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HomeMy WebLinkAbout775 VICTORIA ST - Building Permits34353 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fq� Applicant to Fill in Completely �.;°F�c '%-7�i I/.n Tna iA _S T. OWNER S PA1� .. _,-���,;�.00 ,3,�> *�*x39.00 APPLICATIOfV FOR BUILDING PERMIT RECEIX E/p/g Y DATE flEG�IVED D TE ISSUI �ll.l1� `�i.r.�i�%.i �w�_� MA I L BUI LAING ADDRESS � � �/``�y. D� ADOFESS ,) a U GITV �ts} /j � ryp�, 06 � TRACT / Z Z Q CONSTRUCTION W AD A O N LENDEF am J � BRANCH J N OWNER �� m J ADOPESS m ARCHITECT TEL. S J a OR ENGINEER �� N � U N Q FIRE W Q ADDRESS 20NE T �' w �j APPROV EO JO CONTRACTOR QC(f�/.� ` /�JU//,v : eY m Z v J � ADDRESS '��' ,Z, da�N-iE � �L�!%J � 0 W � TEL. / ZON^E PLANS z� CITV �'^��. NOfYOIo B v ' w � STATE CITV YAROS APPROVEO N� LIC. NO. LIC. NO. MAIN BUIIDING �� SIZE /'JG X2�'tlY S 3 ,Qo NO.OF BLDGS. (FROM C/L T ET) OF l0T NOW ON LOT NT FT. USE OF �/ � EXISTING BLDr, L/}/C {[//jSff — 3 �S%D�� H SIZE OF �( NO. OF Z NEWBLDG. T �U ROOMS ( STORIES l L.SIDE FT. a EXTERIOR WALL ROOF A' V COVERING %i_ I� COVERING /�'!F L. REAR T. J VSE OF BUIIDING AND WORK TO BE PERFOR�MrED OISTANCE BET. d O L/i (.,p � MAIN BLDGS. Q VAR. qW o . a P� o� �.�.P.� N �6 — � �-$I p HPP E o //S - �3 -2 VI hereby acknowledBe that I have reatl [his application entl s[ate /J _., � thet the above intormetion is correct and apree to comply wlth �pLe—" � ell Iaws regulat�ng builtling consttuction, antl I shali not employ F any person in violation of ffie workman's compensatiOn laws Ot `�'-�� � y Ma Sta[e of Celifornia. ��"{�` ^� z1 hereby car[i(y �hat 1 am ptope�ly Ilcensed as a conbactor untlo� $Q. F" Me State of California Business entl Profossions Cotla, Divisicn 3, THE AMOUNT SHO' Choptar 9, anq that such licenses ar in full foreo und eftect, or I TME PURP06E OF ES am exempt frqm Me provisions o t�e o of Cellfomia Business VALVATION antlProfassionsCo ,Divlsi 3 er9 / SiBnature o( �L �/% P¢rmittee $ � �74p Authorizatl Agant / � T�O �! S T f BLOCK )VALU� 5 � � GROUP � DATE �� / ' FT FT. FT. BEf. MAIN & ACCESS. BLDGS. DATE � APPROVEO ����7 IJ�T �_ , Y V A FEE $ m /� C 'ION IS FOR ' � 'FEE ONLY: Q � �� m � �' N a' �-- E ] `o ' •- LL ti . .. � _ _ , _5 � . _ . µ. . '' m . � . :.,.' -..� 4� i :�•` . .»r : . i � ,.j.... . -. _ __ .... r �COSTA.MESA.BUILDING 'SAF,ETY DEPAHTMENT.c ,,.f :'at�� 1,; rc�M1s;O0,739;i�**•� #9 50 - • •P.0 BOX�..1200. ,. ' ' f - Costa Mesa,�Calitornia.�� • '" "' ' . . _..... . _.. . ..._ ,. - _, ., ,. _ _ � � � ' � � 1 •' ._ '. " ERMIT� NO. { � � TRACT NO. ' .RECD. BY ��� � y- . CONTRACTOR�, tQ �ji�'� ., � - LOT NO � �'• DATE I66UfiD r � • �., .. ,, } . euwoiNc use.'� �� ���/�J.�'�. �, . ic � aaa�, - • r- t� ��' s:r� �'�1�.�f��- qfy.._ , r .' ' TeI: No � �'': .'ADDRE55 ."f'y'..�] /)'r �r� �c� i . , � . �`.1�+2,fil`. �Y% .. � SM}B�LICBI1fB NO :; . . . 'CIGff., �' . � • . �- +�- COSTA M SA., GALIFORNIA - � � � O S - . . , � ~, i. CROSSSST. �.r. ". � -.,' c, c'�,� • ' ' F . � :PERMIT FEES-� '° aow�ER �l,�a,. � �:��v�ii'nc . � Q ' NU6IBER� � TYPEOF.�FIXTUREORITFA1 �� FEE `;�� � mAiL� �y +"�, � ' � � -� .:�.� Wa[erCloset (Toilet) " ' � fJ�'j�- _A�DRESS� �i 7� � .{:.! ':,.:i�b-� i . " . x I� ' •�' . .. Bath Tub . _ • " ..UTY '- <' �._+'�._ As! . TEL.