HomeMy WebLinkAbout2580 FAIRWAY DR - Building Permitsr \.
� . . � � ' �
CITY OF COSTA MESA '
BUILDING D/VISION
i � 77 FAIR bRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q14) 754-4856 • www.ci.costa-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: BX08-00224
PERMIT TYPE B MISC STATUS: ISSUED
APN: 43918217 DATE ISSUED: 07/31/2008
Zoning: , ISSUED BY: CAC
JOB ADDRESS: 2580 FAIRWAY DR CM �
Viciniry: GARAGE , ` � Primary Occ:
SQ. FT: 0 � � � Valuation:
SCOPE OF WORK:
GARAGE REPAIR DUE TO CAR DAMAGE. ,. ,
GARGE DOOR, STUCCO FRAMUVG.`
i � ��
OWNER: COATS, SOPHIA.M . �
City/State: COSTA MESA, CA , .
Phone: 714-546-$331
APPLICANT: NEILGIL:LIS� � � . , ,
Ciry/State:
Phone: 714-666-0170 ' ��.'�' � --
CONTRACTOR: GARLAND RESTORATION
Address: 1610 E MIRALOMA AV
City/State: PLANCENTIA,GA- �
Zip Code: 92870 ",' �� . . �� �
ARCHITECT: .. . � -
Phone
ENGINEER: . - _ �
Phone
Builtling Plan Check:
Builtling Permit: -�
Electrical Permit: � '
SMIp Residential `
SMIP Commercial
TOTAL FEES
m
- Suite/Unit:
' � ConstType :??
�$3,000.00 � _ ,
q�
` 1A
Address:: 2580 FAIRWAY DR
Zip Code: 92627 �
Address:
Zip Gode:;
License No. 4' 820650 !
Phone � 714-666-0190 �: � � , � �Cell:
FEE SUMMARY
$0.00
$83.25.
$0.00
$0.00
$0.00
$83.25
License No. -� � �
License No. '
d
Unit
UniC
Unit
NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for tbe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval mus[ be obtained. Failure to obtain inspeclions and final approval will resWt in the ezpiration of this permit.
CODEY. INSPEL710NTYPE DATE IN7ITIALS COOEN INSPECTIONTYPE ORTE IN71ML
1618 Fized System Final Fir� prevention 206 Final Mechanical
1266 Pool Spa Final . 20B Final Plumbing
200 Final Re-Roof 210 Final Elecincal
201 Final BIocWRelaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site �!'„ .,��
204 ..Final Demolition 250 Final Building/Occupancy 9/-o �k �/�
�
WORKERS' COMPENSATION DECLARATIO�_,
I nereby affirm under penalty of perjury one ot the following declarations:
❑ I have and will maintain a cartifcale o( consent to sel(-Insure tor workers'
compensation, as provided for by seclion 3700 of Ihe Labor Code, for the
peAormance of lhe work for which ihis permit is issued.
I have antl will maintain workers' compensation insu2nce, as require0 by
s lion 3700 of the Labor Code, !w Ihe performance ot the v.vrk fa which this
pertnit is issuetl. My workers' compensation Insurance wrrier and policy
numberare: �AA! ��
Carriec � /XlU
� (IDissedbnneetlro�tbe/mmqpleted�thepeimrtisvalued�af `'ehuntlaUdollars(5�00)wlessJ
PolicyNumber: [� 1' ��OJ Z�J
❑ I certify Ihat in the pertortnance of [he work (or which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' com sati n laws of Califomia, and agree that if I should
become subje to e wo rs' wmpensation pmvisions o SecC n 3700 of
the Lab C , sl fo th comply with these provision .
( D
App nl'S $ignalu 1
WARNING: FAILURE TO SECURE WORKERS' COMPEN ON COVERAGE
IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
AiTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I horeby aKrm thal I am licensetl untler provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is' full force apd eHecl.
/ Lic. # �� 7� ass #
� �f J
Co or' naWre
CONSTRUCTION LENDING AGENCV:
❑ I hereby afPom that ihere is a consln�ction lentling agency for the
performarice of the v.ork for v.fiich tlds pertni[ is ssued. (Sec. 3097, Civil Code�.
