HomeMy WebLinkAbout1971 PLACENTIA AVE - Building Permits OWNER COSTA MESA COUNTY WATER DISTRICT DATE 8-8-61
JOB ADDRESS 1971 Placentia Ave. BUILDING PERMIT NO. 15101,
GENERAL CONTRACTOR Owner VALUE $ 300.00 tan}
No. 115-350-9 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Undergr.gas
Il..,PECTIONS Signature DATE GROUP ,J TYPE IV ZONE N-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 10
Rough Wiring
Trenches ❑ Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce ❑
Sheathing
Frame and Flashing
Is0,sng — In 0 Out 0
War, brown coat
l eMrig. 0 Air Cond. ❑ Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final
Building, Final ,y`
OCCUPANCY // - QQ[�i '%,2 3-67 ' PQ "'~ 2
FORM BU4-5M - 7.61 1 ql Oh
7
��' FEE RECEIVED
y/ AUG 8 Cal
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
ADDRESS j97/ &L4c r,vr19- 0-t- '
COSTA MESA. CALIFORNIAIL/€7 For Office Use Only
OWNER /LCDs rn. /411 L'-.sn c'yW 4-7-ER M_ I RECEIPT NO. 1 51 0
/' 4
MAIL
RECEIVED
D Re4e14 pTeID
ADDRESS {17 f PA- .}.--7-t--/---n
Der— X ey / -(../
CITY /? Os /MNO. BUILDING
ADDRESS
qq ,p �Q
OP 'TECT
EER WAILR .3in"-.ITN'EOL. /� COSTA MESA. CALIFORNIA /\//�/,.
ADDRESS Ia�'L//l eN/.ri/T _ ZONE TYPE GROUP Jy'-
CONTRACTOR �'WA��JZ APPROVED s. I/IT7� DATE �—ti -G/ .
BY
ADDRESS ZO INC
BONF� _ i I NO.OF I Uus.. OP NEW WY.
CITY P(�-I/ PLANE B
STATE TEL. LEGAL
LIC.NO. / 4f JI NO. DESCRIPTION
NO. OF OF LOi 5"°. i/Ind NOW ON LOTA.PS )) \.NO. Jjb 1=". 360 h.'.'
9
USE OF YARDS EVES
EXISTING BLD*. _ APPROVED t ALLOWED
SETBACK LINE FROM (CENTER LINE BT.) • _ L2�,7T
CENTER OF STREET REAR YARD FRONT 6 S FT. P'J IN.
SIDE YARD I LEFT I RIGHT R.SIDE G FT. IN.
DESCRIPTION OF WORK7 C,`� IN.
L.SIDE
N I II ALTERATION I II ADDITION I REAR it"° •1 FT. IN.
REPAIR I II MOVING I II DEMOLISH I BYF'ROVEri �,_ Lt /\: , DATE g...1
4 -/ I
BUILDING NO. OF lX?� C Ce'''.-
EXTERIOR
g �, 1�
SIZE ROOMS STORIES C.J`'''
EXTERIOR WALL I ROOF
COVERING COVERING
USE OP BUILDING AND WORK TO BE PERFORMED
a<GVb _a4-I- . 6AsaI 44/c
rfilik - ULvDeg CE.OVNQ
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL GMT ORDINANCES ANTE LAWS REGULATING
BUILDING CctleTRu ON.� / /' q VALUATION /J
SIGNATURE r_IFI //- _ •(L✓//���-✓.C�i �n PERMIT FEE $ .a'• �� n
PERM ITTEF _
$ 3e,--(2. PLAN CHECK $ '.1
AUTHORIZED AGENT - a( CIO C
N. TOTAL FEE $ 'WI y
6' T
• • 18083 E U11 "i
COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 3 0 Igrp
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
For Appli nt to Fill In Completely APPLICATION FOR PERMIT
/y7/ TYPE OR PRINT BUILDING
BUILDING CALIFORNIA ,1 �� ,^,
ADDRESS ' COSTA MESA. IFO�A A CO``Y For Office Use Only
/n' A/ _ /, /1 RECEIPT NO. PEESSMITy4q.
