HomeMy WebLinkAbout1953 REPUBLIC AVE - Building Permits • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA M]EySAA CONSTRUCT! N PER I��/SIT PERpyT�LO� -� TRACT NO. LOT NO. UNIT NO. A P # _ Zone
Project Address ���/�J� K ($tiA;/JfJ ////�/��.'.�/'I/(�. '[/. IC/ La� ' _ �.,1 S Main Building: Accessory Building:
Applicant's Mailing Addresst(/X5 /%Teq // a .(<�/TbAb/o 7� TYPE OF CONSTRUCTION El :LI U ALTERATION/I1��REPAI R E Z
,./�p N f'1 /l��{'/' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER {aV ' T Front • O
Owner's •
Name rend er6e / Phone C(/l1i9O1r/O- - DESCRIPTION OF WORK/USE OF BLDG. I B Rear N
Address +�rn,e/ - - A
G ❑ STRUCTURAL ' C Right _ N
Arch/Eng. - • License No. TYPE OF PERMIT ❑ GRADING FOUNDATION K G
- ❑ TENANT ❑ ELECTRICAL VJ`J;LUMBING ❑ MECHANICAL S • Left _ . R
Address �� • Ping. Ref.# ParkingE
Contractor's Nam: d2fijaA , J 4f .I4 A /LAO ❑ OTHER ! Req./Provided Q
p{ ��/� r I PROJECT DESCRIPTION SQ. FT. OCCUPANCY Plannin •g Address(mailing) a-Ai/9.lY-.�MrjS� i 'moi' Notes: • - -
City License No. ik,4. CONSTRUCTION TYPE VALUATION$ - 1. �f1C9 . M
LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRES RECEIVED ��� 1 .70 S.
• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:
with section 7000) of Division 3 of the Business and Professions Code, and '
my license is in full r - .nd effect. • r • ELECTRICAL FEES
Licens- Class • .4 / -nsy'o. • _ •
Date / I r; Signature' ee d'( �a • PLUMBING FEES Automatic Washer - Transformer ❑ 15-SDK1N
WORKERS'COMPENSATION DECLARATION DOn$irUCtiOp Pole Sub. ❑ 50+KW ,
w` hereby affirm that have a certificate of consent to Self-insure or a certificate Bar Sink Showers
of Workers' Compensation Insurance, or a certified copy thereof (Section . Cooking Unit Meter Duo to 100 amps
3800, Lab..$7h �.// &t
RCA"
/� /�� - Backflow Preventer Service Sink •
I Policy No. lkflgig•O`7 Company&rrrt. / '�ti/sri` Backflow Irrigation , Sewer Capp
Dishwasher Meter [Dover 100 amps
\ ertified copy is hereby furnished. ,
erti req o is filed with the city ByY s. Bathtubs Sewer Connection - Dryers ❑Gas••❑Electric ' Sub Panel
Date Li'!0 •
Applicant �1if Farr '
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - Solar Collectors Motors 00.1 HP 0114-8
—
(This section need not be completed if the permit is for One hundred ($100) or- F.A.U. Inc.Solar 09-15 HP 016-15+
less). / Dishwasher. Solar Piping
1 certify that in the performance of the work for which this permit is issued I ( Fixtures
shall not employ any person in any manner so a5 to become subject to the Drinking Fountains Solar Tank! Microwave
Workers' Compensation Laws of California. Device Boxes
Date Signature Floor Drains Swimming Pool in. Pole Light
NOTICE:If,after making this declaration, you should become subject to the -
Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalOutlets Range g •
comply with such provisions or this permit snail be deemed revoked. -
-
CONSTRUCTION LENDING AGENCY / •�f Switches Sign
Gas •Service 'Outlets Water Closet (� 9
1 hereby affirm that there is a construction lending agency for the performance
of the work for which this permit is issued (Section 3097 Civ. C.) , Garbage Disposal Standing Sections
Interceptors • Water Heater
Lender's Name - - - -
Generator ❑0-5 KW ❑5-15 KW Trash Compactor.
