HomeMy WebLinkAbout2522 ELDEN AVE - Building Permits t 29017 Ate/ f 'ICT —A-74cr:sa00 347* *****5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT (/ vl
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in//`C`omplete{l/yam- APPLICATION FOR BUILDING PERMIT
ADDRESS/,SQ O'' 4„pip •se- RECEI}1 Ep,OV pDgTE R,E7IV�D� DATE ISySUEpr/�
OWNER (4G f.V�!/ A.P.NO. I,Ct JI. PF-MyQC /
AMAILDDS E$ �l�' �` ,�� j �� ' BUILDING ..'J 02,' efies/�� 4y09
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Ag-47,___‘ < ADDRESS0./ S}�'t Q
CI-0 CITY N0.GA707/ �r TRACT 3 ( Writ 8 { BLOCK
ZZ
CONSTRUCTION , NEW ADD ALTER REPAIR MOVING, OFMOI LSH
a co LENDER /
J O BRANCH //\-
JLn OWNER 6 -7G "
Q W ADDRESS
m m /,p' ' /f!� VALUE 0O '
ARCHITECT TEL. I USE /L c///C (�-`f $ 0
J C OR ENGINEER NO.
U Q FIRE // may///
W Q ADDRESS ZONE TYPE " GROUP✓"
O.cy APPROVED
W Z CONTRACTOR D BY DATE
JO
CO Z )94-1 L 3-a p-
JL ADDRESS �__
W W. �/ C� ZO NO.OF USE OF NEW pCM
ZCITY �3 7 N �- �/3 7 PLANS BUILDING Tl
W O STATE /S �� I`�O��q.�C�C VNO2(� I YARDS MAIN APPROVED YARDS APPROVED
ED
N CC LIC.NO. L / a/Y L MAIN BUILDING ACCESSORY BUILDING
D O (FROM C/L STREET)
SIZE NO.OF BLOCS.
OF LOT s0J(JZ ' NOW ON LOT / ROM FT. FT.
USE OF q//.7,���" //��
EXISTING BLDG. /(2/nc-o R.SIDE FT. FT.
Z SIZE OF Q /� NO.OF
Z SIZE
BLDG. �0 0 yi ROOMS STORIES / L.SIDE FT. FT.
5EXTERIOR WALL✓(.r [ROOF
_ COVERING VV"" COVERING Ge'ir REAR FT. FT.
J US cNOF BUILDING A.N7/WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
1 0 LJ ,(mss"--L^ I�jA _ MAIN BLDGS, ACCESS.BLDGS.Q (-/f
i(ut.p...- - CU.P.# APPROVED
0 VAR.* DATE
wAPPROVED{. I� ` �t-rfQ�'�'ZL4
CO -AY w V A]� I l.J 4 r
Z
0
UI hereby acknowledge that I have read this application and state 0 /
D that the above Information Is correct and agree to comply with i
all laws regulating building construction, and I shall not employ
1_ any person in violation of the workman's compensation laws ofli
J
u) the State of California. W
ZI hereby certify that I am properly licensed as a contractor under SO. FT. 0
the State of California Business and Professions Code, Division 3, ' THE AMOUNT SHOWN UNDER VALUATION IS FOR b
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: CC
am exempt from he provisions of the State of California Business VALUATION
and Professions/.de,Division 3, h •t S, 0 12 tmv
.r )/J PERMIT FEE $
Signature of t, O{ �(y J ° m
Permittee 1 !�p/"�- •$ [O 0 PLAN CHECK $ �� E
J
0
Authorized Agent 0 7 LL
TOTAL FEE $ V
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•a. y ' 4I 'LO6 PAll1
JAN 7.0-76cj,f00 702* *****5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely PP C TION FOR STRUCTURAL PERMIT
PP c Z P Y Use Ink Only � �
ABUILDING D OR ESS Z 5 .\W hoe.
