HomeMy WebLinkAbout663 ANTON BLVD - Building Permitsyr�
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: .,COSTA MESA BUILDING-SAFETY DEPARTMENT
- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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' �� For Applicant to Fill in Completely — Use Ink Only
�' BUILDING
ADDRESS
OWNER OR
TENANT
� MAILING
ADORESS
, TEL �
, CITV NO.
CpNSTRUCTION
LENDER
BFANCF/
ADDRESS
AFCHITECT __� . _ . �_ .. I .� TEL.
CONTRACTOR
ADDRE55
TEL.
CITV Np.
F STATE CITY
i LIC. NO. LIC. NO.
�I
512E NO.OF BL[
G� OF LOT NOW ON LC
a USE OF
� EXISTING BLDG.
�
FSeparate permits are required for
q electric, plumbing and heating work�.
F USE OF BUILDING AND WORK TO BE PERFORMED
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FORSST�LaJ�TURA9LPERMIT80.91 TL
A.P. NO.
BUILDING O�— �
iiDDRE55
UNIT OR
SPAGE NO.
TR.NO. LOT
NEW iADD LTER
BLK.
OWNER ( • � . 1rY7
�'//�� + d VALUE
USE l�ifA�'Q.ti./n•y�' S
ZONE TVPE ����ROUP r
APPROVED
BV DATE
APPROVEDSETBACKS � —
(FROM C/L STREET)
PIJ4NNING ACTION
APPROVED
0 I hareby acknowledBe thet 1 have read this applicafion antl siete
y� that tha above intormetion Is correci antl apree to comply wit�
A. ell laws regulatinp builtling conytruction, antl I shell not employ
,� eny perwn in violation of Me workman's compensallon laws of
TMe Smta of Ce�ifornia. D�J �;
3 I hereby cartify ihat I am proparly Iicensetl es a contrector untler Q 7
the Stam ot Cali}ornie Busineu end Professions Code, Division 3, THE AMO
Chaptar 9, antl Mei such licansas ere in tull force untl effact, or I TNE PURP(
am axempt irom the provisions of the Stata of Calitor555���a Business VALUATION
entl Professions Cotla, Division 3. Chepier 9. J�
` '/ �( �
Sipnamn of
Permittee � $
o� Z'/2 1 �
Authorizetl ABent Oate
oare
� I
i
t � � � �0 -
VN UNOEF VALUATION IS FOR m
'ABLISHING P. PERMIT FEE ONLV; e�•
\
PERMIT FEE S �
PLRN CiiECK E � � �
LL
TAX $ 2G f
u
TOTALPAID E
•9/
'. COSTA MESA BUILDING-SAFETY DEPARTMENT
�- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
' For Applicant ro Fill in Completely — Use Ink Only
BUILDING Q ��,�` ^,�`1y.'�{
ADDRESS J vil •.V-'
OWNER O l �Zb�
TENANT
MAILING
ADDRE55 �
El. �
CITV �` O
CONSiRUGTION
LENDEP
BRANCH
ADDRESS .
ADDRESS��
.,
APPLICATION FOR STRUCTURAL PERMIT
A.P. NO.
TR.NO. LOT
NEW ADD ALTI
OWNER
USE�'
APPROVED
i '� O� /
�
r,�.ao. f
REPAIR MOVING
�c
a �VALVE
\ S
ADDRESS O � aT� ��\�t'� Z-�:V �""'
�,^ _ �- �, TEL. \�} �
CITV ��C)� NO
� STATE CITV P.PPROVED SETBACKS
�IC. NO. LIC. NO.
� SIZE NO.OF BLOGS. (FROM C/ TREET�
L OF LOT NOW ON LOT FRONT FT./
a USE OF
'� EXISTING BLDG. F , ^0�,�
� �/{�
F Separate permits are required for L. SIDE J� % FT. 1/
� electric, plumbing and heating work: REAR Fr.