Lender's Address • • Kitchen Sink Water Service
OWNER BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the LavatoriesAuto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or -
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays
any structure, prior to its issuance, also requires the applicant for such permit.
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains. ..
the contractor's License Law(Chapter 9(commencing with Section 7000)of .
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ' $15 Issue Fee
therefrom and the basis for the alleged exemption. Any violation of Section - . - - $ 3
7031.5 by any applicant for a permit subjects the applicant to a civil _
, peenalty,of not more than five hundred dollars($500). , • DEVELOPMENT SERVICES REQUIREMENTS:
LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 •
Zoning Approved By Date
compensation, will do-the work,and the structure is not intended or-offered -
Lforicense Law
salese (Section Businessnand Prf a propelrty
Code: The Contractor'smprove - MECHANICAL - FEES Building Approved By �` Date
ereon does not apply to owner if a grope or who builds or improves
thereon, and who does such work himself/herself or through his or her own Application Issued By Dat
employees, provided that such improvements are riot Intended or offered for Boiler Hood or Type I 0
sale.df, however, the building or improvement is sold within one year of com- Canopy Type II 0
p , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES
prove for the purpose of sale). - - BUILDING PERMIT $ SMIP $
0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System PLAN CHECK $ PERMIT
tractors to construct the project (Section 7044,Business and Professions Code: - r
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • 00-100,000 BTU 0100,000 BTU PLUMBING $ � , .OD ISSUANCE $
builds or improves thereon.and who contracts for such-oroiects with a con- - —_
tractor(s) license pursuant to the Contractor's License Law). I am aware that • Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $
proof o their Worker's Compensation insurance should be provided to me. ELECTRICAL $ - GRADING $
❑ I am exempt under Section -B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers 4MICROFILM $
PLAN CHECK 50% $
Date Owner Heating System& Ducting Registers MECHANICAL $ �" a,.y�
I hereby certify that I have read this application and state that the above • DO-100,000 BTU 0100,000 BTU TOTAL FEE $ St7
information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $' . •
, and state laws relating to building construction,and hereby authorize repre-
sentatives of this city to enter u•on the above-mentioned property Dfor
Inspection pur•. _a ,/ 'V •
/1�a9
Signature '� Date (O
Drivers'.License or SS 4F -. ._ .//" Reinspection Fee $15 Issue Fee $ 3 01 004035623-00035623 TOT r,04
.. 4ATE: 06/19/39 TIME: 10:54
0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor
CONSTRUCTION AND PLANNING POOL &SPA ,
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
r
2. Soil Pipe-Undrgrnd. : 53. Steel Reinforcement • :
•
I.?ROJECTADORESS:
1953 REPUBLIC AV - UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05540?
OWNER'S NAME: PEDERSEN DETRA C
ADDRESS: 1953 REPUBLIC AVE PERMIT NO: B 055403 PLAN CHECK NO: N GOVT; N SUPP: N
COSTA MESA, CA 92627
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: 642-0862 r REG.NO.:
JOB DESCRIPTION : T/OFF REROOF RESID & GARAGE W/FIBER 'GLAS 'SQ FT: 3, 100
ADDRESS: UNIT:
•
CLAIM VALUE; 3, 100 . 00 CALC—VALUE: ' 3, 100. 00 GROUP OCC: R-3 /M-1 , '
PERMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569
ADDRESS: 126 COMMERCIAL WAY COMMENTS: REROOF W/CLASS "A" FIBERGLASS SHINGLES
COSTA MESA CA 92627 #########***#*****************#**##******#***#*#*************##***##*****#*****
LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions. spier 9(co mencing with Section Z ONING REQUIREMENT SQ�,` Ate}( ry CTECT�R
7000)of Division 3 of the Business and Professions Code,an.,y license is in full force.:.[:}�'ct. S E .Z' B A C K S �/AV �,1'S� 3�1 C
CITY LIC.: (��)p 5 9 3 ��Cy�,ATE LIC.:0 C 'SS:
Date: /!j'�7' ` / Signature: ��� _ . MAIN BUILDING ACCESSORY BU ,{ fl---
WORKERS'COMPENSATION DECLARATION: I herebya hat I have a certificate of consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REA IN
Compensation Insurance.or a certified copy thereof .n 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: 2 8 5/2 2 4 /8 9 XP. DATE: 01/01 /92
COMPANY: STATE FUND • PARKING REQ• PROV; PARCEL; 42252132 ZNE: REF NO:
❑ Certified copy is hereby furnished. `2 Certified copy is - ,ith the cit ':wilding Division- PLANNING NOTES> .
