HomeMy WebLinkAbout830 PLUM PL - Building PermitsCOSTA MESA BUILDItdG DEPARTMENT
P. O. BOX 317
COSTA MESA CALIFORNIA
STREET
MAXIMUM 4 FT. FENCE MAY BE PLACED ON DO�TED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I '7�0'7 I '76C�'7
FOR APPLICANT TO FILL IN
BUILDING ADDRES$ � Q �/ I�'i11 �/� r`A�
Owner �(���-P '�- L�'�-2'►� � y�
Mail Addres� �_,�C� ��141y1 �iLt-C—�'i�
City _P�T'�Ct �i'1 !. S�` _ Ph. No. - - - - - =
ContractorJ�. P`�C k��o T Ph. No. �+ ���� �%1-S
Address 1 2 i�7 %%�G� �]��-Q u`r 1'1�v�,r� j�.
City Lic. No. Q� 7� State Lic. No.���'2` I��
- - - - � - - - - - - - - - -
Size of Lot��O�/.4 S- ��rAP No. �� 5"' y 2 y" ��
f
Setbacks: C/L Street � � '-' Rear �
/ -%
Side Yard - Righ � Left � �� ^
i �Type of Fence � %i�r P R. � 0 a
—�
I hereby acknowledge that I have read ihis application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
Signature
of Permittee
FOR OFFICE USE ONLY
Permit No.
!��lt �c
ed by D e ecei e�.. Date I ed
� " � �?Y .� j✓� x' �' �
ca VALUATI N
. t Permit Fee $ � —_
2�d
Plan Check
TOTAL FEE
USE REVERSE $IDE FOR DETAILS
�
��
�
wect�ooness: g30 PLUM PL
OWNEfl'SN1ME: JOSE LUIS LOPEZ
RDOflESS: S�E
645-3018
RRCNIENCINEEP:
nnoeess:
NEO.NO.:
uxn:
uxrt:
PEPMITTEE: SOSE LOPEZ ( 714 ) 645-3018
�oosess: g30 PLUM
CM CA 92627
11tEN5E� CONTMCTOB DECLAMTION: I here�y atlirm ttwt I am GcenseA untler DmNsians at Clupttr 9(cammencinq wit� Sectlon
7000� ol DiNsion 3 al I�e Buvness and Pmlessions CaOe, an0 my litense is in full/orce antl eBett.
cin uc.: srnre uc.: cuss:
Date: Sipnatum:
WOBNEBS' COMPENSIITION OEClAM710N: I �ere6y atlirm that I have a ceNficate of consent ro ull-insure or a uNlicate al Warkers
Compenutlon Inwrdnu, or a ceN�etl copy Itrereoi (Sectlm 3800, �aE. C�.
PoLICY NO.: IXP. �1TE:
�MP�NY:
CeNfieO coDY a �ereGy fumis�e0. ❑ Certi�ea copy �s �iiea wim me ciry suieinp oivision.
Date: ApplicanC '
E%EMPfION FflOM V/OBNEfl3' fAMPENS/iTION OECWPATION:� (iAis section need not be complete0 A ihe permit is lor ana huntlreA (5100) or less�,
I certity t�at in the pedormance af t�e work for which t�i9 permit is usueE, I shall nat employ any person in any mannet. o as to become
suEjeCt Io I�e WOMers Compensatian Laws al Calilomla. // //
(� qh � // �- f
Date: �j ' �< 7' I� SlpnaWre: «-� fi�i.f �.g>
NOTICE: tl, atler maklnp Ws deUaration, you stquld ecome wblect to the Workers' Compensation prod 'yliis ol _ aGor
CoEe. 7rou must lorthwrth comD�Y �h such praNsions ar tNs permit shall Ee deemeE rewkeA.