1�i-'., EC I ED A T E DATE ISSUE
OWNER ` Nl�tt, A- WC-I C IYV�/ A.P. NO. t —070 ' Fw♦ r`/C'Tre//,O�} K
MAIL I 4 �V\'fSl(�`�iG2 ��, BUILDING tic
rJ r- _� f AVE:
ADDRESSo ADDRESS (� /yyeL��L.P �I,�,J c+lv 1'CY
CITY ' s"S •a r NOTE. .-T‘93 .0o TRACT 300 t1 fret.
� BLOCK
cONSTRUCTION NEW ADD ALTER REPAIR MOVING nFMGI ISH
LENDER
‘5‘-
BRANCH MES / ) CIRC
OWNER H {s�rOs1 -
A.,
ADDRESS
"c
ARCHITECT TEL. USE lI'J VALUE Win
OR ENGINEER NO. ,
FIRE J
ADDRESS _ ZONE � V ROUP n..J
APPROVE r I /J7
CONTR ACTOhi -�.L; 'L5BY y. / DATE 1 e
ADDRESS Z y' 3Th -2_ C.A`4-N.. c;?..,
Q �/ _
Z NO.OF USE OF NEVE
TECITY �t_J'- ` �1 NOL `y1 • � PLANS 2..---- BUILDING 1 [ws
F STATE //////�1'' n�1 CITY YARDS APPROVED YARDS APPROVED
LIC. NO. ,.J(/�0�j eL LIC. N �j,7 MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLDGS. (FROM C/L STREET)
O. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
,N-, EXISTING BLDG. R.$1DE FT. FT.
CO
(-1
Separate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work. (}
W - REAR FT. FT. •
[.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QQ MAIN BLDGS. ACCESS. BLDGS.
ATE
Q "3-2. " I ` \ 11 Sark-A-J VAR.als A
\ 9 CL-..) r k VAR.+W APPROVED r`—
ted, A)I / 1� ,Il II II. - ti„ �,7ROVGSa J DATE I a� Y
cg
0 I hereby acknowledge that I have read this application and state
N
C„ that the above Information Is correct,and agree to comply with
m
IL all laws regulating building construction, and I shall not employ .
Z any person in violation of the workman's compensation laws of o
'WS the State of California. m
3 I hereby certify that I am properly licensed as a contractor under SQ.FT. w
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business 'o
VALUATION PERMIT FEE $ f
end Professlo s Code, Division 3,Chapter 9. /'� m
PLAN CHECK $ ✓✓ m
Signature of ^ • yo o
. Permltte= ' `. � e - $ TAX $ �4�J u.U
Authorized Agent TOTAL PAID $ .-:(5t)
_J - viPFiV l�
4059L SEP 75 75r,;X171?U1'; *=; 1Th•
COSTA MESA BUILDING-SAFETY DEPARTMENT ��
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626��, y�
For Applicant to Fill in Completel}�f-`OhI`- R E C• v0 FOR STRU E URAL PERMIT]_(�-7`
'Jf��f'/F, D T IS ED
BUILDING /s `�� _) �� / li [/
ADDRESS , �/1 L/ ii/ G
IAs
�i� C/')� ERMIT NO.
OWNER „ aC`' ��` _ iir� A.P.NO. , - V I - _
MAIL
BUILDING / ��
' 0
ADDRESS D / .-7.:
f' A /' A", ADDR ES ,„ ,- RL.DCN 0
A ,,
CITY / 77 - TNO�rya.,
TRACT Sao LOT BLOCK
CONSTRUCTIONN, EWz ADD ALTER REPAIR MOVING DEMO'ISH
LENDER P4E/N a. '"BRANCH
" C •
OWNER .a
ADDRESS •/ /,
ARCHITECT Z/:19,./".
�,/ ' / TEL. �J /Y USE d lator An, YALU$ QO
OR ENGI EEIj��/�{/w l �y��y NO. �J�T/in 'oQ
/ FIRE
ADDRESS��yf��J,/,� ZONE VPE GROUP
APPROVED n /
CONTRACTOR die_ ,,,.�/Ty BY DATE` "'fQ -7j
ADDRESS _ h9!- // /��i/g ZOi NO.OF USE OF NE
CITY NO.TEL. PLANS BUILDIN •
Lf
/
F` STATE CITY YARDS APPROVED YARDS A-'ROVED
ELIC.NO. e, /Do LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W •
SIZE � � � NO.OF BLDGS. O (F ie ft -:s _ / -
IY OF LOT 0�� NOW ON LOT , F - ' ' T.
