HomeMy WebLinkAbout361 17TH ST - Building Permits. ; 2412g
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�OSTA MESA BUILDINCrSAFEf7 DEPARTMENT
P.O. BO%91] COHTA M6BA, CALIPOPNIA
For Applicanf �o Fill In Complafely
TYPE OR PRINT
BUILDINO . - � �
ADDRES3
COSTA MESA, CALIFORNIA
L`
EXISTING BLDO. C �
eETeACK UN8 PAOM '
C'�1 :i �i�yl
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MAY 10 i5b5 ;
lItC61IT NO.
9Y
re� v�at �
NQ ZONE P GROUP
- APPROVHD `�
TEL BY DATE � Vl
NO. �
ZONING `�
1 ZON6 O.O� UBBOPNCW v'
�]� PlAN9 GUILDIH� `
� LEOAL � � � �
DESCRIPI'�ON
. A. P. NO. '— �" � tT — I
NOTE: NO EAV 8 OVERHANO BNALL BE LE38 THAN �
��'1� 90' TO 61D8 @ REAR P. L.
�7
EAVE3
o.opB�n08. ALLOWED (U.B.C.REOUIREMHNTI
ow on �oi O G' �
YARDSAPPROVfiD YARDSAPPROVEO
MAIN BUILDIN6 ACCESSORY BUILDIN6
DESCRIPTION OF WORK
� p m�av�rvli ' '1 11 uCmOLIHM 1
3 NoO. Ye `�
i n e...e�ee �
I HEREBY ACKNOWLEOOe TXAT 1 NAVH qBAD THI6 APPI.IC�TION
ANO 8TAT8 THAT TH2 ABOVH I6 CORRBCT AND AOHEH TO COM-
PLY WITN ALL CITY OqDINANClB AN� BTATB LAW9 qeOUTATINO
BUILDINO CONBTHUCTI� _ ��
SIGNATURE OR
PERMITTEF
AUTHORIZED A6ENT v �aa`ya. �. -e
�
DISfANCE BLT. BET. MAIN B
MAIN BLOG9. ACCESS. BLI
VAR.$ . DATE
� zc� �
sq. �. �
TX¢ /1MOUM BXOWN UNDHfl VALUATION IB FOH TNH =
PURPOBH Op EBTABLI6NIN0 • PERMIT FEE ONLY. Q
VALUATION a Q6 m
•KJ �
PERMIT FEE $ �!G �
m
$ f 3 � C ¢
� � �
� - -'� 26?34
' j COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BO% 7200 � COSTA MESA, CALIFORNIA Y]81!
For Applltant fo Fill In Completaly
TYPE OR PRINT
ADDRE�84 `% � G /� e� '
COSTA MESA, CALIFORNIA
2
BUILDINO
81ZE
EXTERIOR
THL.
OCT-6-66 00 273e�***�t5.00
APPLICATION FOR PERMR
BUILDIN(i
fOI OffIM �IfB �II�
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ZONING
NO.O/ UY[OINI
II.AHI � lYILOINO
_� � __. — A. P. NO. I � �I '� ' /�� � �. L 7 . _�
NOTB: NOt/1V60V[I�HAN08HALLCBLE88THAN
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NO.O��Lnas. �� ALLOWBD lU.B.C.REGUIRHMHNTI
Now N
YARDBAPPROVHD YARDSAPPROVHD
,L MAIN BUILDINO ACCEi80RY BUILDINO
�PROM WL.G �ql�>
DESCRIPTION OF WORK
1 X6R68Y ACKNOWL[D08 ZMI1T 1
AND BTAT6 TNAT TX6 A Y6 It
PLY WITX ALL CITY O JNANQ�
BUILOINO CON9iR11 ox.
AUTMORIZiD AQttiT
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nwre
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TO E! P[RFORM[D R'
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NAV[ 116AD TM18 IIPPLIGT�ON TIC AMOUH! BNOWN UNOBR VALVATION IB FOR TM6 j
CORR6R� D AOPB[ TO COM. �V0.POB[ O� f8T/�BLIOXINO A PEPMIT R88 ONLY. S
AND IAWY R[ouL11TIHo y/LLUATION �
j / � � � / PERMIT FEB � F
���t� -' up
: 5��
TOTAL FEE D
- � : �, 28643
� fOSTA MESA BUILDING-SAfETY DEPARTMENT
P.O. BOX 12W GOSTA MEBA� CqLIFORNIA 926TL
For App11mM ro Ffil In Compbhly
TYPE OR PRIIYT
ADDRBYG � �� � �
C087A MEBA, CALIFORNIA
�E �'�MITLCT
or e�.co�.
ioY S% / IIRAA
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GIT �'/ IiIQNT
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DE5CRIPTION OR WORK
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1 [GY ACKNOWLtDi
ANO OTATi TNAT T11/
PLY WITH ALL CITY O11
OYILDINo COHBT11uCY11
810NATUR6 OP
P6RMITTB
AUTNORIZ[D AO[N'L
Cii
MAY� RfAD T111� APIYGTON
C01111[CY AND AOII[[ TO GOY.
A�ID RAi[ tA1M� RiYYLATINO
RAY 29-6 �8�001430 ��***3.00
MPLICATION FOR PERMR
suuo�r�cs
ior OH(a U» Only
R[c[IIT HO. �[11MIT NO.
