HomeMy WebLinkAbout245 CABRILLO ST - Building PermitsCOUNTY OF CRANGE,
BUILDING DEPT.
636 No. Broadway
Santa Ana� Cali£ornia
Phone: KI 2-6211
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Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
Permit No. �_�_i_ �-�----
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1. OWNER'S NAME--- �-�" —��� ����-��-------------------- PHONE:.QC_5���_af'�/ O
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MAILING ADDRESS- '�- � � �7-=----- ��tc%o-- �u-C.•- ----------- - -- -- -�L 0��---
----- CITY _��G%---.-
��t'fTJ�L.C��----- --- Name._.Y.l__t`�-�-�----"--" 7 �-----""--�T"--��=-=R"�-----------------
I\ame __...._____..______ .___________.____
___.___
(Architect or Engineer) (Con[ractor)
, � .
Addres> --------_'--. -. Address __^ . � , �� �c�.._---4'-^-e:-,e�--{,?..---------
- -------------- --- �-r --
_ ,� ,. .
c�tY -------- --�-- - --------- - ------- - - -- c�tY -- �'�'-��_�.��.-s..�.---- -- - ----- -- ------
State $tate
Lic. Na. ----------�� ------------ Phone ------- Lic. No. ----."-------------"..----- Phone--------------------'--
PROPOSED USF: -- �O��G'__,��'_.—..__------ --- ------ ._ -- -- -- ----- -
c� C/ � Q � � '"/��" ���,,,j,, )��
2. JOB LOCATION.- tX... �'S ---- --- -- ---�1.Wrv4-c-ili�iU -S �- --- 'r^,nn'_L:_�'f-"-=�' -�-°,li
(House No.) �f'fLY d�Sw��N �� a8S�e6e1�QS (Town or School Disttict)
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3. LEGAL DESCRIPTION: Loc K_5_WraRT_-X.IS�---_-----. _. ock E�it_S.Lr��7�-------____--.-_Tract --------_-
(Metes and Bounds Descripcion—Use reserse side oE form)
4. CORNER LOT ( ) INTERIOR LOT ( 1( ) THROUGH LOT ( ) SLOPE OF LOT (L «)EL
f � J
5. SIZE OF BLDG.;/�_.l(.�Q______AREA:_3.20_��-/,.___SIZE OF LOT: y4_X-/,�.S�i.Q�.___AREA: �O__$6_Q______...__
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6. HEIGHT OF BLDG.:.__�L.______.____._____.CEILING HEIGHT:.__..._______.______.__......._. NO. OF STORIES.__�_ L__..___..
7. NO. FAMILIES _______._`-'�_�______._...Size of Sma�lest Bedroom:._____—�-. Size of Kitchen: _____....__________.____
8. EXTERIOR WALL CONSTRUCTIOIV:.S'_rv_GCp_ INTERIOR WALL COVERING..._____._.__________
- --- --
(Frame, Scucco, Etc.) 1 - (Plasrer-Drywall, Em.)
9. SETBACKS: Front Yard from Center Liae of Street___._1��______. _ _._______.__________._______._
/ G r /
Nearest Side Yarc(_�____________._Rear Yard.__.__G__._____Distance m Feet $etween Bldgs. on Same Lot___��..____._____._._..__.
1G. A COMPLETE pLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
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11. 'For (a) Footing: Width _.�.�i._.__________._____- Depth in Ground_%.�_..____....___.__. Width of Wall _�.___...__ _________
Accessory /�! f
Bldgs. and (b) Size of Sfuds: _�_x. ____.__...._S acin �Le__.Q..r..l__.._"CC Material o£ Floor.e_O_iY_�.��'_.._�"'.
Similar � �- P P---- -
Stn�cmres:
(c) Size of Floor Joists: .--------------------------Spating --------------------_ `CC
. i
(d) Size o£ Rafters: ._2:�-�---------- - -----'----Spaeing ----2-----Q-'--�'-�-------..."CC
12. VALUATION QF PROPOSED WO�K:—Indudiny aIL labor, plumbing, electrical wiring, heating, fire sprinklers, paino
ing and sewage disposal $.`r .�Ft� f_Q�_____.______ .
^ - ------�_.
1;. I HEREBY CERTIFY THAT TO TH� S�ST OF MY KNOWLEDGE AND BELIEF THE ILVFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORALVGE AND THE STATE OF CALIFOR[VIA APPLICABLE THERETO.
