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HomeMy WebLinkAbout1998 ROSEMARY PL - Building Permits ' M CITY OF COSTA MESA 44.9 -� BUILDING DIVISION >:<<' ( : DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER ra PERMIT 03-01965 4? (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c tnLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1998 ROSEMARY PL Status: ISSUED Suite: Applied: 11/12/2003 Vicinity: RESIDENCE AND DETACHED GARAGE Issued: 11/12/2003 Parcel Number 42603251 Zoning: Applicant: DURBIN, MICHAEL Vlid Address: 1130 VICTORIA ST ISSUED BY: UNIT 4 Phone: (949)642-0700 COSTA MESA,CA Zip: 92627 Owner: STAUGAARD, RONALD A Address 1998 ROSEMARY PL Phone: COSTA MESA,CA Zip: 92627 Contractor MICHAEL'S ROOFING Address: 1130 VICTORIA ST UNIT 4 Phone: (949)642-0700 COSTA MESA,CA Zip: 92627 License: 672016 Arch : Eng: Address: Address: • Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF,REPAIR AND REPLACE SHEATHING AS NECESSARY.COVER WITH 20 YEAR COMP. INCLUDES DETACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,200.00 Permit: $111.25 Claim Valuation: $4,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 - • Total: $111.75 • PLANNING &ZONING • SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0:0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. eve and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: I" '1 Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($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 s s to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of S ction 3700f the Labor Code,I shall forthwith comply with these provisions. ._ o � P z`3 Applicant Signature '-"""' �'Z Date: I 1 Z/ U WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO C MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# 6'7201 4 Class# l_(7�h ��� Contractor's Signature: " d(. . Date: CONSTRUCTION LENDING AGENCY: 9 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its 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)of Division 3 of the Business and Professions Code)or that he or 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 then five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an 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 not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. _ _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department, 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes ❑No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. .eSignatur f a er(s) i 4423 Date And/Or A horized Applicant Date CODE r INSPECTION TYPE DATE INTITIALS CODEC tNSPFCTION TYPE PAM NIBTIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof /7/Z0/:5 ijgi 210 Final Electrical 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER PEARSOL, JOHN DATE 12-30-54 JOB ADDRESS 1998 Rosemary BUILDING PERMIT NO. 798 GENERAL CONTRACTOR Lintz Roofing Co. VALUE $ 62.00 L BLOCK TRACTnn���� Reroof Job GROUP I TYPE V ZONE Rh FIRE DISTRICT 808 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench . 41-r Foundation Forms and Grade to Gara.• ) ' .p Rough Framing / i iir n agt ., Plumbing,Rough to Slab 1I '�/1 • Plumbing, Rough Complete , V f I aria Q J Temporary Pole illy ' Wiring, Rough I' � /6 _ , r Heating,Rough Heating,Final hij IvjSewer �/..V" Sen+ic Tank or Cesspool / L ig Plastering , Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final Occupancy Form 210 G-H 1M 12-53 Costa Mesa Building Department APPLICATION FOR PERMIT 111 EAST 20th STREET S08 BUILDING 1 • COSTA MESA, CALIFORNIA -FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY "' Receipt No• Perrr}it]�o. Building 317C/R711:(ce o. 7 C ) Address j99p Pose mAR y Costa Mesa, California