HomeMy WebLinkAbout804 WILSON ST - Building PermitsOWNER pp�
JOB ADDRESS
No. 115-574-11 LOT(Pnrl �G TRACT 9 FIRE ZON
PROP. SWR. LINE Lf MOUSE f(On[Q�
SPRINKLING $VSTEM
MISCELLANEOUS
ROUGH XEATING ANU AIR CONDITIONING
UNDERGROUND U POWER U
HOUGM WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM �
FRAME ANO FLASHING
i
PLASTER, BROWN COAT
H'
DATE
SUBCONTRACTOR
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COS7A MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEI e D TE EIVED DATE SYED
BUILDING �O / / �/� 7O
AODRE55 aV� �� �
PERMITAj �j
OWNER A.P. NO. ' .� I`,! I
MAIL BUILDING /
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ADORESS ADORESS /
W w TEL. TRACT LOT BLOCK
4.0 CITV NO.
ZZ
Q CONSTRUCTION S.� W
ON LENDER �/
d m ��
,� � BRANCH ' �—
J N OWNER
m J ADORESS VALUE '
m AflCHITECT TEL $
J a OR ENGINEER �—,
ZQ —_ FIRE
W 2 ADDRE55 ZONE TVPE GROUP
a W APPROVED
W Z CONTRACTOP BV DATE
J Q
m Z
J � ADDRESS /� Z
w w ZON NO.OF USE OF N /i/K�
� = CITV / NOL �J � P�� � BUILDING
Z �-
w� STATE n� �� CITV YAROSAPPROVED YARD APPROVED
j O LIC. NO. �3 LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BLDGS. (FRaM C/l STREE 1
OF LOT NOW ON LOT OfYT FT. FT.
USE OF
E%ISfING BLIX3. D 5 FT
F� 512E OF NO. OF
ZQ NEWBLOG. ROOMS STOFIES L.SI FT. FT.
EXTERIOR WALL ROOF
V COVEfi1NG COVERING REAR FT. FT. �
J USE OF BU�LDING AND WOFK TO BE PEflFORMED DISTANCE BET. BEf. MAIN &
a MAIN BLDGS. ACC65. BLOGS.
a
Q p� VAR. qW pATE
O 0 LLt Fl,M�` C.U.P.qW qPPROVED
yAPPROVED O
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UI hareby eckno�'�atlBe that I have raatl this eppllcatiOn Bnd fiete
� Mat the ebova information is correct enG apree io comply wiih
� ell lews rBpulet��0 builtlinp tonavuttion, antl I shall not employ
F any peraon In �ioletion o� Me workman's compansatlon laws of
y the Stata ot California. �
? I hareby certlfy thet I em properly Iican�etl as e eonireeSor untler SQ. FT. o
the Stata of Callfornla Bualnen antl Profaulons Cotle, Dlvlalcn 3, TME AMOUNT SHOWN UNOER VALUATION IS FOR �
Chepter 9, entl thet such Ilcanws ere In full force antl effect, or I THE PURPOSE OF ESTABLISHINO A PERMIT FEE ONLV: ¢
am exempx from the provisions of tha Stata of Collfornia Bueineu VALUATION
antl Professlone Code, Divlalon 3 aptar 9. �` �� r
�(� PERMIT FEE 3 ]
Slpnatura ot /{/� m
Permittae � $ V D PLAN CHECK E
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Authorized Ape�t �� o
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TOTAI FEE $