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Home My WebLink About900 20TH ST - Building Permits( TY OF COSTA MES._ GLIFORNIA G2826 P.O. BOX 1200 FROM TME OFFICE OF TME DIRECTOR OF BUILDINCi SAFETV Project Address 9��v � (�(% / ��. %-/� Project Name O.mers Name Owners Address O.mers Telephor Pecmit # c�0 � M-3 City Use Q�ly � - � , I ,qMl �/11 {<, (�, MAhjA, � ��r, �ent (stril�e out a11 e'cep�hereby attest that �loynent of any person, or persons, is not anticipated at the time of seeking the above-referenoed permit. In the event that arry person, or peisons, are e�loyed under the prwisions of this peimit, I shall imrediately cause a valid Certificate of Worlanens Caiq�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my own �st, ard to irx3enmify and hold harmless, the City, its officers, agents and/or e�loyees, from and against, arry and all liability, damage, costs, losses, claims and expenses, howscever caused, resulting directly or indirectly fran, or connected with the i�rovement under this permit. I further state that I have rnad and fully imdecstand the i�lications and re- sponsibilities of the above statements, and will ca�ly with all provisions of the Contractors State License Iaw found under the Business and Professions Code, Division 3, (hapter 9, of the State of California. rG : ' L r . ��/ e /i � . 1 :. � CMF 0777-46 /�/�,�i� J __` �r -, ,M , a � '�9 � ,,. �i . c �+ � @1 � °� � ` k • � � `� ci� �` x � N N� i ",,,, o .� .�la' v J �` ` eov•__" � �.-- � J �� -�h--� Af�O,� •J�/�'o J ,.1`1 , � � � \ �� l � �� , ji !J � �' �jj '� � � �. ;� , , � �. _ .- �BE ON JOB AT ALL TIMES WITHOUT PRIOR APPR�VA� � � STRUCTURAL APPROVAL ONLY 'ARAT/� PERMITS ARE REQUIRED FOR �ELECTRICAL, PlUA461PlG, HEP�fI};G,,VE ,N�+L�TiNG AND e:! OF DEPT. � � � / % / / THE ISSUANCE OR GRANTING OF A PERMIT OR APPROVAI J_ ,/ �OF PLAJS RND SFECIFICATIONS SHALL NOT BE CONSTRUE� � - TO BE A PERMIT FOR, OR AN APPROYHL OF, ANY VIOLHTION ,1� OF ANY OF iHE PROVISIONS OF THIS COUE. NO PEHMIT PRE� 3 � i�r Q �� SUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL iHE ,` �I �_ � PROVISIONS Of THIS CODE SHALL BE VALID. EXCEPT IN SO ( 1, � „� FAR AS THE WORK OR USE WHICH IT AUTViORIZES IS LA'NFUL. b �, � SO PANY ARE TO )lG� OF �PECIRCATIONSVSHALL NOT PREVENT THE BUILDING OFFICIAL FfiOhi THEREARER REQUIRING THE CORPECTION OF ERRURS � iPl S41D PIANS AND SPECIFlCRTIONS OR FROM PREVENTIN6 � n�IILDiNG OPERATIONS BEING CARRIED ON THEREUNDER WHEN � IN b'IOLSTION OF THIS CODf OR OF ANY OTNER ORDINM�CE nc TNP CITY. I �, �� \/\ � 8� . �° `'� ' /�`r/��,'-.�- � \/r�\� � � �' OWNER MARIA DAMVIJK DATE �)� ino �nnoo<c ...... .. ...... _. . m�n n�.rr nrn�.�r p� 'a� 115-513-20 LOT 1� cCT10N5 sm� G45 W PTEf1 ROUGN PLUMBiNG ' PROP. SWR. LINE � HOUSE CON. SPRINKLING SYSTEM MISGELLANCOUS ROUGM MEAT�NG ANO AIR CpN01Ti( TEMPORnRY SERVICE OH POLE UNDERGROUND � POWEN � ROUGM WIRING TRENCHES FORMS STEI FLOOR SYSTEM BONO BEaM [�I STEEL REINFOI SHEATMING FFAME nHO FLnSNING LRTNING — IN n PLPSTER,BpOWN C04T 5' 'UF4L.FINRL HL. AG. VENT., REFA PLUMBING. F�NAL RNO ELECTRIC FINRL R�111 nlNf. G1N1L SUBCONTRACTOR ��i iii�ni�q 9e50 TL COSTA MESA BUILDING-SAFETY DEPARTMENT APPLI T10N FOR STRUCTURAL PERMIT ��7 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 REC V PERMIT - For Applicant [o Fill in Comple[ely — Use Ink Only �� 4 9 2 3� no�oaess �i%O w �.`EO , .v. No. /i� — 3i3 — 20 OWNER OR � / ADDRE55 ✓{/ � . �O �i.. ��, TENANT (/ UNIT OR MAILING ACE NO. ADDRE55 �� ) i R.NO. LOT L3� BLK. TEL. �7/'� CITV �8 NO. EW ADD ALTER PAIR MOVING OEMOLISH ODNSTRUCTION LENDER BRANCH OWNER �� ADDRESS LUE �, ARCHITECT TEL. USE' E OR ENGINEER AODRESS ZONE �_� TYPE � GROUP � APPROVED CONTRACTOR �� BY DATE �I Z % G—.