[.w.. U F BUI4DING AND Y�iK TO BE PEFFORMED P�.qryNl ACTION
Q �
Q �` ^Q / DATE
� L'� / /'�(�� APPROVED
Q
� APPROV ' �0'
'r' �0� dR SPEC71.1L FtE�UIREMENTS
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0 I hereby ack��owledge that I have reatl this application and nare � �
y� that the abova into�mation is correct antl agrea to comply wit�
a all laws rBBulatln8 building con5truction, antl I shall not employ �
Z any person ir ��olation of the workman's compensation laws ot d
W ffie Staie o4 Gali4omia. 1 � .:
x V SQ. FT. m
3 I hereby cartify that 1 am properly Iicansetl as a contractor untler �
ihe State of Gelitornia Busin¢ss antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR m
Chaptar 9, antl that such licenses ara in full forca antl etfect, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from tha provisions of ihe State of California Business a
antl Professions Cotle, Division 3, Chapter 9. VALUATION pERMIT FEE $ ,S Q ,�
m
Signaturaof /� PLANCHECK 5 �. o
Permittea � $ f� / � 7q7� § �_ f
or � �� �a u
AuthorizadABent Date TOTALPAID S /'yy..j/")
TL
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: COSTA MESA BUILDING•SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
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For AppGcant to Fill in Completely — Use Ink Only -' �..� ""- -
ADDRESS �pb � `� A� �0 S' 'r A.P. NO. � J% 3—�
OWNER OR �-�.}�• �w A�DRE55 ��/ �
TENANT 1,�s � � Fe � DA. UN�T OR
MAILING SPACE NO.
ADDRE55
7R.N0. LOT BLK.
TEL.
CITV NO.
CONSTRUGTION NEW AOD ALTER REPAIR MOVING DEMOLISH
LENDER
BRANCH OWNER (, /��(�R � Dl[
ADDRESS VALUE
ARCHITECT �,�/�L ( ��1 TEL. �"�� ��,� USE � $
OR ENGIN ER l��
`ry `Ti�, � �' -�
ADDRESS IN�p� ,nID\^� R ZONE TVPE ROUP
APP E
CONTRACTOR (� F�(L C p{� BV �+TE �� Q�
✓ .)1.
ADORESS ZZ(e,'{ �, (a�pgT�Q �
TEI. Yl3
cirv �'y(QwpoCic� CnLiF No.�[G3 So�o
STATE CITV APPROVEDSETBACKS
uc. No. 33228 �, C^ � L LIC. NO.
SI2E NO.OFBLOGS. (FROM /LSTREET)
OF LOT NOW ON LOT ROM FT.
USE OF
EXISTING BLDG.
Separate permits are required for �. sio
electiiq plumbing and heating work.
REAR 7.
USE OF BUILDING AND WORK TO BE PERFORMED PWNNING AC ON
1 R S DATE
APPROVED
t(p (3Ullq U T �ROVED
I heraby acknowleCge that I heve reetl this appllcation and stete �
that tha above info�metlon is correct and ap�ae to tomply wlt�
all lews reg�lating building consttucNon, and I zhall not amploy �
any �armn In violaiion of ihe workmen's compansetion lawe of m
the Stata of Celifornla.
m
I hereby certtfy thaT I em pYope�ly Ilcansed as a contrector untler SQ. FT. �
the Stete of Californle Business antl Profezsions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, entl that cueh licensas ara In full forca antl effect, nr 1 THE PURPOSE OF ESTABl.4SHING A PERMIT FEE ONLY; �
am exempt from iha provisio�s of the Stata ot CalHornia Buslnesf e
VALUATION PERMIT FEE E
antl Profeuione Cotle, Divisio� 3, Chapter 9. �^
Sigrtafure ot t��Ic/tJ��i V 1 �L PLAN CHECK S 7� m
V �
Pelmltieb $ ,\. .�� TAX S E
Authorizad Apant �te 7- 2q -�o �,-� 1 TOTAL PAID S/ I / S u
rq,
T�'
"� COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely — Usc Ink Only
.BUILDING �- C � Fr i � �
ADDRESS
T�ENANT�R i � J } �
MAILING r . �
HDDRE55 a�•
L TEL.