Q USE OF
4, EXISTING BLDG. R.SIDE .T. In FT,
y , .
Separate permits are required for L.SIDE �hT.�� FT.
electric,plumbing and heating work. I
D REAR f ®FT. FT.
FW USE OF BUILDING s WORK a PERFORMED
DISTANCE BET. BET.MAIN&
MAIN BLOCS. ACCESS. BLnns.
Cil VA .4h
j UR
CP.sib �--7///��/�glR- APPDATROVED 8-s7....7
>. APPROV �y YsT DATE L YJ
ce D R SPECIA RtQllIREM
a I hereby acknowledge that I have read this application and state
N
CL that the above Information Is correct and agree to comply with
ea
D. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of I.
y„ the State of California. 3 SO. FT.
3 I hereby certify that I am properly licensed as a contractor under N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
to
am exempt from the prov ions of the State of California Business VALUATION PERMIT FEE $ a
and Professions Co Sion 3,Chapt Iy� in
P SignatureOfof ,424"...21.
17 .-44.0... ..../
$ �/(� ///e in
PLAN CHECK $J.�2 _ o
V4 Se TAX $ / 2-49 LL
(D
- U
Authorized Agent 1 TOTAL PAID ;$4547 70
_J . 4
41261:741' ER —6-76CMSPAITOO 220 u***?65.3
COSTA MESA BUILDING-SAFETY DEPARTMENT
•
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
Completely � J[ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Com
�/s p y — Use In Only RF E ED V DATE RECEIVED
BUILDING 2522 . Loes 4'vr.. :A?
ADDRESS GATE ISSUED
z-6, — 74
APPERMIT NO.
OWNER S ,' -Ci I ,N I A.P. NO.
MAIL I ADDRESS /y BUILDING Sa Lew veapt244
ADDRESS
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW ADD ALTFR RE4IF/c
OVING DEMOLISH
LENDER
BRANCH OWNER 611
1/2
ADDRESS
om.VALUE [�
ARCHITECT TEL. USE .//Nn
r /Jr`J $ v
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS ZONE INO.OF USE OF NEW
TEL. PLANS BUILDING
CITY NO.
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO. BLD . (FROM C/L STREET)
0s OF LOT NOW ON LOT FRONT FT. FT.
yUSE OF
i—iEXISTING BLDG. R.SIDE FL FT.
rn
FSeparate permits are required for L.SIDE FT. FT.
G electric,plumbing and heating work. REAR FT. FT.
[W. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. ' BET. MAIN&
Q _MAIN BLDGS. ACCESS. BLDGS.
Cll
VAR.#` DATE
Q C.U.P.# APPROVED
APPROVED
>.. —JIY DATE
J
IaJ
lei
0 I hereby acknowledge that I have read this application and state n
N
cc that the above information is correct and agree to comply with
am
all laws regulating building construction, and I shall not employ o
Z any person in violation of the workman's compensation laws of u
Tthe State of California. co
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR M
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
em exempt from the provisions of the State of California Business VALUATIONPERMIT FEE $ �/�s�� y��)� O
and Professions Code,Division 3,Chapter 9. [', in
PLAN CHECK $ en
Signature of
0
Permittee $ c,....-75-----'d
/�i^� TAX $ U.U
VI 2
U
Authorlted Agent TOTAL PAID $�/
' 4597 SEP 25-7:4--,T,-001203*
COSTA MESA BUILDING-SAFETY DEPARTMENT 1
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / _ f
For Applicant to Fill in Completely ' I.'LIGATION OR STRUC'CURAL PERMIT
pp p y —Use Ink Only
RE' D Y Ds; -ECEI • �;
�° ) • DATE ISSUED
BUILDING r-At s a.r •
iJ ii•�
ADDRESS G PERMIT NO.