Lenders Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that untler penalty of perjury that I am EXEMPT FROM THE
CONTRACTORS LICENSE LAW for the follovAng reason (Sec. 7031.5.
Business and Professions Code: Any city or county which requires a permil to
construct, alter, improve, demolish, or repair any stroc[ure, pnor to its
issuance, also requires ihe applicant for such permit to file a signed statemenl
that he or she is licensed pursuant to the pmvisions of the Contractors
License Law (Chapter 9(commencing with Section 7000) o( Division 3 of the
Business and Professions Code) or that he or s�e is exempt mere(rom antl
the hasis for the allegetl ezemption. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicant to a civil penalty of not more than
fw hundred tlollars ($500).�:
❑ I, as owner of ihe property, or my employees with wages as iheir sole
coinpensation, WILL DO THE WORK, and the structure is not intended or
oKered for sale (Sec. 7044, Business and Professions Code: 7he Contractors
License Law tloes not apply to an owner of property who builds or improves
thereon, and who dces such vrork �imself or herself or through his or her own
employees, provided tha� such improvements are not intended or oflered for
sale. If, however, ihe buildinq or improvement is sold within one year of
completion, the owneo-builder will have the burden of proving Ihat he or she
tlid not build or improve for purpose of sale.).
❑ I, as owner of the property. am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construct [he projecl (Sec. 7044, Business antl
Professions Code: The contraclors License Law dces not apply to an ovmer of
proDerty who builds or improves lhereon, and who contracts for such project with
a cont2ctor(s) license pursuam to the Contractors License Laws.).
❑ I am exempt under sec. �
Business and Professions Code for this reason:
SiB��ure Date
3051<6 (3I0�)
Ovmer ID verifed by an. _. s lice. ,] Yes ❑ No
Driver's LicenSe No. Expir85:
Venfication of Ownership by (rype of documenC i.e. - properly taz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certAy Ihat no excavation frve (5) or more feet in depth into which a
person is required to tlescentl, will be made in connection with work authorized
by ihis permit, antl that no building stmcture, scaf(dding, falsewvrk, or demolition
or dismanlling thereof, vrill be more than Ihirty-six (36) feet high. (Chap. 3.2, Grp
2, M 2, Sea 341, Title B, Califomia Adminislrative Code).
❑ As ovmer-builtler, I will not employ anyone to do vrork which woultl
require a permit from the Division of IndusMal Safety, as noted above, unless
such person has a permit to do such work from the division.
Appliwnl's SignaWre
Division of Industrial Safery Permit Number. _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the appliwnt or present or future building occupant need to file and
certify a Business Plan tor emergency response to release or I�reatened
release of a hazardous malerial? ❑ Yes ❑ No
(Section 25505 of the California Health antl Safety Code requires, with some
exceplions, that a Business Plan be filed with the CosW Mesa Fire
Depariment by every business which has al any one time dunng a reported
year a quantiry of hazardous matenals equal to or greater Ihan a weight ot
500 pounds, or a volume of 55 gallons, or 200 cubic teet of compressed gas
at standard lemperature and pressure).
2. Does or will the applicanl or present or future building occupant need [o file
a registration (orm (or acutely hazardous malenals? ❑ Yes ❑ No
(Section 25533 of ihe Cali(omia Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
each business which al any one time has on hand a quantily of aculely
hazardous matenals equal to or greater Ihan a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic teet of compressed gas at standartl
temperaWre and pressure).
3. Does or will lhe applicant or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous materials�? ❑ Ves ❑ No
(Section 25534 of the Cali(omia Health antl Safery Code provitles that the
Costa Mesa Fire Department may require the preparation, certifcation and
filing with the Fire Department of an RMPP by businesses which are requiretl
lo register acutety hazartlous materials with the Fire DepaRment.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health antl Safery Code been fully complied with? ❑ Yes ❑ No
5. Oces or will the applicant or present or (uture builtling occupant require (or
the work wliich is the subject of this appliwtion a permit for such wnsiruction
or modi(cation from the Soulh Coast Air �ualiry Manaqement DisMct or from
any other air pollution conlrol tlistnct or agency7 ❑ Yes � No
(Section 658502 of Ihe CalifOmia Govemment Code requires lhat Ihe requesleC
informatbn be fumished on applications fa non-residential builtling pertnits).