fANSTHUCTION LENOINO �GENCV: I herehy aifvm Itwt Ihere I5 a wnslruction IenJinp apenty lor tAe De�ormanca al tha work for
wNCA inis Dermit is issued l5ectbn 3097. Civ. C�. �
IENOEfl:
ROOHESB:
OWNEfl BUILOEP OECIANATION: I �ere�y aflirm I�at I am exempt imm the COMractors' Stah License Law for t�e lollowinq reazon
(Sectian 7031.5 Business anA Pmfessional COGa: My ciry ol caunry whic� repuires a permil to construct, alter, imOmve, Cemolish, or
repair any structure, Drior to iB issuance, alm repuires I�e aDP�icant for such permit ro file a signe0 statement that hUshe is IiunuO
pursuant to tAe pmvisions af ihe Caniractors' State License Law (Chapter 9(commencinp wit� Section 7000) oi Division 3 of the Business
antl Prolessions CoEe) or tAat he/s�e is exemD� �heretmm an0 ihe Uasis lor the allepeA exemptian. My violaiion ol5ection 7031.5 by
any ap0�iwnt lor a Oermil SuEle�� ��e appliwnt ro a civil Denalry ai not mora than tive AunAreA tlollars (5500�.
I, as owner oi tha proDeM or my emyloyaes with wa0es as their wle compensatlon, will do tAe xrork, an0 the
❑ stmcWa k not int¢nEed or ottereE for sale (SecUon 7674. Business an0 Pmfessional CaUe: T�a Cantractors' State License Law
Gces not aOPh �a an awner of a properry wAo bui105 or imD�aves tAereon, an0 wAo Uoes suc� wark Nmuttmerself ar tArouOh
his or Aer own employees. pmvitled tAat suc� impmvemenGs are not intendetl or allered br sale. II, �owever t�e Euilding or
improvement k sol0 witNn one year ot completion, IAe owner vnll have t�e burtlen of pmWnp hNslie Eid not Duild or improve
lor tne purpose al sale�.
1, as owner of Ihe pmperry. am excluvvely coniractinp wil� IicenSeA wntractors to canstrucl t�e pmject (Section 70C4, Business
❑ ard Prafesvms CoOe: The Contractors' State Liume Law tices not appN to an wmer ot procerrywho WiICs w imprwes Ucrean
an0 w�o contracLs lor suc� D�I�s ��th a contraclm�s) license Dursuant ro the Cantrapors' State License Law�. I am aware
t�at prool ol tAeir Worker's Compens:tion insurance s�oulE Oe O�oviOeE ta me.
� I am exemp� unEer Secnon: g p'] � 4 q B. 8 P. C.
�ar teis reason: OWNER�y DOING WORK
-�`- Oate: �� � 7" l0 Qwner � --�
I Oo herehy certiry that I am aware of and untlerstand the repuiremenis o alitamia Healt� anU Safery CoAe Sections 25 O5, 2550.?, antl
25534 an0 tnat I or any futura builCinp occupant wilVwill noi (circle one� neeC to compty vntA said state cotles and t�e myuiremenls tor a
permd Por consinrcl'wn or maUificatian tmm Ihe tir Ouatiry Manapement OistncL NevGential construction aODliutions are exempt imm
these D�a��sions.
Date: Applicant:
I hereUy certiy tlwt I Aave aa0 tNs aD7�����on anE slate that the aDove Information ¢ correcL I aprea to comOM wM1h all dry anE counry
orEifwnces anE state laxs reWWq ro EuilLinq construclbn aM heaby aNMAze reD�ase�Uoves ot this ary W entecupan Ihe abwrmentioned
DrWer1Y lo/r insPaUon Durpases_ /J A .i��"=�./'
Date: (' — ` � ' ,� �p�Nre�� �' "•�1 � �j
� Dnver's License or Sacia� Satunry
Applkant; Pink—Revenue; GOIEenroE—Asaeaaor
CITY OF COSTA MESA — HUILDING PERMIT PERM NO: B� 047922
PERMIT NO: B 097y22 YLAN CHECK NO: 04620-90 S GOVT: N�SUPP: N
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH
JOB llESCRIPTION : 5TD BLOCK WALL SQ FT: 30
CLAIM VALUE: 800,00 CALC—VALUE: 600,00 GROUP OCC; M-1 /
COMMENTS: 30 LF CITY STD BLOCK WALL
-xati�-�t�t**x��**�t-��x-x-��t���t����t-�-�+t-�*-�t**�r�**i�*��t*�x-*��-�c-*�t?E-�-�t*-�t*****-�r-��t�t�t�t**�t**+r**�tx�*�t*��-r��r�t�t+r
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 FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARC£L: 42245413 ZNE: R1 REF NO:
PLANNING NOTES> FOR A 30FT. LONG SFT. HZGH BLOCK WALL ALONG SIDE P/L.