CITV S /� � SQ NO.
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT TEI.
CONTRACTOP ( �)j'�/( ��(/� �C�'�/� �J
ADDRESS
� � _N ( !
�/�• /f�y� TEL
CITV \ lO��i.( /�l (� � NO.��'
STATE CITY
LIC. NO. ,� LIC. NO.
512E NO. OF BLDGS.
OF LOT NOW ON LOT
USE OF
E%ISfING BLDG.
Separate petmits are required for '
elec�riq plumbing and heating work.
USE OF BUIIO�NG AND WORK TO BE PE�7FORMED
h
I hereby acknOwledpe thet I have reatl this eppllcation end stete
that the ebove ��formetion is corract enG apree to comply with
all laws raBulefln8 builtlin8 �onztruetion, entl I shell not employ
any permn in ��olatlon of the workmen's compensation lews of
ihe State of Ce��fornle.
1 hereby certify that I am praperly IlcenseE es e eonttactor untler
the State of Californle usiness and Protesslons Code, Division 3,
Chepter 9, and thet s c Iicenses are In full f e e effect, or I
am exempt from th vlsions of th State f ali nle Buslnev
antl Professions Co ivielon 3,'Ch ar 9
I
Sipnanre oi
Permltt �
or "'7
Authorizatl ApO�t Date
2440 II/06/80 8.50 TL'
APPLICATION FOR STRUCTURAL PERMIT
A.P. NO. KfD -�V� � � 2
BUILDING �aC'n 3 A-M�iOV'�
ADDRE55
UNIT OR
SPACE NO.
TR.NO. LOT
NEW I ADD IALTER IREPAIR
VAWE X,OD•
$ (J
�
APPROVEDSETBACKS
PLANNING ACTION
APPROVED
m
n
i
m
m
SQ. FT. �
THE AMOUNTSHOWN UNOER VALUATION IS FOR m
THE PURPpSE OF E5TABLISNING A PERMIT FEE ONLY: �
VALUATION PERMIT FEE E �
n
m
� � /y� l PLAN CHECK E p
/ 0 Q. (/ v LL
$ TAX E � f
u
TOTALPAID E r�i �
�
-' COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
4
For Applican[ to Fill in Completely — Use Ink Only
,BUILDING �i 7 � ��_ �I-
ADDftE55 (f.�q�� ��-��q
�
OWNER OR �j"' �
TENANT � • �—/,. �. �✓
MAILING � ��� �•
ADD0.E55
L/ M����/ . I iC . NOL.
CITV
BRANCH
ADDRESS
ARCHITECT '
OR ENGINEER �
ADDRESS
CONTRACTOR � iNK�
ADDRESS ��Ol �U'�.
CITV �
S� . .�.,.,
��
APP LI CAT[Ol'pF0 �ESTRIZQ','lj:
RECEI V PERMIT ���
�
A.P. NO. ' ��3
BUILDING _�
ADORE55
UNITOR /
SPACE NO.
TR.NO. LOT
NEW ADD ALTE0. REPAIR M(
OWNER / • `7 . / •
_"1`_
L USE
'�'')^ I
ZONE `� TVPE
APPqOVED
. � BV
/ N�LlSZ��%3t7
PERMIT �0.50 TL
� .
DEMOLI
VALUE `I /DOQ
S l
3
� STATE CITV APPROVEDSETBACKS
LIC. NO. LIC. NO.
� SIZE NO.OFBLOGS. (FROMC/LSTREET)
0+ OF LOT NOW ON LOT ONT - FT.
Q USE OF
'� EXISTING BLDG.
y
FSeparate permits are required for L. SIDE Fr.
o electric, plumbing and heating work: aEAR FT.
