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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