HomeMy WebLinkAbout3020 RANDOLPH AVE - Building Permits COSTA MESA BUILDING-SAFETY DEPARTMENT APP ATION FOR:STRUCTURAL PERMIT 60050 it
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• RE•�/ ' PERMIT
For Appli .nt to F'I in Complet —Use ,:k Only ♦ /a co 0 •
IL" IGVii-. ii__/� �� i
ADDRESS r-6J�i� sl A.P.NO. ��
//�� BUILDING �0� e
TTENANT OR AJ ,�^S ADDRESS /
MAILING 7 2 •1)AU
G . / , SPACE NO.TR.NUNIT OR /
ADDRESS // K/
Q/� • LOT IBLK.
CITY C r M TNOLQ7/k?//0 0
COKSi ,�tI / NEW •• 'LTER REPAIR MOVING DEMOLISH
LENDERRUCnON V/I//` .47(/A) �j
BRANCH /C.
OWNER rr ADDRE
ARCHITECT //�cyTE ! USE � LUEOR ENGINEER / NO ��+�uf2ctcsL, (O (�(J
ADDRESS 47 fr/ �� CA/0 1, ,j. ZONE i:/ i/i/ YPE GROUP
/�/� Ij ' / APPROVED Q�
CONTRACTOR, l ' Pa a 4-S BY Q DATES
ADDRESS(((p J ///(/- �G�PjG�.c_.
F CITY �/4 /t/ – Nc j 7//
STATE 2 G, �` / CITY it,.....-e_ APPROVED SETBACKS
LIC.NO. O 3 ( /J LIC.NOJJ7 '
4,1 SIZE ! NO.OF BLDGS / (FROM C/LSTREET)
O. OF LOT NOW ON LOT FROM' T.
et USE OF
‘43, EXISTING BLDG. • ;,s$IOF FT eili
cn
coe/
F Separate permits are required for T,
electric,plumbing and heating work. /,
W AR FT. el
).. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
52°
//` / may/ C Q / ..�Q
lW/<L1 LIl r(./C� �Of1 ` TI• C„ 7,-o/ APPROVED 47(� —/
rAPPROV • /) t [)
.>1 DATE /� Q
Qi hereby acknowledge that I have read this application and state -/� ,#° /0A:/ N
Cd that the above information Is correct and agree to comply with // `, / / (/ V
a. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
Tthe State of California. m
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provlsio of the State of California Business
and Professions Code,Dlvisio 3,Chapter 9. VALUATION PERMIT FEE $ n
Signature of PLAN CHECK $ '�O ^
oho en
$
Permittee TAX S 0.Th 2
or
Authorized Agent Date .O .S
TOTAL PAID $ U
b
. COSTA MESA BUILDING-SAFETY DEPARTMENT •APPLI^•TION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
REC:�•, PERMIT N°.- 4994 .
For Applicant-toanFill in Completely — Use Ink Only /�
ADDRESS idea del 1 II' A.P.NO. `i i /Q/ `r `7/ -121-2
�� BDILDISG ��r�� :.-.1i '-�__v_ i//
OWNER OR ADDRESS `'i«�� A %%
TENANT +
MAILING SPACE �s ul NO. 3a J
ADDRESS
T R,NO�e.76 LOT / BLK.
���r/�f)� TEL. rR N
CITY �`.'ei�"�/"- ./ NO.
CONSTRUCTION i1 ADDALTER (REPAIR IMOVING IDEMOLISH
LENDER
BRANCH a4
N`
• sOWNER
ADDRESS � /�aVALUES
6 /T
A
L � ‘ USEa,dr 1OR ENGINEEON \
yi3 ��
ADDRESS • 4140, lea: NiO ZONE /nTYPE l
GROUP
APPROVED i.'".
(L GROUP/
APPROVED O
ll/VV/'"�""" (
CONTRACTOR�jy Ey BY r DATE 1 / /
ADDRESS (((
TEL.
CITY NO.
STATE CITY APPROVED T AC 5
gLIC.NO. LIC.NO. a Cl/f�( i
{pSIZE NO.OF SLOGS. (FROM C/LSTREET) / /
6 OF LOT NOW ON LOT FRONT SD T. �. .r4
a USE OF
EXISTING BLDG. R SIDE FT.
V1
HSeparate permits are required for L.SIDE
Cc
electric,plumbing and heating work: REAR FT.
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
^ DATE
Q . _ APPROVED
ti
7 APPR^y,��ED /// //� [�//
>_, BY / { /WI DATFGI//4X/
IY 111///
W
R.0 I hereby acknowledge that I have read this application and state n
eg that the above Information is correct and agree to comply with n
0•. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of
•{r] the State of California. SO. FT. 7 4'
/� "/ 9S'.sa.Fr. N
I hereby certify that am properly licensed as a contractor under
the State of Califor I% Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and the uch licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from t. - p •v I•ns of the State of California Business
VALUATION PERMIT FEE $ y
and Professions C`. ;i sion 3,Chapter 9. Q^,{9Q w
//,/ � n
Signatur. of PLAN CHECK $ eZ0.� C
Permitte / $ ` a
or 1 r `IN?
r/�� TAX $ 0.Sb 2
Authorized • ,e t •ate `IN?ei U
TOTAL PAID $ 60, s-0