/2 -9 9/ >
Date' Applicant r �� *#***#**#****#*#####*########*#%#####*#**#####*#*#****##*#####**%%#*.."..4#*#*##% •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATI I': (This section need not be completed if the permit is for one hundred($1 or less). DEVELOPMENT. SERVICES R E Q U I R E • M E N T S •
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers Compensation Laws of California. ZONING APPROVED BY DATE; �"s'
1 Date: Signature: '
1 NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: ,21
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• DATE. saudajj
which this permit is issued(Section 3097,Civ.C). *********************4***-* ********4* :*#
LENDER: ###***#**###*********###**##*****************#*******#####**###*###*3E#*#*### ##
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
1 .
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES', GRADING
' (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 63 . 00 5 0M
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON-RES
and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE .:'l
I. as owner of the property or my employees with wages as their sole compensation, will do the work;and the BUILDING—DI V— > PERMIT - ISSUE PLAN—CHECK TOTAL PAID" Sl DUE
'❑ structure Isnot intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63. 50 0. 00 0 , 00 63 , 50 63 . 50 . 00
does not apply to an owner al a property who builds or improves thereon,and who does such work himself/herself or through
ownhisruemtisemployees,provided ear of that pimprovementstaa re note the ed or oof pfor sheIf, nothowever build building yr . REVENUE DIVISION TOTALS--> COLLECTED: 63. 50 OVER/SHORT; i . 00
improvement or her of mp within one year of completion,suh the sr will have the burden of provingdhe/she did not r the or improver
for the purpose msate). BLDG 'PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING/PLAN—CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 63 . 00 50
' ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon /•
and who contracts for such projects with acantractor(s)license pursuant to the Contractors'State License Law).I am aware ****######**##*it#*##**#####*%.*#*####*#.*##*#iE#*1F*****.***###'##-*9c##*#*#**##***##*.8(.
•
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U A L F E E B R E A K D O W N
o am exempt under Section'. B. 8 P.C. !r
ffarthisreason: TYPE QTY D 'E S C R I P T I O N UNIT COST TOTAL COST
/.1.Date: Owner:
SFR 3100 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 ? 3, 100 . 00
I do herebyy that I am aware of and understand the requirements of Calitornia Health and Safety Code Sections 25505.25533,and END OF FEES
I
25534 and that or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. 'jj�
7!.
Date'. Applicant: - '
I hereby certify that I have read this application and state t the above information is corre e to comp) with all city and county 'e;
ordinances and state laws relating to building construction an ereby authorize represent s o city tooee,nlE�yJ,pAon the above-mentioned �t ,/ _ ��'
property for inspection puma=s= C /�'/'C%%t ✓ - 8Y Ls x_..- J y.•4. T.I -nn L . - _
Dale/ / Signamni� A �1r11� 81�` 12j8}'!a: T��':f: :.i.,_'
Drivers License or Social Security ,
1641-46 Whim—Building:Green—Code E cement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor -
ligi .
