HomeMy WebLinkAbout482 COSTA MESA ST - Building PermitsCOUNTY OF ORANG6
BU:LDING DEPT.
636 No. Broadway
Santa Ana� California
Phone: KI 2-6211
�
, ApRlication for Building Permif
AND FOR A
Certifica+e of Use and Occupancy
Per�riit No.___._�_� �-�-_�__ �
. . Date_— ����/✓_Q_..--------------------------
OV✓NER'S NAMF--- -�i(}Ag�--iiii{L'iE��i-�isi��------- - - -- --- ----- -...- - - - - --- PHONE: Hfl9.Q013__B$9"T-
MAILING ADDRESS------16$--E.---�.ItCYL--Si21flfl%------------------------_-- _- CITY -----OQflL$_MtiBQ---------------
Name
Address
Cicy ---------
State
Lic. No...__-
(Archicect or Engineer)
--...._ Phone ---...___
PROPOSED USE: __- ��-4QdnOe--___-__-_.
Name��i�jB__1'1,---Holetein_Fe .g�:l�___________.______
-------
(Contracror)
Address --�ii�_ Fis--�`I'_��I---"�'..t'i,i_'@Q�--�-----------------------
Ctty --C.Q�'�� _II�9A--- -- -- — --- ---- --------- -- -- -
State
Lic. No�a.�:a.�Q___._--�Z._-____ PhoneH.o$nQn---�29.7_-
z. Jos LocATiorr-----_.7'dy----t.--.C.o.s�r�---1`�Ps''f----s'T- --
(House No.) (Name of Soreet)
3. LEGAL DESCRIPTION: Lot __��_._.________________.___.__Blocic ..____`_'
(Me�es and Bounds Description—Use reserse side of form)
or School District)
--- --- - Tnct .__�.I.n.��----- -- - - ------------ -
4. CORNER LOT ( ) IIVTERIOR LOT {✓) THROUGH LOT ( ) SLOPE OF LOT ( )
5. S:ZE OF BLDG.:.,�',�/_.y.___�.�_ AREA:___J'�1p6.._______ _.__SIZE OF LOT:.f x_/3!�___ AREA: 796-,(�-----------
6. HEIGHT OF BLDG.:____�.8�_ .............____CEILING HEIGHT: _____.._Sfl_____....__...._.__ NO. OF STORIES.__.___i___..____
7. NO. FAMILIES ._._____j,.______________._Size of Smallest Bedroom: _ f�},_/_�.._._. Siie of Kitchen: _.Q_X._LS� .�'____
S. EXTERIOR WALL CONSTRUCTION$��8._.$t,13000-------INTERIOR WALL COVERING ___j�.lg�t8�`--.-_-_;''
(firame, Smcco, Etc.) � , (Plaa�er-Drywall, Em.) ,
9. SETBACKS: Front Yard from Center Line oi
/ p � .
Nearest Side Yard..___ �_,_____._.Rear Yard__d_.�j_%.._____ Distante in Feet Between Bldgs. on Same Lot __.'�j�Q___-___
1U. A COMPLETE PLOT PLAIV IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
1 L For (a) Footing: Width __--��4_-__-__-_--_-. Dep[h in Ground.-_-__��p-._--__--.Wid�h of Wall _..--__gl1------___
Aceessory � �
Bldgs. and (b� siie of Studs:.__ _ S acin 1t______..______"CC Material of Floor_�QO.Q___ ..............
Similar r� $_�____..__. P 8._-.'1�.- .
S[ructures:
(�) $ize o£ Floor ]oists:.-rn.r--�--8--------------.Spacing -----:�.Qp---�------------ CC �
(d) $ize of Ra£ters: ------ti--�%-4-------------.Spacing __-"-e�.��------------ CC
12. VALUATIOIV OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers� paino
in and sewa e dis osal G Po
SS P $--- �-�j----`-------------------
-'- 1;. -'I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION. IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORIVIA APPLICABLE THERETO.
7 Q wnez)
Plans Pi�ed:.'_"'..."_�Q_ _1-' _� _'__""_"__'___'_
--- $y;-- ----- � _' - ------------- ---------- - -----------
�-f """� ��(Authorized Agen�)
FOR DEPARTMENTAL USE ONLY
FEES:
Bldg. Permit - .�.
Plan Check - $.
Total - - - �.
Receip[ No. - - .
Paid to - -
Dace�---------------------
DATE________.
'}M.-).50
� GROUP----� ---- ...
— -
�o ----
_ TYPE. --- ^' - -- ------- - --
p o----- - DIST. /v�i / .
---------
�-��-- MAP--------C�
/l Cr° SHEET NO._____�%_...___
'_ L --S
CH �CK1NG SY
APPLICATIO ___. _ ..:. HEALTH _.____________________.
