HomeMy WebLinkAbout1965 PARSONS ST - Building Permits V YY IN toll VAIN t1.1-Lit, ULbbr:N LHIli 4 lV-OO
JOB ADDRESS 1965 Parsons Street BUILDING PERMIT NO. 25601
GENERAL CONTRACTOR Owner-Builder DESCRIPTION OF WORK Retaining Wall
AP No. 115-284-19 LOT
IT" SECTIONS
TIONS
TRACT FIRE ZONE VALUE $ 700.00
_ Signature Date GROUP J TYPE 7"p ZONE R-2 (I-P
PERMITS ISSUED
Gas SUBCONTRACTOR Date I Number I Signature
Water • Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con..0 _
Sprinkling System
Miscellaneous —
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0 1111
-
TrenhWiring �/ 'k Heating and Vent.
Trenches 0 Forms ❑ Steel Reinf. 0 - '
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing _
Lathing —In 0 Out 0
Plaster, Brown CoatM
Structural, Final Electric
Jj ing, Vent., Refrig. and A.C., Final _
P afbing, Final and Gas Test 0
Electric, Final
Building, Finale,,,_, .e H ' 'yv=5 -/P-e
ADDRESS OF BUILDING: 1965 PARSONS ST WIT: CITY OF COSTA MESA — BUILDING PERMIT
owNEgsluuEIFlc*N:IKE PROPERTIES PERM NO: P 077844
.".T.Ilut1990 HARBOR BL
COSTA MESA, CA 92626 PERMIT NO: P 077844 PLAN CHECK NO: N GOVT: N SUPP : N
722-2014
APPL.ICONO ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH
ARCHITECT OR Elc?IaR: UC.NO: JOB DESCRIPTION : DEMOLISH SINGLE FAMILY RESIDENCE SQ FT:
ARCH OR ENL'S ADDRESS: LINT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /U-1
CONWAOTOWsNAueTODA CONSTRUCTION OF CAL ( 714 ) 220-3141
CONTRACTORs1Claa 5816 CORPORATE AV COMMENTS : SEWER CAP IN PREP FOR NEW "TOYOTA" DEALERSHIP, RE: #B778f3
ADDRESS:CYPRESS CA mita.: 427375 ***************************************************************** **********x-*
90630 uNr: 160 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aaim under penalty of perjury that I am licensed under provisions of Chapter S SETBACKS
(commencing vilh Section 70 0)of Division 3 d the Business and Professions Code,and my license is in full face and effect.
CITY LIC.NO.:045833 UC.CLASS:B UC.NO.: 427375 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING -- ----------
Dale: /ZA /9E c«ead«: `r(/ h1irCp7✓S'r1ut07✓ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
'WNER BUILDER DECLARATION:I hereby affirm under penally d perjury that I an,esempi from the Contractors License Law for the
Rowing reason(Section 7031.5 Buenas and Professions Code:Any city or county which requires a pantie to construct.alter,Improve, PARKING RE PRO V: PARCEL: 00000000 Z N E: REF NO:
demolish,or repair any structure,prior to be issuance.also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)el Colson 3 of the PLANNING NUT ES>
Business and Professions Code)or that he or she S exempt therefrom end the beau for the'alleged exemption.My violation of Section > d
7031.5 by any applicant fore permit suNeds theapplicanl to advl penally o not more than las hundred dollen(35031). *******************************************************************************
❑ I.as owner dlhepropedyamywnpoyeeswith mos atheisdecompensation,Wit 66 the work.and the shudu enot intended DEVELOPMENT SERVICES R E Q U I R EMEN TS
or offered for We(Section 7044.Business end Professions Code:The Contractor,License Law does not apply to en owner of property
who builds or improves thereon.and who does such work himself or herself or through his or her own employees.provided that such
improvements are M intended or offered for sale.N.however.the building or inprovenent a sold within one year of conger/am the ZONING APPROVED BY DATE:
owner-builder will have the burden d proving he or the did nor build or improve for the purpose of safe).
