HomeMy WebLinkAbout400 BERNARD ST - Building Permits, i'
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 31'l GOSTA MESp, GALIFORNIA
fOR APPUCANT TO f/L[ /N COMPLETELY
TYPE OR PRINT
BUILDING �
ADDRE55 D �
COSTA MESA. CALIFORNIA
i �ar_u�
0
ARCHITECT LIC.
OR ENGINEER NO.
ADDRE55 _
STATE
CONTRAGTOR LIC. NO.
aooRess ^
�ecnl I LOT `/. I I,
A.P. NO. � � ` p �
SI2E � �� Y �� I NO.OF BLOGB.
SETBACK LINE FROM 1 I7 �
cervren or srwe�x O REAR YARD p� •
/ !/ I
SIDE VARD LEFT RIGHT
DESCRIPTION OF WORK
NEW I II ALTERATION I II ADDITION
■ REPAIR
IG NO.OF
ROOM'
�R WALL ROOF
�G COVER
BUILDING AND WORK TO I
1 HEHEBY ACKNOWLEDGE TNAT I i1.�VE pEAD THIS APPLIC/�TION
AND BTATE TMAT THE ABOVE IS COflRErT �ND AGREE TO COM�
pLY WITH ALL CITY ORDIN�NCES ANO STATE LRWB REGULATING
BUILDING CONSTR CTION.
SIGNATURE � � � QG
PERMITTEE
AUTHORIZED AGENT
�E� RECEiUED
fIWANCE OEP��1559 �
CITY OF COSTfl MESA
APPLICATION FOR PERMIT
BUILDING
fOR OFF/CE USE ONCY
I REC¢IPi NO. I PERMIT NO.
�
lV6D BY I DATE BECEIVED� � OwTE ISSIIEO
i_im�..
COSTA MESA, CALIFORNIA
type �oup
APPROVED
ZONING
ZONE /� NO, pF UBE OF NEW
PL/�NS BUILOING
APPROVED/// �� DATE Y �
BY
LINE ST.1 `
v� �.
�+ F'f.
Ff.
�. .S �
TNE AMOUNT BNOWN UNOER VALUATION �8 FOR THE
PVqP08E OF EBTABLI9NING • PERMIT FEH ONLY.
VALUATION � �
� PERMIT FEE $ �
$� J l- PLAN CHECK S
TOTAL FEE $ �i �)
OWNER MAC INTYRE, MT'S.H.P. DATE �i-�7-SS
� ,.,. ., .,------'
AP.NOy`� `�" " LOT TRACT FIAE
INSPECTIONS I DATE GROUP
SUBCONTRACTOR
Form 410—JM—J-59
vnLUE s 35.00
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use ink Only
BUIIDING i . _ _ / , �
OWNER
MAIL
-,4/ /v'n� TEL.
CITY � c/ d/"(,� s c_ NO.
CONSTRUCrION A�
BRANCH
ADDRESS
TEL.
ADDRESS
CONTflACTOR ('JWn p/, '
ADDRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. �� ' LIC. NO.
OF LOT �� �' /Q %/ ' NOW ON LO 5.
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING P�ND WORK TO B PERF RMED
//7 v i c'/. ,. .. _ � /. �( i
I heraby acknawledpe ihai I heve reatl this aDP��cation antl state
that the above Infofmailon is correci and agree io comply wiih
ell laws repuletinp builtlinB consvueNon, entl I shall not employ
eny penon In vlolefion of Me workmen's compansation laws of
Me Scnte of Cal{forn�a.
1 hereby certify thas I am praperly Iicansetl as a connactor under
Ma State ot Califarh�e Buziness entl Professlons Code, Divbion 3,
Chapiar 9, antl that such Iicenses ere In tull forca and effact, or I
am axempt from th9 P�ovislons of tha Stata of California Business
and Profeuions C tlo, Div 6i' n 3, Chap�taIr 9.
Sipnetura of �� � ///
Permlttee �1� UC
Authorizad ABent
PAlU
APn 29-76��.�<:001683� *�'*���.0�
TION FOR STRUCfIJRAL PERMIT
DATE
NO.OF USE OF NEW
PtANS �_ BUILDING
BUI
DISTANCE BET. BET. MAIN &
MAIN BLOGS, ACCESS. BLO
VAR. # DATE
C.U.P. APPRpVED
VALUATION PERMIT FEE S
� PLAN CHECK E
$ //� TAX S
TOTALPAID E
� � � q .
N
n
m
i
:
m
N
�
�TION IS FOR m
IIT ON V: �
`_ a
N
� m
S� �
� JOB ADDRESS 400 Bernard Street __ ____ ____ BUILDING PERMIT N0.41817
�GENERAL CONTRACTOR
J AP No. 115-283-10 I
p{ INSPEC710NS
y. 50��
yGAS
� WRTEF
ROUGH PLUMBING
c;� PROP. SWR. LINE � HOUSE C
\V SPRINKLING SYSTEM
��l MISCELLANEOUS
\ iiOIJGN HEAiING ANO AIR CON!
SUBCONTRACTOR
TEMPOFARV SERVICE OR POLE '
UNOERGROUNO � POWER � ..
ROUGH WIRING �� _ � Heatina and Venr.
TRENCHES �, FORMS _ STEEL REINF. ��' . .„w
BON� BEAN
SHEATHING
FRAME ANO FLASHING
LATHING — IN ❑ OUT
PLASTER,BROWN COAT
T
SPECIAL REOWREMENTS
,: � �, � � �� �� 45469
1 COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Eor Applicant to Ed1 in Completely — Use [nk Only
BUILDING / � .�.� �7-+n. .. .�,� _
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MAIL
TEL.