OWNER(, O 714 /7s=5, Wg nL5 J2 /ST • I I /UoCI-3
MAIL RECEIVE/4Y DATEE,RECEIVED DATE IBBUED
ADDRESS //J�, /4-GC/U T(il • /J I //(/<'-3O�•7u�yy�� /�/��- �A-/,6 et.--
TEL. p n
CITY/t7 5 r/4- ,! CS 3 NO. ADDRESS / % 76
6 P�•I����c-x/'^„-"'✓ 'ri"' �/ vC
ARC"ITECT TEL.
OR 'INEER -1-.NSNO. COSTA MESA. CALIFORNI• G;^ t
ADDRESS / / `V,�/ (/2MN4 V 7 0_Li FIRE
ZONE �/ TYPE / GROUP
/=
I ivo
OWNER COSTA MESA COUNTY WATER DISTRICT DATE 4-21-64
JOB ADDRESS 1971 Placentia Avenue BUILDING PERMIT NO. 22011 .-- -
G=_- ,
: ERAL CONTRACTOR Owner-builder VALUE $ ¢00.00
$1 ` o.115-350-09 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK 2 UnGr. Tanks
INSPECTIONS _ Signature DATE GROUP J TYPE III ZONE
V-Soil PERMITS ISSUED
COGas - SUBCONTRACTOR DATE NUMBER
UJ Water _
it-Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating _
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con.0 St. Swr. 0
Sprinkling System
Construction Pole
Underground -0 Power 0
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. .0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Engle and Flashing _
— In.0 Out•O
i1hter, brown coat
Refrig. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final f-
Building, Final ( ��✓J 7�j�.-7o ,9/2a/iy- -- - -- - _ — •--
OCCUPANCY ! •
Form BU4-5M-3-63--5-B P
00,111
•
22011
1-LL • RECEIVED
• 1Pfl 2 1 19&c
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 917 COSTA MESA.CALIFORNIA
\ •
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
�T A For Office Use Only
BUILDING /97/ l/� rk //t' .
ADDRESS 7 / /� //� "YYY yyRy[C[IPT NO. gQ""��}}IT NO,
COSTA MESA, CALIFORNIA �/� � / �T
//J��J E �=2y .�-[� est
OWNER CO 57-4 jj]] /He SA OViP77 Wi4T7iA / //�/L��
AMAILDDRESS I M10 , 'JO�r /0 7FIRE
✓IST ADDRESS /9 7/ '^'K+Cr
�^ A�//�[ TEL. ZONE ir
TY E • 1•
•
cityIOSTq /re5/y No All4-i48I L GROUP
APPROVED „ /I
ARCHITECT TEL -- BY DATE !-XI•J�/ 'Clf/
'NGINEER NO.
ZONING
�-
ADDRESS g NO.OF USEorntw1
J I I PUNS ^ /I BUILDING UJ/ AA
CONTRACTOR O(-rn-'e /X/f i�'IQ StyC•'r� /N l �P "..iiRyrCb
4-,,-
ADDRESS �A�`- p/l DESCRI oN I ) A_n i-U !fn/
.Y/if1L} A.P.NO, •
I /c— 3, "c 7
CITY ,Jj-A Q.
NOTE: SAVE OVERHANG SHALL BE LESS THAN
SI P.
STATE TEL 90'TO SIDE 8 REAR P.L
LIC.NO. __
EAVES
SIZE I no.or DGS
BL . h/ ALLOWED (U.B.C.REQUIREMENT)
OF LOT now ox LOT 7- YARDS YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT ET. , IIT
CENTER OF STREET REAR YARD
FT.
SIDE YARD I LEPT - I' RIGHT
DESCRIPTION OF WORK L.SIDE FT. FT.
REAR FT. FT.
a I ALTERATION ADDITION
DISTANCE BET. BET.MAIN D
MAIN BLOCS. ACCESS.SLOGS.
REPAIR MOVING DEMOLISH
DATE
BUILDING NO.OP
SIZE ROOMS STORIES - APPROVED
EXTERIOR WALL I ROOF
COVERING COVERING /_ - �
USE OF BUILDING AND WORK TO BE PERFORMED
-LNSr,4Lt. /kit o to 6gta.s.w/ T IV.CS .