6. Will any part of the facility to be wnstructed under this permit be within
1000 feet from the outer boundanes of a school? ❑ Ves ❑ No
Qf'yes", the facility must meet the requirement of Sections 25534 and 42303
o( Ihe California Health and Safely Code�.
7. I( a permit !mm the South Coas[ Air �ualiry Management District or other
air pollWion control disMct or agency is required for the work which is the
subject of this applicalion, have all of the disclosures prescribed by Califomia
Health antl Safety Code Section 42303 been made? ❑ Ves ❑ No
8. (It'yes", allach certificate of compliance (rom the appropriate air pollution
conlrol oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given above is correct I agree to comply with all state lavrs antl
city ordinante5 fCgardinq HaZ2lCou5 Material5 antl Emi55ion5.
SigiuWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this application and state thal
the infortnation given is correcl I agree to comply with all 5tate laws and city
oMinances relating lo building construction, and authorize represenfatives of
the City of Costa Mesa to en[er upon the above-described propeRy for
inspection purposes. I agree not to occupy or allow occupancy ot any buildin9
authonzetl by Nis pertnil until final inspection.
S' nat e o� Bal ner(s) Oa�e
3 U�
A G/o A.n nzeU APWi�nt Dale
`��
0
N
; NORTH
i:
GARAGE
SUBJECT TO
- - - - - - - - - - - - - -�NSPECTQR'S REVIE,VII, - - -
AND APPROVAL ON SITE
Reframe part of wall due
to vehicle damage.
Sophia Coats
2380 Fairway Dr.
Costa mesa, Ca. 92627
f
Applicant to fill in all spaces eztept those within heavY bortle� lines antl siqn all app�o0�iate tleclarations.
CIT-V OF COSTA MESA CONSTRUCTION PERMIT
ProjectAddres�580 Fairway Dr
Applicant's Mailing Address 5457 Crenshaw � Blvd �
Owner's Name Sophia COdtS Phone 3
Address 2580 Fairwav DY
Arch/Eng. License No.
Address
Contractor's Neme A ee P g�° g phone
Addresslmailing) 5457 Crenshaw BZVC�
City License No. 030203
LICENSED CONTRACTOR DECLAf3NTION
1 h¢reby aftitm tbat I am licensetl untler provi5ion5 of Charte� 9(commencing
with section 7000) of oivision 3 ot the Business antl Protessions Code, antl �
my ilcense is in f�y �te and errect. � 240186
License Class s
Date Signatur
'^�ORKEl35' COMPENSATION D LA TI N
+.reby atfirm that I have a certi(icate of mnsent to seif-Insure or a certificate
Workers' �Compensation Insuran[e, or a certifietl copy thereof (Section -
,aoo, �ac. ca686987 State Fund
Pnolicy No. Compa,�n!y
XJ{Certifietl COPY is tiletlbwithrthehc tlY Bui 9'1'i n�%�
Date �—�—� APPlica � �^"
E%EMPTION FROM WORKERS' C�M 5 TION DEC ARATION
(Thissec[ion neetl not be compl¢tetl if the permit is for one huntlretl ($100) o�
less). �
I certify that in the perto�mance ot the work fOr which this perm�t is issuetl, I�
shall not em0loy any person in any manner so as to become subject lo the
Worke�s' Compensation Laws of GalifOmia. . '
Date Signature
'NOTICE: If, aRer making this tlecla�ation, you shoultl become subject to the
Wo�kers' Compensation p�ovisions of Ihe Labor Cotle, you must fortttwflh
comply wilh sucM1 provisions or this pe�ml[ shall be tleematl revoketl.
CONSTRUCTION LENOING AGENCV '
I herety affirm that there is a construction lendin9 agency for the perPormance '
ot tM1e work for which tni5 permit is i5su¢tl (Section 3097 Civ. CJ
Lenaer's Name �
Lentler's Adtlress .