❑ I.a ower othe properly.amexclusively contracting vehScorned con°eaaewconstrue tie project(Section 7O44.Busi e»end BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of property;who builds or improves thereon and who
��(( -T pp I Gr,
contracts far such projects with a mntractor(e)licensed pursuant to the Contractors Lvov Law). .� C.O l l L
❑ I am exempt under Section: B.AP.C..for the neaon: . APPLICATION ISSUED BY: - DATE:
**************************************************B *********** * ********
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify Oret I ant aware el and understand the requirements of California Health and Safely Code Sections 25505.25533,and
25534.and that I or any Mur building occupant will/we nor(circle one)need to comply with said state modes and the requirements kr
apenmbfor oonsWction or modification from the Aitaranagentent Markt.Residential mmamdaneppicmiduen exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 7,00
Date: Applicant: 25% S M I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby slarenof of
slam under penaltyperjury onethe ldowirg deduations: PLAN
ISSUE FEE 20 . 00
❑ i have sod will mainiain a carlificale of consent to sal-insure Ifor workers'Canparisalion.aid provided for by Seale.3700 of the Labor BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Code,for the pertonnance of the work for which this permit eisaued. TOTALS----> 7 . 00 20 .00 0 .00 27.00 27 . 00 . 00
1 I have and wit maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the et"
work for which the permit is Issued.My workers'compensation insurance carrier and policy number are:
Carrier REVENUE DIVISION TOTALS--> COLLECTED: 27 . 00 OVER/SHORT: . 00
Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need nor be completed I the peon)is for one hundred dollar Rl0Ol or Man 27 .00 ''
❑ I certify that in the performance o the work for which the permit b issued.I shall not employ any person in any manner so as to
becomesubject to the workers'compensation laws d California.and hat if I should become subject to the workers' *******************************************************************************
cornpenaeta pmsion id Sectors 3700 d the Labor Coes, eh I looa
n n mpy with chose ppm[ ons. INDIVIDUAL F E E BREAKDOWN
__� Date: hi9 96 Appinan. �J]+L •`.
Warning:Failure to secure workers'compensation coverage b unlawful,an a larbjct an employer to c penalties and TYPE QTY D E S C R I P T I OWN UNIT COST TOTAL COST
civil Anse rig to one hundred thousand dollars($0ogdTOA In addition to fin cat of conpwuator damages as provided for In
Section 3TOeofthe Labor Cods,Interest and aromey'afeet PLU 1 SEWER CAP / DEMOLITION EACH 7 . 00 7 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which the perms is issued(Sedon 3097.Civ.C).
LENDER'S NAME: -,
LENDER'S ADDRESS:
I certify that I have read he application and state that the above information's tong.I agree to comply with all ray and county ordinances Y
and state lawn release to building construction and hereby authorize representatives of the dry to enter upon the above-mentioned property
for inspection propos. . •.
KATSUYA AMASUGA r
t.
Pont
/ 4s La -! '
Date: c5/2-9791�J j � _ "
cared ppenUApplfran' - I .Iu�i':
(515148.WP) While-Buildig 8 Safety;Green-Ale:Canary-Appiranl;Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING I _ & SPA
• APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector
•
1.'Temporary Electrical Service or Pole 52. Pool & Equipment Location -
2. Soil Pipe-Undrgrnd. _ 53. Steel Reinforcement .
3r Electrical Conduit,.Utility-Undrgrnd. 54. Forms ..
4^Electrical Conduit-Undrgrnd. 55. Electrical Bonding
52S;eel Reinforcement: 56. Rough Plumbing & Pressure Test
rt6 Electrical UFER:fihd. 57. APPROVAL TO COVER-GUNITE
' 7. Footings _ r. 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrg-nd. •_ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
-
10. Structural FloorSystem a - 61. APPROVAL TO DECK _
11. Property Sewer Liner& HouseConnection 62. Backwash & Receptor-Final -
f f .
12. Sewer Cap It •
4-0-1 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing_ _ 65. Electrical-Final •
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wring-- 67. Fencing & Access Approval • •
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •
a.
