HomeMy WebLinkAbout3083 ROANOKE LN - Building Permits PROJECT ADDRESS: 3083 ROANOKE LN
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UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; id VDy.7L
NER'SAM
NE: SCHNETZER, RICHARD C
ADDRESS: 3083 ROANOKE LN PERMIT NO: B - O59?92 PLAN CHECK. NO; N ( DVI; N su}rr; N
COSTA MESA,CA 92626
CONSTRUCTION 'TYPE; 5 N PERMIT' TYPE; STR PURPOSE; ALT
645-6690
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF SHEATH REROOF W/COMPOSITION SHINGL SQ FT; .c. ,G1
ADDRESS: UNIT:
CLAIM VALUE: 4 , 600 . 00 CALC-VALUE: 4, 600. 00 GROUP OCC; R-3 /M-1
PERMITTEE: PERFECT COVER ROOFING ( 714 )891-3590
aoDRES& 8441 CARNEGIE COMMENTS: REROOF 2600SF RESID & GARAGE
WESTMINSTER CA 92683 #x#####.z.#..%x##%#######%#############>E#x##%#####x#####%#x#x% x##*########x####*#>F*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS
DCITYate 0540/55/'STATE uc.:67.251 c s: C-39
Dale: /19 "6 `7 z+ Signature: MAIN BUILDINGAACCESSORY ALDING
fiEFT: FT IN REAR: FT IN LEFT: FT IN REAR : FT IN
WORKERS'COMPur jece ar DECLARATION: Ihereby of( ec' that Ihave a p)certificateofconsent to self-insure oracertificate of Workers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN
Compensation IgsuraD 3 b aa,,cetlifietl copy thereof(Section 3.00.Lab.C .
POLICY NO.: i2b 3bL d—`JL EXP.DATE: /O1 /93
COMPANY: STATE FUND PARKING REQ:
— RE ;
PROV; PARCEL:
ARCEL: 14151214
4151214 ZNE; REF
NO:
❑ Certified copy is hereby furnished. Certified Co�fled witr he city Building . WPLANNING N8TES>� /
Date: /D -G---C2- Applicant: _ � ##########################%##################### E#)E######kr# i%##Y****
## e
*######
DEVELOPMENT SERVICES REQUIREMENTS
EXEMPTION FROM
WORKERS'COMPENSATION DECLARATIO his section need not be completed it the permit is far one hundred($100)or less).
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:
Date'. Signature: BUILDING APPROVED BY : DATE:
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor
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; j DATE: koi ce
which this permit is issued(Section 3097.Civ.C). ######################sr#######*#x#It#xx#####x x# #ir################�L-# ##ae!r ii�>t##
LENDER: TEAR OFF EXISTING ROOF & ########################################±t##############N#x*########*##########>E
ADDRESS: APPLY NEW ROOFING, LEGALIZATION; N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the fallowing 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 7 2 ,0 0 , 5 0
repair any structure.prior to Its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . SMIP/NON-RES
pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is not intended or altered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 , 00 0 . 00 72 , 50 '72 . 50 . . 00
does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through , .�.
his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED; 72 . 50 OVER/SHORT;' - 'r 00
forthe pure is sold le). one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TUT GRAD I•NG ,FLAN-CHECK
for the purpose of sale).
72 . 00 50
I,dsrowner ofsthe de: Th. Conm tractoely rs'State
cese with licensed not appy to
an to erofrpct othep who
buildst(Setionor ov,Btereon
•
❑ and who contracts
tstlfo such
ctswSlate License Law does not rsua to o the Co er property aha or improvesIathereon
andwhocontractsforsuchprotectswithacontractor(s)licenee pursuant to the StateContractors' License Law). lam aware #'#####'########'#lE#N'##fF#i(#######iE##i('#'#######*##*###N-IE############################
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O W N
o 1 am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: OwnerSFR 4600 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 ,. 600 , 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circte one)need to comply with said state codes and the requirements for a D
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from EXPIRE
these provisions. InSCtIQJ15
Incomplete
Date'. Applicant:
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county Sig .^t
ordinances and state laws relating to building construction an ereby aut or' representatives 01 t, ity to enter upon the above-mentioned pate �.,�.,y,__.�:,-.— C
property for inspection purposes. Ay i
Date: 1D -6` [ 2- Signature: --yr' � '
1727i?P trr/ti� 1, _ _ 1,
Driver's License or Social Security ro: �) l�
1641.46 White—Building:Green—Code Enforcement:Canerv—Aoolicanl:Pink—Revenue:Goldenrod—Assessor
er'-‘4
CONSTRUCTION AND PLANNING POOL & 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
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd,- 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
