HomeMy WebLinkAbout2928 ELLESMERE AVE - Building Permits� ; �EE REC�i�JED
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COSTA MESA BUILDING-SAFETY DEPARTMENT fINAIVCE DEPT.
P.O. BOX 317 COSTA MESA. GALIFORNIA CITY Q� COSTfI MCSA
fOR APP[/CANT TO F/LL /N COMPLfTELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING Z92g Ellesmere Avenue �
AOpRE55
COSTA MESA, CALIFORNIA fOR Off/Cf USE ONLY
oWNER Ken rof Develo ment Co. Inc. I RECEIPT NO. I� P,Ey�,� o.
��
MAIL 1555 Placentia RECEIyED BT I DATEiE%ElV�O I DATE 188UED
ADDRE55 v j � FFR . 79
cirr NeW calt Beach TNO. _ BUILDING
� A�DRE55
ARCHITECT ��c. COSTA MESA, CALIFORNIA
OR ENGINEER NO.
ADDRE55 FIRE ,/ � �.
T�� ZONE TVPE ✓ GROUP
K�v1� K�ZZ STATE 61195 APPROVED
CONTRACT LIC. NO. BY DATE
nooaess ZONING
LEGAL I LOT L I I 3529 IONE I NO. OF I U6E OF NEW
OESCRIPT�ON NO. 0 BLOCK TRACT P�Arv6 BUILDI G�
A.P. NO. APPROVED _ /!',
BY I - . �. DATE �'lV �
SIZE 96x89 irreg I NO.OF BLDGS. O YARDS V
OF LOT Now orv �oi REOUIRED ALLOWED
USE OF Nane (CENTER LINE 6T.1 `
E%ISTING BLDG. FRONT V�FT, IN.
SETBACK LINE FflOM n !�
CENTER OF STREET O t REAR YARD G� , R. SIDE LJ FT. IN.
SIDE YARD I �EFT J�� I RIGHT � L. SIDE S�, IN.
DESCRIPTION OF WORK _
REAR ��FT. IN.
NEW I X IIALTERATION I IIADOITION I
REPAIR I IIMOVING I IIDEMOLISH I �
5 Z�E DING 1840 61 ROOMS ( STORIES 1
EXTERIOR W 4 I RooF Wood Shingle s
COVERING r. COVERING
USE OF BUILDING ANO WORK TO BE PERFORMED
Sin le-Famil Fieside
and Attached Garage
a��
I HEHEBY ACNNOWLEOGE THAT I HAVE REAO THIS APPLICATION 7HE AMOUNT 6HOWN tINOER VALUATION IB FOR THE
/�ND STATE THAT ABOVE I6 CORRECT ANO AGREE TO COM-
PURPOBE OF ESTABLISXING F PERMIT FEE ONLY.
PLY WITH ALL Y RDINANC AND STATE AWS REGULATING
au1LOING CON Rt�C ION. VALUATION
SIGNATURE PERMIT FEE $ 3��
PERMITTEE $ / � y/�r
O PLAN CHECK S � �J�
AUTHORIZED AGENT �
TOTAL FEE S �7�
FEE RECEIVED
, � :'r � 12'79� G�,,,$�pg, �,p,
COSTA MESA BUILDING•SAFETY DEPARTMENT ryIP1A(Yt(i�E(� ��I{1tYuT,
P. O. BOX 917 COBTA MEBA. CALIPOIiN1A CI11 OF VW�A ry�E�
For Applieanf fo Fill. In Complefely APPLICATION FOR PERMIT
� TYPE OR PRINT
BUILDING
BUILDING �
ADDRH68' - ��
GOSTA MESA CALIFORNIA FO� O}fIC@ USC Only
� � �, L �^ ��� � RECEIPT NO. PEHMII NO_ � �.
