HomeMy WebLinkAbout1990 FEDERAL AVE - Building Permits '` , Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations.
CITY OF COSTA-MESA -PEWIT N TRACT NO. LOT NO. BLDG.NO. ! - - 5275 4/30/82 - '5,00 I TL'
•£ONSTRUCTION PERMIT P-33?o- - ' 1
Project Address ,t 9 7Q .�Eop-pp " vus ryp TYPE OF CONSTRUCTION - .
Owner '` ufry I,M.A4 j /� Phone5l•{Fygqa7 0 NEW 0,ADD 0 ALTERATION - • • "
•
Address not b T E L RVa, ❑ REPAIR 0 CONVERSION .❑DEMOLISH
, ZONING REGULATIONS -. 7
, t
Arch/Eng. - - ' 'License No. 0 OTHER .} -� - - . . - ..
_ DESCRIPTIO OF_ y(ORKY�(/Era lw(�)l Y A.P. • _, f
Address - -- 1^ "_ yy`pA( • r ZONE PLNG:REF. #
Cohtractor/� e5 f1�Vm�l�.�( t�-(- crPhonerj�Z4� T PE OF PE MIT • . " - BUILDING P'R BVEI DIr.LG
�r�r F' SETBACK C/L$T. OP V INE
Address l72TR�AA>K Ave���LxI'('�[:/�(�j(�Vf IaGRADING ❑ FOUNDATION ❑ STRUCTURAL LED TVARD --
LICENSED CONTRACTOR DECLARATION /J.�1��1••� ❑ TENANT 0 ELECTRICAL .UMBING ❑MECHANICAIJ SIDE YARD . . - -
I hereby affirm that I am licensed under provisions of ChdlTdrp'(Epm- RIGHT _
-mencing with section 7000) 'of Division 3. of- the Busihhess and 0 OTHER
Professions Code, and my license Is In full forts..., and effect. REAR YARD(TO P/L)
Llcens Class D(UrY1C3)tU C-7•)( Licen eNo.` • Si - PROJECT DESCRIPTION . •-
''�2211 pp __ -SQ. FT. PKG.SPACE f3ED. PROVIDED
Date�T/X18.? Signal ul'< r _ �� - I, STREET WIDTH PARK FEE$.
WORKERS'COMPENSATION -�'A� I•N " -J. OCCUPANCY •_CONSTRUCTION TYPE - . -
I hereby affirm that I ha e a certificate f consent to self-insure or a yVALUATION - - ZONE ZONING APPROVED BY _ DATE
`certificate of Workers' C pensatlon-Ins ce, or-a certified copy - - -- -- - - -
thereof(Section 3800, La .C.). -�- . - GRADING CU.'YDS. ACRES SPECIAL CONDITIONS: .
•cy No. 'Compan'Y( - r-c.'YYInr� _
lertlfled copy is hereby furnished. - - - - - - REMARKS: , - '
Ecopy is filed with the city Building Division. f/ 050,. - ,�, /t I
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Y 14111-1! ul /V`(/J '
(This section need not be completed if the permit is for one hundred . _ .
($100) or less). - -
I certify that In the performance of the work for which this permit is _ _
issued, I shall not employ any person In any manner so as to become. PLUMBING PLAN CHECK - - - ELECTRICAL ' -PLAN CHECK -- -
.subject to the Workers'Compensation Laws.of California. _ _ tLLINL. - - UMHMUE --- -
-
Date Signature' a BATHTUBS SHOWERS �# co FT
NOTICE: If after'making this declaration, you should become subject TOI LETS • .• .. URINALS __,—�,�-���t Ga ERATOR 0-1KW_1-10 KW -
to the Workers' Compensation provisions of the Labor Code,you must • • TR•NSFORMER
forthwith complywith such provisions or this permit Shall be deemed LAVATORIES •• B ,LA 5 ef - as t AP'LIANCE 10-50 KW=50'+KW
revoked. ._:___ _ _ ._ _ __ _ _
KIT.SINKS HWAS' E•5 n""`• ORS ' 0-1 HP_3-10 HP - -
CONSTRUCTION LENDING AGENCY 1 , F
I hereby affirm that there is a construction lending agency for the per- SERVICE SI K MPS `%-i c 'p - -ON* SOLAR) 10.50 HP 50+HP • -
formance of the work for which this permit is issued (Section 3097 - ^• - •
'Civ:C.). '" - - - -- - FLOOR SIN ' • -CIFLO:R •RAINS FIX RES OUTLETS - SWITCHES - ..