�
if iE iE iE k iF iE 1E iE iE iE iE iE jE iF iE if iE iE iF iF iF iE ik �E i! iE iE iE iE it 1F dE ff iE 1k it iF iF if iE iE ik ik iE iE iE # if iE iE if itlt jf iE if if iE if �f iE it iE jE ik iE iE iE'�t it iE iE iE ik ik iE iE iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T'S
ZONING APPROVED BY :�j��� DA�Cj Z:] � O
HUILDING APPROVED BY : DATE: •
APPLICATION ISSUED BY DATE:���
ikifiF7FiEiEiFifiEiE#'rtiEkiEifiEifiEiEit# . iFiEiFiE'+FiEiEiE3Eih x �ci4iE
iE it iE if it'k iE it ik iE it i! i! iF iE iE iE iE iE 1t df it iE # iE iE iF iE'.E iE iE'k if it iE if iE iE ^ if if if �E iE iE if if fE iE iE 3C-if iE if iE iE it iE iE iF iE?E iE iE iE iE iE iE iE iE iE iF i(� iE if iE iE ik if
LEGALIZATION:N F E E U M M A R Y STRUCTURAL SEGMENT:Y
HLDG PMT PLUMBING ELECT dC MECHANIC FIRE SMIP/RES GRADZNG
PERMIT 17.00 ; .50
�-' SMIP/NON-RES
PLAN 11.05
ISSUE FEE ��
BUILDING-DIV-> PERMIT ISSUE PLAN'CHECK
TOTALS----> 17.50 0.00 11,05
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLIIMHING ELECTRIC MECHANIC
ii.oQ ��)
TOTAL PAID DUE
28.55 28,55 .00
28,55 OVER/SHORT:. .00
FIRE SMIP/TOT GRADING PLAN-CHECK
.50 11.05
jE 1E iE if !f it �f iE ik if ik iE iE'tE iE iE iE iklf ?E if if iF'lf if if if if iF if iE 1E 1E iE �f i4 iE it if iE if iE if !E?E iE iF?E ik i! �E ik if iF k dt iF iF 3! it iE iE iE jE iE ff jE jf iE iE if iE iE?E iE iE jf iE iE
I N D I V I D U A L .r'F E E B 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 30 RES—CONCRETE BLOCK WALL / FT, 20.00 600.00
END''OF FEES
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O1 OOQ6�Od0-G0054082 T O T 23.55
"v,TE: U5f27iSU TitiE: 12�04
CONSTRUCTION AND PLANNING PO : SPA '
APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector
1, Temporery Electrical Service or Pole 52. Pool & Equipment Location
2, Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4, Electrical Conduit�Undrgmd. 55. Electrical Bonding
5, Steel Reinforcement � 56. Rough Plumbing & Pressure Test
6. ElectricalUFERGrnd. 57. APPROVALTOCOVER-GUNITE
7. Footings ��- _(� (�,r,,��( 58. Electrical Conduit-Undrgrnd. •
$. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwasfi Lines, P-Trap, O Undrgmd. _
10. Structural Floor System � 61. APPROVAL TO DECK
11, Property $ewer Line & House Connection 62. Backwash & Receptor�Final
72. Sewer Cap 63. Heater & Vent-Final '
73. Roof Drains 64. Plumbing SYstem � Final
14. Rough Piumbing 65. Electrical-Final �
15. Rough Electrical-Conduit � 66. Solar System-Final
