HomeMy WebLinkAbout914 EVERGREEN PL - Building PermitsAP. No.'`� '�l'L'aT TRACT � �FIRE ZONE DESCRIPTION OF WORK �nclose carp ;ti Lo gar
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GROUP .T . 1'YPE �7 ZONE o� PLAN NO. Co�C�
�ECTIONS
Gas Test
�Y
SUBCONTRACTOR I DATE NUMBER
OwNER RONALD E. POWELL
JOBADDRE55 q�Q Fvargraan P
GENERAL CONTRACTOR (�i.rnar
11 -491-04 LOT ^ �i
CTIONS
SOIL
C GA$ _
� W4TER
�FOUGH PLl1MBING
PROP. SWR. LIHE �_ � HOUSE CON. �
y SPRINNLING SVSTEM _
� MISCELlANE005 '
ROUGH HEnTING nN0 AIR CON�ITIONING
TEMPOR4FY SEBVICE OR POLE
UNOERGAOUND �I POWEN �
AOUGM WIRING
TRENCHES 'J FORMS STEEL REINF.
FLOOR SYSTEM �/L7 ;�
%Jl u,.,�
BON� 9ERM�_ EEL REINFORCE�
$MEATHING
FRAME RNO FLqSHING
LRTHING — IN i OUT n __
PI•�TER.BROWN COAT
-UAeL. FIN4L
AG. VENT., REFRIG. �NO A.C., FIN�L
PLUnABING, FINnL RND GAS TEST n
ELECTRIC. FiNRL
DATE 7-31-79
BUILDING PERMIT N0.
SUBCONTRACTOR
COSTA MESA BUILDING-SAFETY f
P.O. BOX 1200 COSTA MESA, CALIF
For Applican[ to Fill in Completely —
AD'DRESS (�y CyG�CY/C�I-J
OWNER OR
TENANT nAtnl %� F P1 /i
CITV [�QS�
CONSTRUCTION
BRANCH
�_
' 5631 _24.50 TL°'
�RTMENT ' APPLICATION F�STROC'[9UWi13, PERMIT 24.50 TL� •
IA 92626 � • �
REC BY PERMIT
Ink Only
ARCHITECT �TEL.
OR ENGINEER N
ADDRESS I
CONTRACTOR /�(%���C..( I
�
ADORESS �
TEL.
CITV I NO.
� STATE CI�TY
�(�" UC. NO. LIC. NO.
Pr OF LOT 7�, X�D 3' NO.OF BLC
NOW ON LC
� � USE OF S �/I-�C� I
EXISfING BLDG.
y
FSeparate permits are required f i r
0 electric, plumbing and heating work:
F U E OF BUILDING AND WORK TO BE PERiFORMED
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A.P. No. s - yi -
BUI LDI NG
ADD RE55
UNIT OR
SPACE NO.
TR.N(�,y/ � LOT 2��
/ �
NEW ADD ALTERIREPAIR D
USE
ZONE „ — r
APPROVED �
VALUE
$
DEMO
DATE 7I�!
APPROVED SETBACKS
; (FROMC/LSTREET) /: ��`���.�EEN
RONT �� �T. `G
�Ly�+/�.cf/ Ta iXlJ7
L.SIOE �� FT.
� �€N �a EY/!T
FEAP � �
PLANNING ACTION
DATE
APPROVED
..._��-3�- 7
� I hereby acknowletlge that I have reatl this application and staie °�'
[(� that the abova information is correct and agree to comply wtih
�. all laws regulating building consiruction, antl I shell not employ �
Z any parson in violation of the workman's cl mpenution laws of d
Stha Stata of Californie. � / m
(P SQ. FT. �'+
3 I hereby certify that I am pro0erly licenud es a concractor under '
the State of California Business antl Professions Cotla, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m.�
Chapter 9, antl that such licenses are in full torce antl ef£ect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: o
am exempt from the provisions of the Stete of California Business � a
antl P�ofessions Code, Oivision 3, Chepter 9. � VALUATION � PERMIT FEE S m +
I �,/ /� LAN CHECK $ ^� �
SiB^ature of � /,/ � y// �
Permittee L � R - / $ �( /iJ/ 7qX g L � �
or � / I�% 7 ��v i7 u
Auffiorized Ageni Date �� TOTAL �AIO E�/L..�%7
M
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31]
COSTA MESA, CALIFORNIA
FOR APPL►CANT TO FILL IN
ADDRE55 - ` Z lC.GGN �Ll1l•.�L' .
