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HomeMy WebLinkAbout616 19TH ST - Building Permits. � .`��-- � COSTA MESA B IN ETY DEPARTMEM � P.O. BOX 7200 COSTA MESA� CALIFORNIA YZ828 For AppIImM ro Ffll In CompbNly TYPE OR PRINT CO3TA MESA, CALIFORNIA ST �I B6TlACk LIH[ 111011 EF� �SS i I RIO/fT DESCRIPTION OF WORK BUILDINO v/ � 1 Xf116GY AGRNOWL[DO� T11AT.1 NAV6 P�11D YXI� A��YGTON I�ND BT�iE THAT Tlli AG01I� I8 CORq[CY ANO AOp6[ YO CAY- PLY WITN ALL CITY OIIDI 11NCf/ Ap0 RAT[ IAW�-'=`/� EUILDIHOCONRlNYCTIO . / t��4 BIONATUR! OP P8RM1TT8� / � r AUTXORIZ[DAO[NT CITY 0�'�S �;� A��SA JAN 17 1966 eic�irt no. wrc �acirv� ZONING { MO.O! Ut[OIN[W � ` �IAN� (� OWLDINO �, YARDDAPPPOVlD MAIN Bu1LDIN0 ecr VAR. S �� - ��-1 "6 � ANO BXALLlB LQ88TXAN YARDBAPPROVHD ACC8B80RY BUILDINO eer. Mw�H e wccess. e� DATB « � 1� w i wre a m � ea. rr. � rNc �rourrt �Xown uHosn v��uwnox ie non n�e � '{IRWO[ OI fRAGYGNINO A rCpMIT I66 ONLY. VAlUAT10N � PBRMIT P86 � � E f ��� — w TOT/tL PEE � � `� �"- 25122 - , .� � COSTA MESA BUILDINCrSAFETY DEPARfMENi P.O. BOX 12M COSTA MEBA, CALIFORNIA Y1EY0 Fo� App11mM M flll In ComplNdy TYPE OR PRINT �u��oiNa y � T!i ADDRHYG COSTA MEBA, CALIFORNIA [fai arwre U8E OP � � ^� � NO. 01 GtDO�. oe R R[AR YAR � (eG 6Ff b �- �eu RIOHT � ��^�oh DESCRIPTION OF WORK BXTERIOR WALL � 1 HlN�V ACKNOWL[DOt AND lTAT6 THAT Tlli Ap �LY WITM ALL CITY O lIII�DINO CONBTRVCT a�aN�ruae o� PHRIAITTH AUTNORIZ�C AO[HT Yxu w►ruunox CITY �� C S��� ��SA JAN 17 196 �Pl��tyQ � R PE R ` p �_� For OI(in Ur� Only o�� R[CqI� NO. 1111y�T NO. . _ �r �cona � FlR[ � i � ZONt TYP OROUP APPROVQD i � � � � � ' O B7' � / C�S DAT6 ZONINd � ZON NO.01 �U�[OIN[W I � � �tANf NILDINO �u�cn�moN U� � L �— � A. P. NO. ���O . 7 �- �S�! �� NOTHi NO HAV! OVBRMANO 6HALL DH LL'88 THAN r' � ao• �ro eioa e ne�R P. �. g i � ewves � �, ALLOWED fU.B.C.RBCUIRHMBNT> �y� . YAROf MPROVlD YARDH APPHOVBD �-` MAIN BUILDINO ACC88SORV BUILDIN6 j � f FROM C/ R[R) O !R !IT Ff. � 1 �/ s R.�YID PT. "� � a � ` � ot �.am �rr. rr. �;; , a a RBAR RT FT. � S DIHTANCQ B6T. BLT. MAIN Q O l.' MAIN BLDOB. ACGH89. BLD08. � VM.# DATB �i G. . . APPROViD � AITROV[D / ` /� 'a.' ( HOI,D FdR SPECIA " QUIRFM`wTS m m � � ec. rr. � TXt AYOYM tNOWH YNDlP VALYATON Ie POR ill[ � MIRMGI OI {f�AOYlXINO A PWYIT PL8 ONLY. VAWATION PBNMIT F86 � � s��D� � w TOTAt PiE �� - — 35240 �Ns� . :ur25-7�--OOi��3� *����5.02 COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 � APPLICATIpN FOR BUILDING PERMIT For Applicant to Fill rn Completely (� 'ADOflESS � RECfji}/�BV D�TE RECEI�D pp$4 �� c 7 BVIIDING � !J O1� � � r<<l - � PEHM OWNER / / � A.P. NO. ' � � \ BVILDING /. /F / � MAIL L ADDRE55 (JT/ Z . ADDRESS `X/� �V I� ' . �/fI{�W R}I�7 • a U CITV . NOL�jS J g� TRACT LOT �.