s.UN.9 RUCTION AND PLANNING _ POOL & SPA
Date Inspector Date Inspector •
APPROVALS Permit# APPROVALS Permit#
ri
1. Temporary Electrical Service or Pole = -52. Pool & Equipment Location .
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd.' ' 54. Forms
4. Electrical Conduit:Undrgrna, - 55. Electrical Bonding • .
5. Steel Reinforcement. - -' 56. Rough Plumbing & Pressure Test -
6. Electrical OF ER Grnd. . i i 57. APPROVAL TO COVER-GUNiTE '
7. Footings _ 58. Electrical Conduit-Undrgrnd.
S. Foundation 59. Gas Pipe, 0,:Undrgrnd., Test b
9: Water Pipe-Undrgrnd. . 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System '' 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final
12. Sewer Cap - ;i 63. Heater & Vent-Final
13. Roof Drains • 64...Plumbing System= Final' •
14. Rough Plumbing l - 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 Electricdl-T.Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT'
20. 'Rough Factory Fireplace ` I. r " 'APPROVALS! _ -Permit #
21. Ducts, in Structure- - : '.- I '70. Underground Hydro
22. Ducts, Ventilating _ _ - :71. ProductPiping 0 Gas 0 Oil
23. Gas Pipe?Rough &Test - i - 72. Underground Flush. i :
24. Roof Framing �„* ; 73. Undergrnd.StoragelTank 0Gas 00111
25. Roof Sheathing -, - - 74=Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat _ . 75:- Dry Chemical [.
27. Frame and Flashing '- , ;, 76. 64y Standpipe , ' I
28. Lathing & Siding - 77. FIXED SYSTEM FJNAL
'29. Insulation r'. -
- : ' 78,;FIRE PREV. FINAL
30. Drywall Nailing • �� HEALTHIDEPT. REQUIREMENT
r
_31. Plaster Brown Coat• i a •79. FINAL INSPECTION ;
32. Electrical Power Meter-Final 1 44 • r80..FOOD CERTIFICATE ISSUED -
33. Final Eldctricr i ` ; "Notes:
34. Final Heating & Air Conditioning ' £ I .i .\ - ` _U`
35. Final Gas Pipe-Test - - I •
M i u_ .,
•36. Hood or Canopy -
37. Final Factory Fireplace
r
38. Final Plumbing . . ' • • - .. "
39. Water Service-Final . '
.I - -.
40. Gas Service-Final
.41. Solar Domestic-Final - - _ a^ -
42. Backflow Preventer - t. . ' • .�
43. Backflow Irrigation - . - - - -
.44. Landscape Irrigation System - . . - i .._
45. Sound Attenuation . I' , i. • - il ' i . . . .
- -
46.,Handicap Regulations . •1 - - .
47. FINAL STA UCTURE&.BU4LDING $4 Ota Jam( - -5'+,4 0-� 14401----
48.
_ 0
48. FINAL PLANNING : (� ` • -W. . _ [( (�/_
49. Electric Release to Edison - - -
'50. Gas,Aelease to Southern California Gas Co _ i _ '
51. CERTIFICATE OF OCCUPANCY
No. Date
WN ER FULTON, EDWARD & MARION DATE 7-13'(>
tjJOB ADDRESS 1953 Republic Ave. BUILDING PERMIT NO. 39987
GENERAL CONTRACTOR Owner 131dr. DESCRIPTION of WORK Patio Cover
4"(AP No. 115-4g1-31 LOT TRACT FIRE ZONE VALUE $ 760.00
INSPECTIONS Signature Date TYPE V GROUP J ZONE R1
X' SOIL SUBCONTRACTOR PERMITS ISS ED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER E
ROUGH WIRING ///�_ (..� Heating and Vent.
TRENCHES fl FORMS ❑ STEEL REINF. ❑ Art
nt4t/,C-)s
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL 0.141 J-9-,)
i
- p PAID moi:-.r�. t
39985 d`:AY 13-75cI'OO 483* 8.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely A L/ ATION FOR BUILDING PERMIT
/j L.`� U, j p n •
R VF,Q BV DATE RECEIVED DATE ISS UUSED
BUILDINGDRE1 IV "' ^r+ 12V8L/ c h( 1/L. --/r+���
ADDRESS 1 V 4 y/` r,`- / U/� / `jJ�
OWNER ,,pW_� fO�gieMn 614 FLLT Ga.(MAIL
A.P. NO.`/S /7/"�/ rP I �
ADDRESS 1 9sT? RC1)o&L/ C . BUILDINGDRS /95-3 /rid hi r e.r
Q /� . ADDRESS '�`/
ILI RI
tl U CITY , r ,/ NO. V42 a67'? TRACT/7)22 LOin BLOCK.