18. Rough Electrical T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Bough Hefting& AirConditioning., JO _ <x .- u, EtRE.aEPT.;fBEQUIREMENT
20. Rbugh Factory,Fiiplace - - t a i tr.r [APPROVsrlS-Fc Permit# '
z , •-' y S S r.-`f re., r
21. Ducts; inStru$tur� ;. _ S ci -XS +
11 r y 70. .Underg(ound Hydro
22. Ducts, Ventilaijng _ Q '= r- : 7,. 71. Product'Piping 1;1Gas c5,Oil _}
23. Gas Pipe-aoucy'11 &Test g C
.i ,, - s.x �� 72. Under ro nd Flush i
24. Roof Framing 3x a -. -
,7. ,• s .-- 73; Undergrnd.StorerTank•0Gas ❑Oil
-,. '' r --
25. Roof,$heb- hing - ` _ - :r, ,.F 74.` Overhead Hydf6--- 4.
-
26. t-Ba-.Ceiling (Structural) & Mbnocoat _ - J ' r• 7S_ Dry Chemical - -
- ' • - F • t -' r„.
27. Frame and Flashing{c - _ .: ..1,_ ; 76. Dry Starxi�pe 4- '''. -,.y ._ trt,
28. Lathing&Siding "z • pip - i. ` •- 77. FIXED S't' M'F
STBTN1L +- F'
A -
29. Insulatiop. T" _ 7.... �. �.' 7i ,FIRE I�REV. FINAL `�
r r A• ; ,r. 78IFIRE '
30. Drywall Nailing . •, +' F - -HEALTH DEPT•:REQUIRrEMENT
•:31. Plaster Br¢wn:Coaif; =• r r - 79. FINAL INSPECTION r - ..
r
32. ElectricaFPower Meter-Final ' r c- 80: FOOD CERTIFICATE ISSUED
--33. Final.Electric-' 3 4 Y d a ',*K- , - Ngtes: rr:lb .� - -
2 34. Final-Heatting.& Air Conditioning ~' r -- r1 r, _.^ -
35. Final Ga?Pipe'Tesr' • .. - - I* - "11- M
C *
- 36. Hood.or Canopy - > C ': `- '1 is -
.37. Final'Factory Fireplace 7- Wit,4: 12 • a' c3 \x T- L 'k
38. Final-Plurrtbing ,: 17.r4St'
_ 0.- ? 2 c- c • 1
39. Water Seruice•Finai.r, 2 - '+'
.. 40. Gas Service-Final ',1` '- g- - " -' ., �'` ' 1
41. Solar Domestic-Finals ,_ • - , -r
42. Backflow Presenter ., r _ -` r tT - `
43. Backflow lrrigaation•x - - x r '
• -tr c "C - -
44, Landscape Irr'IgationLSystem - - .p . - -• „c r = -
45. Sound Attenuation • - t,' - -= ' • •'r •
46. Handicap Regulations ._ ' : , . .. -
47. FINAL STRUCTURE & BUILDING -• -
48. FINAL PLANNING - , •
49. Electric Release to Edison a
50. Gas Release toSouthern California_-Gas Co . ' - - -
51. CERTIFICATE OF OCCUPANCY
No Date
rEssccBMLDND: 1965 PARSONS ST We: OF COSTA MESA - BUILDING PERMIT
rl'I^MEtFaaw": IKE PROPERTIES PERM NO: B 077843
Amiss, 1990 HARBOR BL
......>
COSTA MESA, CA 92626 PERMIT NO: B 077843 PLAN CHECK NO: N GOVT: N SUPP: N
722-2014
Apel.SWUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: DEM
ARCHITECT ORENSINEER: UC.NO.: JOB DESCRIPTION : DEMOLISH SINGLE FAMILY RESIDENCE SQ FT:
ARCH.OR ENG.'S ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: 1, 000 . 00 GROUP OCC: R-3 /U-1
coNm aontiw TODA CONSTRUCTION OF CAL ( 714 ) 220-3141
CQITRACTORSIWIDG 5816 CORPORATE AV COMMENTS : DEMOLITION IN PREP FOR NEW "TOYOTA" DEALERSHIP
ADDREss:CYPRESS CA uc.NO: 427375 +E+EaEif{t-dt1E♦E#*******+E+EjESE** Elf%*1E♦E♦EfE3E1E+E****+E****** fEdEfE********+E*****+E+t+t*****SE3E+EIf*****
90630 UMT: 160 ZONING REQUIREMENTS
UCENSED CONTRACTORS DECLARATION:I hereby affirm under peky of perjury that I am licensed under provisions of Chapter S SETBACKS
T B A C K S
ra
(commencing with Section 7000)of Division 3 of the Business and Profession,Code.and my license is in full forte end effect.