•
8. Foundation r 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd.
10. Structural Floor System '• 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection J 62. Backwash & Receptor-Final
12. Sewer Cap . - 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 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 & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil •
25.- Roof Sheathing 74. Overhead Hydro
26. T•Bar Ceiling (Structural) & Monocoat 75. -Dry Chemical
27.' Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing _
HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat I 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric I I Notes /
'�� S r//G ! 06.E mme.
34. Final Heating & Air Conditioning /ei n
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing .
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations Ems'-P_I-R_ElD
4. piste-Inspections
47. FINAL STRUCTURE &BUILDING • �� �
48. FINAL PLANNING Date - - Ig
49. Electric Release to Edison
50. Gas Reldase to Southern California Gas Co .
51. CERTIFICATE OF OCCUPANCY
No. Date
CITY OF COSTA MESA PLANNING DEPARTMENT "AR ?7-72�M 00116SRv****25.00
A.P. No. 141-512-14
Bldg. Permit No.
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 3;1>Si' Roanoke
Owner's Name I:r1sCo11
Bachelor or 1 - Bedroom Units 1 @ $25.00 =
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = 25.01
Total Number of Dwelling Units 1 Total Fee
7
Department Approval3 -�
-72
Planning p Date Park Area No:-"
ROB
By Applicant's Signature
27-72M001168R ****Z5.00
CITY OF COSTA MESA PLANNING DEPARTMENT
A.P. No. 141-512-14
Bldg. Permit No. _ '47 //
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address 3020 Roanoke
Owner's Name Driscoll
Bachelor or 1 - Bedroom Units 1 @ $25.00 =
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 = 25.00
Total Number of Dwelling Units 1 Total Fee
r
Planning Department Approval Date 3-27-72 Park Area
ROB
By Applicant 's Signature
,.4 OWNER DRISCOLL, Frank DATE 3_27_72
V JOB ADDRESS 3083 Roanoke Lane BUILDING PERMIT NO. 31+1+91
GENERAL CONTRACTOR Ray E. Houghton DESCRIPTION of WORK Add Bedroom
"AP No.141-512-14 LOT TRACT FIRE ZONE VALUE $ 3,200.00
INSPECTIONS Signature Dote GROUP I TYPE V ZONE R-1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER ❑ '/
ROUGH WIRING 7-Y .. Heating and Vent.
YYYY"'"'"'"'
TRENCHES XI FORMS 0 STEEL REINF. q�'5z
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE In
SHEATHING *1- 7�FRAME AND FLASHING LATHING - IN ❑ OUT /PLASTER. BROWN COAT art l/2" r//�/J/
HEATCTURVE, FINAL , V uric 7�+ 7,�/ -
HEATING, VENT., REFRIG. AND A.C., FINAL �J G{ �i"5f c4
PLUMBING, FINAL AND GAS TEST n A
ELECTRIC, FINAL /f /-!9•)Z ___. ,
•
3449 ! '04 „-72PAID,.
--00„ 69* ****39.22
• COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• APPLICATION FOR BUILDING PERMIT
For Applicantlito Fill in Completely RECEI V D BY DATE RECEIVED DATE ISSUED
ADDRESS BUILDING �CJ C7� �2e�r� n,t 4 , 3-�9�"/ 3 -17 7
I/�- '✓) / / PERMIT NO.
