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HomeMy WebLinkAbout354 FLOWER ST - Building Permits'� P.00licant to fill in au spaces wilhin heavy DorOer lines antl sign all appropriate tleetarolions. - I E3G I 2/ f,3/Q2 � .�CITY OF COSTA MESA -' ve3� IT N � - TRACT NO. LOT NO:. � BLDG. NO. ' '" ' �" ''- - . - L� � s 9r3 T� �� CONSTRUCTION PERMIT 6 - �%%' � I �S Z G � � i " • - � Project Address ' , � _ ... � � � 3 O W TVPE OF CONSTRUCTION,. �. . OWner � � P one � NEW � ❑ ADD -�'ALTERATION _ "' � ' � : , , - ' ' ' ' , ' � �I Address � ' - �ftiQ�' ' '- ❑ REPAIR ❑ CONVERSION ❑DEMOLISH , Arch/Eng. � -' CiCense'No. - ❑ OTHER.. ' ' - ' A P � _ zONII Address �" ' d � - �•- - . �ESCRIPTION OF WORK _ . �Tn , • • ZONEi. Contractor- �. � 0✓ ���s. W . TVPE OF PERMIT - .� . �! ., 'S i . -_ v .•, eU __ ;. Addresi �� .-- �- " � " ❑GRADING ❑ FOUNDATION �tIYSTRUCTVRAL� � -�IDEVAR�LST. LICENSED CONTRACTOR��ECLARATION - � ' O TENANT O ELECTRICAL ❑PLUMBING�OMECHANICA 5IDE VAR - I hEreby afiirM that I am licens¢tl untl¢r provi5ion5 pf Charter 9(Com- � y �;: ,. ,'� ,, T RIGHT mencing with- section 7000) of' Dlvision 3 of the 'Business antl ❑ OTHER -� � Professions Cotle, antl my Iitense is In full force antl. eifect. • • � REAR VARD (TO P/L) -- � � � - . PROJECTDESCRIPTION � . . � . .. License Class Llcense No. � PKG. SPACE RE�. Date Si9nature - ' ' � ' '- � SQ. FT. ' � � - � � � . . , . y STREET WIOTH . WORKERS"COMVENSATION�DECLARATION �- ' �OCCUPANCY�� CO-/N9 TRUCTION TVPE ZpNING APPFOVED B\ I hereby affirm that I have a certificate of tonsent to self-insure or a VALUATIONJQ�L'�20NE ' aertificate of Workers' Cb mpensaHon' Insurance, or a certlfietl copy � ' ' '. SPECIAL CON�ITIONS: PLNTGp�.�RUEF. � '- . . .PROPE�RTV LGNE ' . ••. � . . l 1 .." _ " PROVIUED PARK FEE 8 ,?hreof (SecLon 3800, La . CJ. � ' GRADING CU. VDS. ACRES C:�"^'.itY No. ComPznY . .. . . . .. . _ . . ._ .. ' ' . . • _ ' t.;jM1_�artifietl copy is hereby furnishetl. - -� � � - - � � REMARKS: � � .. . . _ . _ _. . iz;Sertifietl copy is fileG with Ihe city Builtlin9 Divigion. . , .„ . , , . , EXEMPTION FROM WORKERS�COMPENSATION OECLARATION � �' ' � � ' - - , (This section neetl not�be.completetl if the permif is for one huntlretl . , . . _ , . .. .._ _. . � .. .. �' '- ' SSS00) or Iessl. • ' � , . .. . i . ' ' . . . . .. . _ . .. _. -certiry that in tne performancebf the work for Wh'ch this permit is. issuetl, I shall not employ any person in any n anq i so as to become ^ PLUMBING �� � �PLAN CHECK ' �'' � ' ELECTRICAL "' '" ` P�AN�CHECK � "" subj¢ct to th WOr �s' Compensa n� s o allt � i Date1Z�.