Cm LIC.NO.:04�5/�/` h 83/3f/ LIC.CLASS:B uc-No.: 427375 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING
Date: /v/ Contractor.. 1-6DA- C 417214 -rtQN FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
`WNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the
Mowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires apenno to construct,alter,improve, PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO:
demolish,or repay any structure,prior to ore issuance.also requires the applicant for such permit to file a signed statement that he or she
is licensed pursuant to the prrnvions of the Contractors license Law[Chapter 9(commenting with Section 1000)d Division 3 of the PLANNING NOTES> •JZ
Business and Prcles•iona Codej or that he or she is exempt therefrom and the basis for Me alleged exemption.Any vitiation of Section >
7031.5 by any applicant for a permit subjects the applicant toads penalty o not more than lee hundred dollars 1$500]). 1E**iE********iE****!E*****iE********************************iE******************fE***
❑ Lae owners thepropemamyempleeswithwagesastheesolecvmpensetion.%WI&thewonandtheatmdureisnotintended DEVELOPMENT SERVICES R EQ U I R E M E N T,.S
or offered for sal(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner d progeny
who bolds a improves thereon,and who does such work himself or henna or through his or her own employees.provided that such
et intended or offered for sale.nd
improvements are n ,however,the building or improvement is sold within one year Completion,the ZONING APPROVED By DATE:
ownerge8fer will have the burden d proving he or she did not build or improve for the purpose of sale).
o I.es owner d thepropuy,am°abaie drdredk g with icrtsed contnctws to mrmud the props(Section 1044,Btaims end
Professions Code:The Cons radon License Law does not apply to en owner d progeny who buSis or.,.......se thereon and who BUILDING APPROVED BY DATE:
contrern fa Oath projects with a contractor(s)licensed pursuant to the Contractors License law). `,
❑ I am exempt under Section: B.AP.C.,faCthisreason: APPLICATION ISSUED BY: :\SA DATE: 2� L
******************************************************************** *** *****
Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby certify that I am aware ol and understand the requirements ol California Neagh and Safety Code Sections 25505,25533,end
25534,and that I or any future building occupant will/will not(circle one)need to comply with said mate codes and the requirements for
a permit for Construction a modification Iran the Ai u3sTy eugement District.Residential canetwWionappiman
tia ° exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 34 . 75
Dale: Applicant: SM I P/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby One under penalty of perjury one of the following declarations: PLAN . 5 D
IUILE FEE
❑ I have Code,fndWmrirmnc of diewdmuentbsepimunbrwakaseornlxeraation,asaovidsdMabySedion3loodtMlabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
cave.Main.pedamaK.duewaki«wNnh.pemdtsmme. TOTALS----> 35 . 25 0 . 00 0 . 00 35. 25 35 . 25 . 00
r3 I have and ME maintain waken'compensation insurance.as required by Section 3700 d the Labor Code.for the performance of the
work for which this permit is issued.My workers'compensation insurance canter and policy number are:
Carder: REVENUE DIVISION TOTALS--> COLLECTED : 35. 25 OVER/SHORT: . 00
Polity Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need net be completed r the permit is furore hundred dollars($1001 or Ina) 34 . 75 . 50
❑ I Oath that in the pedamance of the work for which this permit is issued.I Nall not employ any Prvn in airy narmet so es to
become subject to the workers'mrcanwxe tan of Cafdania,and ree that i I should
became subject wo
to the tkers' *******************************************************************************
concerned prpp.00viaam d Section 3703 of
A�the Labor Code.I Nall forth h comply nth those IND IV IDUAL F E E BR EAKDOWN
Date: um I /�� `/Yr;
Waning:Fallon to secure workers'compensation coverage Is unlawful,• • 11•ub1•ct an employer to c penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil lines up to one hundred thouaand dolsn(5104000A M addition to the cost of compensation,damages a provided for In
Section 3708 or the Labor Cads,lnfw.af,•ndattom•yi lass NO FEES WERE SELECTED FOR THIS PERMIT
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a condnetion tending agency for the
performance of the work for which this permf is issued(Section 3097,Chi.Cl. '
LENDER'S NAME:
LENDER'S ADDRESS:
I candy that I have read this application and sate that Me above information is correct.I agree to campy with all city end county ordinances
and state laws:Mang to bvtldng consmanon and hereby authorize representatives d this sty to enter upon the above-mentioned property
for inspection mpeses.
