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 �
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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 $
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