size oE Lo 3 X �AP No. ��s �'3 /`� d`�
Setbacks: C/L Street ��O �f Rear a�
Side Yard - Right ��� Lef —
Type oi Fence G' ��-����'q 1� A �. ` G�
- �s i �� A� . il .
I hereby acknowledge that I have rehc�thi�application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
VALUATION
FOR OFFICE USE ONLY
-� s�
Permi'tyF e r
�- O
Pian Check
TOTAL FEE
USE REVERSE SIDE FOR DETAILS
,'/ 'l�V
e Issued
��
fi,� s--d
TYPICAL 6�� CONCRETE BLOCK FENCE
Cement Coping Optional —�
Channel Block With I-3/8 �
0 Horizontal Top of all
Fences
6�� Concrete Block Fence
for Fences 5� or Less —�
Vert. Bors 3/8" 0 ot 4'-0"0.
For Fences Higher Than 5` -
Vert. Bars 3/8' 0 at 32" O.C.
� �ide inspection and
� �nout Hole at Location
of Vert. Reinforcement
FII Cells Solid With Grout �
Where Steei Occurs .
NATURAL GR
TWO 3/8" 0 BARS o
CONTINUOUS � .
STEEL MUST BE TIED IN
PLACE AT TIME OF TRENCH
INSPECTION.
{-t-WIDTH `
p'� SEE CNART
9 BELOW �
�� =�L
D ` 0 .
C . ' . . b
p
e . . _ . . .� . .
s � . e - , p
. ' e '
0
♦ .
�Le
�
z" -;
GENERAL-- NOTES
MORTAR: pne Part Plasfic Cement, and
Three Parts Sand
GROUT: One Port Cement Three and
One Half Parts S'and
COPING: One Port Cement, Three
Parts Sond
CONCRETE: Well Mixed 1:2-I/2:.3-I/2
Maz. ot 7-I/2 Gallons of
Water Per Sack of Cement
REINFORCING STEEL SHALL CONFORM TO
SEC. A-IS-39 A.S.T, M.
ALL STEEL TO LAP WHERE SPLICED, 2=0�
MINIMUM.
GROUT MAY BE POURED FROM 70P OF
FENCE W CELLS WHERE STEEL OCCURS.
HOLES SHALL BE CLEAR,CLEAN, AND
FREE OF ALL MORTAR, DEBRIS, ETC.,WITN
INSPECTION HOLES AT BOTTOM. '
BONGS SHALL BE PROVIDED BY LAYING
BLOCKS IN STRETCHER COURSES SO
THAT VERTICAL JOINTS ALTERNATE IN
EACH COURSE.
DEPTH OF EARTHTOOTH
�/3 TIiE HEIGTH OF FENCE
BELOW BOTTOM OF FOOTING.
SCALE: I/2" = i'
CHART
HEIGHT . . . . . . . . . . . . . . .6'. . . . . . . . . . . . 5�. . . . . . . . 4' . . . . 3�
WIDTH . . . . . . . . . . . . . . .14" . . . . . . . . . . .14° . . . . . . . . . . . 12��. . . . . . . . . . . 12��
THICKNESS . . . . . . . . . . . .10��. . . . . . . . . . . .10�� . . . . . . . . . . . 8��. . . . . . . . . . . 8,�
DEPTH OF EARTHTOOTH ... 24'.... 20'
' �...........16...........12
SPACING OF EARTHTOOTH. . 12� . . 14' . . . . . . . . . . . 16�. . . . . . . . . . . 16�
City of Costa Mesa, California
Building Department
voarw eVze-iM_e-az
OWNERS NAME: 1"�3�o��7,�["i" (���3-t�6`-'� —_ _— _— — _
JOB ADDRESS: .�3 �r�r.a�✓ _
PERMIT NUMBER:� _ —U _ _ — _ _ _ _ _ _ _
SIGNATURE: ��,yo-n��. ��`�.J _ _ _ _
�
NESIDEMCE
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MINg THE p R OR A SHAC
f� � �� F� �H S�THO� ��h�OTH SD��oF
oRX OR USf WHICy(L Bf VA( �
SPf��FICqi��H bAry�f Of
lN �M THfR S SHA<L A P6q lTA4THpRi.