OWNER BUILDEH UECLARATION � � �
I hereby affirm thal 1 am ezempt trom the Cont�actor'S Litense Law for the
followin9 reason (Sec[ion 7031.5 Business antl Professional CoOe: Any city or
rounTy wM1ich r¢quires a permit to construct, alter, improve, tlemOlish o� �epai�
any it�uctur¢, prio� to it5 issuance, also requires the applicant for such permit
to file a siqnetl statement�thaf he/she is licensetl pursuant to tM1e p�ovisions o�
the COMractoYs License Law (Chapter 9(commencing wilh Section ]000) ot
�ivision 3 oi [he Bu5ine55 antl Professions Cotle) o� tM1at he/she is exempt
�eretrom antl che basis tor the allegetl exemption. Any violation ot Section
03L5 by any applicant for a petmi[ subjects the applicant to a civil
pe0dity ot not more tban five huntlretl tlollars ($500). '
❑ I, as owne� of the property or my employees with wages as their sole
compensation, will tlo the work, antl the sVucture is not intentletl or offeretl
fot sale (Section ]044, Business antl Professional Cotle: The ConVactor'S
License Law tloes not apply f0 an owne� of a property wM10 builtls or imp�oves
[nereon, antl wM10 tloes such work M1imsel(/herselt�or thwugh his o� her own
employees, provitletl that sucn improvements are not �ntentletl or offeretl for
sale. It, however, [he builtlin9 or improvement is soltl wi[hin one year of com-
pletlon, ihe owner will have the burtlen of provin9 ne/she tlitl mt builtl or im-
prove for tM1e purpose of sale).
❑ I,�as owner of the proper[y, am exclusively contractlnq with licensetl con-
vactorsto construcllhe proie<t (Section �044, eusiness antl Protessions Cotle:
The Cont�actor's License Law tloes not apply to an owner of property who
builOs or improves IM1ereon, antl who con[ratts for such projecls witM1 a con-
traclor(s) license pursuant-to tM1e-ConVac[or's �icense Law). I am aware [hat
proof of thei� Worker'S Compensation insurance shoultl be provltletl to me.
❑ I am exemp[ untler Section B. & P. C. for this reason
Date Owner _
I hereby certity that I have reatl [hls
iniormation is correct. gree to comp
antl state laws relatin builtl}' cop
sentalives of SM1is. c' q entp�qp�pi
in5pet[io9 purposes, i � i!y )�f
Signatu� �
Drivers' itense or 55
TYPE OF CONSTRUCTION LI NEW IJ ADD LJ ALTERATION lJ REPAIR
❑ CONVERSION ❑ �EMOLISH.�O OTHER -
DESCRIPTION OF WORK/USE OF BLDG.
TVPE OF PERMIT LI GRADING LJ FOUNDATION Ll STRUCTURAI.
❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAI
❑ OTHER
PROJECT DESCRIPTION 50. FT. oCCUPANCv_
CONSTRUCTION TYPE VALUATION $
ZONE GRADINGCU.VDS. ACRES—
Remarks:
Sink
Preventer
Irrigation
Drinkirig Fountains
Floor Drains
FloorSinks �
Gas Service
Interceptors
Kitchen Sink
Lavatories
P—Trep
Roof Drains
Showers
ServiceSink .
Sewer Cap
Sewer Connection
Solar Collecrors
Solar Piping
Solar Tank
Swimmin9 Pool w/Spa
Urinal
Outlets Water Closet
Water Hea[er
Water Service
Auro-Wash
Repipe
water
FEES
�
Reinspection Fee I $15 I I Issue Fee � � � $ 3 I�''
Boiler .
Duct - Under Ground
Duct - Strucmral
Ouct - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact Blt. IC60 #
Heating System & Ducting
❑o-i oo,000 sru O i oo,000 sT
Reinspection Fee � $75
CMF 0865-46, �ev. 30/84 Whiie - Builtling; Canary - Applicant; Plnk - AC[ounting; GoltlenrOtl - Hssesso�
Hood or Type I �' �� I I^'
Canopy Type I I ❑ -
Refrigeration System , . �
❑0-100,000 BTU ❑ 100,000 Bl
System Repair/Alteration
Fire Dampers
Registers � �
A
luue Fae � $ 3
A.P. #
S Main Bu
E
T Front
B Rear
A
C Ri9ht
K Left
S
Ping. Hef. #
Automatic Washer �
Construction PoleSi
Cooking Unit' �� �
Dishwasher ---
Oryers ❑Gas .�E
Fan '�
F.A.U.