OWNER ..-4-0),
4., , �1i -_. , A.P. NO. a— r... O' //� (
•
MAIL /1 BUILDING— .t PEJO AU`•
ADDRESS /L//fjf/. moi• i life/ ADDRES �� .z'
NCI
CITY --al NO.//3j ...6j0 TRACT LOT BLOCK .
CO RUCTION W ADDIMIWill . • s • u• .
LENDER
BRANCH a
A ,A Ya — COWNER • _ -
ADDRESS _ f
�f/M�XIr / VALUE
ARCHITECT 1// /�(rr///// TEL. (o e S - (( $
OR ENGINEER !/,N%�� //'J NO./J..-7[J l�G(1 _ .. - .... .-.
/ FIRE
ADDRESS C� ZONE YPE , GROUP -'
CONTRACTOR `� � By
//�/��PftOVED 1
� ///
ADDRESS ZONE NO.OF USE OF NEW
CITY NOL ZONE")
PLANS BUILDING9 a al 6 A•ij���A
... STATE / CITY YARDS APPROVED YARDS A-PROVEDOf %�
gLIC.NO.,/J67.—•- LIC.NO. • MAIN BUILDING ACCESSORY BUILDING
W SIZE �/)) NO.OF BLDGS. /J. (FROM C/LS www���EET / � )
Cl. OF LOT J,e. (�t/.� I NOW ON LOT V -ONT FT. rA_.t Yf.�T.
Q USE OF
CA EXISTING BLDG. R.SIDE 5;T. FT.
t
E. f� /�
F Separate permits are required for L.SIDE 0cJFT. FT.
electric,plumbing and heating work. L., -
I
W /F REAR FT.�1 FT.
I.. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
In
't _MAIN BLDGS. �7g ACCESS.BLDGS. (•�
ci
Q ....Id/ VAR.# DATE
C U.P. —75 /6 APPROVED)—,.Z /
> r � APPROVED - 0
r %r2 il..✓fi--f
C • % 4. .0 le SPECT, l L • EQUIREMENT
w ® —
aI hereby acknowledge that I have read this application and state
:4 that the above information is correct and agree to comply with --
Cl. all laws regulating building construction, and I shall not employ zl
Z any person In violation of the workman's compensation laws of
WI
the State of California. „W
T 7 ,:
I hereby certify that I am properly licensed as a contractor under �'+f�' SQ.FT. t f / a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u
am exempt from the provl •r s of the State of California Business VALUATION9
and Professions Code,0' •n 3,Chapter 9. PERMIT FEES—}' m
PLAN CHECK $ //YJf',v o
Signatureermof per//N) -'V • 15 LL
Permittee ! _ $ v V TAX $
U
Authorized Agent TOTAL PAID yo • yr
•
i
/Q537 PAID
- �O1.00
4FEB -6 76�M-00 222 i***
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
RECEIVED BY DATE RECEIVED D TE 1 SUED
BUILDING �J (/�.— /��71 /9J
ADDRESsGzsz L..L{(C�\,IA�E ���� PERMIT
((J��7 L (/'�Q I PERMIT N66
OWNER MESA, Linc. age . A.P.NO.
MAIL J BUILDING 682g i."(0 ri i j
ADDRESS ADDRESS elThi
TEL.
CITY NO. TRACT LOT BLOCK
CONSTRUCTION e ADDJ ALTER REPAIR MOVING DEMO! ISH
LENDER
BRANCH
OWNER NG.J�C �s�
A AGI(-ricCoff_i ,
ADDRESS I,I'Int
? /fn VALUE
ARCHITECT TEL. USE a) IIIJi 4 36�C $
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS •
TEL. ZONE NO.OF USE OF NEW
CITY NO. PLANS BUILDING
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
{rl SIZE I NO.OF BLDGSS. (FROM C/L STREET)
41., OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
4 EXISTING BLDG. R.SIOF • FT. FT.
U)
FSeparate permits are required for L.SIDE FT. FT.
