HomeMy WebLinkAbout647 17TH ST - Building PermitsOWNER �.�
108 ADDRESS E
GENERAL CONTR
A" �o. 424-3C
I. ECTIONS
SO�L
G�5
W�TER
ROUGH PLUMBING
PROP. $WR. LINE r]
SPAINKLING SYSTEM
MISCELLAHEOUS
ROt1GM HEATING �ND �IR
iEMPOR4FV SENVICE OR
I�ROUGH WIRING
,YTRENCHES [
roFLOOA SYSTEh
�']BONO BEAM [_
C SNEATHING
'� FR�ME ANO FL
UIIAYHING - IN
�PLPSTER, BRO
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FORMS
IEFRIG. ANO A.C., FIM�L
AND G�5 TEST I-I
DATE
SUBCONTRACTOR
O�i'NER RTABI.ER��.�.. ' DATE A/1Q/K9
JOB ADDRESS (��i� +jj, 1 7th St BUILDING PERMIT N0. � p9� 3__
GENERAL CONTRACTOR OHIIET' bU11d2I' VALUE S 101.00 �
AP. No. 17C��iBn-Ol i.OT TRACT FIRE ZONE DESCRIPTION OF WORK Window in ex.st
ECTIONS � on7E � GROUP v �- TYPE
SUBCONTRACTOR
Beam
Form 210-3M-4-59 1Q213
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MpSA. CALIFORNIA
fOR APPUCANT TO f/LL /N COMPLETE[Y
TYPE OR PRINT
BUILDING � y _ r�r s
ADDRE55
COSTA MESA. GALIFORNIA
OWNER !� S /��Q�fL�� �
MAI� /'7�1�1 i� //�... _. _-F��..
I CONTRACTOR !/I✓%✓L /[ STATE
LIG. NO.
LEGAL I LOT U / I " � �Ti G
OESGFIPTION NO. � BLOCK T A
1 7/� 5��
A.P.NO. �, '� �+• f/»-��I
SIZE ��7 i j^ `� I NO.OF BLOG6.
USE OF
EXISTING 6LDG.
SET6ACK LINE FFOM�Y� /� y
cwuica oc eTweET �I RiGR YARO ` I� /
DESCRIPTION pF WORK
BUILDING NO.OF
SIZE ROOM;
EXTERIOR WALL ROOF
_ ,� .-
' �� b'�@'.�a�. : ; .,,�
�;1,.� 4'�i�(S 1 .
FIN�I�CE DCPT.
Cllt OF ���Tn ��Fcv
APPLICATION FOR PERMIT
BUILDING
�oR affic� usF oH�y
RECEIPT NO. L ^P,Ejtl�(IT'1�0.
p �IiG�A l
�CgIVEO BY DATE RECEIVE� OATe IBSUED
"r• ��l i -.�" i :� "/ 9.'�.�
UILDING ! (/ r7 .�l `' I �7.G/'- . �� i
ADORESS «' C /
COSTA MESA. CALIFORNIA
FIRE � '1
ZONE TYPE GROUP �'�J
BYP �"/Tr DATE J/Gj U �
ZONING
ZONE^ �' NO.OF USE OF NEW
� - //J/ I PLANS BUILDIN �� ��
/// �{
APPROVED r �/�Jl C�'��•"� t
BV /�?/.,�! �>' 1 _ DATE �•^/G_�C
l'/�=' 7--crTT�
VARDS 4' EVES �
REQUIRED ALLOWED
ICENTfiR LINE 9TJ �
/._;i
L ' Ff. IN.
/
� � r- ° � �,.��-�...
. ... _ _"!' i �-
I HEREBY ACKNOWLEDGE TMAT I HAVE READ THIS APPLICATION THE AMOUNT BNOWN UNOER VALUATION 18 FOH THE
qND STATE THAT THE ABOVE IS CONqECT pND AGREE TO COM�
PLY WITH ALL CITY OROIN/� ES STATE LAWS REGULwTING PUAPO6E OF E9TABL19HING P PERMIT FEE ONLY.
eui�oiHc corvsrnu � � �/ VALUATION
SIGNATURE OF �� /�// PERMIT FEE $ Cy � � C�
PERMITTEE�— �yLlr.� � � r
' S � U! i C% a pLAN CHECK $ ��
AUTHORIZED AGENT TOTAL FEE $�4 :~ C