COSTA MESA I CALIFORNIA
awNER J�ca e�d F5. irle�m�Lz-,4n1
ADDRE55 J (/�I` %I[GN
CITY WS � /-1 '.r rS/T'� TNO�
AR! 1T � I ' IIC.
OR �EER NO.
AODRE55 I
_ � .CJTY LIC.
LEGAL
LOT +� / +�
oescAiP'riov NO. p�pt,. BLOCK TRACT/� �o[i
A.P.NO. J ^— 8I � 3S
SIZE �� OU I NO. OF BLDGS. %
OF LOT / rloW orv LOT
EXIST�ING BLDG. p ly�
SET6ACK LINE FPOM f � j� '/ ! /
CENTER OF STFEET J I% REAR VARO JT In •
(
SIDE YARO RIGHT � LEFT IO /
DESCRIPTION OF WORK
NE� ALTERATIOI � ADDITION
REPAIR MOVING 'I DEMOLISH
SIZEDING /�� X �I � NO.OF r
ROOMS STORIES
E%T.ERIOR WALL � ROOF
rnvvaiNr. .SIU!(�� COVERING FLCDN�A!'i
f7
FEE RECEIVED �
FI� DEPT� �
CL7Y OF COS7A MESA
APP ICATION FOR PERMIT
B,UILDING
FOR OFFICE USE ONLY
FECEIPT NO- �=E=MIT/NO
'ECEIVEO BY � OpTE PECEN� � OAIE ISSVE
BUI�pING
AODRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
zorve
�
APPROVE�
�
DATE
CORRECTIONS
CITY Or . STA M,ESA
�._ � , -
SUBJEG� i0 � G. D"cPT. REG.
STATE THAT THE R60VE IS CORRECT ANO AGPEE TO COMpLY WITH PLL
CITY ONOINANCES AN STFTE LA�NS flEGULATING BUILOING CONSTftUC-
T�o�. f,/ � �yJ � QQ _ VALUATION
SIGNATURE OF ��v I VI�"��~� PERMrt FEE $ -�
PERMITTEE_ ' C $ ��� J `
PLAN CHECK S
AIITHORIZED AGENT I TOTAL FEE 5 �� -� �DM�
i
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT .
` � 636 North BroadwaY � •. . w� e e� w. m
;
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� -- - PLOT PLAN
. Show location and distances from
/ . property line and between buildings.
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�A MESA BUILDING-S IFETY DEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING � /�( I �,Ye � _
ADDRESS [ 7 7/«�•�
OWNER OR �;� s r��p� ,� D/,
TENANT 4 { fTM�'�R
MAILING I
ADDRE55
TEL.
CITV I NO:
CANSTRUCTION I
BRANCH �
ADDRESS I
ARCHITECT � TEL.
CONTRACTOR V �.�
ADDRESS I
TEL.
CITV NO.
STATE I CITV
LIC. NO. LIC. NO.
SI2E I NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF I
EXISTING 6LDG.
Separate permits� are required for
electric, plumbing and heating work: '
USE OF BUIIDING AND WORK TO BE PERFORMED
��---�.- f
A.P. NO.
' BUILDING /
ADORE55 (
�
UNIT OR
SPACE NO.
I hareby aeknowletlge thai I have read this epplication and state
ffiat ffie above informatian is wrrect antl agrea to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the Stata of California.
I hereby certify that I am prop¢�ly licensetl as a'contractor �nder
tha Siate of California Business antl Professions Cotle, Division 3,
Chaptar 9, and that suchl �icenses are in full force and etfect, or I
am exampt from the provisions ot the State of Californla Business
antl Professions o e, Division 3, Chapter,�9��/
Signature of/%��(K �_i"
Permittee �
Of � �//7• is�
Ageni
�TR�J��'N�LLPERMIT48.00 TL
NEW I ADD IALTER IREPAIR IMOVI
OWNER t/(7y1.Y�.6L_ G . � ��'
n —' ' VALVE
USE . b(�,� • E
U
ti
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
DATE
APPROVED
�
a
�
'a
m
SQ. FT. �
7
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMITFEE $ ��Q �
n
PLAN CHECK $ o
LL
g TAX $ E
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TOTAL PAI D E . /f��i