C electric,plumbing and heating work. REAR FT, FT.
I.W. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
GMAIN BLDGS. ACCESS. BLDGS.
Q
VAR.# DATE
C.U.P.sW APPROVED
APPROVED
} _flY DATF
g
W .
o I hereby acknowledge that I have read this application and state
O
n
IX that the above information Is correct and agree to comply with
F. m
all laws regulating building construction, and I shall not employ co
Z any person in violation of the workman's compensation laws of - o
Gra
Gr the State of California. .:
3 I hereby certify that I am properly licensed as a contractor under
SQ. FT. 0
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business VALUATIONw
end Professions Code,Division 3,Chapter 9. PERMIT FEE $ �' m
PLAN CHECK $ en
Signature of o
•Permittee gr TAX $ U.2
f
U
Authorized Agent TOTAL PAID $ -� ins
. .
4n599 'r-r 25-7;Ff.G:OO12o2'+ ****12.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 /7�_ _
ztr
A" A ' ON FOR STRtRAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RE' .I ED 'Y D; E -EE DATE ISS •
BUILDING a- - C I --gids / "
ADDRESS_ iii 4,
•
✓n/_ ' / / PERMIT NO.
OWNER --- ieste�':re .r A.P.NO. -- / /
MAIL j/D /}�� /. BUILDING - �
ADDRESS/ / - T�4.4.4', ,' �j H,incd ADDRESigegs Tee n 1
CITY /`(f �isf /(/, NO.n-44Ma TRACT �J OO e OT d / BLOCK
CONSTRUCTION /// // NEW ADD ALTER REPAIR MOVING I-WFMr11 ISH
LENDER x t /�Q�'1�1 ��,./,/t b
BRANCH W vOV� l� �•'nYv y/�y,(�J
OWNER jxlfa{
ADDRESS � �/ ,.t T�J�I �J� 9
ARCHITECT __t://_ /6j/. NO
C ff4c'. USE PF t KKSN,G�ML ley
OR ENGINEER /R'7/1/N ! 4 JJJ
FIRE r"----- rr
ADDRESS Si `s ZONE T E GROUP
APPROVED
CONTRACTOR 4 ear BY l_ DATE Z— 7 4
ADDRESSA�Jf
�`/ TEL. ZON[EJ NO.OF �^/1' USE OF NE
CITY NO. I ,� PLANS (r BUILDING. m, fraiegi-ewS
F STATE CITY YARDS APPROVED YARDS PPROVED
+ LIC.NO. gel/ G LIC.NO. MAIN BUILDING _ ACCESSORY BUILDING
� D 14 SIZE // //'' !./ NO.OF BLOCS. (FROM C/L STREET)
AiOF LOT 6 6 ie✓ 3D/ NOW ON LOT D FRONT FT. 7 Fii
Q USE OF n
N. EXISTING BLDG. R.SAIF FT OT.
Ca
Separate permits are required for L,SIDE FT. 6i/FT.
electric,plumbing and heating work. REAR FT. 1F_�T.
bet
LV USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE BET. BET. MAIN&
C // MAIN BLOCS. ACCESS. BLOBS. �y
.9(4,- V%/ 4yV' / rjq.S1 CU.P.#� APPROVED 0 S—/�
VAR.+ DATE
Q VVV'"' / /,�/ ' /� 6.---DAT
/�� n / JA//
(-
1:4 ,, fl5 u/�r / ROVED[ ��L/t. DATEf�tG /.V
r Fc�R REC At
a.
o I hereby acknowledge that I have read this application and state O C �QU�►tEMEN7�e.
n
I% that the above information is correct and agree to comply with
re
0• all lows regulating building construction, and I shall not employ i
i
Z any person In violation of the workman's compensation laws of e
TTTW the State of California. �s�
I hereby certify that I am properly licensed as a contractor under
iq/ SQ. FT. N
the State of California Business and Professions Code, Division 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
ez
am exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE $ v
and Professions Code, DlvM Ion 3,Chapter 9. tel
C ///( 3 � O PLAN CHECK S /aitr— o
Signature of /�G ' LL
Permittee �// S 6TAX $ LSV �
Authorized Agent TOTAL PAID $ /9 ,J• D V
,fit
406919 'FRh 76�MS�00 221 dir***Z4-f,'0
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP ICT N FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only RE F V D V DATE RECEIVED
BUILDING A �JJ DATE/ISSUED
ADDRES .` E.L,Of_I`�e "' ��s� _7L
e3* /') /7 PERMIT NO.