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• Signed:._� r �___________'__________________._______.___'_______________________________
(Owner)
Plans F:led:-- -----���--'�-�- -�~- (J------
BY`------- ----- --- --- -------- -- --- --- -- - ----- -- ---- - ----' --
(Auahorized Agen[)
FOR DEPARTMENTAL USE ONLY
FEES
Bldg. Pern,it -
Plan Chec}; -
Total - - -
Rcceip� No. -
Paid to -
$M-] SO
$•-
o�
� � GROUP_-._-_-�.
--1- -a� 1-rns -- -- -� - - --
�-1 DIST.
--- ---- -----
�_d FS �------ MAP---G--��--- --
G�_� %'�� SHEET NO._____S`____ _
G
DATE----�L_�-�-�- —��----
PERMIT
CHECKING BY
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APPLICATION_______._. HEALTH ____.
FIRE
ZONING.--�✓��- MARSHAL.------------------
PLANS AND t�
SPEC'5---------------------- STATE
CORRECTlONS ENGINEER
VERIFIED _-------- ---- CAL. ------ -- --------- -- --
�n' PUlLDING
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CO,UNTY OF ORANGE
BUILDING DEPT. •
636 No. Broadway
Santa Ana� California
Phone: KI 2-62ll
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L OWNER'S N
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� Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
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MAILING ADDRESS._-5._�_.._.._._..LrJ..__ _..____..
Name ....__-.-/v�„!1_�.___'_.___'.____".._._____.
(Archirect or Enginec:)
Address ___.. _,._
City-- -•----- - ---- '-_ ----- --- --- -----
$tate
Lic. No..-'-------- -----'�----------`-. Phone
,
Permit No.�-�r_�_�- -__
Date--lLl._._�-2'- l�%J.�.��'_--- - --------
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�r��„i-- ----------- ---- -�-- ---- PHOIVEX.Q-=-�-_/--�'tl� D
-- -- ----- - - ---�----�--- ._._ CITY _�it-�GF'tc- -�-���!'�cG .------
� � �P��.l�..�
Name_ .'_ _._ .....'___...'_'__.___.____...___.'_.._....'_"'__'_""'_________""___
� ' Contracror)
) pr � _ ;
Address ---p!�.0.-�'�i',---- - ��L.�� .._ f[..--==- �r ----'----
City -�CGlcC�L��C.�- --�C --__�^'�'(.�/ --'----'------ -----
Stare
Lic. No. .------ ---- ----------- ----- -- Plione.----------------------'----
PRO POSED USE: ---- - -�- �L,L.. I �-�'g--' ---------- - -- ---- -- ----- -- ----- -- . -- ----- --- - --- - - -- --- -- --
----"------
z. los coc.arro[v - 2.�1.�---- - - --C I.'_� !2�-� �' 1�- -- -5-7'----- - --- � ��'' ---m ES.__�.------- -- -- --------
-
(Hause No,) SE�Y• gQ� (Na �Yf S�r� a)E �OT /O (Town or Schoo! District)
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3. LEGAL DESCRIPTIOIV: Lot . N Ew-Png__-�} T�'--__--Q$Lock F1i�S71'istF-.___----_---_-_ _--Tract .___-_.-_---
----- --- - -
(bleres n�d Bounds Descripoion—Use reserse side of form)
4. CORIVER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT (LEG�L
I � N �
5. SIZE OF BLDG.:7.G._Xii--�--.AREA:-�I--el�--�-s`y��(---.SIZE OF LOT:�Q--%C—�3J-----AREA:L--Q--860-----------
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6. HEIGHT OF BLDG.:.I3�_�_��._._.__..______CEILING HEIGHT:____�P.�..___.._.___ ______.._.NO. OF STORIES_f.__._______..__
, .y /'� ir
7. NO. FP.MILIES ...._____.�----'___-______'-_------ Size o£ Smallest Bedroom: ID---TiL�-'--_-._ Size of Kitchen: �a-_-!1-�7---G_-'-_'--
8. EXTERIOR WALL CONSTRUCTION:-srUGCO ___INTERIOR WALL COVERING.__.P._�_A$7.��___..._
(Frame, Stucco, Etc.) � (Plaa�er-Drywall, Em.)
