HomeMy WebLinkAbout1901 ADAMS AVE - Building PermitsVi OWNER REPUBLTC HOMES CORPORATION DATE 10-3-69
JOB ADDRESS 1901 Adams Avenue BUILDING PERMIT NO. 30962
GENERAL CONTRACTOR Salvatt Masonry DESCRIPTION of WORK 8' Block Wall _
APNo.119-481-42 LOT 17 TRACT 5289 FIRE ZONE VALUE $ 300.00
INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1
SOIL PERMITS ISSUED
GAS SUBCONTRACTOR DatoI Number I
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 0 POWER 0
ROUGH WIRING _ _ Heating and Vent.
TRENCHES Q FORMS 0 STEEL REINF. 0
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n
PLASTER, BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINALS AND GAS
`TEST n
BUILD NIG, FINAIYMvi (jam . j .Jt co 'p—r.�
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30962 OCT -3-69chsaOO 091 �*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
,� REC V D BY DATE RECEIVED DATE ISSUED
BUILDING �/7/J/ - ' tis 7/V.. /C-2-& /8 -2-G%
ADDRESS
�y77 /l (,JQ � PERMIT NO.
6
OWNER k' - //Ontc-S C,ne A.P. NO. /3'- IIll- (T v
MAIL BUILDING /I _ -
ADDRESS SOn 5. /✓f b/✓t- ADDRESS I Illi I
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0- 0 CITY Oat n 2 Zr_._ No...jyj-S i$! TRACT ��.'b-7 LOT /17 BLOCK
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Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOI ISH
O N LENDER
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Jct BRANCH OWNER "LX�{y, T' ".J.,Y_V,I—r",
mLU J ADDRESS / / VALUE
m ARCHITECT ,,II ��nWEL. USE $
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FIRE ROUP J
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J OCICI CONTRACTOR s/Je(JjraT-J'� �p��Y BY , BATE � ,1/�y//1�'
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J cc ADDRESS
W W •
/ TEL. Z E NO.OF USE OF NEW •
Zf- CIT�Y«fyc NO. PANS •7� BUILDING -
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W0 STATE CITY YARDS APPROVED YARDS APPROVED
(0CC LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
7 (FROM C/LST'
EET)
SIZE NO.OF SLOGS. p/1
OF LOT I NOW ON LOT FRONT 1 (((70 T. ' ( FT. Y 1�..�
USE OF • 1
EXISTING BLDG. FL-SIDE , r r. FT.
I- SIZE OF NO.OF
2 NEW BLDG. ROOMS STORIES L.SIDE I-I. FT.
UEXTERIOR WALL ROOF
_ COVERING COVERING REAR FI. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
1
a MAIN SLOGS. ACCESS. BLDGS.
Q / / VAR.* DATE
O ( Q0`D� �.'+1°.oYA fey N/^'/ C.U.P.#W �1 APPROVED��//
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VI hereby acknowledge that I have read this application and state
M that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
I- any person in violation of the workman's compensation laws of
V) the State of California. m
Z I hereby certify that I am properly licensed as a contractor under SQ. 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: ID
IC
am exempt from the provisions of the State of California Business VALUATION
m
and Professions Code, Division 3,Chapter 9.
PERMIT FEE $ tce 0 N
D
Signatureo4/ �� �J •� _ m
Permittee) �� ` --�u4.J'�o.. $ SO rJ PLAN CHECK $ E
Authorized Agent .e, /v; LL
TOTAL FEE $ .e, /v.;