� l� � Si9nature � BATHTVBS SHOWERS � � � � � � � " NOTICE: I( atte� making [his tle �ation, you Sh u� become 5ubjecE TOILETS � VRINALS �' � GENERATOR - 0-1 KW-1-SO KW � - �' ro the Workers' Compensation pr visions ot the bor Cotle, you must � � TRANSFORMER •��. � . ''' forthwith comply with such provisions or this perrtiit shall be tleemed LAVATORIES DOVBCE LAVS-' - - "'APPLIANCE '30-50'KW=50'+ KW '- revoketl.. ..... _. _ . . . _ _.......r_.. ._ . � _.. -. . . _ . . . _ . . _ _ GONSTRUCTIONLENDINGAGENCV � KIT.SINKS �� `��'� DISHWASHERS "�1'��" "MOTORS """ 0-1HP'_1'-10'HP ' ' '- ' I hereby affirm that there is a consVuction lentling agency for the per- SERVICE SINKS, �. � SUMPS '' - ' ^PN0. SOLAR)� 30-50 HP -y50�i HP- -' �� -� fo�mance ot the work far whlch tnis permit is iSEuetl (SeGtiOn 3097 � �- ' ~ � _ '. " _'_" " "" "" _" "._._".... .. . . Civ. CJ. � ���� FLOOR SINKS � FLOOR DRAIfJS � � �� -- ' FIXTURES" ' OUTL'ETS"" SWITCHES:' '" ' ' "� Lentler'S. Name_ • _. . ' " ". . _ . . . . _ __ �v_.. _ .. .. . _ . ." . GASTUBESIGNS.. .. . " ' """_.", m�.."". . .. Lentler'z Atltlress N'A• DRINKING FOUNTAINS� OWNER BUILDER DECLARATION " "" "' " ' ' ' ' - '-' ' •'�. � ".` •. .•. • ' _ _ . I hereby affirm that I am exempt (rom the Contractor's l.icense Law for INTERCEPTORS CLARIFIERS GOLE LIGHTS '""' '' "' ' the followinglreasou (Section �031.5'Busines5'antl'Professions Cotle:• SWIMMINGPOOL � ��' P'TRAP' ��" ' "" �--`"'"-" '� � POLES METERED �SUB • � ��. �� �� Any city o� _county which require5 a permit [o construct, alter, . . . . .. � .:. ' improve, tlemolish or repair any structure; prior'to its issuance, also re- - -" i'"""" "' ' " -'pANECS '-' MAIN " ' .SUB'"" ' "' ' ` ' • • qulres tM1e applicant for such permit to file a si9nep statemen[ that he WATER SERVICE ��ALTERATION is Iicensetl purivant to-the provisions oLihe Contrdctor's'CI<ense law -GAS SERVICE OUTlETS � � � ' SERVICE- '"' ' "" ' ' `AMP ' ' - (Chapter 9(commencing with SeG[ion ]000) of Division 3 of the Bu5ine55 antl Professians Cotle) or that he'is exempt therefrom antl th¢ yyqTER HEATER$ � BTU OUTPUT ' "� � ''�-' '-" ' "-" � r ' � for the allegetl exemption. Any violation of Section ]031.5 by - .. . , . : .. � ..' : . 'applicanYfor"a'permiY subjects tM1e "applicantto'a' civil penalty "SEWER CONNECTIONS - � �� �' - ` - �`�- ' _ `" ' - -'- -' ` �ot more than five huntlretl tlollars ($500). ' � � �� _ ' _'_ ' " ' " . . . � . � ... . . . .... . . . . . ... .. , . va� „ as owner of the property, - ' � � � �� � ir � SOLAR TANK �� ��` COLLECTORS � ' _ - sW�sew�perWieq will tlo the work,.antl the struc{ure is nol intentletl ' ,. _ „ Or Offeretl for sale. (Section �044, Business and PrOte55ions Cotle: The SOLAR PIPING SYS. ' � ISSUE FEE"" - --' ' '' Contractor's LicenSe�Law tloes noLapply to an owner of a property ._... .. _. .. ....