16. Rough Electric Wiring . 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # '
21. Ducts, in Structure 70. Underground Hydro i
22. Ducts, Ventilating 71. Product Piping � Gas ❑ Oil
23. Gas Pipe�Fough & Test 72. Underground Flush
24, Roof Framing 73. Undergrnd.5torage Tank O Gas ❑ Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling �Structurall & Monocoat 75. Dry Chemical
z7, Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding '� 77. FIXED SYSTEM FINAL
29. Insulation �" � 78. FIRE PREV. FINAL
30. Drywall Nailing �, `' � HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat • 79. FINA� INSPECTION
32. Electrical Power MeterFinal � 80. F000 CER7IFICATE ISSUED
33. Final Electric � Notes:
34. Final Heating & Air Conditioning � -"� � %7 �� � O�j_ �� _�'�//
! tr p�
35. Final Gas Pipe-Test � �� - • �
,
36. Hood or Canopy `�
37. Final Factorv Fireplace
38. Final Plumbing
39. Water $ervice�Final
40, Gas Service-Final
41. Solar pomesticFinal
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irripation System
45. Sound Attenuation �
46. Handicap Regulations
. FINAL STRUCTURE & BUILDING ���� 6w�
48. FINAL PLANNING �
49. Electric Release to Edison - •
50. Gas Release to Southern California Gas Co �
51. CERTIFICATE OF OCCUPANCY
No. Date
�
e
►.
W
W
t
�
M
�p� go36 � /
APPROVED
CITY Of COSTA MES�► I
PUNNING DEPT• ,
wuccr ro uoa. otvr. ec�.
� ��L�.. . o�re..._6 2� 40
�acros or �n�o ,
..•naei
w
0
�
�d �u �G/ o � S
�/tNtK[
sr�cfr s _
�J b�, �,,�Q f� S'
-�sa�
� S o]
� . � ,vr �� c� � 8
,. � s-an� �5��
-La GP 0 %
� a 5 r 1„�.. �l�k- ..,A�
� p��. l�... s� S�.-{-�i u.�L 4�
`.e.Nc i- lo-� }• '�-� . � "�'^ �
P��
TYPICAL 6�� CONCRETE BLOCK FENCE
Cemenl CoPirg OPlioo�l �
ChannelBbcM With 1�3/8�
Horiionlal Top ol all
FMC!!
Fo� Fe�ce� 5' or Laf�
Vert. Ban 3/8"� at 1' -0" O.C. �
For Fencaf MigAer Tha� 5'
Ven. Ban 3/8"� at 32" O.C. �
F ill Celh Sofid W i�h Crout
WhenSleelOccun �
{�[IlI�OfClflq $1!!� $�1i�� � ••
Conlorm tu Set.A�15�39
A.S.T.M. . � ��'�-. • . _,
All Steal to 6e,Lappd
2�" Or b Cod� . ..r
r.
NATURALGRAOE
T WO ]/8"O 9AR5
CONTINWUS TOV
6 BOTTOM
HOQ�iSTEE� MUST BE TIEO IN
VIACE AT tIME OF TRENCH
INSVEC110N.
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.�...�. - _.�..� . _av�.c
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:A �Q N
n — —
— e � .
� o �NiIOTH �
p SEE CHART
1 BELOW ,
�� �L�..
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I�:J i0� T
FOOTING R
A •
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.
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L.