9. SETBAC;KS: Front Yard irom Cencer Li�e of Street__��"'-_'-"_..__--_-_--_'..._---'-_--_-----_--"--'-__-'----_.-.-------'---.__---------
/
Nearesc Side Yarci._�.��.`./_._________...Rear Yard...(!�___._______..Distance in Feet Between Bldgs. on Same Lot._L.�.�_____.___.. __...
IG. A COMpLETE PLOT PLAN IS REQUIRED, SHOWI[VG ALL STRUCTURES AND USE OF EACH.
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1 L For (a) Footing: Width __'�'Y--'-------_--__"-'.. Depth in Ground'_-.�.Z_-_' .----_.... Width of Wall _�---'-.-'--_---_'-
Aceessary „
Bld s. and �� �
Sim lar (b) Sizc of Smds: __2-ii.C�----_--_--'--.Spating_-L�---_Q..�.t__--"---"CC Material of FloorL.�-�`i_C-�-C.r+�--
$truc[ures:
(c) $ize of Floor Joists: -_--'--�.__...._.--_-------.Spacing -_'_..._� -'.` CC
-- ----- -----'--
q 1/ (
(d) Size of Ra£ters: _.��-G-------------'----'---.Spacingii-----Q-'---��--�------------`GC
12. VALUATION OF PROPQSED WORK: Induding all labor, plumbing, electrical wiring, heating, Eire sprinklers, painc-
ing and sewage disposal �_S� 6�_i_Q._�_.__.______________
i;. I HEREBY CERTIFY THAT TO THE BEST OF MY KIVOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECT AND THAT THG CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUIVTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed:—�-�-��---a--V d--_/_�!l_P ""'_""" ,.� � _ '
------------`=�s�.E_•A�-----------------------
_. _.. . �/ "� 7 _ !�/1 (Owner)
. . "__'._,_'_'__'"____<__"_" _"_'__'__' _
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' ____"_ By: _""""'__""_""_'"__'__'_'_'_"_'__"'"__'___"'__'__"___"'"""_"'"__""""'"___""_'_""_
(Authoriz¢d Agent)
FOR DEPARTMENTAL USE ONLY
Bldg. Permie
Plan Check
Total - -
Receipt No.
Paid ro
Dacc .............
9 M-'1 50
._ _<__�__.`__
GROUP_____..__"t_'
TYPE------._ .
---------
DIST.
MAP -�-r--'-�-��---- --
SHEET NO.------5----- ----
DATE ---------f- -r-�--�---�--�'S�- ----
CHnEC'KING BY
APPLICATION._.__v HEALTH _. ___.___________________
� FIRE
ZONIIVG.__...1�_%� MARSHAL
PLANS AIVD �\ ��
SPEC'5.----------------------__ STATE--- ------ ---------
CORRECTIONS
V GRIFIED .____,__
PERMIT ISSI�� �(:
TV BU�LDING
SPECTOR
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_-�PU�Y---_______ ._
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' F:AR 26-69�Hsa00 671 0��**�$.d0
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
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For,Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT
FECEIVE� BV DATE RECEIVED pAYE ISSUED
ADORE55 Z�S CRCi2l��o S�, �-��6 d�-Z6`6
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OWNER S NS �+•P• NO.
BUILDING
MAIL �7 � ��T/{ Sr ADDFESS 7ig"`7 CA-��j�ILL �T
ADDRESS L
TEL. TRACT LOT C BLOCK
CITV DS / ZS (, NO. .
CAN5TRUCTION W A� A' P
LENDER VV (/�� �
BRANCH
OWNER �� •
ADDRESS VALUE
ARCHITEGT TEL. US S
OFENGINEER�Q��%� �yP�1S NO.
FIRE
ADDRESS ZONE TVPE. GROUP �
APPROVED � � �-�G-G �
CONTRACTOR 3,�� � 1 (bp, BV DATE
ADDRESS Z'C O CO ZONE NO.OF 7 USE OF NEW ��. �OA�.
TEL. p�p,� � gU1LOING
CITV �A 3 No. S Ly'-osb �2 !� 1U
STATE CITV �'ARDSAPPROVED YAROSAPPROVED
LI4 NO. 3 S q LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E ��3 iO NO.OFBLDGS. (FROMGLSTREET)
OF LOT 0 NOW ON LOT FRONT FT. 3 B FT. L
USE OF
EXISTINGBLOG. ^/ON/(. E FT. FT
SIZE OF NO.OF
NEWBLOG. NON� ROOMS STORIES L.SIDE FT. FT.