GTY�� ST 4� L.SA NO.�
CONSTRUCTION
LENDEfl NON �
BRANCH ��� iN�•p'
ADDFESS � �-�"" /Z%•�'
(1R FN TNF R (iUlNE�R�/JU%L�CR N��'
CONTRACTOR QL�,iNE1L.//'Su.��dE/�
ADDRESS SI9Jr�r nS hbouc
TEL.
CITY NO.
LiC. NO. ��—' N•A• LICYNO.
512E NO.OF BIDGS.
OF lOT NOW ON LOT
USE OF I ���
EXISTNG BLDG. �E S.,d�GL �PQ� ✓��G �%i+i
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PEFFORMED
I he�eby acknowledpe thet 1 have reatl this application antl state
ihei the above Informatlon is correct and a0�ee io comply with
all laws iepu�atlnp bulltling cansirucilon, antl I shell not amploy
any penon In vlolatlon of ihe workman's compensation laws of
Ma State of Galifornle.
I hareby cartify that I em propeily Iicansed as a contrecior unEer
the SWte of CelHornia Businesa and Professions Code, Division 3,
Chapcar 9, and ffiet such licenus are in fuN torce antl aSSect, or 1
am axampt from tha provisions of tha Stete of Celitornia Businea
and Professlonz Code, Dlvlzion 3, Chapter 9.
SiBnature ot ��/��,�
Permlttee �
Authorizctl Apent
5581 2/07/7B 21.50 TL
AP�LI�A'�ON FOR STRUCTURAL PERMIT �Q�
RE I D j' DATE RECEIVEO npTF.ISC11Ffl�.
BUILDING
A�DRESS
FIRE
ZONE
APPROVED
VAR.
� - �.V
r?O, � _ / -
a �r�'�
CpT BLOCK
VALU$ ��� :
i
T PE GROUP .
DATE
IO.OP USE OF NE
LANS BUILDING
iOVED YARD APPROVED
OING CCES RV BUILDING
� 1
FT.
, _ y
/
OATE
AFPROVED
�_'_ ' :
n
m
i
m
��SQ. FT. a
r
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURP06E OF E5TABLISHING A PERMTf E ON Y: �
VALUATION e{. PERMIT FEE E �� �
N
l I / �� PLAN CHECK y �
$ J / � TAX E !J� f
U
TOTALPAID E � �
OWNER MOOR� ROSERT DATE 2_7_78
_DJOB ADDRESS Ln0 ur rnaxi R+.rPr�t BUILDING PERMIT
o.
WS
W�TER 4
AOUGM PLUMBING
PROP. SWR.LINE
SPRINKLING SVST
MISCELLANEOUS
ROUGN HE�TING �
TEMPOF�RV SERV
UNDERGROUND �
ROUGM WIRING
TREHCMES ' F
GI.1:11
POWER
R
MING - IN � � I
STER. BROWN CO�T
SUBCONTRACTOR
�.' COSTA MESA BUILDING—SAiETY OEPAHTMENT
�r'� P.O. 80X 1200
Coata Mesa, California
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CONTRACTOR �-s,Q Qyc�JQr.,�
Address �1,0, �'•� ��jJe�.
CIH (`'M"'^r..74 C�^.-�..i ZipCode ��j
Sfafe License No. ����j'�,'�,� Class. �'_5
City License No. 8^y�j'� Tel. No.G��2�'�i p➢
VUMBER TYPE OF FIXTURE OR ITEM FEE
Lnundry Tub or Trny
Automntic Washing Machine
snow�.
Sink, Bur
Sink, Ki�chen
Wash Basin(Lnvarory)
Water Close[ (7'oilet)
Drinking Pouniuins �
Iloor Drains
InterceD�ors
Rece turs
Sinks Commercial or Indu.ttrial"
Sinks, Floor ' �
Sinks, $ervioe � � � �
Swimming Yotil '
Urinals . ✓
Dishwssher
Garage Disposal
Water Sofcener
Wacer Heatet and Vent
tlackilow Ite�enter
Lawn Sprinklers (Res or Non
1'roperly Sewer . .. Pcel
House Sewer Connec[ion
Cesspool, Septic Tank
Sewcr Cap
Misccllaneous
Sub-Tota1
ReinsDeclion Pee
Nocessing Pee
TO'CAL FEE
CMF 0450�46
TMGT
lOT N�
�// . s '
RECD. BV /� . ,_ j �
- DATE I66U6D
BUILDING USE
Owner f�-,nero C—�.�
naress C:.i:"J �"""'�!1 .� A���
City Pcr;on C�r+ ��7el.�No. �'���'+�"�
1 hereby acknowledge� thal.l havewrcad Ihis appliwtion and
state Ihat lhe above is correcl and agree to comply with all
Gty Ordinances'and S[a[e laws regu�ating plumbing.
1 cerlify,lhat DposseSs Ihe above �alid Slate of Califomia classi-
ficatiun orl am [he legal uwne� oC the �esidenlial property de-
xribed above.
I ccrtify that 1 have obtained a permil from the Slale Division of
Indus[rial Safety for ercavations, other �han swimming pools, five
feet deep or deeper and in[o which a person is required to descend.
Signamre of � _ �
Pesmirree s � - �`
INSPECTION RECORD
�
APPROVALS
INSr[CTON
BlDO. PERNUT NO