� BLOCK � � �Z � Z Q CONSTRUCiION W O � LENDER am J � BFANCH � y� . J fn OWNER r�/�� � �Pri� h m J ADORESS VALUE m ARCHITECT TEL. 5 Q � 5 J a OR ENGINEEP N V Q FIRE W Q ADDRESS ZONE TVPE GftOUP �' w APPROVED W Z CONTRACTOR L(/ BV DATE �� J Q m Z J � A�DRE55 W w TEL. 20NE NO.OF USE OF NEW �� � = CITV NO. P�� BUILD�NG ZH w0 STATE CITV �'�+ADSAPPROVED VAR�SAPPROVED y K LIC. NO, LIC. NO. MAIN BUILDING ACCESSORV BUILDING � O (FROM GLSTREET) � OF LOT SO'' �( / yo � NOW ON LO ROM FT. FT. USE OF / ,� E%ISTING BLDG. FT �" SIZE OF NO.OF CQ�I�%e Z NEW BLDG. ROOMS STORIES L. SIDE F. FT. U EXTERIOR WALL ROOF J/ COVERING COVERING PEAR FT. FT. J USE OF BUIIDING AND WOpK TO BE PERFOFMED DISTANCE BET. BET. MAIN $ a MAW BIOGS. � AOCFSS. 64DGS. a a /� O/, IO � I C URP, yF' APPROV ED � � � APPR V ' N C Z O VI heroby acknowletlBo Net I have reatl this application antl state S7q � that thB ebova intormation is correct entl aBrae to comply wlth � all laws reBulattn8 builtling consvuc�ton, entl 1 sholl not amplay F any person in violation of 2he workman's compensallon laws ot y ma siaeo ot cerfo.�m. a m e ZI harBby tertity ihat 1 am pro0atly litensatl as a contractor unAet SQ. FT. O the Stete of Calitornia Business antl Profauions Cotla, Olvislcn 3, TH� AMOUNT SHOWN UNDER VAIVATI � Chapter 9, end that such licenses are in full torce entl etfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m am anempt from the provisions oi tha Stete of Catifornia Businass ¢ antl Professions Cotle, Division 3, Chapter 9, VALUATION � p N � ` ��� � 0_ V PERMIT FEE 5 ] SiB^ature of � m Permittee OJf/YI/�/ /n �y.VI 5 �-�'%O PLAN CHECK $ E p `o AvMorizetl Agent l'J' -��' LL I _ TOTAL FEE $ � .. .. : �74 � 5 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BVILDING � � / /� 1 . y� /�.(�/ F z Q U J a a Q � F N Z 0 H U � � F h Z OWNER � _�IU�C�.� /� - FF� ADDRESS ���� �'S ����� TE L. CITV�� ��j.� NO. CpNSTFUCTION LENDER BRANCH ADDFE55 ARCHITECT TEL. CONTRACTOR /'„S/ �..�. ADDFESS ��� �fy—�� �� � p TEL. CITV i .�iaC�:(! NO� STATE ' � �� � � ' CITV LIC. NO. LIC. NO. 512E � NO. OF BLDGS. OF LOT I NOW ON LOT VSE OF ^ EXISTINGBLDG " p��//.�_�,p SIZE OF NO. OF NEW BLDG. ROOMS STORIE'� EXTERIOP WALL ROOF COVEfiING COVEFiING USE OF BUILOING AND WORI( TO BE PERFORMED � 7 i n �eiT— PAI� (1C710-73LH5.00 437�` *****5.50 APPLICATION FOR BUILDING PERMIT RECEIXED�V DATE RECEIVED nnTF issui BUILDING AODRESS L�7 0 NFy / NO.OF �i PI.Af�15 VAPDS APPFOV ED VAR. # C.U.P. # I he�eby acknOwledga that I heye read this appllcation antl stnte [hat the ubove intormation is cOrrect antl aptee to comply with all laws regulatin8 builtlin9 �onz[rutHon, antl I shall not employ any person in violation of thn Workman's compensation laws ot the Stata ot Calitornla. I hereby cer[ity that I am propefly licensetl as a conirecmr untler SQ. Fl the State of California Businass antl Professions Cotle, Divisicn 3, THE AMOUNT: Chapter 9, antl thac soch licanses are in tull force antl effect, or I THE PURPOSE OI am ezempt from tlra p�ovisions Of She State ot Calitornla Business VALUATION antl Professions Cn�e, Division 3, Chapcer 9. $Ipnature ot /y � �ifj� Perm(ttea _��i/li� $ ` //` � A�thorized Agent �`v � / � � � C�j , y v �� LOT � BLOCK �� ALUE $ GROUP � DATE , / � USE OF NEW BUILDING VARy/�SAPPROVED , ACCESSOA`� BUILDING FT & DATE APPROVED "__'/A— � ✓U TAX 0 DEF VALUATION IS FOR j, iING A PERMIT FEE ON�V: ¢ T FEE $ �Lr� r' 7 m CHECK $ E 0 LL . FEE $ �