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HomeMy WebLinkAbout837 VICTORIA ST - Building PermitsJOB ADDRES: GENERAL C01 AP No. l l K_li; INSPECTION5 OCCUPANCY AMBURGEY. Ernest LOT TRACT FIRE ZONE I Signature � DATE GROUP I DATE i.1-23-62 � BUILDING PEftMIT NO. 16926 VALUE � 6,2%0.00 Add Bdrm. 5ath D�SCRIPTION OF WORK Liv.Rm.bo Res. TYPE j7 ZON� R-1 SU[3CON7`RACTOR ., y t 6926 CQSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applicanf fo Fill In Compleiely TYPE OR PRINT % BUIL�ING � ADDRE$8 J i COSTA MESA CALIFO IA OWNER �- /�� �! T� Y� L+� MAIL X S�% � �.: r� �. I � STATE TEL. TEL. NO. OP BLDG6. FEE RECEIVED FINANCE2D�� � CITY OF COSTA MES� � APPLICATION FOR PERMIi BUILDING For Office Use Only NBCEIPT NO. � gMl$.q� G�� d / PECBNED B^ I L'/ HZ }61 /� I /. � 189U 1 L./� / COSTA MESA, CALIFORNIA FIRE 20NE TYPE GROUP APPROVED BY I DA7E ONING ZONjiIJ`� I p�NB � l BUILOINO E a �.( A -V "' ' LEGAL oescairnoH �,a Y' �Z "i'12� C� / : A.P.NO. I!S"7��r�� � BBTBACK LINB PqON c ICENTew eervtea OP Bn+eeT � J � REAR YARD `O� �' FRONT SIDE YARD I�EFT �' IRIGHi ��� R.SIDE DESCRlPT10N OF WORK BUILOING / � NO. OF SIZE �H� ' HOOMS EXTERIOR WALL �/ ROOF GOVERING S/v�'� COVEF USE OF BUIL�ING AND WORK TO E S ✓'FT. �' V�C•vN+c(+N. / • FT. IN. 5 FT. IN. SFT. IN. ` - M�1 DATE ��1 3- 6 1 HER¢BY ACNNOWLSDOB TXAT I MAV6 q[AD THI6 APPIIGTION TMp AMOUM BHOWN UNDBH VALtIATION i8 FON THE AND BTATE THAT TNE ABOVE 18 COPRER NO A6N86 TO COM• pUpp08H OP EBTABLIBH�NO A PCRMIT P86 ONLY. PLY WITN ALL CITY OFOUlANC88 AND 9T T LAW � R80ULATNG BUILDINO GONBTFlu . VALUATION � SIGNATURE OF PERMIT FEE $ PERMITYE " • dQ $ 6, a 70. F'uN CHECK $ AUTHORIZED AGENT 3 6 � TOTAL FEH AtBURGEY, ERA]BST JOB ADDEL�SS v� � �i GENERAL CONTRACTOR NS er OCCUPANCY TRACT I DATE VALUE DESCRIPTION TYPE V SUBCONTRACTOR I PERMITSISSUED Form 210—SM-11-59 S-B P . ZI„ZZ% �� ; �_��b9 � COSTA MESA 9UILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COSTA MEBA. WLIPORNIA For Applieanf fo Fill In Complefely TYPE O 'PRINT BUILDING ADDRESS C � COSTA MESh CALIFORNIA I AOORFFC // � � V7 � / /� Y / 6TATE � TEL. LIC. NO. NO: OF LOT ��n �L' /� Ll' ,/ I NO. oR eLD68. , NOW ON LOf USE OF � EXISTING BLDG 6 �!L 6BTBAGI( LINB PROM // �. cercreR OP BiN6HT S� REAR YARD SIDE YARD LEFT S� IRIGHT `� DESCRIPTION OF WORK NEY � I LALTEBATION I IIADDITION I REPAIR I IMOVING I II�EMOLI6H I BUILDING • NO. OF SIZP_ � �L .Y�O . ROOMS � STORIES � I H6RHBY ACKNOWLEODE TXAT 1 HAVE RHAD TX18 APVIJGTION ANO BTATB TN�T THC �BOVE IB COPN¢LT AND A6FEB TO COM- PI.Y WITX ALL CITY OHCINANR'8 AND 8TAT8 LA B RHOULATING BUILDINO CONBTRU�N. SIGNATURE OF � PERMITTE AUTHORIZED AGENY FEE RECEIVED r 6 pg� FINA �EPT.� C'� APPUCAT�I�Y fQ�R�lli'�ESA BUILDING For Offlee Use Only REC6IPT NO. �RM{I, Np. _ / ��� IqH v� /. CT(/7 �d 1 11� /�/nDI I L T¢�eeU/. I COSTA MESA CALIFORNIA APPROVED Z NING ,� xo. ov use ov H .