KATSUYA AMASUGA
•
y ;dm.Name L1 1 �:-.'; :ii C`
.. 4
— <<%. . . emsmow Date: ���A6 ,L= i' '
endure d Owner/Agent/A.. W ream
(5151e6.WP) White-Ouidip A Safety:Green-Rb:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING F - & SPA
.' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • -
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - i.
73.'EIectrical Conduit.Utility-Undrgrnd. 54. Forms =
,. r-4.Electrical Conduit-Undrgrnd. 55. Electrical Bonding . `
'' .$:-Stegl Reinforcement 56. Rough Plumbing & Pressure Test . `' ,
6. Electrical UFER4Grnd. • 57. APPROVAL TO COVER-GUNITE
-7. Footings .7. - . 58. Electrical Conduit-Undrgrnd.8. Foundation -r 59. Gas Pipe, 0 Undrgrnd.,Test. c
s -
9. Water Pipe-Undifgr 4d. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Ftoos:System - ' 61. APPROVAL TO DECK..- .
11. Property Sewerrbine'-& House Connection 62. Backwash & Receptor•Final• • ,
12. Sewer Cap - 63. Heater& Vent-Final
• 13. Roof Drains - 64. Plumbing System - Final
,r,:_. 14. Rough Plumbing « - 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring : = 67. Fencing & Access Approval
17. Rough Wiring Sign - - 68. APPROVED FOR PLASTERING .
18. Rough Electrical=T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &Aif Conditioning - i r_ ._ < • Cr" Fl-RECEPT.'XREOUlREMEN-T '
0.
20. Rou}hFSctorrVFireplace ti zfr- E - ;. e•APPTOV,ALS;. _ Peimit # . '
21. duct; in;Structuee!t ' 70.'Undergreund Hydro
22. Ductss, Ventilating,.Y ? = 7- •_ r 71. Product Piping 0Oil
23. Gas Pipe-Rough&Test t� � '-r ' - 1 '_ 72.
s Underground Fusfh
24. Roof Framing s* c , r , 73. Under r d.Stora rank`D Gas D Oil
r
25. Root3heathing ;, • 00 . - :,1 --* 7 C:overhead Hydro:-r' * _
76.
26. 7-Bar'Ceiling (Structural) & Mono-oat - - -'' 75':.Dry Cheibical ` -
27. Frame arjd Flashing_ ^`' ` _" >t "i` 6.
.-,;-i i. ',`;: Dry Standpipe
28. Lathing it Siding G , :.,
_ 'r 77: FIXED1$'9STEM-FINAV- :1
29. Insulation - ._ , •,;, 78. FIRE PR EV. FINAL .;: '-1
30. Drywall Nailing _ •- M ` - 7 '(HEALTH DEPT.MSEOUIREMENT
- 31. Plaster Bcown,Co$t.,: : ,;; 79. FINAL (NSPECTJON , _ _
... 32. ElectricahPower Meter-Final _ is : -k_ r
l:.f 80; FOOD CERTIFICATE ISSUED"' r-
33. Finalelctric,:. '" , r 2 ' 'Y Nptes: - « - •
34. Final)ie5iing_& Air.Conditioning- - i . ' - r <
r k .
