HomeMy WebLinkAbout423 COSTA MESA ST - Building PermitsCOUNTY OF ORqnGB
BUILDING DEPT.
'636 No. Broadway
Santa Ana� CaliFornia
Phone: KI 2-6211
. .:ti
Applicatiori for Builcfing Permit
AND FOR A
Certificate of Use and Occupancy
Permit No.___..07.1-� �-(---'---•
Da[e._--- ��/3-/�--------------------�--
I. OWNER'S NAME-----------COA$T._QRAE;QE_-A.�RE�------.-----.-------._----------------------...------ PHONE:.H.eROGI1_.82`�P-
MAILING ADpRESS--------18S--E.__ i%�Yl_SLY'9AL- - --- - -.-- ---- -- - -._.___... CITY .._..._O08CQ._.M.S.@0----
Namc ....
Address
C�ry ----
State
Lic. No.
(Amhirect or Enginee-)
" ................"'-'-- Phone
c�eor�o t�i. Holetein P�c 8one
Na m e _'-'--' ------'--`-' ----'----"'-"-'------'-----' -'----' ------------'—'-'--'---
(Contractor)
Address.__SE3� .E.._ 17th__StreoL---.-----_--------------------_--
Ct�y --QoBt& _tdeeEi-------- �----�--- ----------
-------- -- ----------
State 19nnr� $1...____"'
Lic IV�---'. ��vv....-'-'--'..... PhoneBoaaon...8292---
PROPOSED USE: ___..._R84SQOT100__._._,.______._
------------ - ------------------- ---- ---------- ---� - --- .. ...
2. JOB LOCATIO[Y.---_-_y%L3---__ <<-_ c Osia---/_/�.SQ__.
(House No.) (Name of Soreet)
3. LEGAL DESCRIPTION: Loc._._��i.___..________.______Block
(Meces nnd Bounda Description—Usc reserse side oE Eorm) �
✓
('I'own or School Dia�rict)
- ----- ------------ ----Tracc .._l�_`�...8a%----'--- �--
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF I.OT ( )
5. S12E OF BLDG.:,Z�X-.��AREA:.___1.ZL�____..._.__.SIZE OF LOT:_G2Jr_..���AREA:.7_7�..__._._._...__
6. HEIGHT OF $LDG.: ----_�:�Q_-----------------------CEILING HEIGHT: -_--... 89__.----------_---_-. NO. OF STORIES.---_--i.-_.--.-.---
7. NO. FAMILIES _..__....._1...__.___._.......___....Size of Smallest Bedroom: __.�..1.'..k_.��_____ Sizc of Kimhen: ..../O._X../...D...6.
8. EXTERIOR ��/ALL CO[VSTRUC7'IOI��O__SLLibCO_______.INTERIOR WALL COVERING _.___.P].$8.�81`--_-----_--
' (Frame, Smtto, Em.) , r � . - (Plaarer-Drywall�Em-) —` _ �
9. SETBhCKS: Front Yard from Center Line of Strect___J.--� __--.._..__._____. __-..----_----- _
�j / / ' /p /
Ncarest Side Yard ..._._._d.--._____._Rear Yard.__._.7.�._______Distance in Feet Bctween Bldgs. on Same Lot __7.Q_..._._...
IG. A COMPLETE PLOT PLAIV IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width...._14N p p _.___�tiid�h of Wall..._.__.8Q
Accessory
------------------ De th in Ground.-----i.�...------ ---.'- ..._
Bldgs. and (b) Size of Smd's:.__2...!� '�.._.______Spacing_1��._.____._..._._.__"CC Matcrial of Floor ���Q..._...._...._...
$imilar
Strucmres:
(t) Size of Floor oists: �_, x,_8 p "
J ._._' ..""_"_'____ $pacing ... ..�.g_"..._... .._'......'___ CC
(d) Size oE Rafters: ..._.�":6L"41'.__z x.G.. Spazing _._..QfSp "CC
• '-"' -'--"'----.._."_""
12. VALUATION OP PROPOSED'WORK: Including all labor, plumbing, elettrical'wiring, heating, fire sprinklers, paino
in and scwa e dis osal . �'�
—
g g P � --7 -9�{---� ------------------ - ---
li. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORiiECT ALVD THAT THE CONSTRUCTIOLV WORK WILL CONFORM TO ALL
LA��VS OF THE COUNTY OF ORAIVGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
J� _ 2��� Q (Owner)
Plans Filed: ._'__._•__ / d
------------- ---------- -'--'-"---- --- - - $y:-- --------- ' ---
� - --- - --- -------------- --- ------ -- ------------
(Authorized Agen�)
FOR DEPARTMENTAL USE ONLY
F3Idg. Pennie
Plan Check
Total - -
ReSeipt No.
Pa;d to
DA
9M,-] 00
FEE$: �
+�------`---8-- -------
�
�-- �, � ---
GROUP__..__ ____.