Received by 1 e R d. Da Iss eed Nearest Cross St. 207 it Cr . Building , ' Address Owner r)p1.11 A) I'GAQ s o 1- Costa Mesa, California Mail Address Nearest /^ //�� Tel. Cross St. City l .e n-A f' C—S4 No. Zone I No.of I Type I Group Architect or Lic. Plans Engineer No. Approved Date _ Address _ CORRECTIO S _ /� City Lie. �-p — Contractor L/i/h. �oo Fin 6 CcN0. If n FAX I.. Address 64 SAN `T/AC0 SAGA AoA ,,,, '-40y • LegalLot "-„, Description I No. I Block I Tract Q 1954 (Attach Metes and Bounds) No.of Size of Lot I Now on Lot ldgs. I EUsof No.of xist ng Bldg. I Families I Rooms CITY OF COSTA MESA A O Setback Line from Rear Yard 2 Center of Street Side Yard y DESCRIPTION OF WORK •. • r- New I 1/ I Alteration I Addition I - -- Repair IX I Moving I I Demolish I Building ` No.of Size Rooms Stories Exterior Wall I Roof — Covering Covering ROCK APPROVALS Use of Newg �� , w„Co, P.O p� Foundation Location Inspector Date Del Forms,Materials, el AUnder-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construe%. . Signature of Plaster, Int. Permittee _A r • ir Plaster, Ext. Authorized Agt. Masonry Reinforced Valuation Permit Fee $ $ 6/' Plan Check $ /. O Bond Beam 2` Total Fee $ /. C 0 FINAL ennui vnn n-u Pm F-SA - o c co :n . , 1. a : -. .. od — 0 a - -- - — -- -- ..—' � - - -- - a . . • ._. '_.—a_- ) •q-IIS _ .r . ._ - - —_ __ _ y., - . i - Street - 2'. c. .. r •* t. -- a . PLOT PLAN - - Show location and distances from - " - • . . property line and between buildings. - , p.- r , i - I I _— • __- •i .' ra.•. ,..h. re _ , r✓' _ - 2..•; i' :U 24ICl: 44': • .i . . _ ' • _.. �.i .. 1 - . /3UWHEr( O.WL&ZJILJ) AVLY URIC (....1 (4 I JOB ADDRESS 1998 Rosemary P1. BUILDING PERMIT NO. 38630 >r-NERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Add Bedrm.Bath & Util.& Pat.Cov. } _ fo. 118-054-11 LOT TRACT FIRE ZONE VALUE $15,600.00 INSPECTIONS Signature Dote TYPE V GROUP I & J ZONE Rl SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date I Number I Signature WATER Plum Ing ROUGH PLUMBING R.o }r-t(-74 Cy9` -ezA - 7--/7-29 l viz---- PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS n ROUGH HEATING AND AIR CONDITIONING P.0 8- 'sem . TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 gel ROUGH WIRING Neati a d Vep �j �{ }{I/`TRENCHES [� FORMS STEEL REINF. �//�'11O�p..(i;�a d-� i-7� //G( �/T '�FLOOR SYSTEM ^ 12.---29c - V BOND BEAM (i STEEL REINFORCE I 1 11 SHEATHING /7/'± `h"/L-*/U FRAME AND FLASHING �jnp LATHING — IN OUT /1ur TER. BROWN COAT t'i/` r/`Y.74J JCTURAL, FINAL E�le((/t/riC/ HEATING, VENT., REFRIG. AND A.C., FINAL JJ�� 7,'7L� �"f"-' - —/-74/ 5-777R/---- PLUMBING, 47 ]y4� PLUMBING, FINAL AND GAS TEST 't' L 7(� t ELECTRIC, FINAL / /l 7 / BUILDING, FINAL �' r ^'�^%( n 'Ip _9-fit r..-- on 10 .. 3 ' , 38630 COSTA MESA BUILDING-SAFETY DEPARTMENT I P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 SAP LIC,ATION FOR BUILDING PERMIT For Applicant to Fill in Completely p E J E'E, I,O/ BV DATE RECEIVED DATE ISSUED ABUILDING / 9 'fD 4t4 � p/ ( -2- 7-7°-7K OWNER (\,(t�Ai J rill-)) A D A.P.NO. ) S — • P / O MAIL BUILDING D ADDRESS 3!94, -Q. ADDRESS i9 y/ /6-C¢yjg2 Il O CITY© QST /t/e S "/ NO. TRACT/67a LOT.' . BLOCK ~ C CONSTRUCTION NEW ADD ALTER REPAIR MOVING r1FMOLLSH O N LENDER �� a. ao }+ JD BRANCH - J N OWNER 0ON STT-lOUA�Q. J CO J ADDRESS /�y') White GSI zJ {/�� //N'ypLUE /`/s/y OK _i-c.(3 OR ENGINEER t-% s"'r�v NOL USE PAP/ u-z rrH lA-1 ra$ /�J ✓v((��aJJ _- Lt a FIRE N Jk GROUP l7� Z W ADDRESS ZONE E /� ��JO CONTRACTOR///d 6. (3 /g a1 /•T BYPROVEDo4 ,TY DATE m 17 7/• PNi/9/De I ph 04. , J ADDRES ��/�,� w W TEL./} ZON NO.OF USE OF NEW�q/Y/. 