OWNER �L-/L'f.C•..•IF'/c an A.P. NO.
MAIL
BUILDING �g2a Et o end
ADDRESS ADDRESS F.>" L
TEL.
CITY NO. TRACT I LOT BLOCK
CONSTRUCTION NEW I ADD ALTER REPAIR MOVING DFMOI ISH
• LENDER
BRANCH
OWNER
ADDRESS cwQ✓ � V UE
4
ARCHITECT TEL. USE 44,44-e ]inn w .
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
•
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLANS BUILDING
CITY NO.
F STATE CITY r YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Lid SIZE NO.OF BLDGS. (FROM C/L STREET)
0. OF LOT NOW ON LOT FRONT FT. FT.
Q USE OF
c EXISTING BLDG. R.SIDE FT. FT.
CA
I—.
Separate permits are required for L.SIDE FT.. FT.
electric,plumbing and heating work.
G REAR FT. FT.
IW.
., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
QMAIN BLDGS. ACCESS. BLOCS.
VAR.#W DATE
..1 C.U.P.# APPROVED
a
5' APPROVED
}, -$Y DATE
fY
Lid
o.
ego I hereby acknowledge that I have road this application and state n
that the above Information Is correct and agree to comply with o
- 0* all laws regulating building construction, and I shall not employ al
Z any person In violation of the workman's compensation laws of m
Jr: the State of California. .:
I hereby certify that I am properly licensed as a contractor under
SQ.FT. a
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 0
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
-am exempt from the provisions of the State of California Business VALUATION
and Professions Code,Division 3,Chapter 9. PERMIT FEE E 1/.---i 406.2 m
PLAN CHECK S rn
0
Signature of
Permittee $ TAX E E
/e—• V
Authorized Agent TOTAL PAID E a
•
4 $ 936 P,.I� **
",v 7FP„�.00 305' 33.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely —Use Ink Only
BUILDING /f t� /�fA,�
„L____7_
�— REc . DATE RECEIVED I3 SU
ADDRES§.�fy�/J�y� A `/,� (/ n Q �] 2 '�j'''}��''
OWNER /0713, //ry//'(j{//// •G/J ` ' ,-J"/ A.P.NO.I•� I�0 O—J1 PE RNlIT
ADDRESS/4/y'^?i' l 1 // 4,c / ADID RIES$�^��C/� �(� C�j (�
CITY /6/..S(/I✓ TNO.J rgt �pi TRACT 7L �LOIOt BLOCK
CONSTRUCTIONrNEW ADD ALTER REPAIR MOVING DEMOLISH
���yyy .4(7.4.1.4--
LENDER -- ��/E /
BRANCH 1//2/./7 e1
//vy ./�• / ''t OWNER
• ADDRESS ZOCie../,.f /✓� .Z.547461-1-
/
7 .54746Y VALUE
ARCHITECT TEL./ USE $
OR ENGINEER NO, '
FIRE
ADDRESS ZONE - YPE GROUP
/�.c •
APPROVED
CONTRACTOR �/ S/ / — BY DATE
•
ADDRESS
' TEL. ZO,Dit NO.OF USE OF NEW
CITY NO.
2.IPLANS BUILDING
F STATE CITY YARDS APPROVED YARDS APPROVED
gLIC.'NO. .- LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF SLOGS. (FROM C/L STREET)
GW. OF LOT I NOW ON LOT FRONT FT. FT.
a USE OF
1 EXISTING BLDG. • , B,SIO FT FT.
co
HSeparate permits are required for L.SIDE FT. - FT.
electric,plumbing and heating work.