e��<O�ry�P�NS� R REPU q NP�EVpNT BASEp �PQ
OF THELITION pFQr NS g �N� ��AiIOrySC�RRE�T�/N
C�i�s C ODf � RR�Ep �N f RpM F
�J.0 � � �f ANY nrERE�h'�
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RESIDENCE
_ �/OC.�j'J/f STREET
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OWNER SHERYIOOD FOREST DEVIIAPLRS �3 DATE 5-23-57
JOBADDRE83 328 Joann Street BUILDINGPERMITNO. �irill?
GENERALCONTRqCTOR LldO �onstruction COT'�. VALUE $ ]].�SiI1.00
' - Lt2 BLOCK TRACT 28�y5 ReS W�Bt't �31'
GROUP I& J TVPE V 20NE Rµ FIRE DISTRICT SZO%
INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED
DATE NUMBER
�` «' -V
FootingTrench j,;y� :,' v
Foundation Forms and Grade to Garaae
Plumbing, Rough to S
Plumbing, Rough Cbn
FIna1 Iz��S UL���'7.1i1y, t/Ii v: O Gysc..��. I i�'l..\ 71 /O
st.
Septic Tank or Cesspool
Lathing, In Out
I :ring
Plumbing, Final, Fixtures Co
Final
Occupancy
iORM 310 3M 10-•v0
� u . ..' r �1'll'%
COSTA MESA BUILDING DEPARTMENT
P. O, BO% 3 I �
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUI�DING 32g Joan�, Street-
nooRess
COSTA MESA. CALIFORNIA
OWNER Shercrood Forest Develope
FEE RECEiVED /`�
��,� � y- ( �j S�� •�g "�.
FINAN�DEP�f.
AP�MC�TG�IL� ��P� PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. �CF�Ij`�'Q_
J rira�
EGENEO BV OATE RECEIVE� OtTE ISSUEO
�� ,.s � � s� —r P��1:aY 2 3 195
cirr NewPort Beach, Cal. TNo: ��� AooREss
ARCH'TECT g��d Levanas N��_ C 7�7 COSTA MESA. CALIFORNIA
OR 1 VEER
L1Q0 '
CONTRACTOR
ADDRE55 � V��
LEGAL LQT 1.^
DESCRIPTION NO. wG
A.P. NO.
S�ZE
OF l
X KV
I�B. ZO
f'' No 6434 =o,
TEL. V• TI'll BV
NO. 1lK Ii�i
TRACT Z�S
NO.OF BLDGS. O
IOW ON LOT
t.IISIIIVIi tlLVli.
SEtBACK LINE inOM qo� 43,
CENTER OF STREET / REAF YARD
NEN
C1 1
RO RIGHT J LEFT S
DESCRIPTION OF WORK
ALTERATION AOD�TION
MOVING DEMOLISH
� yi� $� Y{�. ROOMS p STORiES
JGWA WO� StI1CC RO�ERING Jy�E��j
NEW TvP��iNtl — � �� l....
DATE
CORRECTIONS
I NEFEBV 1CKNOWLEOGE iHiT I HLVE FEAD THIS APPLICITION iNO
STwiE THni iME �BOVE IS CORHER aNO AGFEE TO COMPLY WITM nLL
CITY ORDINPNCES AND STAiE L�WS REGVL<TING BVI�UING CONSTRVC�
TiOrv. VALUATION
SIGNATURE OF PERMIT FEE S
PERMITTEE ry G /
//� J( 0 Cl_ PLAN CHECK S
$ �l 7
AUTHOR12E0 AGENT TOTAL FEE $
OwNER WAI�LER, ARLEIGH DATE g_�1-78
JOB ADDRESS �$ ,7oann Street BUILDING PERMIT N0. �52
GENERAL CONTRACTOR n�,,,o,._n,.;'t.�o,- DESCRIPTION �{ WORK .,, __,____„ '
AP No.Lio_ns�_nh LOT
cns
W �TER
PROP. $WR. IINE U MOUSE CON. LJ
SPPINKLING SVSTEM
MISCELLnNE0U5
ROUGH MEATING �ND PIR CONOITIONING
TEMPONAAY SERVICE OR POIE
UNOERGFOUND � POwEF �
ROUGN WIRING
TRENCMES FORMS STEEL REINF.