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IUIREMENTS CHART
GENERAL- NOTES
MORTAR; Ona Parf Plasfic Cement, and
TArte Parls Sand
GROUT; One �ort Cement TMee ond
One Holf Parfs �and
CQPING: One Pa�t Ceme�1, TAree
Parts Sand
CO!vCRETE: well Mised 1:2-I/2:3-I/2
Ma�. of 7-I/2 Gal;nns of
Waler Per Sock of Cement
GROUT MAY BE POUqEO FROM THE TOV
OF THE fENCE IN CELLS WNERE STEEL
ocCUNs.
CEllS AND AREASOF HOHIZONTAL REIN�
fORCEMENT SHALL BE CLEAR, C�EAN 8
FqEE OF Al4 �MORTAR OEBHIS, ETC.
A�F�ROVED
. `a`City of Costa Mesa Buiiding Dept.
, c DATED6 Z %g�
THE�S{�E` FLAN, MUS � BE ON JOB A7 ALL TIA4ES MAKE '
DE�PTNryCGf� �'b'rik'�i��otiHOR kPPROVAL OF DEP7.
�Tf-IE i5'��'rtHE, MEIGTH Of �ENCE
I�qNRA����}h,BOY�d�HOf''���'�yL� pN'S7TflUED OOEA
I�_RMI? FOR. pR AN APPrIOVAI. OP, ANY VIOIATiC'ir'�7F AN� OP
i'c PAnVIS!ONS OF TMS CO�E. (c �. p
nUr;-;,�qITY TO V10LA?E GR CA�?tCALEROI I� ��OF 1HIS
r�Cu[ SH4t� 8E VAUp F%C[PT SN 50 FAP. A5 7Hc iYOPK OR USF
.:::._:: �,.,;���,t__.�.....�..
WIOTM . 94" . . . i' 14" . . . !;au�
THICKNESS i.0" . i 10^ � "`''
. �_:. . . . . . . � ;i!�
OEPTH OF EARTHTOOTH ;t4" "20 __
SPACING OF EARTHTOOTH . 12" 14�
City of Costo Mesa, California
Building Departmenf
f'P:•r,rn Nnv. AO
:T::� IS��AA'Lt C( h AcRMR t3ASED U:vei r=lANS AND
t:!ca�a;•,s t.,.,, .V.-�...._.. .
�ns:��a�eRe= _.: ,:. e sc. �',�c c:s��,u.
'Q-. Oi:�flifdGTilFC3ap �TIpN�cnRORSfN
..-- •.. -c:..ri�AliiLVS 12! I�HGiA PF.�Y[NIfING
�2. .'v'F�FlA? �`.YS 3�1!'.^, C:.RTr,f.�. �`Y 1t:EF1cU"DEF. Y.'lic'N
• ^�. ct i�;�s .,+,` "
&� ,� C� __ CF? Of= Ne� r I�.�A t?RJ+ JIAtiLE OF
l6"__ 12�
16' ,--�`I6�---
Permit #� �4-7°SZZ
THIS NU��tBL-R MU�I H ,.;uMPANY
�LLINSPECTION REQUtSTS
AD
��VLI\LRML ��
AP Nd16-424-08
`ECTIONS
�_
'� ws --
FLEMING,
S30 Plum
LOT
w�TER
AOUGH PLUMBING
PAOP. $WR. LINE �__� HOUSE CON.
SP9INNLING SYSTEM
MISCELL4NEOU5
ROl1GN NEATING AND �IR
UNOEAGROUI
ROUGN WIRi
TRENCNES I
FLOOR SYST
BONp BEdM
SHEnTNING
TIONING
Fq4ME AND 6LRSMING
L<THING — IN �� OUT n
PLNSTER BPOWN COI�T
STPi1CTUA�L. FINSL
M 10. VENT., NEFRIG. �ND A.
PL_...81NG, F�N4L RNO GAS TEST
ELECTRIC,fIN4L
BIIILOING. F1H4L
REINF.
F
DATE
SUBCONTRACTOR
i-11-79
RMIT N0.