U4/Oce r.4OC,_D STOLMCc
n
SQ.FT. D
I HEREBY ACKNOWLEDGE T I H VQ READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE i
AND STATE THAT THE ADO - IS C•RRECT AND AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDI ,NCB° D STATE WS REGULATING VALUATION - o0 p
BUILDING CONS -UCTIO ' n
SIGNATURE OF
/ CO PERMIT FEE j
PERMITTEP I. /2.7o
--, _
AUTHORIZED AGENT
a TOTAL FEE $
.
f. 18559 EEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT I JAN 14 1863
P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely CITY FOR
c " MESA
ppP Y APPLICATION FO P RNIIT
/7
TYPE OR PRINT BUILDING
BUILDING ADDRESS //`// •A •'L ".eDnvCi0,
COSTA MESA. CALIFORNIA For Office Use Only
/' y- at4 � 94-1-- t RECEIPT NO. I $ IyetAL
OWNER C..eQQi�N b .Iwu- � /X O///��y
MAIL Q`y/�� J' n RECEIVED BY DIE RE/Ct EO? DATE IBS11EO/
ADDRESS/12/ ' ifliC'.�✓"4a'' "4 I�/y v/T` //////-,�/1//QJ
///7 �- /y�,,
TEL /! ! / V�(
CITY lidjef� //(�a+et-- • EL., /I,.... 4 � ADDRESS ( f
AP ;ECT TEL..I'♦ COSTA MESA. CALIFORNIA
AI sENEER . . ✓ e ../. a - NO.T//_/S�i.74,5,
FIRE
ADDRESS /_ p Sr Ge/N• (-l�/J._ -.//1/o4 ,O gZONE GROUP CONTRACTOR !,j-��r/ ^••�-�f' /�'�C '-e7y/SYPROVEDca.-TYRE...It
/ /�j
(/ DATE Iv
ADDRESSC4444.....;
/5 7 5/��re of . ..�- • ZONING
/ /,� r / ZON j I NO.OF USE OF NEW
CiITY [/J/L COT PLANE yC�' •B'UILDING
STATE /Z 1421 -
a . EL./a-�. /02 V S - LEGAL R. L �- r
LIC.NO. - NO- '/ DESCRIPTION !.' 0
SIZENO. OF 131.555. // I ^ 3 SD— !. Cj r4
OF LOT I NOW F LOT A.P.NO. ^� V /
USE OF ^�,,, of-4.4e._
YARDS EVES.
EXISTING BLDG. iI./�Cy go _/ 4 Ge_ APPROVED ALLOWED
SETBACK LINE FROM a D/� (CENTER LINE STJ
CENTER OP STREET 0 REAR YARD/ lJ FRONNoT ` LJ FT. l / IN.
SIDE YARD I LEFT O I RIGHT (p �', R.SIDE 11 l/C a.FFT. ( IN .
DESCRI TION OF WORKL.SIDE c�'FT. N.
IALTERATION I II ADDITION REAR 2 , OFT.�' 1 ,/ IN.
REPAIR I I MOVING I II DEMOLISH 1 BYPROVE q// ..7:0 • -DATE /—i 4A-6 a-
BUILDING/ ,t,�^S ROOMS / STORIES / S' C�'rf r
SIZE H' o!
EXTERIOR /(
COVERING ((�('WALL .._/�/ I COV
ERING Nell,/
USE QF,B�ILD AND W01:„.n0,U- ' i 2 I iiii V `Q-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OF PERMIT FEE $ L/ h.
PERMITTEF G _nn a N
`� •
$/) O<,S G'•.__- PLAN CHECK $ Gtr/— e
AUTHORIZED AGENT 43 ,.�. o
N TOTAL FEE $ y
,. . 23012 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT �rP1PAIn22AI��8g• gge�
P.O.BOX 317 COSTA MESA.CALIFORNIA SI 11[/11\VES DEPT.