��� F.IRE
ZONING-- --------- . MARSHAL.-- - ":-"------ =
PLANS AND
SPEC'S -------------- ---- - STATE.--- ------ - - -- -
CORRECTIONS ENGINEER
VERIFIED---------- -- CAL. ------ -----..._--
PERMI -ISSUBD.�-Y-:
C. VJ. DONCIHUE covNrr eu �n�Nc
f IN�P=CTOR
__� CEPU7Y C�
COUNTY OF ORANGE
BUILDING DEPT. ,
636 No. Broadway
Santa Ana� California
Phone: KI 2-6211
i r-.
Application for Building Permit
AND FOR A
Certif�cete of Use and Occupancy
Permit No.__ �{--.�.��---
z� � 7 r,�/�; C'"'�-�-��- �� D�e /o_-_�_-_�
1. OWNER'S NAME-------�I�c3:...URA�tS�-_AL�iF�----------------------------------------------'---- PHONE$@&OOi!-8�..�5�--
MAILING ADDRESS----��SQ--H��--��ILtI--A.�Bi.----------------------------.-_CITY--QOBLR--i�OtR.t--------------
Na�ne .
Address
Ciry ----.
State
Lic. No
(Amhitec[ or Engineer)
Phone
IVamelise��aea._::� _-�'��ConFacro� ��___________________
..p��,.�i (�v
Address _�.�y -�''-° -l.�t'il._gtil'Li��+ ------ ---------- --- -
City -Qiillti8. o:0iiw - - - ---- ------
State
Lic. I�Iol�,��(j�_------��-___ __. Phone
PROPOSED USE: — OARA,�Fi - - ----- -- - --- ------------ ---- ---------- -- -
•
2. JOB LOCATION.._ -- ��.Y-----�----�rT�----l�_ESii_._'�i--------Q�Q�_.��@I�ES ----------
(House No.) /�/. (Name of Streeo) (Town or School Dis�ric[)
3. LEGAL DESCRIPTION: Loc ------__-�ia_ _--_----------___-Block ..--__.-.- -.--Tract ---.1�____ -
-- --- - -- ----. - - --- --
(Meres and Bounda Description—Use reserse side of form)
4. CORNER LOT ( ) INTERIOR LOT (✓) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG.: _�___�:__QO__ _.. AREA:_._a�O._�Q_-�r'._.__SIZE OF LOT: ��,�c.../_.3.�AREA: 7_yG_J.______..____-__
6. HEIGHT OF BLDG.:___.],�Q.._._________-____-CEILING HEIGHT
_- NO. OF STORIES-_2,
i. NO. FAMILIES ..____.,_.__-______._._______ Size of Smallest Bedroom: Size of Kitchen:
8. EXTERIOR WALL CONSTRUCTIOIV:_��g.._�CgpQF}____.INTERIOR WALL COVERI[VG .___
(Frame, Stucco, Etc.) "" �"' ' - (Plasrer-0rywall, Em-)
9. SETBACKS: Front. Yard. from Cenrer Line of Stceet_^_ �0___y ___ ____
� .
Nearest Side Yard_._._.q'�_____.Rear Yard ____________________Distance in Feec Between Bldgs. on Same Lot.._._.�t?___._...______._
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWIIVG ALL STRUCTURES AND USE OF EACH.
I L For (a) Footing: Width -_�.�R------__-_-.'--- Depth in Ground----lyA_._-..--_-_-_ VUidth of Wall _-�JL--__.-.-_----_
Accessory � y
Bldgs. and - b Size of Siud:: ..____Z x`'� �_...______.__"CC Material o£ Floor _
Similar
( ) _____.__...Spating_____ .._ _ CiCtlflt`Oii9 ___
Structures: • '
(c) Size of Floor ,Joists:
(d) Size of Rafters:
.._.______.Spacing __
iKK!
--+�-�-�_......---------Spacing ------N�i-�------'-------��CC
12. VALUATION OF PROPOSED \X�ORK: Including all Laboq plmnbing, electrical wiring, heating, fire sprinklers, paint-
- —_, _-- —� 2.0 . -
� '�
mg and sewage disposaL �.__7_ .D___ __.____-_____.___________-
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE IiVFORMATION IN
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:--------- - -�_----/- - -------------�----- -- - ------
'- --
�� f'Q (Owner)
Plans Fi1ed:._----`---/p- --------.------- ��, (/�J��
---- BY'----------�' `%<'�.-"`---''----------------------------------------------
(Au[horized Ageno)
FOR DEPARTMENTAL USE OIVLY
Bldg. Permic
Plan Check
Tota[ - -
Receipt No. �
Paid ro
Date ...-_._---
sM—�.so
GROUP --- -`-��-- -- - -
TYPE-- - --�- ----- --- -
DIST.