_Lender's Name _ _ - _ • _ _ _ _ _ '
Lender's Address v DRINKING F•UNTAINS - G S UBE SIGNS '"
'OWNER BUILDER DECLARATION - • • INTERCEPT•'•S - CLARIFIERS C{;' -• LIGHTS --' - - ' ' ' '
I hereby affirm that I am exempt from the Contractor's License Law for
'the following reason'-(Section 7031:5-Business'and-Professions Code: SWIMMING P•O f P-TR8E- :;,,,...•� • Ls l OUIl lk - . _ _ _ .
Any city or county which requires a permit to construct, alter, �J�}N�.t" POLES METERED SUB. '
improve, demolish-or repair any-structure, prior to its'issuance,-also re- -WATER SERV• E -! ERATION "` PANELS - MAIN - 'SUB -" -- - -'"
quires the applicant for such permit to file a signed statement that he - - - I
'is licensed pursuant to-the provisions of the Contractor's License Law - AS SERVICE OUTLETS SERVICE
G
(Chapter 9 (commencing with Section 7000) of Division 3 of the r•� .
'Business-and Prof --essions Code) or that-he Is exempt therefrom and the 'WATER HEATERS BTU OUTPUT '"2- W - -- '
's for the alleged exemption. Any violation of Section 7031.5 by
applicanC'for-a-permit'subjects the applicant-to'a civil penalty SEWER CONNECTIONS -" " . . -
at more than five hundred dollars ($500). - - '
.V I, as owner of the property, or my employees with wages az their SOLAR TANK COLLECTORS - - .
.sole compensation, will do the work,and.the structure is no[ Intended- _ _ -'
or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - - - - -
-Contractor's License Law does not.apply to an owner of a property _ - -� APPLICATION APPROVED BY - DATE -
who builds or improves thereon, and who does such work himself or ISSUE FEE '
.through his own-employees, provided that.such Improvements are not
intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES_.• -
-
-
_ _ -
is sold.within one year of completion, the owner will have the burden
of proving he did not build or improve for the purpose of sale). BUILDING- -
-❑ I, as owner of- the property, am- exclusively contracting with HEATING SYSTEM 0-100,000 BTU AND DUCTING - PERMIT $ SMIP ,$ -
licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK $ PERMIT
and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ -
an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ -
tracts from such projects with•a•contractor(sp licesned pursuant to SYSTEM - - - - - • - H - GRADING $
the Contractor's License Law). 100,000+BTU PLAN CHECK '$
o I am exempt—under Section- B.& P:C.for this BOILERS BTU ELECTRICAL $ $
reason- - -- " - - - • PLAN CHECK $ - ' MICROFILM $
SYSTEM REPAIR,ALTERATION TOTAL FEE f
Date - Owner - MECHANICAL $' - $
I hereby tify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - LESS'AD- - _ 1
informati is correct. I agr a to comply with all city and county - - " PLAN CHECK' $ -' VANCE PC $_
_ordinance d slate a s_rela • construction,and hereb 'authorize
representat of_ t t''. ci y I (gent ryn the above entl•ri d �" 1
prop rtsL fo tin p c i. _•ur•os s. G (�
Sig lure /�
• - ISSUE FEE - - - - - . . ,
CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting:Goldenrod-Assessor
ti
CONSTRUCTION AND PLANNING ` POOL&SPA" -- -
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole • 43. Pool & Equipment•Location : • - "-- - ;
2. Soil Pipe-Undrgrn 44. Steel Reinforcement • - ---- -
3. Electrical Conduit Utility-Undrgrn - . - 45. Forms
4. Electrical Conduit-Undrgrn 46. -Electrical-Bonding •
5. Steel Reinforce 47. Rough Plumbing &-Pressure Test _ • . .
6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE .
7. Footings - 49. Electrical Conduit-Undrgrn.
. 8. Foundation - - 50. Gas Pipe, ❑Undrgrn,Test
9. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap.- ❑Undrgrn - - - .' •. . - - -
10. Structural Floor System 52. APPROVAL TO DECK - -' ' -
11. Property Sewer Line & House Connection . 53. Backwash & Receptor-Final •
12. Street Sewer Connection 54. Heater & Vent-Final _
13. Rough Plumbing - 55. Plumbina System -Final - . .
14. Rough Electric-Conduit - - -- - - - •56: Electrical-Final
15. Rough Electric-Wiring - - - - -57. Solar System-Final
16. Rough Heating & Air Conditioning b8. Fencing &Access Approval
17. Ducts, in Structure __ _ 59. APPROVED FOR PLASTERING
18. Ducts, Ventilating + ,_«..,,-�• - -
19. Gas Pipe-Rough &Test • - "- -- _ 60. POOL/SPA SYSTEMS FINAL •
-
20. Roof Framing . - ' • . , ..""'^-- •
21. Roof Sheathing - - • ' • r
22. Frame and Flashing NOTES:
23. Insulation - -•. -
24. Lathing & Siding !. • - •
25. Drywall Nailing " ti'--•- _ -
26. Plaster Brown Coat - ' -• - - _ . , - ,
27. Electrical Power Meter-Final . - _
28. Final Electric -
29. Final Heating & Air Conditioning • - •
_
30. Final Gas Pipe-Test _
31. Final Plumbing _
32. Water Service-Final _
33. Gas Service-Final
34. Solar Domestic-Final
35. Landscape Sprinkling System
36. Sound Attenuation .
37. Handicap Regulations •
38. FINAL STRUCTURE & BUILDING
39. Special Requirements Completed
40. Electric Release to Edison '
41. Gas Release to Southern California Gas Co.
42. CERTIFICATE OF OCCUPANCY
No Date
OWNER PARKER, WATTRR DATE 7-28-77
JOB ADDRESS 1990 Federal Avenue BUILDING PERMIT NO. 44410
GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Legal ze Patio Feeinsere
A'' -0.33.5-481-03. LOT TRACT FIRE ZONE VALUE $ 500_00
II. !CTIONS Signature Date TYPE v GROUP j ZONE a,.l
s IL ' SUBCONTRACTOR PERMITS ISSU&D
GAS Date I Number ignature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE.CON. ❑
SPRINKLING SYSTEM
li MISCELLANEOUS
I ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
4 ROUGH WIRING Heating and Vent.
TRENCHES U FORMS El STEEL REINF. n
FLOOR SYSTEM
4,3/4.
�l BOND BEAM j1 'STEEL REINFORCE n SHEATHING
FRAME AND FLASHING^
LATHING — IN I J OUT n
PLASTER. BROWN COAT
S TURAL, FINAL Electric
H. .NG. VENT.. REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC. FINAL •
BUILDING, FINAL .. Pre. a -.Z,g.-).
444 QJUL 28-77PnrB003248 *¢**10.50
CASA
•
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 (1
APP4IC ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
FSC Y DATE RECEIVED D TE S UE
BUILDING /990 fT�.�,e.A-� I1-1 I
OWN h PERMIT NO.
OWN p .e A.P.NO. IIJ � O/
MAI 7/Cf
///j BUILDING /^ I
ADDRESS 1 /1 [ kie,�Qi 6,, Q� ADDRESS' O r��tg�(JC. �(�
CITY �ST lifts a, N 9 /4 0 /JL TRACT ( 2l.Z LOT I/ BLOCK
CONSTRUCTION NEW APP ALTEF'{ REPAIR MOVING DFMOI ISH
LENDER
BRANCH
OWNER (il4C /FQ 19/ n(
ADDRESS /f•z/)es
// '�yy��ts 41 4/Jr/CPO
��,4 �fJa
VALUE `sV'/J
ARCHITECT TEL. USPL /2C /Jr //CPO $
OR ENGINEER NO
FIRE
ADDRESS �/j//J�/[' ZONE TVP GROUP
I/:2 /Ienhe_ BYPROV(jLa
CONTRACTORBY DATE1 �sj//T'
ADDRESS ZONA? NO.OF USE OF NEWL GZ�
TEL. / PLANS 2 BUILDING EW J 7 p
CITY NO. ( c r/ /til. //�G
F STATE CITY YARDS APPROVED YARDS APPROVEDatt.
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
(y SIZE NO.OF BLOCS. (FROM C�/.tL724,0/$49
STR��E STREET/ ,//�I
I], OF LOT ,NOW ON LOT FRONT 477,0/$0 FT.
G USE OF /
cn EXISTING BLDG. _ R.SIDE ` 0 FT. FT.