� - � who builtls or improves thereon, antl who tloes such work himself or ISSUE FEE ' "� APPLICATION APPROV ED BV - ' DHTE� /3 throu9h his own employees, provitletl that such improvements�a�e.not� , intentletl or otferetl.for sale. If, however, the builtling or improvement MECHANICAL PLAN.CHECK . . SUMMARY OF.FEES.� is soltl.within.one year of completion, the owner Will have the burtlen „ , , �' ' �` of proving he tlitl nat builtl o� Improve fo� the purpose of sale). � "BUILDING ' ' '-`- "' � � Q"I, as"'owner of the propevty, am ¢xclusively contracting wi[h �HEATING SVSTEM 0-100,000 BTU , PERMIT $ /�•� ",,:SMIP,_ �:.. 5' �•S� AND�DUCTING. . . . ..� . •` •. .. . . . .'• ... • licensetl contractars ta tonslruct the pro�ect (Section �044, Business 100,000�+BTU - PLAN CHECK $� �����7ERMIT ' � 'H . anG Protessions Cotle: Tbe Contractor's License La�y tloes not apply to� -- -� - - � ISSUANCE� $� �- - an owner ot property who �builtls o� imprOves the�eon, antl who con- REFRIGERATION 0-100,000 BTU PLVMBING � $ ' �r , - . tracts from such projects wiih a contractor(s) licesnetl pursuant to SVSTEM ' ' -' ' - � - ' � - � � � � ^��GRADING. E ` the Contractor's License L.aw). � 100,000 + gTU �` •�"�� � }•.�;> , ,� _ PLAN CHECK .$ � '�,.' ' . / " ❑ 1 am exempt�untler Section� � � B. & P. C.�forthis � � ELECTRICAL S• � � $ � � BOILERS BT,V . • reason - ' ' . PL'AN CFIECK $ � ' .�MICROFIIM $ � Date� -� - - Owner � - - ' � - � - - � - . . ' SVSTEM REPAIR, ALTERATION - " ' TOTAL FEE'$ I.herebycertifythaLlhzve.reatllhis.applicationantl,statethattheabove, EXHAUSTSVSTEM MVLTIPLE MECHANICAL $ . � � PLAN CHECK -E '"L'E55 AD="�'• � information is corrett. I agree to comply with 811 city antl county i; - � ' VANCE PC $'"" '-'- ortlinances antl stale,laws relatin9?o,mnstruction, antl hereby authorize - .• • � ' , ' . � , ` r¢presentatives o( [his [itp to enter upOn the above mentionetl '" ' � %/� P�oPertY r In ectl i 5_eF�_ �� �� .�Q � . .. . ' '" ' ' " " " .. . ..-.. . "_"' .. FIN L FEE S -"�. qs � ! 519nature �.�,�•vt ' ' �a1'L� _ . . . ' .. . . A Drivers' Litense or 55 � �' � " ISSVE FEE' -"' • -. _ _ , _ CMF 0865-46 White-Builtling; Gnary-Applitant; pink-Accounting; Goldenrotl-Assessor CONSTRUCTION AND PLANNING � � � '. � POOL & SPA �•' � � • - . � � APPROVALS Permit � % Oate Inspector � � • �� � � �� � ' �� Date "Inspector, � ,APPROVALS� . ����Permit#-�- °� :1� N'L-�__ 1. Temporary Electrical Service or pole - , �` , � � - 43. �Pool & Equipment �Location-' '��- � "'' `� ' � � � ' • ' ' - � . Soil ipe:Undrgrn'_ ' ' 44. Steel Reinforcement `,`_;-'•_'° = � - - � �= '� 3. .Electrical Conduit Utility-Undrgm ! ! b}, J_: '} ,,,, � : - 45. Forms � � � -�- - � - .4. ,Electrical Conduit-Undrgrn a�S � � 1�S - 3. O' 3 . 