FLOOR SYSTEM
BONO BEFM � STE
SHE�THING
FR�ME �NO FLASNING
LATNING — IN � 1
GUSTEF, BROWN COAT
H
SUBCONTRACTOR
F
C
W
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Q
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Q
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2
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant lo Fill in Comple[ely — Use Ink Only
BUILDING 2�I� JDAN N �/ T•
ADDRESS -���
OWNER /¢RLC�GN r�'/�NGLCA
MAIL r..
CITV
BRANCH
AODFESS
ARCHITECT
CONTRACTOR
ADDRESS
QTV
STATE
LIC. NO.
S12E
Oi LOT
TEL.
NO. �
L.
TEI.
NO.
CITY
LI4 NO.
INO.OF Le�
NOW ON LOT �
Separa[e permits are required (or
electric, plumbing and heating work.
USE OF BUILDING AND WOPK TO BE PERFOR�
I hereby acknowlatlge that I Hava read thia appliceilon antl state
that the ebove informaiion is correct antl agree to comply with
all laws raguleting building co�struction, and I shall not ¢mploy
any permn in violallon ot M0 workman'S comp¢nsation laws of
Me State of Calitornie.
I heroby certify thot I am pra0erly Itcensed as a controctor untler
[ha Smta ot Collfornfa Business nntl Profeaions Cotla, Dlvislon 3,
Chepier 9, and Mat such licanfas era in (ull force entl effect, or I
em axampt from iha provisionb Of the Stete o( Colitornia Buziness
antl Proteaziona Cotle, Dlvision 3, Chaptar 9.
sie�amre ot
Permittoo
Auihorized ABent
� 4_I50 8/3a%78 5.50 T �
�A I b0 8Y31'/78 g.8 LAT�
�i � 50 00004466 58 ��i �
a". .. .----- 'C..�
FORSTRUCTURALPERMIT
BVILDING
ADDRESS j��
TpAC
W A D A
OWNER �
S G
FIRE
ZONE T
APPROVED
BV
20NE NO.OF�
PIJ1N5
VARDSAPPROVED
MAIN BUILDING
(FROM C/L STREET)
FRONT !
I
fl.51DE � FT
L. SIDE -
i
REAR �� FT.
DISfANCE BET.
MAIN BLDGS.
VAR. qW
VALUE
RMIT NO.
�1C
USE OF NEW �/vl
BUILOING
YARD APPROVED
ACCESSORY BUILDI'�
a
�
DATE
APPROVED
N
m
i
0
SQ. FT. rv
THE AMOUNTSHOWN UNDEfl VALUATION IS FOR m
THE VURPOSE OF 6TABLISMING A PERMIT FEE ON�V: "'
e
VALUATION PERMIT FEE 5 a
m
� PLAfJ CHECK E p
g J� TAX E � LL
f
u
TOTALPqID S
- o
OWNER WANGI.IIt. ARLEIGH DATE
JOB ADDRESS 32$ W. J03I1T1 Street SLIQ,DING PERMIT NO. 7110
GENERAL CONT CTOR OWriBT Euilder VALUE $ %9,00
AP. No. L TRACT FIRE ZONE DESCRIPTION OF WORK Redwood Fence
GROUP J Typg V ZONE R!4 PLAN NO.
I. 1ECTIONS � DATE I 8UBCONTRACTOR
Gas Test