OWNER -E IC. BUILDING/^�(L /S CD (( A.P.NO. /4j(/-51)...-* l4
ADDRESS 30 c I20n'/VC, c ADDRESS oV �,7
MAIL '��
tu 01 TE Z /, t/ TRACT 40 ' LOT 2/ BLOCK
D_U CITY 3.-7 . NOLo -3/L�L /
Z2
Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
- I-0 u) LENDER r� s
a. cCi
J 0 BRANCH --_ 1 44444 II/s.1�J/�-i�,y(p///
Lu
J OWNER air
Xi W ADDRESS r
VALUE /�
Xi Q ARCHITECT — TEL. USE $ 3� 417.
OR ENGINEER NO. T
Z Q FIRE i
LLIX ADDRESS ZONE TYPE GROUP
W _
W Z / ,[.. / APPROVED �Jy
J Z CONTRACTOR r\�q-L1 ` O!/G Lp/Oy� BY ATES-a7 /
roZ l�// 7 / 111///
J ADDRESS /rte-c/ f/ A. Pkore 2O
W W ZONE NO.OF USE OF NEW CO:D(24041
Q= TEL. — PLANS BUILDING eft
ZF CITY /9. 1/Yj NO. sJ3--r7.�i 1C' p.--an itd
-0 STATECITY YARDS APPROVED YARDS APPROVED
NCE LIC.NO. /✓r3 j�z be LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D O c (FROM RE ET)s� �t
SIZE 'J NO.OF BLDGS. J �s�y T /
OF LOT 7 b JQO . _ I NOW ON LOT / FRONT F .c/FT.
USE OF (J
EXISTING BLDG. 1/2r5 . R SIDE S FT. O FT.
I- SIZE OF NO.OF 'S i
Z NEW BLDG. ROOMS �+STORI ES L.SIDE F.T.U FT.
0 COVEERING RIOR WALL sr— COVERING ROOFJ��1/C /e5• REAR 7FT. br, FT.
J USE OF UILDINGG ANA WHO RK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1 440 1, ,Oa Co--i MAIN BLDGS. ACCESS.BLDGS.
O.
Q VAR.# DATE
0
F- C.V.P.# APPROVED
�J/APPROVED ,- I /) f� L1(/-1
7�
N _ BY 1NLDATF
2
O N
U I hereby acknowledge that I have read this application and state STATE
✓ that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ 1
F- any person in violation of the workman's compensation laws of f
N the State of California. '/� m
zI hereby certify that I am properly licensed as a contractor under '�/ SO. FT. TAXO
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a
cr
am exempt from the provisions of the State of elifornia Business
and Professions Co erQivision 3,Chapter VALUATION n / ry
i " PERMIT FEE $Q�(�
Signature of q' .Z ry m
Permittee �j $ /�'�) PLAN CHECK $ /tJ^/— E
Authorized Agent ' 302o - LL
TOTAL FEE $3 ice_
kJ
r OWNER DRISCOLL) Frank DATE 4-10-72
SJOB ADDRESS 08 'oanoke Lane BUILDING PERMIT NO. 34550
U GENERAL CONTRACTOR Roy E. Houghton DESCRIPTION of WORK Blockwall
AP No.141-512-14 LOT TRACT FIRE ZONE VALUE $220.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R—1
SOIL SUBCONTRACTOR PERMITS ISSUED
GAS Date Number [ Signature
\j'WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER El
ROUGH WIRING Heating and Vent.
TRENCHES NI FORMS ❑ STEEL REINF.AD 4719 4E"/r,12_,
FLOOR SYSTEM
BOND BEAM in 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 in
ELECTRIC, FINAL p
BUILDING. FINAL A4
2JP "_/?•7,t-
PAID
_ • 34550 '°R 10.7?��•„ OO 397* *****5.O2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely qEC E D E R IVED1 DA.fE IHSS ED
BUILDING 'ad v 0 1 I V j'I Lf./O7 'l
ADDRESS cad G f)'z(J U �G / ?
PERMIT NO.
