HomeMy WebLinkAbout2103 NEWPORT BLVD - Building Permits •
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A L4CATION FOR BUILDING PERMIT
For Applicant to Fill in Completely� R C I E BV rD�ATE RECEIVED DATE ISSUED
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DO (FROM C/L STREET)
SIZE NO.OF BLDGS.
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UI hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of %
(n the State ofm California.ornia. 9
ZI hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
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am exempt from the provisions of the State of California Business /J
and Professions Code, Division 3,Chapter 9: VALUATION �'i m
PERMIT FEE $ N
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Signature of m
Permittee, $ 100'. PLAN CHECK $ E
Authorized Agent TOTAL FEE $ cel
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OWNERPOSTA MESA MF'.MORTAT, 'HOSPITALDAZE •2 13/73
JOB ADDRESS 2103 Newport Blvd. BUILDING PERMIT NO. 36086
GENERAL CONTRACTOR E. S. Russell DESCRIPTION of WORK Demo. Res.
AP No. 115-220-32 LOT TRACT FIRE ZONE VALUE $ 100.00
r"."',:m"CTIONS Signature Dote GROUP I TYPE V ZONE
sar.t. PERMITS ISS ED
GAS SUBCONTRACTOR
Date Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING Heating and Vent.
TRENCHES 0 FORMS 0 STEEL REINF.
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING •
FRAME AND FLASHING
LATHING - IN 1^1 ^OUT I
PLASTER, BROWN COAT
STR"CTURAL, FINAL Electric
H. G, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL .y����
BUILDING, FINAL r/LC /yam