46. Electrical Bonding - � ' "`- �-• - -- ' 1J.-. • . ,- . ;- -. ' ,.....,.... � :, � t^; r ', � __ _� .fl . tee ein orce 2- _ .8 � 47. RougN Plumbin &°Pre4sure Test �-�-D� . 6. Electrical UFER Grn'. ^,:; " " 48. APPROVAL' TO COVER-GUNITE- 7. Footings:-. � _'j �,I,�, 49. Electrical Conduit-Undr m � 8. Foundation ._ 50. Gas Pipe, ❑ Undr m, Test � � � - 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ❑ ndr rn ' � 10. . Structural'Floor SYstem � 52. APPROVALTO.DECK � � • � � - ' �it,�•. Property Sewer L'ine &�House Connection ::53.-.Backwash & Rece tor-Final � � � -� � 12. Street Sewer Connection "� ' '' ' 54. Heater & Vent-Final � 13. Rough Plumbing_ _ ' - - � - � � - � 14. Rough ElectricConduit � - - �56. Electrical-Final � � 15. Rough Electric-Wiring � " " � �- - - � �57. -SolarSystem-Final- � - � �� � ' � � � 16:'� Rough-Heating & Air Conditioning � - - � � � .... - - � -- encing & Access Approval. � � --17. Ducts in Structure" : � - APPROVED fOR PLASTERING i'-. � � 18.- Ducts, Ventilating. . . � _ - � � �� , , -• � �' � _+ , -` . __ . 19. Gas Pipe-Rougfi & Test ' '' ', 60. , POOL/SPA SYSTEMS FINAL •J � � -20. Roof'.Framing: . ' - _ . . , - - . . , � .. . , , , • . - , � , ' ' , . , ' i 21. Roof'Sheathin �. - ' ' . - - - - - - �•- - - -��,p�• , � �- - , :.�� `�.-''L-'i?/a,l, •-p.,��'' ' �-� • 22. Frameand Flashin - � - � _NOTES_�" r "A W�,Q„e,; �' ' . --- - . .._ . .. . .:__ ..__, ._.- - -- - -- -23:-..Insuiation�-� =� - - '. "..,.. • . . '.'� . . a ; l, ' ' . .. _ .. . ._. .. . . _ _ : -' _ . . . .. ._ _- . . . _ _"' ' 24. - Latfiing & Siding_ . . . ' �� ,�' "" j - �� ' _ .t o� 25.. Drywall Nailing - - . .. .- � - - - -- - - -y:, ,- - - - - - - - r. , . , . . i - 26. Plaster Brown'Coat _ - ., - - -- - - --- . ., ... . . . . . . . -�27. .. Electrical Pow'er Meter-Final -�.. _ , .. .. • ' _.. ..- -- -- .�. ° ..�-,.'� .. � - � � � � � � ' - -- _... .. _ .. _. . . ..28:...Final•Electric�--'-- � ' � ,., . . , . . , . ' . . , . . , , - 29. = Final Heating & Air Conditioning. . ' ' " ' � '" ' ' ' ' � ' - � ' � - 30. Final Gas Pipe-Test � - " � . ' ' - -31. Final Plumbing. . . . . . . . . .. . . .........................,.,�....._.....-.. .� ,. � _ .