.-. . ♦_ 1_�_i _. I_ /
0042 6/II/79 5•50 TU
� ' COSTA MESA BUIIDINGSAF�TY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT �/�
� P.O. BOX 1200 COSTA MES:., ,::.i :RNIA 92626
' RECEIVEDBV PERMIT ' -
f For A licant to Fill in Com le[el N� 4 8 2 � 7
pp p y— Use Ink Only
UILDING A.P. NO. `� z -��Q
WDORESS �
,/J WNEROR � � ADDRE55 �
/jTENANT � (MI
UNIT OR
MAIL�NG SPACE NO.
ADDRE55
TR.N / � LOT . BLK.
(l�/� TEL.
CITV /' � NO.
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSfRUGTION
LENDER
BRANCH '
OwNER CU S A LEMIAI
ADDRESS VALUE
ARCHITECT TEL. USE E
OR ENGINEER
ADDflESS ZONE T PE RO ///���
APPROVED � �t � �
", ONTRACTOR -O(�jJ BY DATE
AODflESS /� /
TE�.
CITY NO.
F STATE CITV APPROVED SETBACKS
LIC. NO. LIC. NO.
� SIZE NO.OF BLOGS. (FROM C/L-,STREET)
a. OF LOT NOW ON LOT ONT FT.
a VSE OF
� EXISTING BLOG.
y
FSeparate permi[s are required for L. SID � FT.
� elec[ric, plumbing and heating work. aena :/'� FT.
�.W., USE BUIIDING AND WORK TO E PERFO MED PL.qNNING ACTION
�
DATE
a� �'Oh APPROV/ED�
� APPROVE /_ �//' �'f
�. n /
..1
C
v�
0 1 �ereby acknowletlge thet I have reatl thie appilcation antl state �
y� that the abova intormetion Is corract antl a0ree to comply wlth
a all luws regulatlnp buildinp consttuetion, enC I shell not amploy
Z any person In violatlon of the workman's <ompenaetion lawa ot °
S[ha State of Celi(ornla. m
,� 1 hereby certify that I am properly Ilcansatl aa a cono'ector untlor SQ. FT. �`+
[ho Smto of Californla Busineza entl Ptofowiona Cotle, DivlsiOn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and t�et such licensas are in full forca entl etfect, or I THE PURPp$E OF ESTABL6HING A PERMIT FEE O LV: �
em axempt iram the provialonsof Ne Stam of Celltornia Bueiness VALUATION
entl ProfesslonsC pIe, Dlvislon 3, Cheptar ^9. � PERMIT FEE S m
SIB^aturB.O� / � � \ , I � PLAN CHECK S o
Perm�'ttaa -� S f�f-�j TAX E s� u
1
Authorizetl Agant Date � TOTAL PAID E
�'
`'� _ . � .� '71_44
� ,_
COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
u� iv. m � I��r
COSTA MESA. CALIFORNIA
MAIL
AD�RE55
QTY `J
ARCV 'CT
OR E IEER
CONTRACTOR
A�DRE55
IEGR�
�ESCRIPTION
A,P. NO.
n�ZEnr : i
EXISTING BLDG.
$ET6ACK LINE FROM
CENTER OF STREET
TEL.
NO.
1 CITY LIC.
,A'Il�[nv� NO.
�BLOCK �TftACT
�� ^•�OFBL�GS.
_?.(`/3n/ '//?�/ ��ow on �or
/-
I
REAR YARD ,
DESCRIPTION OF WORK
NEW ALTERATION �I AODITION
REPAIR MOVING DEMOLISH
BUILDING � �� � )N�� OF
SIZE J�� �CIROOMS STORIES
E%TERIOR WALL ROOF
COVERING � µLGD COVERING�� ��'j �j(�'r
� S �-
USE OF NEW ^ , i !
