HomeMy WebLinkAbout469 16TH ST - Building PermitsCOUN'I'Y OF ORANGE
BUII.DING DEPT.
636 No. Broadway
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Phone: KI 2-6211
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Application for Building Permit
AND FOR A
Certificate of Use and �ccupancy
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Permit N�.� q �0
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OWNER'S NAME__:(J.II�,C--_..�t...._...'-�Lf—_--�T/ZU�/� PHON��%�Z.��?S
--- ..... .. - ._- -- -- - - -- - - .....--
MAILINGADDRESS....._.�ST�__._� /�����= � � ���
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�L1=`� `C ���/�'N_�...---.. Name .��/�CE � �LC�T%�UV/E—
Name. -- ...... ....... - .._- - - ........ -' -....__.. ' ' - - --.......- ---'-._..... --
(Archirect or Engineer) . (Contractor) �
l / S49 � (-t/H-/ � L�Z..... �CV� , Address . �. 5.�... £-._...��/ / /�1-�--- --:- - ......... -
Addre=_� ....... - - - ' � -
Cic ��-1-i % //L�/Z Cit �d,�-Ti4-._..M�---S�. ....- -- --
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State �7 ZQ �:� State ��p� �� r
Lic. No....__...-y-----------------._.. Phone--- ---.Q. 2L........... Lic. No._._._.:............__..._....---.... Phone-----_......-------------------c_�
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PROPOSED USE:..........-_S —........... - -- .............. ..- -- ---- - ... .
z. JoB LOCn
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(House NoJ (Name o( $tree[)
3. LEGAL DESCRIPTION: Loc--- :............----------.........-----.....Block ....__._..---....
(Metes and 6ounds Description—Ure reverre side o{ form)
(Town or School District)
4. CORNER LOT ( ) INTERIOR LOT (✓)� THROUGH LOT ( ) SLOPE OF LOT ( ) �
I— � / , i
i. SIZE OF BLDG.:..�J..-2�_`��...AREA:.I..OUD...p.........._SIZEOFLOT:.C?.�.�L�>5.:..�.�a....AREA:��Q-b--.-.------
C.
7.
R.
9.
HEIGHT OF BLDG.:......_!.L%/........__........_...CEILING HEIGHT:__Y.���.ES.....NO. OF STORIES.......l..........._.._.....
G o
NO. FAMILIES .................�---_.-----..__...Size of Smallest Bedroom:.���_�.�d...:............ Sizc of Kicchen.-..1....D�. ��..t---_.
EXTERIOR WALL CONSTRUCTION�...:�'.^.!y!�._'�..�.�U�wl�ll�'TERIOR WALL COVERING._._/�� yw��'L--
(Frame, Smcco, Etc.) /; (Plas[ervDrywall� Ete)
----"'-"--"
SETBACKS: Front Yard From Center Line of Stree[._...._J�......._......._........... �
- -----`--" .....................__.
/ / / . ��
Nearest Side Yard....J...-�.._._.Rear Yard.b.b ..............Distance in Feet Between Bldgs. on Same Lot........___._.._.......__..................
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width....---........_........---------'--.Depth in Ground.._........._....----------Width of R�all---..--------_.---........
Accessory . -
Bldgs. and b Size of Studs:...._.._............_.....S acin -..:'CC Matcrial of Floor.._--..--.-._------------------------------_
Similar � ) P g--....---------: --
Structures:
(c) Size of Floor Joists: - ......................_ - ........Spacing...... -- ...- - ................"CC
(d) Size of R\fters:._:....--_........_---------------.........Spacing----`----------'-'----.......--........:'CC
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12. VALUATION OF PiROPOSED WORK: Including all labor, plumbing, elecvical wiring, heating, fire =_prinklers, painting and
sewage disposal $---�D`�� � -� ....... ............
'"-13-1 HEREBY CERTIFY THAT TO THE BEST OF M),- 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 CALIFORNIA APPLICABLE THERETO.
/ Si�ned/:.��'�/ ��--
Plans Filed:...........��.�.�./.....��...��/...---......_.......--"--..... �\ �/� � /
/ By :�!..___...f._F
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Bldg. Permit
Plan Check
Total - -
Receipt No.
Paid to -
Date ...........
FEES:
3.. --.1...� � � - -
$.. �- �- - - -- - ....
_ ,- �:, o 0
Y
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DAT'E._..._�. ....L.. �.. /. � --- L -
5 M—B-51 � /
� �O ��f�2U �/=
(�wner) / � � /�
e�e /�
�7`¢�......_..
(Authorized Agent)
FOR DEPARTMENTAL USE ONLY
GROUP.......� �-`� - �
TYPE... -�- � .......................
DIST. `�
MAP --..._ C.-.�?%.. .- - --
SHEET NO.........� ...._.....
BY
APPLICATION.I.�.:i:l�. HEALTH ............................
'� FIRE
ZO N I N G ................... .
MARSHAL ...................... -
PLANS AND,%) C� �
SPEC'5..... - {' �,..!'..G..(_ � 6TATE .............. - --
CORRECTIONS ENGINEER
COUNTY OUILC
.� IivSP�CI"OR
TY
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Y
•:',�•.OWNER:. . � � ' KEMPTON� W - O DATE 12�'�jb . . . ...... .
JOB ADDRESS h69 lbth� Place BUILDING PERMIT NO. (/�yOiZ
GENERALCONTRqCTOR �y,mer Bldr. \� VALUE $ SOO.00
AP117-3 1-
�c 10 e�ocK TRACT 1�1l� Cement Block Wall
GROUP J TVPE V ZONE R(i FIRE DISTRICT LLO7%
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench 2 — p —
Foundation Forms and Grade to Garaae
Plu
Wirino. Ro
H
House Sewer, St.
In Out
Plz�ng
Plumbing, Fin�al, Fixtures
Plumbing, Fin,al GasTest
Wiring, Final
Occupancy
FORM 210 9M 10-i5
Costa Mesa Bnilding Departruent APPLICATION FOR PER1ViIT
P.O.Box3�, ���� gUiLDING �
COSTA MESA, CALIFORNIA
FOR:OF;FICE U.SE ONLY
FOR APPLICANT FILL IN 'Receipt No. Permit No.
Addreiss �- �� JI• a�
� � � �
Received by , Date Rec'd. . D� e Iss d�,
Costa, Mesa, California r v _
Nearest �� � � ��1�
CrossSk. _ � �-�. .... ..� Buildin ! I��� '
•_ ;
or
Metes and
Setback
Center o1
New
Repair
Building
Si�a
F ior
G .rinc
/�_.•;� �' ic� �i ��.
No. (-
Lic. __.��
l� No.
�A 1 -j 1 %�J >l �4 �' :l
_ � Cfty Lic.
I Now on Lot 1
INo.oT I No.ot
Families Ro m�.
�_ RearYard
Alteration
Moving
No, of
r
W G �
Demolish
I hereby acknowledge that I ve read Uus Application
and state that the ab is M and agree to rnmply
with all City Ordinan a tate
building construction.
Signatureot
Permittee
Authorized Agt.
Val on /O (� Permft Fee $
� � Plan Check $
$ Total
Fee
RM 306 10��5 D. P. M1 5.
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Address � � �`y i
Cos ' Mesa, Oalifa
Nearest,.0 •' .. ' � ;�('q
el..: 111'
M. L':i;-\
APPROVALS
Foundation Location Inspecto
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
Lath. Int.
Lath. Ext.
P laster. I nt
iry Reinforced
Beam
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PLOT PLAN
Show lowtlon and distancee from
nproperly Iine and between bulldinpa
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