EXTEflIOfi WAL� ROOF i
COVERING COVERING AEAR FT. '�'F�
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN 8r
MAIN BLDGS. ACCE55. BL fi.
i '� ' / ' J)/` � VAR # DATE
C� /,/� /J � C.U.P.# APPROVED
Ll�,�i'�/ APFROVED wL
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I he�aby acknowletlBa that I have �eatl this apP�ication antl 5[ate
that the above information is corract antl agree to comply wlth
all laws re8ule[ing building constrvction, antl I shall not employ
any porson in violation of Me workman's comp¢nsation laws of
tho Stata ot Culitornia. m
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I hereby certify xhat I am properly licensetl as a conttactor untler SQ. FT. o
the State of California Business end Frofessions Cotle, Divlsicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that sueh Ilcenses ere in full torce antl ettect, Or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON�Y: ¢
am exempt from the provisions ot the Stete ot California Business VALUATION
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antl Protessions Code, Division 3, Chapter 9. � PERMIT FEE 5 i� c'
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sienacure of , , ) � �— m
Parmlttae �_ w ��-� 5�Q PLAN CHECK S o
Authorizetl Agant y// 0 � LL
TOTAL FEE 5 U /
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 90X 7200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill in Completely
� M –9-69PA'—°00 683 0
cnsa *****5.00
APPLICATION FOR BUIIDING PERMIT
RECE EO aV DATE RF,�E�VF,D D?�TJE IS� E�
BUILDING � 7 G� y
ADDRESS C/1 L
OWNEF 4 �) v� A.P. NO. I
MAI L BUILDING
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W W TEL.
a U CITY Cp 5!',p /•NQ j' NO. TRACT1 �
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Z Q CONSTRUC.rION H'
O N LENDER
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J � BRANCH
J N OWNER
Q W ADDRESS
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m ARCHITECT /0 TEL.
J� OR ENGIN ER �A 1 L Ji Cp�v
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w¢ nooaess S7 5�.. N s—, L icuo�� ZONE
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q APPROVED
J O CONTRACTOR 3� / V ♦ `� rG/ /UN BY
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J� ADDRESS � Z SJ " J S'
w W ,TEL. ZON2� o NO.OF
Z� CITV L�LIIU- NO. j„—...pLIG PlANS
� STATE CITY VARDSAPPROVE
� 2 ��c. No. /73 �� LIC. NO. MAIN BUILDING
�� SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT D j 3 NOW ON LOT ONT FT.
VSE OF
EXI5TING 9LDG.
f' S12E OF NO. OF
Z NEWBLOG. ROOMS STORIES L.SIDE FT
U EXTERIOR WALL ROOF
COVERING COVERING REAR FT.
J USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET.
n' MAIN BLDCS.
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pL L � A 2_ L�" c�-�.�►. aw ZE -32-
� i1PPROVE �
y
o HOLD i
UI ha�aby aCknowlatlpa [het I have �eetl Ihls eppliceNon entl rte[e S E G l�0 i
� thet [he etlova Intorme[ion Is torre[t entl aprae to comply wi[h
� ell lows repuletinp builtlinp con�vuctlon, antl 1 shall not employ
� eny person In violatian of Me workman'� compensation law� oi
y the Stero of Californie.
? I hereby cerxify thet I em properly I(canptl as a conttactor untlar SQ. FT.
tho State of Calitornle Bualnecz entl Prolaulona Code, Olvlficn 3, TME AMOUNT SHI
Chepter 9, antl Nat �uc� Ilcanws ere In full force entl effact, or I THE PURPO6E OF E
am exampt f�om iha provlslons ot tha Smte of Celifornia Bu�inew VALUATION
antl Profes:�ona Cotle, Divitlon 3, Chepter 9. �
SIB^otura o� �
Pormlttae u� 5 � OD
� Authorizatl p.Gant
�.
VALUE
USE OF NE'N JV� ,��i,
BUILDING V/'
VARDS APPROV ED
FT
6p DATE / ^
� APPROVED (p —/�
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d
ER VALUATION IS FOR ^
NG A PEPMIT FEE ONLV: Q
FEE 5 �� �
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HECK $ E
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FEE 5