Z Q CONSTRUCTION NEW ADD j ALTERREPAIR (MOVING DEMO'ISH
0 LENDER `
J U BRANCH /�,( /
m J ADDRESS ^�_i til OWNER .��J��(�dp� /I/O� FI.L/TD�
(7/1 1 ! 0 C..(/ii t VALUE 746,er
J m ARCHITECT TEL. USE /`/`J' $
Q OR ENGINEER NO.
U co c r
Q FIRE
z< ADDRESS ZONE • PEr GROUP
a W '/ / J
APPROVED f) 43
UJ
O CONTRACTOR ` y L' BY V DATE
Z
JCC ADDRESS
W W TEL. ZONA, NO.OF USE OF NF,�FW�
O= CITY v— NO. /L/ PLAfS� BUILDING/aJQlr70 �v
Z I— TT�i�r�i�� fiec
W U STATE .. CITY ,_ . YARDS APPROVED YARDS APPROVED
fn CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D 0 SIZE NO.OF BLDGS. (FROM C/L ST )
OF LOT . I NOW ON LOT FRONT £7 A'aI Crhe FT.
USE OF // //
EXISTING BLDG. 41 A.CN _R.SIDF ,FT. FT.
I— SIZE OF 4 'jam/ NO.OF
Z NEW BLDG./LIA ✓Q ROOMS STORIES L.SIDE FT. FT.
UEXTERIOR WALL I ROOF
_ COVERING COVERING - REAR FT.
J USE OF BUILDING AND WORK TO BE PERFORMED
O. DISTANCE BET. BET. MAIN&
a MAIN BLDGS. ACCESS. BLDGS.
/ DATE
Q
Ph
T/0 CO UFr /L, C.0
I—
APPROVED
a �
jap
Z
By ROVED /j �I /� /—s,/D /
TE 3-7C
OI hereby acknowledge that I have read this application and state el�
•
D that the above information is correct and agree to comply with `jj/n /V/
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of r
CO the State of California. co
aria
Tax W
zI hereby certify that I am properly licensed as a contractor under t el[ U SO. FT. 0
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: o
am exempt from the provisions of the S '- of California Business
VALUATION //��
and Professions Cod Psion 3,C"1 • V m
PERMIT FEE $ Q D
Signature o . 4,-- �� m
Permittee $ 710 PLAN CHECK $ E
0-0.../ LL a`
Authorized Agent •
TOTAL FEE $
•
ORi .
E COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT
636NoAFOL.D. N G
SANTA TA ANA,, CALIALIFORR BU NIA V
FOR APPLICANT TO FILL IN FOR-OFFICE USE ONLY -
RECEIPT NO., PERMIT NO.
BUIL
1953 Republic Ave.• ,35-Z - LTA�'f L
SCHOOL DIST. Costa RECEIVED BY DATE OF APPL. DATE ISSUED '
OR TOWN Costa Mesa ' //
CROSSBST. Dogwood St. /��(N ��/" �. 3 NOV .
OWNER CHINOOK HONES. INC. ADDRESS / �� �'�!,s I
MAIL SCHOOL GIST. / �A-
ADDRESS 9363 WILSHIRE BLVD. )' OR TOWN o� e �i�L��
CITY BEVERLY HILLS NO. CR. 54361 NEAREST ,X/'
CROSS ST. Assi(i(/7T/7//—
ARCHITEC oR TEL. p 20,,,NNry E, NO. OF TYPE I GROUP— '
ENGINEER AIN & MCKERRACHER NO. Sr. 64891 /'/1 / / ,PLA _ �/ _j
E.