TYPE.--------.�------ --
DIST. �� �
MAP- --- -- �"'----
SHEET NO..____t�__..,____
CHEC�NG BY
APPLICATIONo`�.. HEALTH _..________.__.___..._..
FIRE
ZONING-- ----�------ MARSHAL.-------------------
PLANS AND
SPEC'5--------------------- STATE --- ------ -- - - -- - --
CORRECTIONS ENGINEER
VERIFIED CAL---------------------------------
PERM SUED_SY.:
�0+� �ir,••�i— r.OL:'Y EUI�UING
. .,�. ��' � , ;��_�. �roP
—' . . ._ ___—_ DcPUTY �
COUNTY,OF ORANGE
BUIGDING DEP'I'.
636 No. Broadway
Santa Ana� Cali(ornia
Phonc: KI 2-6211
Appli�ation
�
for Building Permit
AND FOR A
Certificate of Use and Occupancy
Permit No..._��_V_ .� �
Date------------ /� " 3 '�--r'
--'--------'-- �----'---------------------
I. OW[VER'S NAME_-----OOA$T _O:3AI3C�E--A�ES-----._------------------------------.-----------.---- PHONE:H08QOf�--g`�aP-
MAILING ADDRESS-------1�--Fi.__17Eh_.fltreeL-------------------------------------- _ c�Tr ---Coet,a--Ateea.----- -------- ---
Name __'__________'-'-._._._'____._._..___._______'____""'_. Name.(}��r ?.j • B�j �j
�o�-.. Ho� oln-- sonn--.-------------
(Amhi�ec� or Engincer) -(Contracoo7)
Address -----------------------------'--'---------.___"_'.----------' Address _.1�._�+e._.�.%ti�l__�.iiI:00ti�-_.'."-_-----'--'-----""----
c��y ---
State
Lic No.
c«Y ._OOot9.-I;Oaa �---- -------- ----- -- - -
'. Scatc
Phone ---'._'-'--"'_-'_'_'--------. Li�. No].iflw� -"...'��-- -'-_ .. Phone
PROPOSED USE:._.._a��E
----- --- �-�-------�---------------...------- ------- ------------ _-------- ------- ---- - --� -
2. JOB LOCATION_------T.�.�....__�E.,--_CQ.SIQ----1_�%PS'4----��---------OOBt$__Ii90$-------------- -
(House Ivo.) / (Neme of Strcecl ' (Town or Sthool Discricc)
i. LEGAL DESCRIPTION: Loc -------3b_.---------------------Block ----------- ------'------...._..------Tract ---i�` �--------------------'-
(Meces and Bounds Description—Use reserse side oE Eorm)�
4. CORI�ER LOT ( ) INTERIOR LO'I' ( V) THROUGH LOT ( ) SLOFE OF LOT ( )
5. SIZE OF BLDG.: .�--x--�---._ AREA:__�_SQ-_��r.__.SIZE OF LOT: _[p.�.X_./�`.j..�AREA:.�77�--_....---_--
6. HEIGHT OF BLDG.:._._14Q__________________________CEILING HEIGHT:.._.._._....___._........__...___ [VO. OF STORIES_._5-.---------.-..
7. NO. FAMILIES --"'-------------"'-___'-'-"'_'-'. Sizc of .`'imallest Bedroom: -_----'---"--"-"""...... $iu oE Kitchcn: ......-'_-"--'-_____'--""-
8. EXTERIOR WALL CONS7'RUCTION:.�l�G18...AL110Qp-.-_ INTERIOR WALL COVERING .____ ..............._.____._.______.._
(Frame, Smcco, Em.) (Plua�cr�Drywnll, Em.)
9. SETBhCKS: Frmt Yard from Center Li�e of Strcet-"...-"'_-'._.GP_._Y-'�--"'--'-"'_-'--""'-------'-'-_'-'--"------'--'---- --- ""-"-': "'
p r � �p �
Nearest Side Yard..___.o[._._._____.. Rear 1'ard ._______________..Distance in Feet Between'Bldgs. on Same Lot _...._.-.11_.__
1G. A COMPLETE PLOT PLAN IS REQ[JIRED, SHOWING ALL STRUCTURES AND USE OF EACH,
11. For (a) Footing: Width -_14p---_--'--------_._._. Depth in Ground.-_1Q�--.-_..------_._Widch of Wall ._.8l1._. _'_'--__
Accessory
Bldgs. and
$imi�ar
$truc[ures:
/ i
(b) Size of Smds.._.__.L.X._!y�_____.Spating._.__...___�y7._...._..._.."CC Matcrial of Floor.(301102'OtB--' '--
(c) Size of Floor Joists: Spacing ..._' -'-_"-.'-_-'._---'-'-".."CC
d Size of Rafters: ."--- _.v.--.8--�" -----'--------.5 ann h-"'-'-' .. "CC
� ) P S ....."- � - -_""- -
12. VALUATIOIV OF PROPOSEU WORK: Including all labor, plumbing, electrical' wiring,'heating, fire sprinklers, paino-
in and sewa e dis osal . �
8 8 P � --%.��...-�--'-"--"-'-'-'--'------'
1;. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE A[VD BELIEF THE INFORMATIOIV I[V
THIS APPLICATION IS CORRECT AIVD 7'HAT THE COIVSTRUCTION WORK WILL CONFORM TO ALL
LA�VS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
---'----------'-'--'-'--Signed:--'--'�_ . /P/_• -- -- --'-'-------'-'-- s..�-�"'-'_---'
Owner)
_."