OWNER n2/ sCo / 1 i/ e i.1- A.P.NO. 0/0/--622 -/ye
BUILDINGDRS /3 e^`�� /�_J
MAIL ADDRESS I(A O` j0
Z ADDRESS S/!/J2 et t,��jj/,
a U CITY /�U r. cS NO.TE .53 6 L TRACT iiig9 j� LOT •2 BLOCK
Z C. 5//9 /7l lJ4 /
I- Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING OEMOI ISH
O y LENDER
am
J U BRANCH
J V) 0 E FlainaLA/
Q W ADDRESS
CO-CO ARCHITECT TEL. IICF /(/y.[j'FIM//sLC�iVALUE f/1 �0�
J< OR ENGINEER NO. - --
U N
Q FIRE
W K ADDRESS ZONE TYPE iir GROUP
0,IL //� / APPROVED
W Z CONTRACTOR /C �a/4. _ Qu(,r `j pors/ BY DATE
J Q /
71 m¢ ADDRESS /�.,¢y 4.-- /ice c. ,.i
W W 20 NO.OF USE OF NEW
O= CITY /��K� r NO. `�� � / PLANS �_ BUILDING /Pa/Cur'
Z1- /T /1h�G//rt ,T'Sj'�i 6
-0 STATE CITY YARDS APPROVED YARDS APPROVED
N ti LIC.NO./3 / —/' •'!/, // LIC.NO. SS MAIN BUILDING ACCESSORY BUILDING
D U SIZE IF ROM C/L STREET) �_
OF LOT _FRONT FT. FT.
USE OF
EXISTING BLDG. A SIOF FL FT.
I•'• SIZE OF NO.OF / a
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
1a.1 EXTERIOR WALL ROOF
COVERING COVERING REAR FT. SFT.
1 USE OF BUILDING AND WORK T0,8ji iivie MED MAIN B DGS BET.ACCESS.
E . B &
C- 3f/( // 7!� �jf, CL LrsCL
O 7 ~ /,.(�r6t� A.,./Q-,/ CUVARP.tp APPROVED
J APPROVED��/���/ /J /
ftZ —AY MI, DATE -/D - / A'�
0
VI hereby acknowledge that I have read this application and state D that the above information Is correct and agree to comply with C99?
all laws regulating building construction, and I shall not employi_ any person in violation of the workman's compensation laws of
fA the State of California. wI hereby certify that I am properly licensed as a contractor under Othe State of California Business end Professions Code, Division 3, THWN 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:
am exempt from the provisions of the State of California Business VALUATION
and Professions C 'vision 3,Chapter 9. �.— m
60 PERMIT FEE $ n'
D
Signature of /'s,,
Permittee / "�{ $ t �D —� m
PLAN CHECK $ E
/ /// 61----- o
Authorized Agentu
TOTAL FEE $
1' - i 1
OWNER NORTHGATE - DATE JUL 5 1963
JOB ADDRESS 3083 Roanoke Lane BUILDING PERMIT NO. 20000
GENERAL CONTRACTOR Bonser Construction, Inc. VALUE 8-16,332.00
AP No. LOT 29 TRACT 1+8911- FIRE ZONE DESCRIPTION OF WORKSng.Fam.Dwl.w/ai
INSPECTIONS Signature DATE GROUP I & J TYPE V ZONE RI. Gar.
Soil cC- 67 71i( Ll SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water bN-757-aP7
Rough COM. Refrig. 0 Air Cond. {]
Rough Heating i®/• b -)-/-4T .�."7�' , -___.2.-..-.... 1 2 t 1'. ., r, , )
Rough Plumbing 1 l $-)J, (,1 .4,.. 6.--2-, JUL 1 2 I'• 0, `-rte
Miscellaneous
One
Prop. Swr. Line a House Con. �t. Swr. ❑ te�ll/ 9j-y/, �/ )i ri _/.��.._, . ' BIW .51 T r
Sprinkling System '/Y/d'S /A 'G rL - , AUG 1 6 1963 �� a '�
Construction Pole (fr,
Underground 0 Power r] A�'W'
Rough Wiring CW ,3 'Thn 8-,S- g - zo a o v
Jr
Trenches Forms - f.,p- LS`Steel Rein7.22. .;
Floor System /�- 7 2 5"-e...15 .
Bond Beam 0 Steel Reinforce 0
Sheathing EAT 9,J, s
Frame and Flashing _
Lathing- In J Out 1f- �/
Plaster, brown coat / r - -
Refrig. 0 Air Con. 0 Final •
Heating, Final N/#5 /D 17fj?