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FINANCE DEPT:
APP�L'ICATI'O`�NAFOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEPMIT NC
RECErvfD BY TE AECEIVEO pni ISSZIF
�%VLI�"� - ,s� � / �- �
BUILDING !� %J
ADDRE55 3 G %/L� P1'� I
COSTA MESA. CALIFORNIA
FIRE �
ZONE
ZONE�p41N$� TVTPE_J G�
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A�PPROVED / �_- " ^^Tc � /���
SWBdE'E�7 fi4J �Lj('...QEF'Y'. JiEG.
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STATE THni TME �BOVE I$ CORRECT ANO AGREE TO COMPLY WITX wLL
CITY OPOINwNCES AND 9TwTE 1��N5 REGIµATING BUILDtNG CONSTRIJC�
T�o�. VALUATI ON
SIGNATURE OF �
PERMITTEE � � �� pZ.//� � .
PERMiT FEE 5 ,O ..
PLAN GHECK 5 ��
TOTAL FEE 6 � J .
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ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
, " 636 North Broadway � ' ' � � � ' � � I � ^ �
� SANTA ANA, CALIFORNIA ' v
� FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
� jiECEI///ppp T N. PEf,iMIT NO.
BUILDING / � /� D�q6
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ADDRE55 f33n Plnm PlRCP � j� � �
SCHOOL DIST. RECEIVED BY DATE OF APPL. OATE ISSLED
OR TOWN 3 �/{
NEAREST :�, �Y� \ C �j '�Z ��S
CRO55 ST. V J�J /�
OWNEROSAGE HOMES. INC• ADD E,55 �V �' �� //�.
MAIL 9363 w��sH�Re BLVO. SCHOOLDIST. �1 _- "�/'2
AODRE55 OR TOWN `A���
�iTY BEVERIY HILLS �o�R. 5�+36t NEAREST �,�,(� '
cRoss st. �`'1�
ENG N'EERT�AIN B� MCKERRACHER NO.sr. 6489t ZONE NO. OF TYPE GROly1P�.
— /I/1 ) I PLANS I � I I Y�
� �� � � J.
'1RE55 �jO E. WAINUT ST. PASADENA SETBACKLI OM CENTER OFST. 5O �1.�
TEL. '• REAR YARD SIDE YARO 1_�
CONTRACTOR P V TA CONO.CR. 4 � qppqOVED
6 WILSHIRE BlVO.� BEV.H � 2 av DATE
ADDRE55 CORRECTIONS
LEGAL I LOT NO. �7 BLOCK � 7� �
DESCRIPTION
(ATTACH METES @ BOUND51
TRACT
SIZE OF LOT %ZOO SO. FT I NOW ON LOT O �
USE OF NO. OF NO. OF
E%ISTING BLDG. I F�vi�ies I ROOMS
DESCRIPTION OF WORK
NEW I X I ALTERATION I I ADDITION I O
a
REPAIR I I MOVING I I OEMOLISH I D
BUILDIN 11 NO. OF D r-
SIZE �Q�Y SQ.i�T ROOMS � STORIES � �
WALL I ROOF COMPO �
COVERING STUCCO COVERING SHINGIES v'�
'�E OF NEW RES IOENLE V� /liV1 � I.KO'�'!
ILDING
APPROVALS
FOUNDATION: LOCATION INSP CTOR DATE
I HEREBY ACKNOWLEDGE THAT 1 HAVE REAO THIS FORMS, MATERIALS. /,�
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLV WITM ALL COUNTY ORDINANCES �FRAME: FIRE STOPS. �` 2
ANO STATE LAWS REGULATING BUILDING CONSTRUCTION.
BRACING, BOLTS 'V )
IATH. IIJT. � -�
SIGNATUREOF NEWPORT VISTA LATH.EXT. _7
PERMITfE /) �'3
PLqSTER, INT. /<J� �7':�`��d',
AUTHONIZED AG y .
'1 p � PLASTER, E%T. . ./j��J �� p,�!
S 4030.00 P' �' S MASONRY REWFORCED
FEE � �
s BOND BEAM
VALUATION
� FEE � FINAL _ � � 13 `•�
0
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