HomeMy WebLinkAbout324 17TH ST - Building Permits29908 f;A,R?_7-69cnsaOO 732 �*****5.��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOANIA 92626
APPLiCAT10N FOR BUILDING PERMfT
For Applicant to fill in Completely �
RECEIjfifLl� DATE RECEIVED DATE ISSUED
ADORESS � � �J ' 3 �7-�9
� RNLf! 'J A.P.NO. O P�1
OWNEF
MAIL / ^ BUIIDING � � �
ADDRESS I LI o ADDRESS _
" W W TEL. TRACT LOT BLOCK
. dU CITV NO./��-/y'`07
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Q CpN$TRUCTION W
.ON LENDER %
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J � BRANCM j
J N OWNER
m J ADDPESS VALUE COO �
J m ARCHITECT TEL S� S`J
a Ofi ENGINE R N
U Q FIRE
W� ADDRESS ZONE TVPE AOUP
a w APPROVED
W Z CONTRACTOR ^ /i� /yj C BV DA7E
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J � �+DDRESS � C S� �W � � e
W W ZON NO.OF /� USE OF NEW
�= CITV pJpL:j^�{j.-� �� P�� (/ BUILDING
Z F-
O STATE /) CITY VAflDS APPR ED VAROS APPROVED
W LIC. NO.� �� (� /� LIC. NO. �%�.6 MAIN BUI ING ACCESSORV BUILDING
_� SI2E NO.OF BLOGS. (FROM C/L 5 REET)
OF LOT NOW ON LOT R(YT FT. FT.
USE OF
EXISTING BLOG. , F fT
H SI2E OF NO. OF
Z NEWBLOG. FOOMS STORIES I.SIDE T FT.
a EMERIOR WALL ROOF ��
V COVEflING COVEFING REAR F7. FT. - �
J VSE OF UIIDING D W RK T E PERFORMEO DISTANCE 8 BEf. MAIN &
a %�% D MAIN BLDGS. ACCESS. BLDGS.
a
Q , VAR.#�+ 0.4TE
O C.U.P.qW APPROVED
� APPROVED �
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� U I herabV ecknowletl8e the[ I heve raetl this epplication antl state
� thet the above intorme[ion is corrac[ entl apree to comply with
� all laws regulating builtling constt�ction, antl 1 shall not amploy
' F any parson in violetion of Me workman'f compensution Inws of
� y the Steta of Celifornie, m
�
z I hareby certlfy that I em properly licunsotl as a contractor untlar SQ. FT, o
the S[ate of California Businesz entl Profas(iona Cotla, DlvlsiGn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapte� 9, antl that such lic ere In full e entl affoct, or I THE PURPO6E OF ESTAgLISHING A PERMR FEE ONLV: Q
am exompt bom the p ' s of the St Celifornia Busi�e:x VALUATION
antl Professiona Co �sion 3, Che . ` m
/ � PERMIT FEE $ J � �
SiBnatureof „/ _l �oo � m
Permittea Tz� S PLAN CHECK E
� ]�� o
AuMorizatl Agen[ ✓ � LL
TOTAL FEE §
DATE
IAC. DESCRIPTION of WORK
LOT 9 TRACT 659 FIRE ZONE VALUE
SUBCONTRACTOR
ROUGH PLUM8ING
PROP. SWR. LINE � HOUSE CON. �
SPHINKIING SVSTEM
MISCELLANEOUS
ROUGX HEpTING AND AIR CONDITIONING
TEMPORPRY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH wIRING
FLOOR SYS
BOND 6EqM
SHEATMING
FRAME ANC
FLASNING
PLASTER, BRO'.�N COAT
Si" 'JRAL, FINAL
NEh .G, yENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL �'QCA G
ELECTRIC_ FINAL
E
OWNER pp�
JOB ADDRESS
AF 117-161-35 LOT
ROUGH PLUMBING
PROP. SwR. LINE � HOUSE CON.
SPRINKLING SVSTEM
MISCELL�NEOUS
ROUGH ME�TING �ND �IR CONOITION�NG
TEMPOR�RY SERVICE OR POLE
UNDEAGROUN� � POWER � �
ROUGN WIRING
BONO BEAM � � STEEL REINFORCE
SME�THING
FRAME �HD FLASMING
LA7HING - IN r] OUT [�
PL�S�`R. BROWN COAT
STF R�L, FIN�L
HE�iING, VENT., REFRIG. AND A.C., FINAL
PLIIMBING, FIN�L AN� GAS TEST �
B111L0
FINAI
FIN�L
DATE g_g_78
BUILDING PERMIT
SUBCONTRACTOR