�NO. ' ' , ,> ; � sfiower - � �' � ' " ' �' � I �hereby � `�owledge thaf I have read this application .:[y�: Lavamry (wash easin). -, � ��S fJt�' ' 8nd state' at•ihe atiove is�wrrect and agree to complq + - J� - x;��ne� s��t '- � � withi.allb ity Ordmances -^and�` State Laws regulating � -� l Leundry Tub or Tray - -' 7' � p1LLBlb� . � � ' _ � . , w -� ser��c< s��t ' �:�, +�. I ce y that I, possess, the above valid state of Cali- � :=a fornia assification or I�am�thelegal'owner,of�the-resi- ,'� - • �. � � eioor Sink - � Q'�� b' den ' property described above. . . � , _ � �' Floor Drain � � ' : ^6� � �i �7'�': " `- . . . '. .. . ' � ` a� Dishwasher " ,� 1 y.��1* .Stg ture o� - '--P� . � •�.... � � ' P mittee � " � • ' Z Drinkin Pountnin ' !1 �. �� ' ' � _ . � !' Urina� - .eal�'A / ri(YJ' ' �- .;� _ ' � Garbage Dispos�l ,: a� o i N 5 P E'C T.I O N. R E GO R D Auwmatic Weshin Mach.3'� ' � - '' -~ Wnter Softener 1\){_Y ' . . • . . . - .. �� - Watei Hea[er &.Vent - ' � � W � - Rece io: 1 � - ' ' . . . . ., d " ' Swim Pool Filter Sys[em - ' .� ' ' � . , � Gas Sysmm . . . Outlets . � _ � Lawn S rinkiers ' � ' nstallntion or Nttration ' . " . µ��«<�; �� - APPROVALS . ' Back' Flow Preventer ' '- � INSIERON .D.�T[ . y' . Pm . Sewer fL u/G �� _ I, I . ����. - Cess aol Se tic Tank 4. U/G WHter . �. ��' -" - ' Servicea--Water �' Gas O � � - . Miscellaneous ' Rough Plumbing � � . - . . ' B n ' . . Rnrinkler SvxGm - I . - � �a � ' � � 'I'OTAL FEE ` " L.�--=— . . .ronw eu.i+ c v . - sioo. vm�ui � ""'+ �T , . .: > ' : . . _ ' _� z y. . �'� : a-4_ .i s'.' PiiV�t'� ��CI170� 8rJ%R f,iir4ir'k5 ��.� + '�COSTA MESA BUILDING-SAFETY DEP'AATMENT. ,� _Y' ,.�_, � � ' - � - �. P: 0' 80X'IY00 .:. �Fi . r .'`' U��� � Coita Mesa; CaliPornia" ' r -�, ... _ , . . . � .. . � � � � � � � � . - � .. . . � � : - . . PER� . ' . � TRAGT.NO. ' REGD. BY'� � 1= Qn. j1'Y� • ' _ CONTRACTOR.� "� � � � - * l0T NO. DATE IBSU6D � - - , B111L�ING USE � - aaa��.• , ,. . � ;�' - .. . - "' . _ 'Cify: Tel: No. " ' - eui�oiNc _ .. � ' �ADDRE55 . �1 � . .�' / - ' � ' � COSTA MESA, CALIFORNIA � Srota License No. , ' - - Clau: �- ' % , . .'v.. .NEAREST � !�\:j . .'0' GRO55 ST. ' .♦<A \i l •. F ' PERMIT FEES ` owNER. ... ��.q(�`�.`" . Q NU�IBER � TYPEOFFIXTUREORITEN � FEE .�ooaE53.�/%-`:.��Y.b�~ �l � N'nter Closet (Toiled ' � �/ p`l I� �_. � . — Ba[h Tub � � GITY � f L_ T r ll�!' �'� , TEL. NO. � > snowa� - . � I hereby acknowledge that I 6ave read tlus application �� - Le�erory (wesh Bas�n) :��. "� � and�state'thet the above is conect and agree to rnmply . J Ki[chen Sink �� �- fwithYallWCity Ordinances and State Laws regulating � Laundry Tub or Trey n{; r.� �e'• uplUmbiilg. . w ser��« s��k nY -. �:�i.V . ��I� �1,, I certify�that I possess 1Le above valid state of Cali- fornia classificatiou or I am t6e legal owner of the resi- - . � Fioo� s��t .i di' '" �.� 6\Fl C dential property described above. � '� Floor Drain .,�1 ? I ".(: 'N bl�"- ' . . ' / � . . a ' ' Dishwasher . � } .� `� Y � )' - • Signatwe o/' J; . � f! � �"'�'. . � Z Drink�n Fountuin�� i\h .�h+ L' . �'Permittee W u�,�o� �titi+ �.a:ane:xr �NSPECTION RECORD x . � Garbage Disposal: uiw rf �.�'�.� 4� 1t � . - AutomatidWashin 'Mach.b(�G V+ - F N'over Sn(mner 1�I1iY: \/" ll 1; , . , ' '-.'� N'ater Heater B,VentM� ±�-� d� - " . � . . . � ' W ' Recc t'oilW' \i l. �� . ' � . ' � . ' . • d. + " , Swfm Pool Filter Sys[em , � - ' . ' � � � Gas System . . . Outlets - � � , . , . ,� � Lawn 5 rinklers. - � . • � " �ins[allauon or Alteration , � i - _, "�a"`P' `" APPROVALS Bnck Flow Preventer , y Pro . Sewer ft. _ iHa�eeron Dere U/G Soil - I I ' = Cess aol $e tic Tenk U/i�i Watei. .. ~ ' 3ervice�WHter O Ges ❑ . , . . ...___.._.._. .. .. . ... .. � r 'ro'rn% �`�' � .� � -+.f � - IOPM OU-1� � . � ' 0 • • s�d�. �T N0. � ���`{ � _