�.�. USE OF BUILDING AND WORK TO BE PERFORMED PIJINN G ACTION
a
A
DATE
QAPPROVED
� �� .4PP OVED 2 m
%" �� �
..l
a
�
QI heraby acknowlatlpe thet I heve reetl this appllcation antl state �
p� that the obove Informetion is correct and eB�ee to comply wIM
a all laws regulating builtling conrtruction, and I shell not employ
,'L any oarson In vlolation of Ma workmen's compensetion laws of °
� the Siata of Californla. m
3 I hareby certHy thai l em proparly Iicansetl as a conSractor untler SQ. FT. �
7
the State ot Californla Business entl Professlons Cotla, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and xhat such licensas are in full force entl etfect, or 1 THE PURPO6E OF ESTABLISHING A PEFMIT FEE ONLY: �
am exempt from the provislons of She Stata ot Calitornia B�siness a
VALUATION PERMIT FEE $ • DO v�
antl Protesslons C , Division 3, Chapter 9. —
n
Signeture � ^ PLAN CHECK 5 p
Permitt 5 �Q�y / LL
or rV ✓ V TAX b D� SQ P
Auffi rized A/ent Date � T�TAL �AI• 5 %7 ri�
�' COSTA MESA BUILDING-SAFETV DEPARTMENT
/1 Qf�V 1 /�/�CT.� ��CCI� C/lOLIIA (]
�9958 4/01/BI 73.16 TL
APPLICATTON FOR STRUCTURAL PERMIT
.."__"""' ___......__..,-.._.._..._..._____ RECEIVED V PERMIT 11.10 51541
For Applicant to Fill in Completely — Use Ink Only � r
BUILDING / �/� / q,P, (�p, - S3
AODRESS {p 4-�!b
BVILDING
OWNER OR � qDDRE55 � �Vq�
TENANT T� ��d S
MAILING UNITOR _
ADDRESS ��3 �p�qJ SPP.CE NO.
TR.NO. LOT BL .
/ TEL.
CITV �Oi%'/} `J-SL%- NO.
NEW ADD LTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDEfi ���
BflANCH O'NNER / G� /�' � �
ADDflESS VALUE
ARCHITECT TEl ��5� USE �J�as � SMC`, EBf�a
OR ENGINEER � v!I
ADDRESS ZONE � TVPE GROUP � Z
APPROVED /
CONTRACTOR�%pG�..��0 .sc �u�.t.. B� DATE �
ADDRES5 /�O/ O(/C S�
TEL.
CITV ��iw U'�-F' L/.1a� NO. S2-/7i0
STATE CITY A7PROVEDSETBACKS
UC. NO. LIC. NO.
SIZE NO.OFBLDGS. (FROMGLSTREET) Q
OF LOT NOW ON LOT N7 ��
USE OF
EXISTING BLDG.
Separate permits are required for L SIDE Fr.
electric, plumbing and heating work: L' '
REAR FT.
USE OF BUILDING AND WORK TO BE PEflFORMED PLP,NNING ACTION
�� I �j�GOS✓.« APPROVED
� PPPRO D
I haraby acknowletlge that I have reatl this application antl ztate
that the above (nformetion ie co�fect antl a0�ae i0 comply wlt�
all laws reguleting builCine construction, entl I shall not employ
any penon in vlolation of the workmen's compensation lews ot
tha Stace of Colifornie, " Q�� �_
1 hereby certify that I am properly IicanseG as a contracior under SQ. FT.
tha Siate of Californie Businesa antl Profeasions Cotle, Division 3, THE AMOVNT SHOWN UN�ER VALUATION IS FOR
Chapter 9, antl ihat such licenses era In full torce entl affect, or I THE PVPPQ6E OF ESTABLISHING A PERMIT FEE ONLV:
em exempt from the provisions of She StaSe ot California Busineaa
entl Professions Cotle, Division 3, Chapter 9. VALUATION PERMIT FEE S
SiBnature of � $��O l PLAN CHECK S _ Q
Permlttee � • �u'���_ TAX E �. s6
Authorized Agant Date y`� �' "/ TOTAL PAID E 3� �
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