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HomeMy WebLinkAbout868 CENTER ST - Building Permits!' ' �l n UCTION PERMIT ' � � AOD�lant to /ill in all spacas axcaD< <�ou wit�in heary DorGar Ilnaf �nG slqn all apD�oD�iata Eeela�i�iOn3. UC /" � F � � riPE OP CUIJS7RUC ❑ CONVERSION ADD LJ ALTERATION LN REPAIR fNER Ouvnn's Mame w� /�� �N .��n ne �• • -�J 7L�H C�CJ .�1�<1 �-'7_{l � ON�' _ �Addren��� \,`I ��`^� V"� " TVPE OF PE��p�//GRADING�/ pOUNDATION STRUCTURAL Arch/Eng.' S�ST'4�LiC@nSBNo. ❑ TENANT lJ ELECTRICAL LS�lPLUMBINQ ❑ MECHANICAL Addres� � ' ' ❑ OTHER ' Contrecmr'sNam��N��� ohone� PROJECTDESCHIPTION Sq.FT.�—Occuv� ,v`�x ' Addres�ITeiling) - � CONSTRVCTIONTVPF y VALUATIONS.�y� . ' 20N� GRADINGGU.YDS. ACRFS� License No. - UCENSED CONTRACTON DECLARATIOFI ' Remark�: � � 1 hareby af�irm that 1 am Ilcensetl untler provlsions oT C�arter 9(commencin9 . with section 7000) af Olvislon 3'of t�e Business antl Profasslons COGe, antl - my Ilcenia ls In full foru antl eftact. '. � Ucense blass Llcense No. PLUMBING �ia � Siqnature ORKERS' COMPENSATION DECLARATION � Bef Sink Sevuet CaP 1 hereby zffirm that I �ave a certifiwte of.conzent to selt�niura or a tertifiwte BetkfloW PreVBntEf SBwef COnn2ctiOn of Workers' Compensatlon Insurance, o� a certlibA copY �heraoT (Settlon� �- � • 3800, Lao, c.) � � � ' Backflow Irrigation Solar Collectwsf, PoII<y No. ComDany ., � - 8 CarUtietl�coDY �s hereby furnlihaE. ., � Bethtubs �Solar.Piping , Cartlfietl copy is tileE with t�e city,Bulltlin9 Division. I• -- - Date ncpllcant Clerifiers �So�arTenk , in the Date CONSTRUCTION 1 neroDy aftlrm tnat o/ the work for Lnnaer's wme �_ LenGar'i AOGrass .OWNER BUILOER I hereEv'afflrm tha' a , yau Shoultl become iubj� r Lnbor COCa, you muzt Oermlt Shall be aaemep tlollars a. / � Iha or pab � uon, [ne owner wlll nava tne Duruen m provmg ne/sna aia noc oww or im- ve for t�a purpose ot Shce). ' • I, as owner ot Ihe D�oOeriy, am exclu5ivery contracting with Iicensetl ton- ' [ractors to construct tha project (Sactlon 7044, Business anG R'o/essions CaOe: The Contractor'S Llcense Law does nol aDVly to an ownar ot property who bulltls or Improvas thereon, antl who contracts for su<h projac[5 with a<on- tractor(s) Iicense Pursuaut to the Contractor'i Ucense Law): ❑ I am exempt untler SeCtlon B. 6 P. C. for thii reason ' Date Owner t hereby certi/y Mat-I �am� reatl� thl a pliwtion antl ztate t�at the abova- in(ormatlon ii ea lo com �y ith al� city dntl county ortllnanCBi and it s reldtin9 to IClwccontt Ction/aoNhareby authOriia re0�e- senLativA< dI IM1ii LItV TO n( -loen\ ne ah6veYnentioneQ D[nne�iV 1or Drinking Founteins Floor Drains� ' Floor Sinks ; ' Drains. ' �- 1 ' y . 9f5 �i eSink' . �Under Giound � �Structural Water qoset � � Water Heater, • - ts Warer SerJice - � � _ _ __ � . . Reinmection Fea n ExhaustSystem ❑ Mul[iple Firepl/Fxt. Blt. IC80 # Heating System & Duccing � ❑o-i oo,oao eru � i ao,000 Hood oi Typel ❑ `\ iaMa����a�� V �Yva a. �) ��V�L� Si9natum Date pe9ister5 D� e •u s¢ 55� CMF OB65<6 rav. 32/82 Whl[a - Buittling; Gnary - ADP���nh Pink - ACCOunting; Goltlenrotl - A Issue Fee ❑0100,OOOBTU ❑100,OOO8TU Sy:tam Repair/Alteration $15 S3 Reirupaction Fee $15 laue Fee . S 3 a.P.,r yd4—/�// PLNG. REF. M� TO BUILD�NG PfiOPERTY LINE �_ LEFTSIDE VARD ( � PKG.SPACE RE�. STREET WIDTM SPECIAL CONDITIONS: Automatic Washer Canstruction Pole-' Cooking Unit �' i Disfiwasher .