MAP- -- - �L- - ------
SHEET NO._ _ ��....__._
Cri�;CK1NG BY
APPLICATION_ ____.. EALTH ___.___._____...__.__.
�/� FIRL
ZONING.---"� --- MARSHAL ------------ --
PLANS AND
SPEC'S -- ----- ------- ------ STATE _ - -- ---- --- -
CORRECTIONS ENGINEER
VERIFIED ------------- CAL.-- --- -- ----------- ----
PER �3����� �OVNTY GU LD'NG
��� r I��P_C;TOR
C EPi;TY 1.• ,
.�_ G /W
J08 ADDRESS
GENERAL CONTF
AP No. ll8-292
'��-�SPECTIONS
�`�i L
GaS
W ATER
ROUGH P�UMBING
PROP. $WR. LINE �
SPftINKLING SVSTEM
MISCELLANEOUS
DATE
BUILDING PERMIT� N0.
.�
LOT 58 TRACT]284 FIREZONE VAL
ROUGH HEATING AND AIR CON�ITIONING
TEMPORAftY SERVICE OR POLE
UNDERGROUNO � POWER [
ROUGH WIRING
SHEATHING
FRAME AN� FL
LATHING — IN
SUBCONTRAC70R
._ ,
2
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA� CALIFORNIA 92628
For Appllcanf fo FIII In Completoly
TYPE OR PRINT
ADDRE6Y Z C-A%1 A �S � �Y
COSTA MESA, CALIFORNIA ,
oww�R Q E �TI P�C��T'�
errri-��r/J 1ti1 No.- ' -
ARCHITECT� � T6L �PR�
OR EN61N88R .�� N . BY'
A�GREBD
mx
CONTRA R O
L60AL
ADDR86Q O� ) � �����
CITy' �^ 1 ��' A. P. NI
NOTE: I
STATE 7E4 9o•To
LIC.NO. N . S IdC
EAVEH
612E ,-/f �� � 7� I No.o�etnos. ALLCW
0
DESCRIPTION OF WORK
W BUILDINO
OF BUILDIPIB
I XPAlBY ACKNOWL6DOi TNAT.I HAY6 11GD YXIi APPLIGTION
AND BTAT6 TMAT TM[ AGOVi I8 CORR[GY AND AOp86 YO COM.
PLY W�TH ALL'CITY OROINANCfB A�1D �T�T[ IJ1YW R�GUI.�TINO -
eu1LO1N0 CONBTPUGTION. ^
BIGNATURH OP � �/�/� �� \
PHRMI7TH� � / � .
AUTHORIZiDAO[NT � � ��J„/�..(�J`Q,�..1c�
SEP 26-68-PA-1D00 79s+� ++***7_2.5G
CMSA
i
APPLICATION FOR PERMR
BUILDINfi
fOf ONPt� Uf0 O/IIy
IItC[IR NO. RM O.� �
�
�i L�T ����/�.Cr �°�n �soy
- oC 7d - �
/ERNAN6 SHALL B6 LE86 THAN
YARDSAPPftOVED I YARD9APPROVED
MAIN BVILOIN� ACCH880RY BUILDIN6
�omci4Y�r�EeT1 . �
vwn.#
DATE
h
%'. / D so. rr. U�'l1� /�!'Yln!/�%��
TNe wMouNT axowN uNoeR vwtuwrlon �le FOR TN8 "� � -
PYRPOB[ O! f8iA848HIN0 A PlRMIT FEB ONLY. .
vww�rioN � rv 5
PBRMIT FEE �
s,�D � � w
� TOTRL PEE ( SG+
DATE
BUILDING PERMIT NI
LOT �A TRACT i�Ah FIRE ZONE . VAL
W ATER
ROUGH PLUM6ING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROl1GH HEATING ANO AIR CONDITIONING
TEMPORARV SERV��E OR POLE
UN�EftGROUND [� POWER �
ROIIGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE �
SHEATHING
FftAME AND FLASHING
LATHING — IN [1 OUT r]
PLASTER,BROWN COAT
ST" TURAL, FINAL
H'� ;. VENT., REFRIG. AND A.
PLUmdING, FINA4 AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
FINAL
SUBCONTRACTOR
?94�5
�p:♦ .