Fixtures
Device Boxes
O utlets
Switches
Garbage Disposal .
Generetor DO-5 KN
6954 5%22%66
Zone
Accessory
ELECTRICAL �
Transformer ❑ 15-50 KW
❑ 50+KW
Merer ❑up ro 100amps
. Meter ❑over100amps
lectric
5-15 K W
Morors � 0.1 H P � 7'/: - 8
Inc.Solar �9-15 HP �16-75+
Microwave � •
Pale Light
Range
Sign
; Standing Sections.
Tresh Compactor
7�U0 y TL
FEES
Z
O
N
I
N
G
R
E
Q
M
T
S
� Reinspection Fee '$15 � � luue Fee � I $ 3'
DEVELOPMENTSERVICESREQUIREMENTS:
Zoning Approvetl By � Data
Building Approved By Date
Appliwtion Issued By Date
SUMMARV OF FEES .
. BUILDING PERMIT $ SMIP $ -
PLAN CHECK $ PERMIT �_
PLUMBING ' y �� ��UANCE $
PLAN CHECK 25% $ ENERGY P.C. $
ELECTRICAL � $ GRADING , $
PLANCHECK ,50°.0� $ MICROFILM $
MECHANICAL $� TOTAL FEE $ 7• OO
PLAN CHECK 25% $ �
��CONSTRUCTION AND PLANNING POG SPA
. APPROVALS Permit # Date Inspector AppROVALS Pe�mit # Date Inspector
1. Temporary Electric8l Service or Pole . 52. Pool & Equipment Location -'
2: Soil Pipe-Undrgrnd. , 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding �1
5: Steel Reinforcement ' � 56. Rough Plumbing & Pressure Test
6.' Electrical UFER Gmd. �;�.. 57. APPROVALTO COVER-GUNITE
7. Footings . 58. Electrical Conduit-Undrgrnd.
8.' FuundaYion 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd.
� 10. Structural Floor System � . 61 . APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap ' . , , ,
. 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing. .. 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SVstem-Final
76. Rough Electric Wiring 67. Fencing &�Access Approval
77. Rough Wiring Sign 6S. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in,Structure 70. Underground HYdro
22. Ducts, Ventilating 71. Product Piping 0 Gas ❑ Oil
23. Gas Pipe:Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil
25. Roof Sheathing „ • 74. Overhead Hydro '
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,
27. Frame and Flashing � . 76. '.Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: (�-//_g(,, L�I-i G!/?/�� G•F(i• /��fQ
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing U; 613_�, �j� ,
39. Water Service-Final !,��
40. Gas Service-Final �-' �
41. Solar pomestic-Final i�
42. Bacl<flow Preventer ' '
43. Bacl<flow Irrigation ;+-'
u44. Landscape Irrigation System
�
45..Sound Attenuation
r46. Handicap Regulations !'3
m47. FINAL STRUCTURE & BUILDING
m
48. Special Requirements Completed •
49. Electric Release to Edison
50. Gas Release to Southem California Gas Co � •
51. CERTIFICATE OF OCCUPANCY
0
N0._ Date
COUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway
Santa Ana, Ca4fomi5
Phone: KI 2•6211
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
1. OWNER'S NAME 1/�� _ l�o�t�k�-- ------
� o c ------�
MAILING ADDRESS..- /�- � � bG�- - -- - - ---- ..
�.
3.
Name.----.........._--.._---------------�--------�--��------
(Arc6itect or Engineer)
Addre�s -----....._---� . . . . . .................--
City_.._ ...................................._.,..
State
Lic. No...._--------...-------....__.... I
��p� � a
PROPOSED US�:.....V..`" ."....�.�� I`:
TOB LOCATION,�S!��......��..�.��
_____
(HouseNo.) (Nameof
LEGAL DESCRIPTION: Lot_.........!z 7'-�� _._.._..----.---_
(Metes and Baunds Description—Use reverse side of iorm)
Permit No.-�YO_���
7—��/ -- � y
Date--------- _...........-------------------..