� 32., Water Service:F.inal " • � ' ' " � � ' - � � � " ��33: � Gas Service-Pinal � ' � ' ' ' " � � � � 34. Solar pomesticFinal • � "' � � �� ' � ' � '35.'�'Landsca eS rinklin S s'tem' � � ' � � 36. Sound Attenuation • ' ' - - � � � ' � 37. Handicap Regulations J - . � � - • � � � � • • � 38. FINAL STRUCTURE & BUILDING - 39. Specia� Requirements Completed ' � � ' ' � "' - � ' � ' � -' � 40. Electric Release to Edison - - - � � • ' - � � ' ' ' � 41 . Gas Release to Southem California Ga's Co: � � - - �-� � � 42. CERTIFICATE OF OCCUPANCY _. _ _ � � � -., - ., • . • , �• No - �. Date � `. � �-� � .. , � , •i , - '�- -- --- � - -- -- - - �_. ` • t` . .�..,.. " _ . � . : I 3 � TYPICAL 4�� CONCRETE BLOCK FENCE TOP VIEW ^ 3/8 Bar � �� � 4��Blocks 8�61ocks I/4� 0 Pencil Rod Beiow Top Caurse Of AIl Fences � 4�� Concrete Block Fence With 8�� Pilasters. One 3/8�� Verfical Bar CQntinuous From_Earth'ooth Thru 8-rPilastei.--*- - . 3/8�� 'Ve'rtical � Ties.� 2� Long HQoked In Footing,.And Grouted In 1 Blocks "4�°'07C_ Maximum. �rovide Cleanout� And Inspection �Hole • At•=�-Pilasfe�se ? ...._......'._6N� ., .... v �..+:J7:.�4 j� � � - i � i - ' ' i Y...... ,.,.._ ...-... -.,,m......_ ....... � - � � � I �� � I ' I , . � - I I ', ; _, �, , . N . _ � .�, _ _ :� � i ��GENERA L- NOTES" MORTAR: One Part Plastic Cement And Three Paris Sand. 6ROUT: One Part Cement And Three And One Half Parts Sond. COPING: One Part Cemenf, Three Parts Sand. CONCRETE Well Mixed 1:2I/2, 31/2. Maximum Oi 7 I/2 Gallons Of Water Per Sack Of Cement REINFORCEING STEEL SHALL CONFORM TO SEC. A-15-39 A.S.T.M. ALL STEEL TO LAP WHERE SPLICED, 2�-0�� MINIMUM. GROUT MAY BE POURED FROM TOP OF FENCE IN CELLS WHERE o . o .. , �, o .� �� . � NATURAL GRADE-� �� �"�'.'�� ''�' "��,�' �i�.:o,o >•,:�.0; �o . �.'e. ; oQ� �o,; : tip t �.0, p�, VER7ICAL S7EEL OCCURS. HOLES 'N , � �•a•, - �`p } . ,,' c�!i �1.T ; ._. P„ o.'. o^.. v��oc i �-v���� ��n.�n, t SHALL �BE. C�EAR, CLFAN , AND �•>r�o: "n v "< ."v.. � i'.1 c'.e'v; "•'b..o->.;�� lo-.l: ¢.b.. .0�° . +FOR WIDTH SEE CHART ;p1;o�e :.r ef''.v'�,1b0_����;A���'_)`�..o:a ,�t :��b o FREE OF ALL MORTAR, DEBRIS, —_ — ' —_ _' _ _ _ 1 d�'�•'.. Yf—_� i•., ��rr I°'y o':j -- ECT. WITH INSPECTION HOLES �0-i�� TO 16��O.C. MAXIMUM � ��'� � TWO 3/8 BARS CONTINUOUS lol �:+I " I ` ' I�an�i AT BOTTOM. BOND SHALL BE � � �^������i :'� �b',,�v�pi PROVIDED BY LAYING BLOCKS FENCE MAY VARY IN HEIGHT i�4 ��' DEPTH OF EARTHTOOTH I/3 i�_���P`i IN STRETCHER COURSES SO FROM 3� TO 6' I!;,•:4'I �,,:av,Ui i,�o.�,i THE HEIGHT OF-FENCE ��ic��I...i THAT VERT. JOINTS ALTERNATE �'� �'e� BELOW BOTTOM OF - V i:•:/La�i STEEL MUST BE TIED IN PLACE ��m .'