�� E/c rrri.,s cq.t Oo.t y AODRESS TE L. �V/� G,;,« P G CITV NO. STATE CITV APPROVEDSETBACKS IIC. NO. IIC. NO. SIZE q q NO.OF BLIX.S. (FROM C/L STqEET) OF LOT �s ' r� X / 0. � Z NOW ON �OT ' NT FT. USE OF S/NG FA� �%i.j ' EXISTING BIOG. Separate permits are required (or L SIOE electric, plumbing and heating work. / REAR PT. USE OF BUILOING AND WORK TO BE PERFORMED PLqNNING ACTION G�C�,I1 / ' �/�-L � APPROVED \'� � /1PPROVED �n/ p �' UL I�"3� 7/ j I _ � I hereby acknowled ch I eva reatl t s pplicallon antl ctete that ihe abova Infor tion is orrect and��rea to comply wlth all laws raBulatin0 bui Ing consvuction, tl 1 zhall not amploy any parson in vlolation t ihe workman's compensatian laws of th¢ Smte of Celifornia. I hareby certify that I er{i properly Iicensed as e contrector �nder SQ. FT. the Stete ot Californla Businass antl Profession9 COtla, Dlvlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chepter 9, end that such Iieen505 ere in tull torea entl offeti, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: am exempi from the prp vislons of the Srote of Celitornle Buzinesa VALUATION PERMIT FEE E antl Protassions Cotle, iJklon 3, Cheptar 9. ( . 8 � 57 neture of f � / �0 PLAN CHECK § ..r Permittea 5�/� �/ TAX E , S� Auffiorizatl Ag t Date �/ O TOTAL PAID S �Q � .i J OWNER DAhEVIJK, biARIA P. JOB ADDRESS � 14. 20tt ! o. 115- ROUGN P� MISCEILRNE0U5 � ROUGH MEPTING ANO MF CONOITIONING VTEMPOR�qY SERVICE OR POLE � UNDERGROUND � POW[R � � ROUGN WIRING .� TRENCHES FORMS STEEL RE FLOOR SYSTEM �BOH� BEAM � STEEL REINFORCE I , SMEnTMING LL FRRME sND FL�SNING LATMING — IN I—I OUi n PL�STER,BROWN COPT 5 TUAAL,i1NNL Ht.,. iNG. VENT., REFRIG. AND A.C., FINAL PIUMBING. FINAL �NO G�$ TEST rI ELECTHIC. F�H�I DATE 10/10/80 TRACT 1712 FIRE ZONE SUBCONTRACTOR COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIL�i/�( �! �� / % �_ ADOFESS � OWNER OR � � TENANT MAI LI NG ADDftE55 TEL. CITV Q„��'�Q�� . NO.�f'�/� ♦ CONSTRUC710N LENDER BRANCH ADORESS ARCHITECT TEL. APPUCATION F: tECEI V PI A.P. NO. ��5--� ADDRE55 OO UNIT OR SPACE NO. iR.NO. ^� LOT NEW ADD ALTI � OWNER USE I� Z APPROVED L CONTRACTOF B�' r ADDRESS J f�jj(itA..Q� TEL. CITV NO. � STATE CITV P.PPROVEDSETBACKS LIC. NO. LIC. NO. {,y SIZE NO.OFBLOGS. (FR�MC//L�SI.REET 4. OF LOT NOW ON LOT RONT V FT. a USE OF O% '� EXI571NG BLDG. h FSeparate permits are required for L SIDE Fr. � electric, plumbing and heating work. AEAR �'�'�'i" �.�.. USE OF BUILDING AND WORK TO BE PERFORMED PLp.NNING ACTION C1 � �� < 7 APPROVED r .� a � �a I hereby acknowletlBe that I �eva raatl this applicetion and nate thet the abova Informetion is correct antl eBrae to comply wlth a all lews repuleNnB builtlin8 conatruction, antl I shall not amploy Z eny person in violatlon of the workman's campensation laws of W the Stata of Celifornla. 2 3 ereby certify thet I am properly licensetl as e eoniract er SQ. FT. th St ' I 8' e sm�LRre4ea o e, Division 3, THE AMOUNT SF Che ter 9, an c es era in tull torce antl etiect, or I THE PURP�E OF P am a rom the provisions o S tesenf Cal'fo ' B' ass VALUATION an Professions Cotle, Division 3, Chepter 9. Signature of//�� • /� / O Permittee //[[(1[�[ ��l � /_!�i i § �/ �� or �� Authorized Agent Da[e �O /O, STRUCTURALPERMIT �+ 00 TL� " . N° - 5084� _ _.. Zo ♦ 7 BLK. REPAIR MOVING DEMOLISH I./ \ CiP� VAWES,�pO '! i E � GROUP DATE IOI/Ol.pf� � ��" n 'm m N JN UNDER VALUATION IS FOR m ABLISHING A PERMIT FEE ONLV: � PERMIT FEE E • O Q v m PIAN CHECK E ` SQ m 0 LL TAX S Q � s� � U TOTAL PAID 5 � fi ti