sY
ADORESS o/ I - � ` I
� �/�/ TEL./�� BUILDING
CITY ( (j� «-�%12a NO./Ti�' /j6fi ennoa
noceunecr Te�. -- COSTA MESA, CALIFORNIA
en un
APPROVED
ZONING
ZONE NO. OF U8! OP NEW
�/ GlANB BUILDINO
I
L80AL
SIZE I NOw ON LOT� I A. P. NO. //? _ v�a �'_ /
OF LOT '
USE OF _ YARDS EVES
fCCNT6R LINC
DESCRIPTION OF WORK
NO. OF
EXTERIOR WA4L ROOF
COVHRING COVERIN(
UBE OF BUILD�NG AND WORK TO BE F
�I 5 � � /' — ��i
1 HHPtlY AGKNOWLBOG6 THAT 1 HAVB pHAD TN19 APPLIGTION TH! �MOUNT eHOWN IINO¢X VALUATION IB FOR THE
ANO 8TAT8 THAT TM8 ABOV6 IB CONNHLT ANO AGR6H TO COM- pUliP08E OP ¢BTABLIBMINO w P¢pMIT FEE ONLY.
PLY WITM I�LL CITY OflDINANG68 AND 8TAT8 LAWB RCOIMTINO
BUItDINa CONdTRucno VALUATION �{
I� /,' / o� PERMIT FEE $ / /
61GNATURE OP y(' `
PERMITTE
S PLAN CHECK $
AUTHORIZED AGENT _ „'' �
� . • ' 4249a
' COSTA MESA BUILDiNG-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �ly'�' 8 ���E��E�E /%
AD�RESS � �I7`1�
OWNER j�/�Zo2 �% �92.E�
MAIL �G'78 LC-LLES/G/ -/�$�!y'U�li
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C/�S%A /yE•iA �7 TEL
cirv �CRUf No.
CONSTRUCTIONN O wJ E �
LENDER
BFANCH
ADDRESS
ARCHITECT TEL
OR ENGINEER NO.
ADDRESS
CONTRACTOR OGVNE� � ,(JU/L,(��,P
ADDRESS ���5 CCL�SM'G�'-�C��%v�
/�,� /' TEL,SdS —
CITY �Oi%O / %�i .l ��1� NO. /.SOS
STATE CITV
LIC. NO. �IC. NO.
SIZE NO.OF BLDGS. /
OF LOT NOW ON LOT
USE OF �
Separate permits are required for
electric, plumbing and heating work.
USE OF BUIIDING AN� WOflK TO BE PERFOR�
G
I hereby acknowlatlga that I have reatl this application antl state
that the ebove iniormation is correci and agrae to comply with
all laws reguleiing building consttuctlon, and I shall not employ
eny person in violation of the workman's compensation laws of
the Stata ot California.
I hereby certify thet I am properly licensetl as a contractor untler
the State of California Business end Professfons Code, Division 3,
Chaptar 9, antl that such licanses are in full force antl effect, or I
am exempt from cM1e provisions ot the Stata of Calitornia eusiness
and Professions Code, 'vision 3, Chapter 9.�/ �
Signature o �� ✓/ ����E%iD! L
Permlttee �� �y�U�
Authorized Agent
�,� Ar�:i� n:F A..{,.�.{. �
� 7 7-7fiv;�-. �� 7 40 �.5
FOR STRUCTURAL PERMIT
DATERECEIVED �r�_�ee�m�
BUILDING
ADDFESS
OWNER
FIRE
ZON---i�
PLANS
VARDSAPPROVED
OISTANCE BET.
MAIN B�DGS.
VAR ME
�
USE OF NE �
BUILDING YIII
��
VARDSAPPROVED
ACCESSORV BUILOING
FT.
BET. MAIN &
ACCESS. BL�GS.
DATE
APPROVED
.,�r� �-��-r
n
m
'v
SQ. FT. N
T E AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPp6E OF ESTABLISHING A PERMIT ' E O i! �
VALUATION � PERMIT FEE $ a
M
��.y� PLANCHECK $ o
L /�
$ � v TAX $ �
U
TOTALPAID $ �