■aenv�o ��
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YARDD MPROVCD
MAIN BUILDINO
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VAWATION
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' 3869�
COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to fill in Completely
�./ l 77' 87
no�oaess 3�i-2�4 E'.17.T.b`� "7T..<i
MAIL
ADDRESS
CITV
CANSTRUC
LENDER
BRANCH
ADDRESS
ADDRESS �}U �
CONTRAGTOR
AOORE S
GITV
STATE
LIC. NO.
S�ZE 2 o X Z
OF LOT 7
VSE OF
EXISTING BLDG.
SI2E OF
NEW BLDG.
EXTERIOR WALL
TEL.
NO.
CITV
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
NO. OF
pOOMS STOF
qOOF
GOVEFING
K TO BE PERFORMED
I hereby acknowletlpe that I have reetl this application antl stete
that the ebove informatian Is cOrrect antl aprea to eomply wiih
ell lews reBule[Inp builtling cons�ructlon, antl I shell not amploy
eny person in vlolation of Me workman'f compenfallon laws of
t�e Stata ot California.
I hereby cerHfy that I em propetly Ilcenmtl es e contrector under
the Stata of CelHornle Business tl�tl Professione Cotle, Dlvieicn 3,
Chapter 9, antl that mch licansas ere In full forca antl effect, or I
am ezempt irom the provisions of the Stet¢ of Calitornie Businass
anC PrOtaulons CoGe, Div' lo a r
SI9�atur ot
Permitta
Authorizad Apant
� F,,. � �
��� ,r.-7ic:i•-on'so3: fi:::r73u.75
APPLICATION FOR BUILDING PERMIT . �
:EI /O D T�(/�� E D/�//p E7 �
/y� 90 PERMIT �10. �'
N O. ' $ ♦ C'
f
)RES '.3 �I E. .� i�,�7%r . H� �
nlc.L .0 I + �
,'d4(.T
FIRE
ZONE� TVPE GROUP� r�
APPROVE�
BV DATE
Z E NO.OF USE OF NEW
� PLA BUILDING ��?
VAROS APPqOVED ' . VARDS AGPROVED
MAIN BUILDING CESSORV 9UILOING
DISfANCE BET. qET, MAIN &
MAIN BLOGS. ACC6S BLD
VAP. qW DATE
C.V.P.$ APPROVED
m�p
5�. FT, d
THE AMOUNTSNOWN UNDER VALUATION IS FOR a
THE PURPO6E OF E5TABLISHING A PERMIT FEE ONLV: ¢
VALUATION �'� b m
/}-Q PERMIT FEE $ �
v �
,y m
$ OD O�� p�qN CHECK S � �� E
`o
� LL
TOTAL FEE $
/
� •� - � 3.8&5.0
� COSTA MESA BUILDING-SAFETY DEPARTMEN'
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
� For Applicant to Fill in Completel
BVILDING ( ` �./
ADPRE55 — ✓ y ..(�fq,
OWNER K/GT.A�Ci✓y •
MAIL �rj� .y/L , � ! / !
Z ADPRESS U' /✓ b
Wa U J �J TEI.
CIT�' NO. S
ZQ Cp�JSTRUCTION �
ON LENDER
d m
J � BRANCH
J V1
a qDPRE55
m
J qRCHITECT TEL.
4 OR ENGINEER N .
U N
w � qDPFlESS
aw
J O CONTRACTOfi `���v �
m Q / /
J� ADPRESS (/ O� / 7i 7/�
W W
0 = TEL.
Z F CIT�' NO.
W � STATE � CITV
jO LIC,NO.Z^� 3 � LIC.NO.
51 Z E I NO. OF BLDGS.
OF LOT NOW ON LOT
A.P. NO.,
BUILDING
OWNER
FIRE
ZONE
APPROVED
hUf 12-74�ntoCO1096{� +�****�.50
GMSC
�
� ION FOR BUILDING PERMIT �
D TE RECE� D TE IS Uf
d, Q-I�-
-a7'�- / I `�Ft2'c
f��,..� O.OF
���' PLAKS
VARDSAPPROVED
USE OF
EXIST�NG BLDG. ��yyi�.p
F SIZE OF NO.OF
Z NEWBLDG. ROOMS STORIES L.SIDE I
U EXTERIOR WALL ROOF
COVERING COVERING REAR �1
J VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET.
i
MAIh BLDC�.
` � VAR. qW
O �i�1J'7� C.U.P. �y+
~ APPROVE�
N
Z
O
U1 haleby acknowletlge ffiet 1 heve reetl this application eotl state
� thet ihe abova Intormetion is corratt and aptee to comply wlth
� all IPws repulaNnp buildinB conctruction, antl I shall nat employ
F any person in vlolation of tha wOrkman's compensation laws of
y tha 5iate of Californie.
? 1 he/eby certify thof I am p�operly licensetl as a contractor untla� S�'
tha Stata of Calitornle Bue(ness antl Profeuions Cotle, Diviaien 3, THE AMOVN
Cheptar 9, and that auch Iicenses ere in full force antl eftect, or I THE PURP06E
am sxempt from the provisions ot t�e State ot Ca�Ifornla Buslness V ALUATION
enC Profassions Cotle, D��ision 3, Chepter 9.
Signature of _/ Bv
Perrr�ittae �'���y $ �Oa
AutMorizetl ABent
LOT
VALUE
DATE
OF Nf
�ING
4RD5
BET. MAIN &
ACCESS. BLDG
DATE
APPROVED
ner� � �
TOTAL FEE
TC `C •'
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