0cl9PR-z'- ZL CITY 4I7A n'e//L/ , NO.625 C1-Itc/ R / PLAFC p2 BUILDINGho. ja,1)0faa WO STATE•• ,// '/U/,/ CITY YARDS APPROVED YARDS APPROVED �I'�M Mtn) to O LIC.NO. / .5 - T/ V LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF SLOGS. (FROM C/L ST�jtET) OF LOT 75 A / /' NOW ON LOT FRONT q 07��`re, FT. USE OF �� EXISTING BLDG. 12 H e S / DPC cB-SIDE STT.. ,'L FT. I- SIZE OF NO.OF / e • y.LL- cc Z NEW BLDG 3 54 ROOMS '� STORIES L.SIDE Sar -5 l- 0(Q-- FTax/ Q EXTERIOR WALLC ROOF / // / V_ COVERING - /ICt/O _COVERING 1? 6 C K REAR /ItFT. [JQ. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL MAIN BLOCS. ACCO.BLOCS. ifh p // d (/n �Cs3.-�9�- l-e-nL., „Led" /� . VAR..#Fp, ' / AAPPPTRQV Cal: (_Cit ,...4_, ✓ ',.A✓(, 4_ t& Ci0- st, RDVrAuzi PG D TE 7�g y O J 7 r X `3° / HOLD FOR SPECIAL Q91R$ lE TS 1= /' U 1 hereby acknowledge that I have read this application and state /12�-.�/�/C rte! TAX ✓ that the above information Is correct and agree to comply with EC all laws regulating building construction, and I shall not employ F any person In violation of the workman's compensation laws of N the State of California. //� / �-• '.So !? I hereby certify that I am properly licensed as a contractor under tJt (Jy SO.FT. J 'L 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: Cr am exempt from the provisions of the State of California Business VALUATION m end Professions e. Division 3,Chapter 9. er0/ PERMIT FEE S N ✓ 7 Signature of /1 � �j� / D Permittee A AL 11��61 i�r1- S /tel l/I d _PLAN CHECK $ u// E/ Jlll%%%V f` Authorized Agent TOTAL FEE $ N PAlu a86'30 'PI 10-71!F.:=.00 70R (4*:,,%62 nC COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP C ION FOR BUILDING PERMIT For Applicant to lin Completely a RE V DATE RECEIVED DATE ISSU FAD /.Q BU LDING ADIDRESS 40 _. y \/' S��I-/�I:/�I�s Jr / — O+1 / //OA, L JT2Jfl[-7�/IC /I A.P. NO. PERMIT2,/Yr NO. OWNER ,,,///''��� MAIL BUILADDRESGS //J/JA /3 ,V A�r ADDRESS ADDRESS /'J/y 1, // ,L L1J LO TE . O.U CITY NOL TRACT LOT BLOCK z CONSTRUCTION NEW ADD LTER REPAIR JMOVING nEMDI ISH I— LENDER am J 0 BRANCH ri'i,6A JP _IV) OWNER N M1" mJ ADDRESS i // q Q4 o$ J ro ARCHITECT TEL. USE ((I�Iy ,p �/a$ Q OR ENGINEER NO a FIRE W 2 ADDRESS ZONE J/TVPE GROUP � J a 14.1 W Z CONTRACTOR BYPROV I / DATE //O-7`i- I� —3 0mZ /V✓�� 1 \ J cc ADDRESS W w TEL. ZONE NO.OF USE OF NEW 0= CITY NO. PLANS BUILDING Z H , WO STATE CITY YARDS APPROVED YARDS APPROVED s ` co cr LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT FT. FT. Q XE OF EXISTING BLDG. R SIDE FT. FT. )— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. V COOVERRING R WALL I COVERING REAR FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL CL MAIN BLOCS. ACCESS.BLOCS. Q VAR.# DATE 0 C.U.P.# APPROVED I— APPROVED V) 9Y DATE )jet O I hereby acknowledge that I have read this application and state //A�� �„/ r that the above information is correct and agree to comply with r //// , L"/N CC all laws regulating building construction, and I shall not employ I— any person In violation of the workmen's compensation laws of V) the State of California. tO ZI hereby certify that I am properly licensed as a contractor under SD. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e cc am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION / ell..— '[! 0l / PERMIT FEE $ G/O"a N J Signature ofmE I Permittee $ PLAN CHECK $ 602— ° Authorized Agent TOTAL FEE $ ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT • . _ 636 North Broadway _ BUILDING SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN • •FOR OFFICE USE ONLY iffy _ Ng _ ECEIPT N ��{{ PERMIT NO. BUILDING �y Iso / ADDRESS SCHOOL DIST. A -mow'_ OR TOWN /(firfK7.Vi1 n R CEIVED BY DATE RECD. DATE ISSUED NEARESTCROSS ST. (�(� S =4' P ' -3- 5'? /i2 i� OWNER GEORGE l ,, 'UILDING . 