� FOOTING, la,nn�y'i �N EACH coURSE. AT TIME OF TRENCH INSPECTION L'�� � �L�/p rJ� � 3�� CLEARANCE FROM BOTTOM �-�--1 SCALE� IIZ��= I� CHART HEIGHT. . .. . . . . . .. . .. .. . . .. 6' .. . . .. .. .. . . .. . . 5�.. .. .. . .... .. . .. . . .4�. . . .. .. .. ... . . .. . 3� � � W I DTH . . . . . . . . . . . . .. . . . . . .. 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 OWNERS NAME: ����_ �����/"T� _` ___ JOB ADDRESS� _ �_ _ �� _ _ _ _ Building Department PERM�T NUMB �(�� , � ��' SIGNATURE:—� ��� 1 �j'���.,t����t'�, — — — — -�-��11�-,I�— "— �' — — — Porm BU��-2M-4-61 5-BP �H�-�•��j�`'' �L City of Cost Mesa Buiiding Rept. � BY �.,.�,.._DATE �ZI�'� 19�� S THESE PUNS MUST BE ON J08 AT ALL TiMES \�.� MAKE NO CHANGES WITNOUT PRIOR APPROVAL V� OF DEPC. THE ISSUANCE DR GRANTIYG Of 0. PERMIT �3 APPRQVAL Of PlAyS AND SPECIFICATIONS SHALL N0� BE CO,�STRUED TD BE A PERMIT FOfl, OR AN NPPROVAL Of, ANY VI�fATION OF ANY OF THF NfiOV;;fONS DF iHiS COUE NO PEn^MIT PRE SUidING TO GIVE AUTHORITY TO VIOfAiE OR CANCEI THE PkOVIS1��VS aF THIS CODE SHAII 8E YP.L10. E�C'cPT IN SQ PpR AS THE WORK Ok USE WHICH IT AUTHORIZES IS IAWFUL. STRUCTURAL APPROVAL ONLY SEPARATE PERMITS ARE REQUIRED FOR ELECTRIGAI, PLUPA31i;G, HEATItiG, VENTILATING AND REFRIGERATION WORK P�p�ss� # 8- S �� q_ I THIS r�u,n3�R t:�i'ST f+CCOMPANY ALL INSPEClI;ii•1 RFI�UESTS FOR BUfLGc, ��S t:r+t+�E ?cRSONS ARE TO BE EMFLOYEO, 1NE SU6'GESI' THAT TNE STATE OF CxL�F07NSA DIVISION �F INDUSTRIAL SA.FeTY BE CONSULTED FOR THE lSSUANCE OF A PERMIT BASED UPOI1 PLANa APIO � ' ppDVTIONP.I REQUlREMENTS. SPECIFICAT10�5 SHALL NOT PREVENT TNE BUIL�IYG 9fPl''fA' ""'"` - fROM THEflEAFfER REQt11R1�G THE CORFEGTIO�� CF C:2RO.;S I --- IN $AID PtANS AND SPECIFICATIONS OR FRGM PREVENTING , BUILDING OPERATIONS BEING CARRIEO ON TNEREUNDEd WHEN � jN U101AT10N OE 7NIS COOE OR OF ANY O7HER OR�INAN.� � iFIE rai% � ti W W ¢ ti � �' �� It , : Y � RESf�ENCE �p /{NU � � U I �� A 1� . �0 L� �i �—_—..�__s r � � , V� i�,� � < T �" �o� Inspect���s , ; ; +; i,� ..a rK � o �. � -a �, L � .� ` � , L,.+ �. � tt� a�x ����� pp � STA MESA pLANNING DEPT. SUBJKT TO 81.DG. DFP7. YE0. p� p{/WNIN6 COUNI7 OF ORANGE BUILDING DEPT. _ 636 No. Broadway � Santa Ana� Califotnia Phone: KI 2b211 Application for Building, Permit AND FOR A Certificate of Use and Occupancy Permi[ No._:?.l..�A__.�._. Date----`--"----------1..'`-�. ._�.. ��--------"""-- �/ ,f '� .� . ,, 1. OWNER'S NAME -r�/.,!�I%:.- C'-1�(.�.L..I.%...._ �L. <.._?.f''f�LI. - _......_......... - - PHONE:�r��zQ:._:.�.���.�P MAILING ADDRESS....�-J ��........L. /1l.i�i e� ......�,�-: - - � - .'. - - .-.- CITY..�/�:�. T:_._../.1.. i.Z1 Q��--C�ci / �, 2. 