- .. i. .� -
35. finarlGas`-Pipe=Test C'c - ti
36. Hood_or Canopy t r n 'n. - 'x V
_ 37. Final-Factory Firepljpc� • `2_. ;_i _ i .,,
38. Final-Plumbing -,>t r � _ * - _ -- - __
39. Water Service-Fina`f '' " 1 _ * - -
r 40. Gas Service-Fin ,�•...alcis r .. t'. „ I G
- 41. Solar Domestic-Final I- - "' = _
Y - + _
42. Backflow Preventers { ..r._ , ,- - •
43. Backflow Irrigation - : -c -.
_ _ - _ :
g4. ,.Landscape Irrigation-System + " , , _ - r�. _ _ - r
45. Sound Attenuation1 - _ c ° _ -✓
46. Handicap Regulations - .. -. r: F'.-„-
47. FINAL STRUCTURE & BUILDING A 4- ! 4(�- - -
48. FINAL PLANNING �, C„ : .T
49. Electric Release to Edison - ,
50. Gas Release to Southern California Gas Co - _
51. CERTIFICATE OF OCCUPANCY
No. Date
_�� ` 9Nn.10T'TJNrIi o ( • °. 3 SH),1:
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25601
COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF COSTA MESA
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 -
For Applicant to Fill In Completely APMASHOlsergliffieRAMT
TYPE OR PRINT BUILDING
BUILDING rift de q my
ADDRESS / ' • a
w13 P�1M .
COSTA MESA. CALIFORNIA R[CEIV Tyt1 IOUEOWNER J"2 c ,e fr ✓'an le �' p-eir 77 1476
BUI INCA /9/ C (PgOSO, s
ADDRESe /9(oS Pa�'c & fe ADDRESS ( fo
�1 A/
TEL. + FIRE r{�
CITU Co & -CZ /(I Pact NO.id Sing? ZONE �,/ ,,yyTYP GROUP4/17-4‘
�/ p�L //
ASC APPROVEDrig / DATE / �/ -6(�
\NGI EN RR NQ.
BY' // ?�
ZONING 0
ADDRESS
1 O.OF USE OF NEW
���la� �}-C PLANS Ll I BUILDING �// /y
CONTRACTOR LEGAL Ifrhr.• g ! A P,-��
DtcClumo
ADDRESS
A.P.NO. /7S---� O% if
CITY
STATE THL NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
BO'TO SIDE R REAR P.L.
LIC.NO. ��// [�/ NO. /��/
OF LOT I l l , 11�.9 Q�,,'-�1-/+I No. 0X 1-13.2/ EAVES
WED (U.B.C.REQUIREMENT)
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. 7 ----- MAIN BUILDING ACCESSORY BUILDING
(FROM C//7L�STREET) �// n
SETBACK LINE PROM FRONT I� SFOs e,ir,R c/ .
CENTER OP STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE SPT PT.
DESCRIPTION OF WORK L.EIDE,SFT. 71- �(V c�c�Rfrr --
<---
El
ALTERATION ADDITION REAR FT. RT.
DISTANCE BET. BET.MAIN e
REPAIR MOVING DEMOLISH MAIN BLDOBUMS.. ACCESS.BLS.
BUILDING NO.OF VAR•# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL ROOF APPEEDOYy[+�{/ q
COVERING I COVERING !Y L(/' / ` �� ' DATE 4(1-1/ —6�
USEQOPS
AND WORK B[P[RFORM[D /. ^ /t-c_- � _I _. - -O---.�_, O--r'trIcy U!/ J - ` + Do AlO+i root an i'
v `&-1YN S.