FSeparate permits are required for L.SIDE 0 FT. FT.
electric,plumbing and heating work. '-�
G REAR -2S FT. FT.
L, US OF BUILDING AND WORK TO BE PE RMED DISTANCE BET. BET.MAIN&
X ( ,,a/ire/rj MAIN BLDG. ACCESS. SLOGS.
VAR.#
DATE
Fa - --5 9-a i(� C U.P.# ,,LL ,,,, APPROVED
�f (� APPROVED '_ • 2-2r
2r 22
). - �Y t�r� OATS
Cg
O.
O I hereby acknowledge that I have read this application and state n
n
W that the above Information Is correct and agree to comply with
0w all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of /f m
SSW the State of California. r`///�.�
w
SD. FT.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UN1�FA ALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTAB PERMIT F O[tl �
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ aaYY
and Prof-ssl•• Code, Division 3,ili ter 9. N
Signatur , / / / /7/s s/ PLAN CHECK $ a
I TAX 3 U
44
Authorized •sent U
TOTAL PAID E ��'
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636 North Broadway
isa - s SANTA ANA, CALIFORNIA • BUILDING
. .. 4
FOR -APPLICANT TO FILL IN FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
BUILDING
ADDRESS 1990 FererAl Ave_ & H 3 6. . - '/a' 32 f
SCHOOL DIST. RECEIVED BY DATE OF APPL. DATE ISSUED
OR TOWN =
NEAREST 4 a 3.-j;3 � ✓
A
CROSS ST. 19th.Street ^
' UILDINs re _/ /
OWNER ALEUT HONES INC. ABDDRESSG ./ I e r
MAIL SCHOOL DIST. ett ��y;;�It� � �
ADDRESS 9363 WILSHIRE BLVD. OR TOWN %//�1[rj. '
TEL •
CITY BEVERLY MILLS NOCR. 54361 NEAREST /.j 79 ._s •
CROSS ST. 7
ARCHITECT OR TEL. ZONE NO. OF TYPE I GROUP
ENGINEER CAIN & MCKE BRAC HER NO. SY 64891 .!_/ I PLANS
I —' I — :.�
•
ADDRESS 2110 E. WALNUT ST. .PASADENA SETBACK LIN F O CENTER OF ST. SC•//
TEL.
REAR YARD t A-}SIDE YARD �T 11 t�1; _
VTRACTOR NEWPORT V I STA CO.1:01-.. CR. 54361 APPROVED
BY • . DATE i
ADDRESS 9363 WILSHIRE BLVD. .BEV.HILLS
CORRECTIONS
LEGAL - -
DESCRIPTION I LOT NO. 19 I BLOCK 1 712 • I I•
(ATTACH METES 8 BOUNDS/ _
TRACT •
SIZE OF LOT
67 X 110 I NOW ON LOTS 0
USE OFNO. OF NO. OF
EXISTING BLDG. I FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW I X I ALTERATION I I ADDITION A
O
REPAIR I I MOVING I I DEMOLISH I Z
BUIDI NG63'5 x .38r ROOMS 5 STORIES 1 r
SIZENO. OF
WALL ROOF COMPO
COVERING STUCCO I COVERINGSHINGLES
USE OF NEW
BUILDING RIIII RESIDENCE
• `al - --
APPROVALS
FOUNDATION: LOCATION INSPECTOR -DrATE` 11
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS,
-� tit SC3
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. C/ Jr-oz
BRACING. BOLTS d d
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. � 5,[J
LATH. INT. . .°.--'9.'"��//..ryry //
SIGNATURE OF NEWPORT VISTA CO. LATH, EXT. /�'��"l_J '/ ) 17(±
PERMITTEE PLASTER. INT. /T/(/C 4-/4C33
AUTHORIZED AGT, J
PLASTER, EXT. ///j[/�p n %' J "✓4".'S
$ 4830.00 P. C. s . MASONRY REINFORCED
FEE j 2,
S BOND BEAM
VALUATION 4/
FEE 1 FINAL z2 -iI'.�-3
.,.
. . . — . •C . ... . . . . .
' .
.. ' . ..... •'' '
. .
- ..., . '
Z su •
• .71 Z
• F
.---PLOT PLAN. '- .\ : - . , _ ..
- 0a:
om . 0 .
Q. . 1 - L
' , • -,. - •:.
_ . • , ... _ ... _
'... N. • "..-N
. . ...r.. I ... ..1.:.. : . r _ .