Plumbing Fixtures, Final 15 C /1.77
Final Gas Test yr ' J
Electric Fixtures, Final b.)476.3--
Building, Final rh,),.
OCCUPANCY I .
Form 13U4—SM-3-63--S-B P
•
.. uu00
COSTA MESA BUILDING-SAFETY DEPARTMENT r E E RECEIVED
P.O.BOX 317 COSTA MESA,CALIFORNIA
A� beitQl
For Applicant to Fill In Completely 1 z,.' PERMR
TYPE OR PRINT 4894-29
I I _
BUILDING H yT� VO
[��,� �I♦� CITYR4F0 ' -I Ally
ADDRE59 30 1, �`I O Aa)O K E L-RIVE '�{1 /�
RECEIPT NO. Pjtilibn
COSTA MESA, CALIFORNIA ��IVIU(U�
RECEIVED BY DATA EDa-� JUL ISSUED 1963
OWNER Northgate !//C__ Q1 ((YY
MAIL BUILDING
ADDRESS 13341 Golden West ADDRESS j}
LLOD p FIRE ' (/(�/
CITY Westminster, Cal. N0.0977824 ZONE TYPE V GROUP��[.�l-
APPROVED
ARCHITECT CHH�.ler TEL535-2007 BY DATE
OR ENGINEER NO J
ADDRESS Box 11, Anaheim, Cal. ZONING ..K�����{��yy,lI/I`yy// `
ZQ1 e, NO.OP ) USE OF NE • �}/ 1
l ` / I PLANE / I HUILDI O ��``"rAAAmAAmAmllllllKH}��,},},})Jll/ /.''_
CONTRACTOR Bonsor Construction, Inc. F� �, �
LEGAL X/
ADDRESS 13341 Golden West, DESCRIPTION t-0 % P----Y- `/y
CITY Westminster, Cal. A.P.NO.
p NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 215049 Np'897 7824 30'TO SIDE a REAR P.L.
NEAVES
SIZE
6OT 0 x 1021 I NO.OF BLOTS. ALLOWED (U.B.C.REQUIREMENT)
OF 0
NOW ON LOT
USE OF YARDS APPROVED YARDS APPROVED
EXISTING BLDG. _ MAIN BUILDING ACCESSORY BUILDING
(FROM C/L STREET) ,t 1-1-
CENTER
SETBACK LINE FROM 1 1 FRONT J 0 1-f FT.
CENTER OF STREET 5O REAR YARD 29
SIDE YARD) LEFT 201 plus d RIGHT 51 R.SIDES��FT.
DESCRIPTION OF WORK L.SIDE> C/}FT514' FT.
31-rd
Q r
NEW X ALTERATION ADDITION REAR FT/V FT.
DISTANCE BBB ET. BET.MAIN a
REPAIR MOVING DEMOLISH _MAIN BLDGS. ACCESS.BLOCS.
-
BUILDING NO OF
OMS VAR.# DATE
SIZE 40 x 531 ROOMS 7 STORIES 2 ' C.U.P. \ APPROVED
EXTERIOR WALL ROOF y,�,,,� APP
COVERING stucco I COVERING shingle BY1 I:L'L'� - DATE "'�/PIS
USE OF BUILDING AND WORK TO BE PERFORMED l \ IC�_
Single family dwelling Watt garage ,...-----
*/ .J re
•B T• IHAYH A\3....1 BQ.Fr. c 0 QP lia �� a
I HEREBY ACKNOW '• - • THIS APPLICATION THE AMOUNT SHOWN UNDER VALVATION IS FOR TH8
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. M
AND STATE THAT HE ABOV' : C•: CTQA • AGREE TO O
PLY WITH ALL • TY OROI A • ST T8 WS REGULATING VALUATION
BUILDING CON: RUCTION / S�7Y ,y, a
SIGNATURE •`� - PERMIT FEE uU j
PERMITTEE WYYyI�t G
s/6;. � S o
H
�y� 4
AUTHORIZED AGENT TOTAL FEE 5 /d,�J (/