� . Dryers ❑Gas ❑Electrit Feri F:A.U. :j'� Fixtures ' Device Boxes Garbage Disposal Geaeratoc 00-5 KW �5� Transformer ��5�50KW ❑5U+ KW Meter ❑up to t00.amps 2oning APProved By ApPlimtion Approved BY _ APGliration Inued BY — � �U73 "6/2J/J:; 1 �jov�; i ��/,� 20NE /6{�-/ - BUILDING - Grnerr ri� er REAR VARD (TO P/L) � RIGHTSIDE VARO PROVIDED PARK FEE S Mater Llover100emps Sub Panet ; Sub Pole i-; � Motors OO-1 HP ❑1X-8 - Inc.Solar 0945HP �16-15i Microwave �'� , Pole Light Standing Sections Trash Compector KW Reinspeetion Fee §7$� �yS�1MMAR�' OF FEES �7 BUILDING PERMIT $ _SV_11 ' � SMIP $ ' O•J� PLAN CHECK $ �� SZ PE�RMIT � . PLUMBING • $ � 00 ISSUANCE' S ' PLAN CHECK'� . $ � GRADING � E � � $ �ELECTRICAL � $ � � PLAN CHECK � $ Q• �Q : MICROFI�M $ �MECHANICAL $ ' � TOTALPEE $ , PLAN CHECK $ LESS � , • ADVANCED PC $ FINAL FEE, S � /�S• q� �:.: i sos� CC7STA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 9f7 COBTA MEBA. CA1-�ROfiN1A For Applicanf to Fill In Completely TYPE OR PRINT BUILDING � $(� Center St.A�B�C�D ADDRESS COSTA MESA. CALIFORNIA ,,,,,v�e Dillman & Bru�nel]. Enterprises B81boa No'-0r.3i8o7' BUILDING EER W.T. Jordan NoLi8715 771 W. 19th St.Costa Mesa TOROwner-Bldr- ���_� TEL. ����� ,^ 1.^ NO. 1GO�X4�GO� I NO. OP BLDOB.� EXISTING BLDG ��—��� �� 9hTBACK LINB PROM CO � S' C¢erteR OP BTpH6T � REAR YARD 8� �� SI�E VARD LEFT RIGHT DESCRIPTION OF WORK _._... I� X II I II .__._._.. BUILDING 2���5� SIZE EXTERIOR WALI�..tuCCO COVERING USE OF UILDING AN V� Unit Ap� .. NO. OF ZO ROOMS 5T IaooF�,� Rock 2 APPROVED ZON� L6pAL ��� r��.i,���16:� NOV 1 1�2 FIN}11VCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only R6CEIPT NO. PERM BY I DA�oi �� � OATe IBSUBD �'UV 3 n i� �� � ���f5 � � ----r—Tr COSTA MESA. CALI bRNIA 7YPE (/ GROUP DATE ZONING ��NO. OP U8H OP NHW (I 1, L PLANB � BUILDIN6 7 V�.{rl�� L �P� . M��s� 1 e-1�on�.6*` I//>- d31 - �� EVES ALLOWED 6 8TJ ( .l O FT. IN. /� FT. � IN. � FT. � IN. � FT. IN. 1t , h�i.A.t,..... narr !. �' �--`F —4 0._ �� _ �.zoo ", I HEREBY ACKNOWLEDOE TMAT 1 HAVE REAO TH19 APPLIGTION TH¢ AMOUM BXOWN UNDER VALUATION IB FON TH6 AND BTATE TMAT THE O I6 CORREFi AND AGRHB TO COM- pUpp09E OF l9TABLIBHINO ♦ PBRMIT FEE ONLY. PLY WITH ALL CIiY NCFy AND BT L.�WB ReODUTINO euILDINo CONB f 1 VALUATION 61GNATURE OF / J PERMiT FEE $�/� PERMI7TE X�J .( / S� `� ��r PLAN CHEGK S v�%�� AUTHORIZE� AGENT / � -r'i r U ., i 8so4 �OSTA MESA BUILDING-SAFETY DEPARTMENT G.O. BOX 91] C08TA MBBA, CALIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT J E58 j5 � �//c�. S/�GCIC_/ COSTA MESA. CALIFORNIA ■ SIZE / DESGRIPTION OF WORK ✓ � � .. _ee....... � �� ..... 1 'I NEREBY ACKNbWLBOOH THAT I MAVB pBAO TXIB APP{,IGTION /�NO BTATB TXA'{ TX8 ABOVB 10 COpp6CT ANO A00.88 TO COM- PLY WITH �LL G�}y pRUINANC98 AND BTATB LAWB q80y�ATINO oulLo�rvo corvBYpuCTlox. AUTHORIZE� qpgNT� APPROVED FEE RECEIVED fEp 2 0 19&3 FINANCE DEPT. �Puc.��N��o&�P�ni�ESA BUILDING For ONice Use Only 116C61'TNO. P[qMMMO � ZONIN(i o�r¢ieeueo —03/— 3� �'"`� !RMAN6 BHALL B8 LEHB THAN YARDSAPPROVED MAIN BUILDIN6 DIBTANCE BET MAIN BLD�H. VAR. S� VARDSAPPROVED ACCESSORV BUILDINO BET. MAIN @ / � AGGE59. BLO08. (O DATH � �� `i `8�. FT. � T118 �MOUNT BXOWN UNOBR V�LUATION IB FOR TH! y PUHP09H OP 89TABL18HIN0 • P2PMIT P88 ONLV. � VALUATION �r m PERMIT F86 �� � � l � , �� �� s � $ o� '% r/, i TOTALFEE $ /�7i�7✓ GEN�RAL CONTRACTOR AP No. 116-Oi1-33 LOT TNSPECTIONS � TRACT F1RG ZONE �Signature� DATE GROUP DATE VALUE $ 3t5.tS50.00 DESCRIPTION OF WORKgpt TYPL V 7.ON� Rh SUQCONTRACTOR