. .
..., '•,•,‘ .
. . .. . . .
,
.
. .
..,.... • .... , I, . .
. .
. '
--. - .. -.7„. '"i i _ .., •.I C.01....' \ s..
. _ .
, , ..... . . .
. -
f .
_ . .
• -J ,! • .1- • • .".
• . .. i
. i
—i ti
. r f •/. i - .
..... - .
. .
STREET, -
. : • ,.
I — , , .
. .
P D: T '
--, , • t '‘..'.: c... .
- \' 4 •
. _. .
. .
. .
. .
. ,
. .
. .
, . . . .
_ . ... . __......— . .
. .).- 1...:'. 1‘; :. v,:
1 .. . .
- -- - - •
' .• . . C...)• -i'. •"•
... .
. . ,
. .
ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
9` ' 636 NortBroadway
SANTA ANA,CALIFORNIA BUILDING 1
rFOR APPLICANT TO FILL IN / FOR OFFICE USE ONLY
Pi+• I • RECEIPT NO. PERMIT NO.
BUILDINGADDRESS )9 9 0 Fed.a-re -1 .
�-j�/� is9/�
SCHOOL DIST,�f - ✓ }/
OR TOWN Tn[ /1y.�Snrs Alt 4AL • ���(R7EJC/E�I/./V{'E��DJ BY DA E RECD. 2DATE ISSUED
CROSS ST. �0 /� '- 'G TLL Y 'Tl ✓� _ 7 .t /' _/ _',
OWNER LC)41 l 1 "� BUILDING
ADDRESS 9 1-�/A . /
MAIL
ADDRESS l 9 9 0 r'-e.d P. 12 a • QQ'� 'SCHOOL
RH OWNDIsr. Cej
!-,Ar. _�
CITY COC £7t !-/ �S NOL�ON V NEAREST T. pi' Yl
- ARCHITECT OR A � LIC. ZONE NO. OF TYPE GROUP
ENGINEER // D AI e_, NO. 1 I' PLANS i
ADDRESS
A PPROVESVA
uc./368D/ BY 1 DAT
NTRACTOR l-IR2o [0 /�f_ a_.on,/e/Z CORRECTIONS
ADDRESS / Nqp A.GET'
S 1 SANTA ANA Au& . RP e h •
LEGAL I LOT I �i -
DESCRIPTIONNO. /7 BLACK I TRACT ) 2
(ATTACH METEES/@ BOUNDS/ NO.OF BLOCS.„
SIZE OF LOT
In (c-)c, I I 0 1
NOW ON LOT /
USE OF Awed , my I NO. OF I 1NO. OF5
I.. EXISTING BLDG. FAMILIES 1 ROOMS
SETBACK LINE FROM; ) ( REAR YARD L
CENTER OF STREET / SIDE YARD 3
DESCRIPTION OF WORK • p
yy
5
NEW I./( 1 ALTERATION I I ADDITION I Z
D
REPAIR I I MOVING I I DEMOLISH I r
BUILDINGo NO. OF
SIZE .2. X ROOMS /
STORIES” •
EXTERIOR WALL �.y. I ROOF /04eha I
COVERING \ (yc C.0-G. COVERING c/$ (AIN ie
'E OF NEW .. .. -
'ILDING
APPROVALS
FOUNDATION: LOCATION INSPECTOR I DATE
I HEREBY ACKNOWLEDGE THAT I HAVE•READ THIS FORMS. MATERIALS. ' ) -
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING �'� 3 J cfl7
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRS STOPS, < !' d )qL^�?CI'
BRACING. BOLTS /G.•'Y' /
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
/ ' .f�r t'• LATH, INT. �,. 1 (7l
SIGNATURE OF i . e 1 ILy I y A LATH. EXT. .lam- �/ J/I SVT
PERM ITTEF ,,���j` \����"KW/\�""•\ �Q '
AUTHORIZED ACT. h?i /`C. --ik;(p./ PLASTER. INT. �, ` /
PLATER. EXT. - sag J •� �3V�7
{{�� PERMIT FEE S 6 MASONRY REINFORCED
VALUATION $ RVO .T'')
PLAN CHECK S I
BOND BEAM - �,[
. - FEEAL ; 2 . FINAL 3---? `'`- '
1014 7.20-53
. .. . . . . .