3. 4. i. 6. Name 111....C.Q. !.'./ ...._!_1..v. t F.�..� -- - -`- — -- /.... ..... /(Architect or rFSn ineer) AdcJress _.Z..�.K? l � � �l�.C.<. �...�._. - ---..._.__... ..___._..... (- L �/. City �.J-C.�.�--- .Pc�(G_/!_...�.-�..d..li(.�-.....- State �i � �� Lic. No.----------------__-----.._.. Phone.���:.--J--�-�---..... Namc -------.....-------.. Address . City. ----------''-'---�-------- State Lic. No._ -- - - - -_........ (Contractor) Phone. YROPOSED USE: .-.-C�7..4L/C,��LC) G{ -._ �.C-I.�L�(.O%% ----- =`� - .....C'..d'1 S� - �C.r�./..Gj'r - -.... -- --- -- 7 l . (' /, , TOB LOCATION--....��-Y - -..I-�(/GU..�../."---+./ �- -- - - -- - _... - - 1..�,��I�.� - E�..�^�r_�.__�. /.�:.- -- - (House No.) (Name of Street) . . (Town or School Distritt) _ LEGAL DESCRIPTION: Loc....... jr � .....--- - --- -`.`--Block . - -- --- - - -- - - Tract.--�� �� - - -- - (Metes and Bounds Description—Use reverse side oi 4orm) ' . CORNER LOT ( X) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) - �vx > . L ,,II, SIZE OF BLDG.:-_�...�.l�/...--_AREA:.....�'�...� �_-----_.-_.SIZE OF LOT:--- �-_ ---- -L..1s.I-:�-AREA:..J.�-�I.D.L�_A.� , . ��`/ HEIGHT OF BLDG.:._�Si��...� .............._CEILING HEIGHT:..,_,Vu�f(.:'•�'......NO. OF STORIES_...._.d/�,I_�'�..__. 7. NO. FAMILIES..........�t%�.�i :.._...........Size of Smallest Bedroom:��........__.._............ Size of Kitchen............ 6. EXTERIOR WALL CONSTRUCTION:I�U�� �C :._.��CC_K ___INTERIOR WALL COVERING.{/���r.�S.C. �.�'k✓Il.<-1. (Frame, Stucco, Etc.) . ; . . � (PlasterDrywall, ECE. � .. , � /� 9. SETBACKS: Front Yard From Center Line of Street�...... 5.��.._.1��1.e.�...__.._ Fi:�.,.:j�......r�iC.u�%:.. �.Ln.S�_.........__ � i ! � . :v •' � , � l Nearest Side Yard--:�.-..0 , g . .........Rear Yard.......:�.:�.........Distance in Fcet Betwccn Bld s on Same Lot...._ � ................._....._.... 10. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. �1 �/ . L, „ �/� f i� ll. For (a) Footing: Width...`_Z..__....7._..I.1....Ir'Depth in Ground_..._...-l/. --- --jJ...----- � Width of Wall--�-- Accessory „ � j � //, / . Bld s. and �� �[� � // �� � � g (b) Size of Scuds:--�X.-Y--�u.Y�!Spacing----_I.-V---------------"CC Material of Floor..�Ls,S-lt.----�--J"7�✓f''�l.UJ.00� Similar Structures: �� / 9 . / c Size of Floor oists:..�....%� :k ......................S acin 1� "CC ( ) J - p s-- - - --- '�[�'' / „ : • �d Size of Ra£ters:........Z.... �. W ��� "CC' ) ...- -"------------------Spacing---------�--------.._.--'-- 12. VALUATION OF PRQ�OSED WORK: Intluding all labor, plumbing, elcctrical wiring, heating, fire =prinklers, painting and sewage disposal �^--31? d...