For Applicant to Fill In Completely AFFMTOINCOPPIMifit
TYPE OR PRINT BUILDING
For Office Use Only
UILDING
• I ?7/ Pt I9 N7/ 8 flue
RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA ( L
//���n M/ q /n;� �1 1 ^/r/�,�{ 0.6C[ [ BY PAT[fR[C// C E 18yr,
OWNER -C/.7/// / CS /! co.. WidQe' r ) p, 7 y ?Ace hoc
Y
MAIL• 9 7/(j'L/KFN7 14 /)i t BUILDNG
ADDRESS / ( 7/ �?Ace Nal A
FIRE
CITY STP/ PIE'S (`r •/ NO/ A IO /(/p(8-/ ZONE TYPE' GROUP /y7
ORC VGINEER SD ` u 6# TO.//it 1,61-1 i B OC \ • ATE 2-- /j4
ADuRESS t4' 7 c#ci N / I4 'L (74 .�Y Z NG D C •
1/'�f / VAI Q //1 1'' O NO.OF USE OF N
CONTRACTOR Gory /'k-c `a W� , 1. PLANS ' BUILDING �. �• Iaiof
LEGAL
7/40:-ft Cc-* i/gA LI DESCRIPTION
ADORES ��`` T/j Ae—st
3
CITY ? s I I! / L l st t A.P.NO. // o - 4.3-7/4-- 7
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL HO•TO SIDE B REAR P.L.
LIC.NO. 3 Lis.x. I/7O 440.
SIZE /, . NO.OF sums. ALLOWED (U.B.C.REQUIREMENT)
3. .-� /
OF LOT NOW ON LOT
rrjj
YARDS APPROVED YARDS APPROVED
USE OF
EXISTING BLDG. a rrI cCI')G tiet‘cicuiemaN
..- M LUILE LDINTa ACCESSORY BUILDING
SETBACK LINE FROMAI
FRONT
_CENTER OF STREET ' ,0 Ll Air 1 REAR YARD/O 7 FT / FT.
SIDE YARD I LEFT 2 IV/1,15. I RIGHT • '7 ! R.SIDE FT. Fr.
DESCRIPTION OF WORK L.SIDE /OeFr. CJ FT.
Pit"... ALTERATION ADDITION REAR/� FT. t FT.
DISTANCE BET. BET.MAIN B
REPAIR �+ MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS.
BUILDING/A,.P a NO.OF VAR.# DATE
SIZE CJ /yJI (L ROOMS STORIES C.U.P. APPROVED
EXTERIOR WALL'" ROOF APP V `
COVERING (jam V� yq COVERING • _ BY� .4911; DATE 9- i��V
USE OF BUILDIN A D WORK TO BE PERFORMED V �r� /
(rad 6R rilk Cncotlnet Lisaps
/ N
SO.Fr. G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE Z
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION ! pQ p
BUILDING CONST/gYl�DON. CCI
PERNATUE PE 6F�j 3 PERMIT FEE $ .� i
MyT4 C, 9LC� $ �0 PLAN CHECK $ Z
AUT ORI DA E ���JJJ QoL
\ TOTAL FEE $
24897 1�� + a �% 13r4 n. c�..�p� �op
COSPTA MESA BUILOX 1200 DING-SSTA AFETY DSA, EPARTMENT
I CITY 81 C3S 111 MESA
/
For Applicant to Fill In Completely APPLICAMEW lidit
TYPE OR PRINT BUILDING
/�j/ v�GAle�ull� For ice®
BUILDING 1?�
ADDRESS
_RK I PEPMrNOy
COSTA MESA. CALIFORNIA
tit
RECE/ Y G lC/V'BD \ TE ISSUED
OWNERCOSJ'*t t ea.nertc Wearer- tri S%, l/ tjM�' 7"'2-9-65
BUI •ING / (� ,n
MAIL. p ADDRESS ( 7 7 / /¢C ia.,J A-2
ADDRESSSS117/ P�Gy�/ G'ITR7� I /^
FIRE
CITY G..-.�02- /71/5-4 NO.WC-/4 ri ZONE TYPE rl V GROUP ('
A"^XITECT TEL�T/ DYPROV[D �4 DATE/)-29=/�
VGINEERC,&2 ,44t-t NO.a]G-ro.
ZONING
ADDRESS 291/ C3-.eaSe-- C/r1
ZONE NO.OF USE OFN[WW
�P p r7.72/ I PUNO — BUILDING -0-��e.
CONTRACTOR( I/Ij P /r esiovc',(I� / ,/ /n/ /' / "^�
Be, DDEESCRI ON Fel,..X A *g I lO f __—
ADDRESS 29 9 / rte", it.aa 6.s /tr J
A.P.NO. //
CITY C05C 2- /IYaS.CL � h S/ ��
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
fir NO.2/35/76 NO. s svv`PlLS"O SO•TO SIDE&REAR P.L.