•
Z
7.i , " (0. ---'7.-- - --- -, - • '• , A
z The
3 - -FEB
, sr. . • --t k% C.%% ' ‘
CC ,
• " 11. . ,
ilAJD c• • " .
• 1
, .
• j \ 7C)-(-- . . . . . . .
• -' \ ....H.• -. .
• ..•
. , ,. •
. .,
. , .
.. . - .„•
. . , .
. .
• . . .
1
. .
STREET .
. .. ,
. - . .
. .
PLOT PLAN ,.
. Show location and distiinces from .
property line and between-buildings. .
. .
. . . . .
• .
. .„
.- . .
1 ...• -
: -
Do you carry Workman's Compensation
- ' Insurance? Yes El No 0 - . _ . ..
. . .
I am aware of Provision 3700 of the State .
.
5JabOr Code which requires every employer-
to be insured against liability for.
workman' s compensatio• .. : . .
i _ ._ .
signe • Alie .mir# .
. X
• 2?_473
COSTAMESA BUILDING-SAFETY 1200 COSTA FDEPARTMENT FEE RECEIVED
92420
dUN 1 7 1884
For Applicant to Fill In Completely APPI1 1t 1I! 11 FQuipRMIT
TYPE OR PRINT
R 1!1t' aIRFj•SQ1
BUILDADDRESS NG // / (7Ccl NQ qi
RECEIPT NO. PERMIT NO.
COSTA MESA. LIFOR/NtI/, ci '``// 73
"/ � n" / eiti rr7 C:a'+ REVD u CM weauoeD
OWNER rl'ienr Ey )v tnl�•hsaveot-S/!i ^"�� rif/ (6 � •
MAILp f ( FUILDING/7yy
ADDRESS 1 / O �O rd P�l�'L ADDRESS /o /(�/ LC..
FIRE
CITY +4+v`A?C�) NO. ZONETEL. TYPE 1 6R0
APPROVED
HITECT Q TEL BY tICTE
_NGINSER �• i\UDILS1/GN NO.
O
ADDRESS S < It/t 2 U ZONA NO.OP uEE o1 NEW --O- .0
6entNS 6/ut114- !/L ) I I USED N
CONTRACTOR L� �_��///_J�I /, "FP—.
n —JN
/� �/ / DESCR Nay I`7 T,1'—• 1 "7/ Y
AD4RQSS/97.---
e "L7 [//tel 01//!(Pe drx / r DEicnlmo // c/
CITY S,_.be eyc; / A.P.NO. /.75---- 4/ (J I
G NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
LIC..NO./ATE h i-YU7O NO. y��43a / 30"TO SIDE e REAR P.L.
VES
Wt
f / I NO.OFNLOOS. ALLOWED (U.B.C.REQUIREMENT)
OF LOT (.9 7 T L ( 3 1 NOW ON WT
YARDS APPROVED YARDS APPROVED
USE OF EXISTING BLDG. ()a S
MAIN BUILDING ACCESSORY BUILDING
(FROM C/LqS-T�R�EET)
SETBACK LINE FROM FRONT (,[ASP. '/ -° 70 FT.
, CENTER OF STREET REAR YARD
-
BIDE YARD LEFT RIGHT R.SIDE /Orr. FT.
DESCRIPTION OF WORK L.SIDE -OBIT. 6.j'..
✓� REAR �SSFT. FT.
W _ ALTERATIONADDITION
DISTANCE BET. BET.MAIN Q
REPAIR �MOyINO __DEMOLISHMAIN SLOGS. ACCESS.SLOGS.
BUILDING
NO.OF YAR,# DATE
SIZE _ROOMS STORIES C.U.P.#
APAPPROVED
EXTERIOR WALL ROOF Pgpy6D //
COVERING I COVERING _ BY �1/ •/f�l a . PATE 6, -/7-{7/y
a
USE OF BUILDING AND WORK TO BE F i
01
//P&p Bo.FT. (7.21// Vim/ O
I HEREBY ACKNOWLEDGE THAT I HA • • THIS APPLICATION THE AMOUNT SHOWN UNDER ELATION IS POR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PURPOSE OI ESTABUSHIN A PERMIT FEE ONLY. R1
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
PSG UGTON.
SIGNATURE OF [ g PERMIT FEB $ J.
PERMITTH6 /�
$� OC:� PLAN CHECK $ w
AUTHORIZED AGENT
TOTAL FEE $ J.er,