SO.PT. X
1 HEAEer ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR TEl C
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT PER ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CO CTION. ` VALUATION �7 /`QO m
SIGNATURE / ,, /J�
PERMIT FEE $
+� E
IRMITT[P_1 4(/ -' ivLv /a/
sfic
��V PLAN CHECK S A.
AUTHOR! AGENT 11 cciD0
TOTAL PEE f
•
COUNTY OF RANGE ��j �_
BUILDING DEPT. Permit No.. ...
63t No.nBroadway Application for Building Permit
Santa Ana,California
Phone:KI 2-6211 AND FOR A .
Certificate of Use and Occupancy
Dateslri-4/— / 9t.S'1 .
�/
)�
1. OWNER'S NAM LIhT�w R- ' / PHONE:BI?...2.A.0..�I ..
MAILING ADDR SS / 9`9 pat)Q S... PA, ' ' CITY-C441}1-r4 -t
Name Name
(Architect or Engineer) (Coit •c00.00000,/- I
Address Address
City City
'
State
Lic. No Phone 1 Lic. No Phone
PROPOSED USE:..... 7 dC Lela/ 7� //p �r j
2. JOB LOCATION---_I---7- i'
b-S Pt't' Rdt Ce L c ep...Lthic.
(House No.)' (Name of Street) (Town or School District)
3. LEGAL DESCRIPTION: Lot 1g Block Tractl7Lf/1/.t!t&o.-2 ott :.
(Metes and Bounds Description-Ore-verse side of fermi
4. CORNER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG.:.'r.D--X-2-0 AREA- L-Q-O SIZE OF LOT:-rLI:XJ..-a,t AREA.12-4/72g
6. HEIGHT OF BLDG.:7 -' ' 1/ CEILING HEIGHT S ' NO. OF STORIES.---
7. NO. FAMILIES `- Size of Smallest Bedroom• ' Size of Kitchen 1
S. EXTERIOR WALL CONSTRUCTION: :Ca-0 INTERIOR WALL COVERING ri-4-r--4
(Frame, Stucco, Etc.) pp���� (Plaster-Drywall, Etc.)
9. SETBACKS: Front Yard From Center Line of Street-..../. !,i!7 4- A
Nearest Side Yard--scRear Yard- Distance in Feet Between Bldgs. on Same Lot..
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
it
11. For (a) Footing: Width /y Depth in Ground /. " Width of Wall..L//
Accessory ;'P.
Bldgs. and (b) Size of Studs:a�Z XL' Spacing..-. �tC �(
Similar /.� "CC Material of Floor.. Iii
Structures:
(c) Size of Floor Joists- 1-/-,-,-- Spacing "CC
•
(d) Size ofRafters:-.e9- X a Spacing. it
12. VALUATION OF PROPO!JD WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal '$...JrCc r—
kDo %
13. 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 CALIFORNIA APPLICABLE THERETO.
Signe . Pte: rr1llal1+(ats _ ,. .
//�� .-7*** t>/ (Owne_r)V
Plans Filed ...d/ .-7*** ;✓
S(.tela to ()whet--
(Authorized Agent)
(L FOR DEPARTMENTAL USE ONLY
' FEES: CH K�I,NG BY
Bldg. Permit $ Oa GROUP � APPLICATION,,4 !!N HEALTH
Plan Check - $ /p'o TYPE FIRE
Total • -7 $ ,. t 0.0 • DIST. (./ • PLOANS AND MARSHAL
Receipt No. �� 7�y- MAP C • SPEC'S STATE
Paid to _ ea) SHEET NO.... CORREC 10 ENGINEER
Date .l<Q '3/7 VERIFIED CAL
PER k SU OSS
DATE / 01407/
: (--/--- / �
9M-R-51 • _,
LL�.; / I - .1 '
,METES AND BOUNDS DESCRIP-- JN: •
. • ; /52 a , ,atiihe 0-17i9Ael 'et,v1,c,Sly
C, ,..' Z /?.4 ;5//gyp•. /f// / 54/ '' .•/4174//6.-
_,/-= 0
I, /. t - , � „ i . . , •
.. ,
110 210 310 4!0 5!0 • •610
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