//V ' 4511 IY" .
ADDRESS 2110 E. WALNUT Si., PASADENA SETBACK LINF.�F,RPM CENTER OF ST. ♦5� '�
TEL. REAR YARD `J ' :SIDE YARDIU r]. 7 �^_�
CONTRACTOR NEWPORT VISTA CONS. CR. 5436: APPROVED BY DATE//-6 Js
ADDRESS 9363 WILSHIRE BLVD. , BEV.HILLS1
CORRECTIONS
LEGAL
DESCRIPTION I LOT NO. 279 I BLOCK 1712
(ATTACH METES & BOUNDS/ _ _
TRACT
NO.OF BLDGS.
SIZE OF LOT 7200 SC).FT I NOW ON LOT 0
USE OFNO. OF NO. OF
EXISTING BLDG. I FAMILIES ROOMS - _
DESCRIPTION OF WORK
NEW I X I ALTERATION I ADDITION I O
L
C)
REPAIR I I MOVING I DEMOLISH . \ D
BUILDIN NO. OF 1 _ I'
SIZE 034 $Q.FT ROOMS 5 STORIES _
WALL ROOF COMPO
COVERING STUCCO I COVERING SHJNGLE$
USE OF NEW
BUILDING RESIDENCE B tt Carport
1
APPROVALS
FOUNDATION: LOCATION INSPECTOR 1 DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS, it �(,eb�. 4
APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING /(!�
�AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, /-)4 e
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACI NG, BOLTS
LATH. INT. 14 ri/
d
SIGNATURE OF N PORT VI $ 'J /-0'/' J
PERMITTE _ .
LATH. EXT.
AUTHORIZED AG - •
ewe 0 •' PLASTER. INT. //y�Q� J j �(T y)
nn PLASTER. EXT. /f"1LJ /S`/ +' t1 j
$ 4830.0 P. c. E 2 . MASONRY REINFORCED
FEE S
BOND BEAM
VALUATION D .
an FEE �� FINAL S s.'-,LU -J'i
,• _.. ., - ', _•, ; "'rAr ,• 'Te.'.(-,..1 LI` .. .•. .. :�.fr
k
- .`c'..: Lc-c:' 2. ., \-. ..
. . A.L u:."a_..:5 ,44.1A ,,TKA;
�. r 5 r - . .11_ al
a PLOT PLAN . . Jft: ' _ -_. _. elle? ci:i fu<SeC. `.Qs - _-
a :r .1 c __ - ____._ " _ :3a81: R JaoQ .a x c•-i I ;
11 ..31;3 :.Y.!: i HD T . .
-j
T
�_ ..�- __. . . -n . r-L ._
i_: ._. • ...�. _.�.. S a i:...,f •:1::V.:: :.
—
- -
Il_1J..__2 ..__— Si_ flA J,%`Ii
__�JI ...
-� I?' �.._� .:79C 7Ar. ,'. -- u:i..A..! .:f 1'2 c-on
_ t. I . 'illl .T.. '...0,' ATJ.IV :1.391:/3': a• ._'a".Yo.,
rr.
._�
_
U
1 w :l L .) - _
STREET- - _ ..5:1 ' •.. . . . . • ... •.
1 C 1 !. ' e1:1!7 `J' n
I - _ . _- - . _-
..1G R1..4• 1
- - -' - 4C, '- 'IlJ .Ii.
I -.IYr,, . — _,2,R-:_-,.:. _ T1.PJ �?OI - ;1.,
- - : _ ••c::J� T^c,. - _i.r .
. I -___III_ `• '1 ' ODD : .'dl•.5Yr 1 •
1 _ -_ __ ._. _. _
r. u
�.'
—1
.6-.) ;1"f.', ::t _ ;;9\1311 C GVTAH .r I .
ne nra..-
u-T. 1
I , I` _ _ `__ _• ,__ "I CO. -- .
1
— - -- ---- .1.e.'.1:-
-;_ "! .