` / I PLAN9 � BUILDINO [ �T EVES uNe er.� APPROVED TNe AMOUM DNOWN UNOER VALUAiION 16 IOp TXE PUIiP09t OP 88TABLIBHINO A PEftMIT FE6 ONLY. VALUATION ��(� PERMIT FEE $ S (/� PLAN CHECK $ � � �?JD �� � TOTAL FEE $ OWNER JOB AC GENER „ �'.o ����_ SPRINK�ING 5 MISCELLANEO ROUGN ME�TiN TEMPORRRV 5 UNOERGROUNO ROUGN WIRING TRENCNES FLOOR SVSTEI BOND BEAM r NOUSE COM. •HO �IR CON�ITIONING FRRME RNO FL�SNING L�TMING — IN n f PLnSTER, BFO�MN COnT :TUR�L, FIN�L •.C.. FINAL FINAL �ND WS T FINAL DATE FIRE ZONE VALUE SUBCOHTRACTOR uwntK pr,�J�Eps E, JOB ADDRESS $37 GENERAL CONTRACT01 AP " .115-424-0� IN. �TIONS sou GAS WATER ROUGM PLUMBING ' PROP. SWR. LINE ❑ XOf15E SPRINKLING SVSTEM MISCELLANEOUS RUUGM MEATING AN� AIR Cp! TEMPORARY SERVICE OR POL UN�ERGROUNO � POWER ROUGH WINING TRENCHES iORMS FLOOR SVSTEM BOND BEAM [� STEEL RE SMEATNING iR�ME �NO FL�SXING IITMINf. _ IN n OIIT � ST' ME. 'JRAL. FINAI VENT.. REFRIG. AND A.L., i1NAL DATE SUBCONTRACTOR . 4333� � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 6�X 1200 COSTA MESA, CALIFORNIA 92626 I For Applican[ [o Fill in Completely — Use Ink Only a���o�N� �f3�7 d�cTo.e,a i ADORE55 OWNER ��/�(�iS—T 7 (/��� MAII 3 �� GT��/� ADDRESS n TEL.` CITV , � / NO..J</��C CONSiFUCT�ON � F C W G. Q � h S F � ❑ ..1 7 r a a � a O � L Z Lc7 x 3 BRANCH ADDRESS ARCMITEGT TEL. CONTRACTOR (�//�(%(/G� �[�/L,/t�.�o\ b� ADDRESS TEL. CITY NO. STATE CITY IIC. NO. LIG. NO. SI2E NO.OF BLDGS. OF LOT NOW ON LOT VSE OF �C_c EXISTING BLDG. J Separate permits are required for ClecVic, plumbing and heating work. USE OF BUILDING AND WOflK TO BE PERFORMED �i% , /%Yi / / i /ii1. �ui ZS"7�PA�Qoo,o,9;:. ���,:5,,.50 ��,: • APPLICATION FOR STRUC7URAL PERMIT RECEIVED BV DATE RECEIVED .��re iecimn A.P. N�IV' BNLDING c�f w . TRACT FIRE ZONE NO.OF PLANS YARDS APPpOVEO DISTANCE BET MAIN BLDGS. VAR. aW 4U.P. # LOT A.1Y BLOCK USE OF EW BUILDI V RDSAPPROVED ACCESSORV BUILDING BEf. MAIN & �/Y� I hareby aCknowledBe that 1 have reatl this appllcation antl smte . that the ebove information is corract antl apree to comply wlth all laws retluleNnp buiiGinB �onstrucNon, antl I shall not amploy any person In violetlon of ihe workman's compensation laws ot Me Staie oR Californie. I heraby certlfy that I am properiy Iicensetl as a conttecior untler SQ. FT. the Steta of California Busineu entl Profeasions Cotle, Divlsion 3, THE AMOVNTSHOWN UNDER VALV Chapter 9, entl that such licenses ere in full force antl aifaci, or I 7HE PVRPOSE OF 6TABlISHING A PERI am exempi f�om tha prov(sions ot the Staie ot Calltornia Business VALUATION PERMIT FEE S antl Profass�ons Cotle, Division 3, ChePi .w SIB�eture of /� W PLAN CHECK S Po�mlttea $ Iw �� _� 7qX g {f/� Authorized°.8ent TOTA�PAID $ N � m 'a m � m b ti� ro n 0 LL � U