G REAR FT. FT.
{zl USE OF BUILDING AND OR 70 BE PERFORMED
F DISTANCE BET. BET.MAIN&
Q< / MAIN BLDGS. ACCESS- BLDGS.
^•I :DA 4) -17./SIrtC15C URP.Yik DATE
APPROVED
>. - AC C�dLl liCieC/���iV9. ROVED ATE
..I /y
C
W •
0 I hereby acknowledge that I have read this application and state n
r:4 that the above Information is correct and agree to comply with
4 all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
:the State of California.
I hereby certify that I am proper) 'nsed as a contractor under SQ.FT. a -
the State of California Business . • 'rofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that Irc. se :re in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from a - o.- of theS . California Business VALUATION AJ q
and Profession ode, 4•_' _
9, r� PERMIT FEE $ �/ n
PLAN CHECK $ el
/ 2000 2
SSignaturer l — $ �s/ TAX $ / �/ U
Authoriz •gent • TOTAL PAID $ 41•S"O
42487 P".
17 7Sr—, :001259 : ****30.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely AP I A ON FOR STRUCTURAL PERMIT
ppp y — Use Ink Only
`/�`/ / RE Y DEQ/J.-071-
.E RE/C�EIV/FAD DAf�-17-74.
E ISSUED,/
BUILDING J/7a Fit)
o ft ( / O / �11 rJ 1/— 4.
ADDRESS✓-�( /
l OWNER „.#0,07,41/1 �e C Or�, A.P.NO. a-0'7 PERMIT NO.
� -03
BUNG
/ MAILRES ,112 11 .4.ezv` r ADID RI ESS -/ /0^
TEL. � J
CITY [.
NO- s tz •ryq TR ACT ,/Cd LOTS/ BLOCK
CON RUCTI N� /4v47� ` NEW ADD -ALTER REPAIR MOVING DEMOLISH
LENDER hQ � \✓�[\/.
BRANCH �I�/�j/.j// // \
ADDRESS OWNE�i/// C AN
///`�//A(�v//�Nit
VALUE � /�{.'
ARCHITECT TEL. USE /G/ $
OR ENGINEER NO. FIRE
41/PE
ADDRESS ZONE �j G,R$OUP,.r7/•
� c•/I. Sf� APPROVEDDATYI /7 / s�CONTRACTOR BV
ADDRESS
TEL. ZO/N/5 NO.OF USE OF,W
CITY NO. /(✓I � . PLANS G BUI LDIN7' X4,/40,
F L ��!'f�/t // I
STATE CITY YARDS APPROVED YARDS APPROV
LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
Ai 512E NO.OF BLDGS. (FROM C/L S/M EET)
b. OF LOT l NOW ON LOT FRONT/r"' FT. FT.
Q USE OF s 9
.�. EXISTING BLDG. R.SIDE o-1. FT. FT.
z
FSeparate permits are required for L.SIDE(Pr FT. FT.
w electric,plumbing and heating work. flEAFv'�O Fr FT.
[..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Qi /„v� / MAIN BLDGS. ACCESS.BLDGS.
'••I •'v/V!✓/ YR �X l,2 C.0 P.qW DATE
APPROVED
Q Ony�D] -J
). _ RY 1*/ id DATE / '. C-'74
l `
aw •
. ll\
0 I hereby acknowledge that I have read this application and state �
gg that the above Information is correct and agree to comply with
a• all laws regulating building construction, and I shall not employ" m
Z any person in violation of the workman's compensation laws of ^� En
Wthe State of California. /1J
I hereby certify that I am properly licensed as a contractor under SO. FT. w
the State of California Business ..• 'rofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m 1
Chapter 9, and that s - ice•,. . e In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
$
am exempt from - •v . the State of orn- Business
VALUATION PERMIT FEE d
opand Profession 'od 3,Chapter • ��/ e in
/ ,/ PLAN CHECK $ /I o
Signature • V m
Deo 52) p
Permltte: / — i — $ TAX $ 2
/�
Authorized Agenti. U
TOTAL PAID $