Plans Filed:--__---_'_-�p.� � ^��
''' , By:...._"--'�.--- ...."---'---"-------------'-"_'-"""---..
(Auohorizc Agenc)
FOR DEPARTME[VTAL USE ONLY
Bldg. Per:nit
Plan Check
Total - -
Receipt No.
Paid to
Date ._.._.._.__
DA
FEES:
�
' $"'_„'_""' ___O� """"'
- $ -- ----� -�-------
- w-------�--`---=-
' -- --- �C'-d-'3-'�-
- ----���
GROUP--.-----_T ---- ---
TYPE.------ - -_T'-�------{ -- --
DIST. �
MAP------ -----------------------
SHEE`I' NO._.___�_._..____
C�NG BY
APPLICATIO�N _�-. j--/--. . HEALTH -_---------_.-_---_----
G�.'�y`�— FIRE
ZONILVG ._.. .-------- --- MARSHAL..----------.---------
PLANS AIVD
SPECS.-�---------------------- STATE --- ----------- �- - -- -
CORRECTIONS ENGINEER
PERMIT ISSUED BY:
�:� •�..-•. ., . -'... ., �.,�L71NG ------ ---
C .
. .. . -..-
-------- --- - -•-•----�-------------•-------------�- ---'°-----•_-i :-�----- --- -
I- - -- — c ; u _v Gla.✓
OWNER SHEL
JOB ADDRESS
GENERAL CONTRACTOR OWI18t VALUE S 4,�13•UU
nr. xo. ii8-25i-15 LOT 36 TfiACT 128� FIRE ZONE DESCRIPTION OF WORKdBt. i8if1
IP' �ECTIONS i�Jz�.e I DATE I GROUP V TYPE I ZONE B
SUBCONTRACTOR
F
OCCUPANCY
Form 210—SM-11-59 S-B P
� i���'1;�
COSTA MESA BUILDINC�_SAFETY DEPARTMENT
P.O. BOX 317 COS7A MESA. CALIFORNIA
FOR APPu�CANT T�0 F/LL /N COMP[ETELY
TYPE Oit pRINT
ADDRE�55 / � � C..OS T/4 MESA ✓ %
COSTA MESA. CALIFORNIA
oWNER r, L- 5'�vc�To,v JR,
MAIL L�Z3 COfTA MESASY.
nooRess
TE�.�rB-�vp
crtr oSTR JESA No.
ARC" "ECT uC.
IEGAL LOT
oescAlvnoH NO. � BLOCK TRAC
A.P.NO. I _ ��/— I �
512E / � x �^� NO.OF BLDGS. �
OF LOT (� � J� NOW ON LOT
USE OF Q �
�. EXISTING BLDG. /I ESID�NGt
SEIBACN LINE FROM
OF WORK
0
REPAIR I IIMOVING
BUILDING��X✓' Z ROOM£
SIZE
EXTERIOR WALLST�'[:LC IROOF
COVERING COVER
USE OF BUIjjJINC� AND blORlj, TO I
I HEREBY ACI(NOWLEOGE THAT • HAVE NEAO THIS APPLICATION
pND ST�TE THAT THE ABOVE I$ COFRECT AND AGftEE TO COM-
pLY WITH ALL CITY OR�INANCES AND 9TpTE LAWS ftEGUL�TI G
BUILDING CONSTPUCTION�/� /J��
� A
SIGNATURE OF
� AIITHORIZED AGENT
�
F EE R� C�1V ED
�,� �e
FINANCE DEPT.
CI7Y OF COSTA MESR
APPLICATION FOR PERMIT
BUILDING
foR oFFic� usF oNcy
I PECEIM NO. I PE�MJj
� o�
IVBD BY I OATE HECEIVED I DA I8:
BUILDING
COSTA MESA, CALIFORNIA
��N�. rvor \ nwnuo s _
20NE l NO.OF
I \ I PLANS
si.l
R. 51
I,
VAR, No _l�� APPROVED � 1'j
- —�-`�— _
THE AMOUNT 6HOWN UNUEN VALUATION IS FOR TME
p11FP096 OF ESTABLIBHING • PEHMIT FEE ONLY.
VALUATION
PERMIT FEE S /y�
� D � � PLAN CHECK $ '��
b / q
TOTAL FEE 5 aGI