HomeMy WebLinkAbout2011 POMONA AVE - Building Permits7
OWNER HICKEY, RUTH DATE 6-2-SH _
]OB ADDRPSS 2011 Pomona Ilvenu0 BUILDING PERMIT NO. 68Ii9
AP.
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INSPECTIONS
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TRACT P[RL� ZONE
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DESCRIPTION OF WORK
BUBCONTRACTOR
PLAN NO.
NUMBER
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COUNTY OF ORANGE
BUII,DING DEPT.
636 No. Broadway
Santa Ma� Califomia
Phone: KI 2-62ll
Application for Building PermiL' ' �//p�j
AND FOR A PQrmitNo...i...1..7....!S!.�
Certificate of Use and Occupancy �
1. OWNER'S NAME.�� m..� �....�..,..._+-�..:.c.KE.y ��'- l-.��__f�...l.-llfl!._p�PHONE:�i°5!�-���-�-�
MAILING ADDRESS...� 4_11 --- �P Cyl.4.� -��--- -�--� `. ` - ........-- ...................-- CITY.. �(�.S.�d-----C.'7t?:S!�----�---•
Name... �oN S.. :._...-- ._. - -- --- ----------- --------- -------- Name - --------- - ----------/J/on(_i..........----------------�- -------- ..
(Archicect or Engineer) (Contrattor)
Address..--�-- ----- - ---� �------------------ -------------- -- ----------- Address .--------------------------.............--- ----....--- �-�----------'---------
City.... --"- - - ' - - .._---'--' - '-'----------- ---:.. City ----- -- ---- -----'---...... - -------------------- '-----...--- - -------- --
State State
Lic. No.....---------'---------"--'-----... Phone------------------'----'------------ Lic. No.................--------"--'---`------- Phone.-------....-----'---------'----'--
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2. JOB
� (House No.) (Name of Street) (Town or School District)
n) t�
NAME OP AND DIRECTION FROM NEARES�j�OS��'�'REET.I.r,...4. .......aZ.Q...- ............................................................
3. LEGAL DESCRIPTION: Lot__-�.�,P�.-��-------------�---.Block --,------� ................... ._;...._.. Tract---.....-----� �L
(Metes and $ounds DescripHon—Use rcverse side of form)
- - ---- --..........
4. CORNER LOT ( ) INTERIOR LOT (�% ) THROUGH LOT ( ) SLOPE OF LOT ( )
Gl.o� tfiw 1�y r i ,
i. SIZE OF BL-DG.:__��x.1'-:�._---AREA:---�-F���`�1..---..._SIZE OF LOT:..7U_X.L�_�....AREA:........._--------------.-----
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6. HEIGHT OF BLDG.:_.._......� ..........................CEILING HEIGHT:..........7....................NO. OF STORIES....._....L....................
i �
7. NO. FAMILIES---------------�-------_-...--------5'ze of Smallest Bedroom:-----1�-_x-..._I..3.....------ Size of Kitchen---�--X_..�'.-_-.........
8. EXTERIOR WALL CONSTRUCTION:...T .R._A.�_'� ...................INTERIOR WALL COVERING._S4 Q_t_i: ra a,r _.
(Frame, Swcco, Etc.) (PlastenDrywall, Etc.)
ROOFING COVERING _..__..A,r�_fJ_� I �____ V-_�DG_�._.,
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GNE USE OF EACH...._.1._."......_�t.?.ild.Q ......................
i r
10. SETBACKS: Front Yard From Center Line of Street ....... ....... `�
-"-� -rr-----------------------------------------------......-------�----------------......
Nearest Side Yard..�.'.�......___Rear Yazd......� J..--.Distance in Feet Between Bldgs. on Same Lot .........................................
(Property Line) (Yroperry Line)
11. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
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12. (a) Footing: Width------_�_..-----_-----------------Depth in Ground--_...�?�.................Width of Wall---.-l.at------.........__.
l3
14.
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(b) Siae of Scuds:-•--_�-X..�--...-_Spacing .............lf--------"CC Material of Floor....i�.Cl..t?�.�-��---_�_-
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(c) SiZe of Floor Joists:....__.�.1%...� ..................Spacing........_..l%o "CC
------....-'--...----"
(d) Size of Rafters:----�-x--.�F ...:........................-Spacing.------..�.1.�.--//-'---------�-----��CC
VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal 5----�1-db-0-'--- ................--._..
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_ �
Plans Filed:------'------E--�-�--�-�-���'--------
FEES:
Bldg. Permit -
Plan Check -
Total -
Receipt No. ��Ci
Paid ko - -
Date ----'---"----�----'-'-
(Authorized Agent) '
FOR DEPARTMENTAL USE ONLY
GROUP ---�� ................
TYPE....------""�----------- -
DIST. I/
MAP--------�--� - -�...7�.
SHEET NO.----- -----..-.---.--
DATE....-- --. .`�...r..�.. �... � �. �
sovo- ry-ss
ZONING-------------t i------
PLANS AND
SPEC'S ----- �t --
CORRECTIONS
[NG BY
� HEALTH----- - -----------_-----
FIRE
MARSHAL--- �� ----� ---....
STATE-----------�--- -........---
ENGINEER .
CAL,- _=---•- �`°-- --- ......
;NSP��TOR
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COSTA MESA BUILDING DEPARTMENT
P. O. BO% 31�
COSTA MESA. CALIFORNIA . .
BUILDING
A�DRE55
OWNER
FOR APPLICANT TO FILL IN
;�,.,, /1
COSTA MESA. CALIFORNIA
ARGHITECT
OR F��'""NEER
A�DR��S
CONTRACTOR
ADDRE55
IEGI�L LOT
DESCRIPTION NO..
A.P. NO.
SIZE .
TEL
Nd ��.� -/
LIC.
NO.
CITV LIC.
�R No.
TEL.
N U.
d �G� e�ocK rRncr
V -O
� �{� / NO.OF BLOGS..
X �/O NOW ON LOT
EXISTINGBLDG. � C�Q/PaJr'o' i C /F/.�A
SEtBnCK LINE iROM
c[Hr[A OF srn[[r ~— REAR VARD '
NEW '
REPAI fa
BUILDING
SIZE
'� RIGHT LEFT '�
DESCRIPTION OF WORK
r i�.
ALTERATION ADDITION
MOVING OEMOLISH �
NO.OF '+"
ROOMS I� STORIES �
WALL')����_J COV�ERING `QJ�j�
YV C/
;;��
e=�E RtCEIUE�
�-a-s-� Y��
FINANCE DEPT.
CITY OF COSTA MESA
APPLIGATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. pERMITc//N/O
��/ /
'E<EIVEO BY DA'jE RECEIVE DTTE 15517E
/� • �. /1 � .� �l i_ � _. �
BUILDING
ADORE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
ZONE NO.OF TYPE /
PL4N5 �
;,
APPROVED
BY DATE
CORRECTIONS
/
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SUBJECT 70 BLUG. DEi�T. REG.
PLAN
STATE THAT TNE ABOVE IS CORRECT RNO iGREE TO COMPLY WITN LLL
CITY ORDINANCES TN ATE L4W5 REGUTATING BUILDING CONSTPUC�
norv. VALUATION
SIGNATURE OF ' PERMIT FEE $
PERMITTEE /J�� /J �
8'��i� _' PLAN CHECK S .
AUTHORIZED AGENT TOTAL FEE $
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