-'------------:---------.... 13. ] HEREBY CERTIFY THAT TO THE B�ST OF MY KNOWLEDGE ANll BELIEF THE INFORMATION ]N 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:�I//�)-�---...f \_f.�.T-�'�,/1"t �LS�1.=---.,� -Jf.../_.-�'f�Y-v��c'�-c------------- /� �•. � (Owner) Plans Filed:...�..L. . ��..:...���.......- - --- -- - - ' By: ...........:......... .....'..'..'_.'__.._..._.__..__..._'. ' (Authorized Agent) , FEES: � G Bldg. Permit ' $---�-o------.......--- Plan Check - $.. �...-o � Total . , . �'-/S/ y - - Receipt No. • .. --.....- •..-- - - Paid to - - _ - �/`1�--- ------ Date ....__.. - •� -_'Sr.I..J.�.._`..3�... DATE._...��..���...:'�.� �- - 6 M-N-'vt FOR DEPARTMENTAL USE ONLY GROUP. ��/.._. --- -- - - TYPE---� --- --.... DIST, c i /'1 4� MAP......- --------- �- -..._........ SHEET NO.-----�-------------- � GH_���_�C../K1Nli BY APPLICATION...��"'(..!;� HEALTH.......__....__.......__. ✓'� FIRE ZONING.... - .......... - PLANS AND MARSHAL....._ ..............,... SPEC'S- -- _ .................... STATE- ....------- -� ..... CORRECTIONS ENGINEER VERIFIED -- ----- -- CAL.-- ..... -- - ---� - - p� ]q� ��j'1� . ['. COUNTY GU.LD:NG �1�. . L���rv:��L� t;vsr�cTOR -� ' ' _"""_ ""'Y"" _'"'_ _'"'"'"_"'.........."' .. ..........."'......_.. __ VG! V 1 V' .,Co,sta Mesa Building Department�44� PPLICATION FOR PERMIT , 117 EAST 20th STREET � B� �� � Gi � �" �� COSTA MESA, CALIFORNIA � FO� APPY.ICANT TO FILY. IN �--� ��IZ Og'&'dCE �TS� ONLY ; r Receipt,No._ . Permit No. Building �C'! �i� %l/G'�h''J . �SIHT/JCdl6' ' __ " J �� 1 Address cl.J Costa Mesa, California Receive by Date Rec'd. Date Issued �..�zd-�(1 ,���0 _ Nearest CrossSt. Building � Address Owner � '. Costa Mesa, California Mail yJ y /��QfJ%E� (`/• . Address (� C1 Nearest - � ^ �' Tel -- Cross St. . . AfChItECt 01' Engineer Address Contractor Address , No. � . Lic. No. �nttacn meces a a esaunas� i- -..c �f S No. of Idga L Size of Lol� �J V'� / 7J^ I Now on Lot Useof No.of No.of ExistingBldg. %()�'1�(.i Famflies�l Rooma Setback Line from /: _ _.r . Rear Vard S��I Exterior W; Covering Use af New IiG� �.�.vr � �r�c 1 � .�ry�N/ Plans Date COYtRECTIONS r i-� � ,b cdL �r' I coveri�y �,Q/rp�. APPROVALS � ���_ A�— Foundation Lxation Inspector �'-�'�`'" Forms, Materials, -� Under-Pinning - . Frame: Fire Stops, � Brecin9, Bolts _ � I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building co�J t�ruc�ti�on% 9 � O/11 /� Signatureo(► ,l./"'�j_ " /1yJ �//i},_ , Valu.ation rermicree 3 3 60. �` Plan Check $ Total Fee FORM 204 G•H SM 5-54 .. J �� FI Ext. � Date O 9 � Z D r