SIZE ,ryy,,,r �/ EAVES
OF LOT$/S 71 X ci /4 4 I NOW ON LOT ALLYARDS APPROVED IU YARDS APPROVED
USE OFM/
EXISTING BLDG.VFJ�/C�•" ,,ter MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET)
SETBACK LIHZ FROM
FRONT FT. FT.
CENTER OF STREET REAR YARD
R.SIDE 1 O FT. C-`PT•:
SIDE YARD I LEFT I RIGHT
DESCRIPTION OF WORK L.SIDE74r. FT.
REAR )ID PT. FT.
I ALTERATION_ ADDITION f
DISTANCE BET. BET.MAIN&
MAIN SLDGS, ACCESS.BLDG'S.
REPAIR MOVING DEMOLISH
BUILDIN NO.OF VAR•# DATE
SIZE '&C X V I ROOMS I STORIES / - C.U.P.# 999 APPROVEDy�
COTERIOR WALLS COVERING /'/G rJ ri APPROVED
DATE/•ie:/0 �
COVERING A/V//
USE OF BUILDING AND WORK TO BE PERFORMED 1 D'
Sere)/P/y/CAJr S7d' !,4,Ces w
1476�I-7 s
SO.Fr. S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
2
3
PLY WITH ALL CITY ORD NCH AND STATE LAWS REGULATING VALUATION DO QC) b
BUILDING CONSTRUCT
SIGNATURE O / L �,,�` f
PERMIT FEE $ 34l
PERMITTEE �II t ` $ 9,94 PIAN CHECK $ Z I / 1r
AUTHORIZED AGENT I 3 1 J�'�
u l TOTAL FEE $
I
2800 - A-9 PAID A00 305* ****36.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620
•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 1911 PLACEtJT%4 AVE ..
RECEIPT NO. ;gripe,/
(/,/
COSTA MESA. CALIFORNIA r!!/JX L/
RECEIVED 'PATE RECEIVED IS EDDY
OWNER CO SIA /A7=G11 \VAT FK °15T. !!//qqI '791 6/ f
MAIL BUILD O / / C/�i),4
ADDRESS I91 I pA
LCFJT IA A.V1.7 ADDRESS
FIRE
TEL ZONE TYPE j/GRO� �
CITY rt T7iCTA //�K'GA NO.
ARCHITECT T!L,� � APPROVED
NGINEER E••=>. HALL NO �'�4G-WRV BY DATE H
4NI G
ADDRESS 2991 CrAcE L.A.NE t,/' zoNE1 ,1 NO.OF SEOFH
II PUNT v BUILDING 0 / .
CONTRACTOR etT=7.6.I I F, F3A./AF INC. p3/v I s
LEGAL 4
ADDRESS 2TA
99 I cnAr.F LAE , DESCRIPTION 7a] 11/4-0]r
CITY C-05TA SAF SA. c6LI1 . A.P.NO.
1� U '_' � T� 4./2_---
T.. .
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE
NO. 2I 3NO, s46 41 C Soso 30"TO SIDHe REAR P.L.
SIZE I NO.OF SLDGS. ` ALVES
LOWED (U.B.C.REQUIREMENT)- . I
OF LOT NOW qN WT 4 YARDS APPROVED YARDS APPROVED
USE OF . A.ZAGL-1 5410P STD26Cz ern GE MAIN BUILDING ACCESSORY BUILDING ``
EXISTING BLDG. `
(PROM C/L STREET)
SETBACK LINE FROM FROrt PT
CENTER OF STREET REAR YARD •r--�+
ly`t . [[��
SIDE YARDI LEFT I RIGHT R.SID�-�`�/FT. FT.
DESCRIPTION.OF WORK L.SIDE
rr ,,G%v . 7 � PT.
ALTERATION _ ADDITION N REAR `'}'v P7.T R.
DISTANCE SET. BET.MAIN e
MAIN BLDQS, ACCESS.BLDOS.
REPAIR _MOVING - .DEMOLISH
BUILDING iti NO.OF VAR•# DATE
SIZE )13C ROOMS I STORIES ' C.U.P.# .II/ APPROVED �/ /]
EXTERIOR WALL. I I ROOF APP�OV[D'(]\I /a",--6
7/� 6
COVERING burim-S,n C. COVERING*AFTAI SU}r, S7 VYt A A/vIA�L,t DATE �7 1�
USE OF BUILDING AND WORK TO BE PERFORMED / a
-err f7CA CIE ( T')1 IFP., 1
(y_______ N
X72 o SQ.PT.
I HEREBY ACKNOWLEDOILTHAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j
\ AND STATE THAT THE ABOVE IS CORRECT AND WORMS TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. rJR',
PLY WITH ALL/CITY ORDINANCES AND STATS LAWS RIGULATING VALUATION
BUILDING CONS\TRUCiION. \ I)� O 9l/O
/ O PERMIT FEE $ /"/ 07
SIGNATURE OF`.T. /�
PERMITTED 1 lL CI' , ��++��rr��-� $ gee)
PLAN CHECK S /2/'00 w
,AUTHORIZED AGENT
TOTAL FEE $ tela
J
• 31714 APR 21I-70PaioCKSP00t491* ****311.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
/�,1 RECEIVED/1BY DATE RECEIVED D TB ISSUED
BUILDING I-'7 i� n IA.a IA Nth...:
&- tJSr \ 4- 3:70
ADDRESS ,// Tlji A ^7O
't.`1r� \NI,A�t ` j /� PE MITN
OWNER A WSJ), Co. VVHI CI� DISI. A.P.NO. llJ -33 CI -U / / 7�
MAIL BUILDING f
Z ADDRESS P.O , goX 901
ADDRESS I/,/ �tQ � 1.1�.
d 0 CITYC7A. I SGSA C PLI C. NO`8 4.3ZI O TRACT/}A/I/ GI "LOT A BLOCK
ZZ CONSTRUCTION ..11 xNEW Apo ALTER REPAIR MOVING DEMOLISH
oN N
LENDER A Nr"
J D BRANCH e iy 1n
_i CO OWNEy»SRO�y 7th-le-
yn 1/L I/y"��y�(�/��� Oahu
ARCHITECT ``,, TELL„„.�.,� USE R elle) /th-le- Q' l.d&Milli- - /600
J N OR ENGINEER G WU, NO.P31.-`J 21 D
U t� Cp�� FIRE X77 ••�r
dw ADDRESS .77 i-1 Ata bQ., C.al ( Sj ZONE TYPE //I GROUP �/
pp�� APPROVED —�j ../JS((7- �/J �7 ry
W Z CONTRACTOR OWXiert - eii I LT)eC BY C�y� DATE /'�G'�� /
CO Z
J¢ ADDRESS .,rt
W W TEL. ZO E I NO.OF USE OF NEW 1�_,fp, tf^"
OZ= CITY NO. / PLANS 1„," BUILDING Q
H II Q'
W O STATE CITY YARDS APPROVED YARDS APPR VED
NCC LIC.NO.'�/�r LIC.NO. MAIN BUILDING ACCESSORY BUILDING
7 O SIZE
OF LOT , 6,7// )( Sol/ I NO.OF BLDGS. /t (FROM C/L STREET) � /'Y l
NOW ON LOT (�. I rJ. FT. C/I--
USE OF
EXISTING BLDG. iI-11w,JTeoky...E FACIUTI Es Et-SIDE 7. I/
—C
1— SIZE OF NO.OF ,I/,I// /"
Z NEW BLDG. ROOMS STORIES L.SIDE /1 f N, ,2I FT.
U EXTERIOR WALL ROOF
COVERING COVERING REAR
. /.. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
- ` I MAIN BLDGS. ACCESS. SLOGS.
VAR.# DATE
O GLout.Of\U_ G1k,12bn3WOQK j CUP# APPROVED
��\\,, ``` ` , ,I\ �+ (7 Il��."."" n�A c 1 APPROVED �///7
Z PM's-n10,0A Y'l� rOEco was t01 PJ S _gY ("LW, DATE V a3Jib
0
UI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
VI the State of California. m
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: b
am exempt from the provisions of the State of California Business C
and Professions Code,Division 3, Chapter 9. VALUATION m
��/q- _ PERMIT FEE $ a?3•(7o N
Permittee -ter'•^ - • CLC-1.{J/������(((z//r���lll ff 5� 0� - PLAN CHECK $ /I • 5` ' E
Authorized Agen .J,�� , / a/i,,� , TOTAL FEE $ 54, 56
a