--..'. /PHO E:..�`'"""k 7f� 2 J
CITY.��"""�....- - /C1� -_`�".5..:- -
Name_..__._.----------------'----._....._ ...................-----._-----.....__...
( vactor)
Address _ -- - --.... ' - ___' - --"- - - ` -
City -- -- - Y - -- __...
Stare � •j�J CJ �
Lic. No.- --------'-....._ ...................... Phonc---------..._..
- �J%!�_��"�, �7/�
_..__._.._.......L./�.K--- /1v1'"Qa-2 - — - - ._
G(.LC-` .. ....... - _-- ............ -- - - -- -- ..._...
. ('rown or School District)
---- -- - - -- Tract -� �y 7-, ...- ----
4. CORNER LOT ( ) INTERIOR LOT ( x) THROUGH LOT ( ) SLOPE OF LOT ( )
i. SIZE OF BLDG.:.. L'-L_X....Y... Y.AREA:---.L. d_C--v-------.SIZE OF LOT:--�- �- K--)--�� J-----.AREA:.-d..__/- �--- �--------
_ r p� r/
6. HEIGHT OF IILDG.:....I3.._........ _..CEILING HEIGHT:..._4.....Y..._...........NO. OF STORIES.._� �.��..
__.
� � r. �.j i n l r.
---_"------Size of Smallest Bedroom:-LD-.-_�-./0--_�.._'_... Size of Kitchenl,y� � I 3 �
7. NO. FAMILIES...._iPw�-_-- ---.-.--- .-
J..-
S. EXTERIOR WALL CONSTRUCTION:_�_ �.:5��._..INTERIOR WALL COVERING......� ...................__......_._.
(Frame, Stucco, Etc.) _ � (PlastervDrywall, Ete.)
9. SETBACKS: Front Yard From Center Line of Street------ ��-5-_-------------_-_--._-.----....._--...---.........--_-..._..._---.-------..
- -- ......
r �/'-� '
Ncarest Side Yard...... �...........Aear Yard_...P._�......_.___.Distance in Feet Between Bldgs. on Same Lot..__�L__..........
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
. � �� � �
11. For (a) Footing: Width__../�-------------...------Depth in Ground------..�. � .............Wid[h of Wa]]-----------....
Accessory ri
Bldgs. and
Similar
SLNCCUICS:
(b) Size of Studs:...�k.._Y.........Spacing..____�.G......._._"CC Material of Floor....."` �`._'�..
f�
J Li� i?. -- -- - .__Spacing ...�.�v....._. "CC
(c) Size of Floor oists:_ ............._. y._-_.----..-- •
(d) SizeofRafters:.----Z-k.--6----------------------S acin Z�--------._..........:'CC
P g---------------
12. VALUATION OF �,20POSED WORK: Including all labor, plumbing, elecvical wiring, hcating, fire sprinklers, painting anJ
sewage disposal $._��� _-.---__. -
v .6-f7-........:.
]3. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION TS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CAL��A APP.LI BL THERETO.
, � .�-L��
�_--'- �
Plans Filed:.
Bldg. Permit
Plan Check
Total - -
Receipt No.
Paid to -
Dare ..___.__...
5 M-B-51
FEES:
� �v_i�-.'._�.:�.`�"�. '_ -
By"_.....__.......... " .. .. ................................."_..............__
uthorized Agent)
FOR DEPARTMENTAL USE ONLY
i
GROUP �. -��`-- --�--�-
TYPE--.-..-----
- ---- -
DIST. Ll �
MAP. -- -... � ------ -
SHEET NO.---'�. - -- -
� / �� � �
DATE- ........,/h.. ---..__ ..................
�CH,�ECjKING BY
APPLICATION_./-b'C"� HEALTH ............................
ZONING ......:....... �' FIRE
PLANS AND � MARSHAL..........._......_._.
SPEC'S._- - - - - -- STATE........... - - - ....
CORRECTIONS ENGINEER
,•. _.-.`. ._......_«�s�-.._
H /�COUNTY 6U:�DING
� - _ �r IN�'P�CTOR
� -- - - - - ` - ....................._ ....-.--.......... - ---
_ _'_' - _ ^ YJ'Y. . .� N \A/ J
C I "