1 le MAIL GiOIIGE M. IIJLJI LII nn11� ADDRESS SCHOOL DIST. • / ADDRESS 166 E 1]e� C} OR TOWN / • CITY COSTA MESA, CALIF. NO. NEAREST on O 4e, CROSS ST.. ARCHITECT OR LIC. ZNO. OF TYP' GROUP ENGINEER NO. I PLANS T ADDRESS •L- ` �i ( APPROVE vita EORGE M. IhUL; 1 C;Pi Ci •LICA) BY / DATE CONTRALTO G NO. tOo L. 1i Id 0L CORRECTIONS ADDRESS rnciA MESA, CALIF. LEGALLOT (/ DESCRIPTION I NO. 2I �/BLOCK I TRACT/6(Q IATTACH METES 6 BOUNDS) NO. OF BLOCS. 0 SIZE OF LOT GOA 13 7 I NOW ON LOT USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS SETBACKSETBACK LINE FROM: REAR YARD 7 CENTER OF STREET �� O SIDE YARD VI DESCRIPTIONYOF WORK p NEW I XI ALTERATION I I ADDITION I 1 O Z D REPAIR I I MOVING I I DEMOLISH I - !� r SIZE DING O 77 NO. OF \- / (^'*. 'R'OOMS 0 STORIES - /EXTERIOR /I COVERING WALL X I COVERINGVF ' USE OF NEW aoimatcH VJj \' BUILDING • APPROVALS FOUNDATION: LOCATION INSPECTOR DATE ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS. ftC • �) Ni^,,, APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING , J..�- - '- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. ��v '! Al •3^' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING. BOLTS J - y��, LATH. INT. /� / SIGNATURE OF C / / • LATH. EXT. F74� /� -.62 PERMITT / PLASTER. INT. /.`y�. AUTHORIZED ACT. / PLASTER. EXT. el 11 i) 1 ! Y OS �/ \ PERMIT FEE 3 I MASONRY REINFORCED VALUATION $ Cq 8 S •• PLAN CHECK S/J_3 BOND BEAM /�J q y'/ a. oCVJ FEEAL dY'3 I FINAL „ �`r� 3 9I0�T SM 3.30-09 I . . L.1 r - • • • t`. •• - 0 0: % • 0 a. - - ' \;•• ••'‘. 1 I c 11 1 • 1 V a STREET. PLOT PLAN Show location and distances from - property line and between buildings. • t- 4 • • • • • '1, ii .;• •• •3:: .• • , • t .. • ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT - 636 North BroaFOy . B U I-L®-I NAG__ 1 SANTA ANA, CALIFORNIALI _ . FOR APPLICANT TO FILL IN --FOR-OFFICE USE ONLY-- -. 1 RECEIPT NO. PERMIT NO. BUILDING 'G Lai �j ^�ADDRESS ( K �/� CO C Z SCHOOL DIST. ` &DING . EIVED'BY DATE RECD. DATE IS UED OR TOWN NEAREST Sin ,Q CROSS ST. 4�J �D rU '✓3 OWNER / �I ADDRESS Zeal' MAIL GEORGE M. HOLSTEIN & SONS ADDRESS SCHOOL DIST. 100 1. . OR TOWN TEL. CITY COSTA MESA CALIF NO, NEAREST 1 2 Lt CROSS STARCH . `�T ENG NIEERT OR LIC.NO. Z//'/ 1 PLANS TYPES I GR`U///P��� ADDRESS AppPRROVVED. �'`/'_ T�!� 1 GEORGE M. HOLSTEIN & SONLID. BY DATE J CONTRACTOR NO. ion t. UTA St • CORRECTIONS ADDRESS AYlCTA OAEQA ('Al IC LEGAL LOT 24 'I (' DESCRIPTION I NO. BLOCK - I TRACT/� 7 (ATTACH METES & BOUNDS) G . SIZE OF LOT GD x / I NOW ON LOTS O USE OF I NO. OF I NO. OF EXISTING BLDG. �` ^^JJ FAMILIES ROOMS - . . - - .SET - CENBTERKOFI STREET /J , REAR SIDE YARD YARD �} DESCRIPTION OF WORK 0 n 6 NEW I X I ALTERATION I I ADDITION I eg Z D REPAIR I I MOVING I NO. OF / I DEMOLISH I I •� • r BUILDING 3 6 ROOMS / STORIES / ' EXTERIOR WALL (�•j ROOF �J- 1 oe - -" COVERING 9li(.(.c. .. COVERING G.V tt.v_1..� USE OF NEW /I USI OIA• PPROVALS FOUNDATION:UNDER-PINNING LOCATION I INSPECTOR �,DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, 'INSPEE -Pr APPLICATION AND STATE THAT THE ABOVE IS CORRECT FRAME: FIRE STOPS, q� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING. BOLTS �T -A- -3 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. / Atr ' LATH. INT. A n SIGNATURE OF LATH. EXT. { ,��/•c PERMITTEF ell PLASTER, INT. AUTHORIZED AGI. Cl/ �q•� PLASTER. EXT. ,J C PERMIT FEE $ ` VALUATION C / MASONRY REINFORCED 72,0..... PLAN CHECK $ / BOND BEAMTOTq ® FEE Si FINAL 1 - ,•J ?� SM 9.90.59 . • -Aft", ...,- Z - - • D. ; cra • '11/4 . _ - • • • •. • STREET PLOT PLAN ‘, Show location and distances from • property line and between buildings. • • -