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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D.PR -1-6�Sa60 049 �**�**5.00
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely �
RECEI B DA qECEIVED DA ISS_V/ED
ADDRE55 ��// � �/l'��C+ / ��. / �/ G ��/`1 ✓
OWNEfl / �CC/ Y � ,J !/ %� A.P. NO. � � — PE% y—
MA I L �+ BUILDING
ADDRESS /1��4�C. �U� AODRESS
g �p
i TEL. �}�/ TRACT LOT a BLOCK
CITV � G 4L N0. � / �
CON5TRUCTION � NEW ADD ALTE P
LENDER
BRANCH
OWNER
ADDRESS � �,e_/ VALUE /J
ARCHITECT � r! !. ��u9��,� NEL. USE %/�✓ S ✓
OR ENGINEER /� VL
FIRE
ADOFESS /34 �-����G i� � 20NE TVPE GROUP
CONTRACTOR / //j/( w � /,f �/I.� / APPROVED
BV ATE � l
ADDRESS � � O G�IJ .S� /"CC'Y�i'�Y��G�•
CITY � �� �� �f` NO��4 J_.O I/O ZON� P�� BVILDING EW ��n •
� 60
STATE / ,f CITV 1'ARDSAPPROVED VARDSAPPROVE
LIC. NO. /�. ��G LI0. NO. MAIN BUILDING ACCESSORV BUILDI
SI2E NO.OF BLDGS. (FFOM Gl ST� T)
OF LOT NOW ON LOT FRONT Wf. FT.
USE OF ^ / q � '
EXISTING BLDG. v��aFT. FT.
SIZE OF NO. OF �
NEW BLDG. FOOMS STOFIES L, SIOE F. FT.
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. FT.
USE O�F/ B�U �D G AND WORK TO BE P@ FOFMED DISTANCE BET. BEf. MAIN &
!/tti'�+/ I �` MAIN BLDGS. ACCESS. BLDGS.
�/ �� I .7 VAR.# DATE .
�\' Gna��,�r�,l � V ��I/ G.U.P.# APPROVED
APPROVED
I hereby acknowledBe that I have reatl this application antl state
� that the above information is correct and a0ree m comply wiffi
all laws reg�lating builtling consnuction, antl I shall not employ
any pe�son in violation ot the workman'S compensatiOn laws ot
che State ot California. '
I hereby certify that I am properly licensed as a contrector under SQ. FT,
the Staie of California Business antl Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR �
Chapter 9, antl that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from the Isions ot the State of California 8usinass VALUATION
antl Professions C e, Division 3, Chapter 9. � �,�
//'J I ///� j PERMIT FEE 5
Signature o�/(� A//ry/� V/ �__
Permlttee E 0 // N� L `� S �a PLAN CHECK S
r� Y
� Auffiorizetl`Kgent TOTAL FEE $ �/ /
OWNER CALI.IS�BILL �MAR 1 1 1957 DATE 9-6-56
MAY 1 3 1957
JOBADDRESS (182 C.OS't3 1`�29d $t. BUILDINGPERMITNO. #366I}
GENERALCONTRACTOR Doverspike VALUE $ 25%O,OO
AP118-292-7
! 38 BLOCK TRACT 128)a Add to Ex Dcrelling
GROUP
INSPECTIONS
Footing Trench
Foundation Formsand Gradeto
Rough Framing �
Piumbing, Rough to Slab 1
P�um6ina. Rauqh Complete 4v
L
{
�ry Pole
Rouah
g, Final �
Hause !r Sewe
Tank or Cesspool
p, in Out
Final, Fixtures
F i na I Gas Test
Wiring, Final
Occupancy
FORM 210 3M 10�•v5
DATE
rz.r.ra
SUBCONTRACTOR
PERMITS ISSUED
I NUMBER
366t�
�Costa
,
1•�= �
� FOR
Nearest
Cross St. ;,�,
Owner
Mail
Address �
City
Architect or
ContracMr
Mesa Suilding Departruent i :�PPLICATION FOR PERMIT
P.O.Box3�� ���� BUILDING '
COSTA MESA, CALIFORNIA � t-'
FOR OFFICE USE ONLY
a�P ANT TO FILL IN Receipt No. ,Permit N�
� . .� �6�
osta Mesa, Ci OPi11S Receiv d by ate Rec'd. Date Issui
� . G�� �' .i -.a 6 �- 6 ;
Building Q
Addreu p — p £
� �� Cos a Mesa, California
� 4�'j�6L�� Nearest c
� Tel. CrossSt. �//��� U G
No. Zone,/� No. of Type Group
� :_ L. .l I Plans I � '
(Attach Metes and
Size of LOY
Use of `
New
Repa
Bulli
Size
I hereby acN
and state th;
with all Ci1
building con
Signature of
Permittee _
Authorized /
Valuation
$.�"'�'•
�
xrn soa �o.es
City Lic.
No.
Block � Tp�qqC
r: D � '� G o� _.
Demolish
42�at I have read this Applicat3on �
+e is correct and agree to comply Lath.
(Ces and te Laws regulating
�/ /%JJ1_ +� Lath.
��l/ A�
Permit Fee $ 8 00
Plan Check $ � b v
Total
Fee s',�-\b 0
�
� «:�
�.,;.�
Ui=
�a
APPROVALS
�n Location � I Inspecto
Materials,
7�
YLV'1' YLEi1V -
&how Iocation and distanees from
� property line and between buildings,
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n
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