HomeMy WebLinkAbout385 BAY ST - Building PermitsVX1C 1—� .�.7.«
BUILDING PERMIT N0.
'"'o. 115-262-Ob LOT - TRACT - FIRE ZONE VALUE E 1,000.00
SUBCONTRACTOR
ROUGM PLUMBING
PROP. SWR. LINE
MISCELLANEOUS
ROUGM MEPTING ANO AIR CONOIT
TEMPORARY SERVICE OR POLE
UNOERGROUND � POWER �
ROUGM WIRING
BON� BEAM �� STEE�
SHEqTMING
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PLASTER,BROWN COAT
'TURAI,FINAL
h, iNG, VENi., REFRIG. AND A
PWMBIN0. FINAL RND GA$ TEST
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COSTA MESA BUILDING—SAFETY �EPARTMENT
,,� P.O. BOX 1200 � '
" ,' Costa Mesa, California
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.� I here - acknowledge�that I have read this application '
and`st e,thbt�ihelabove is"conect and agree to comply
with. IliCity O�dinances,and-State Laws regilating -
plu mg., i ' � - ' �
�fce?tify-tLat I.possess the above valid state of Cali-
nia dassification or I am the legal owner of the resi- ^x;
- ential property described above. . , <��
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INSPECTION RECORD .�
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fil1 in Completely
BVI�DING ^ �� � / � �
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OWNE�`j� �qMtS L dNt' �4�71
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TEL.
CITv 'T_. .,::.f NO.
BRANCH
ADDRES:
ADDR
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ADDRESS
ciTv ��/� .r .� b�,fll/ - C'.� No�,d6'S�
STATE ��0� CITY
LIC. NO LIC. NO.
s�ZE �S� C3Y No.oFa�ar
OF LOT NOW ON LOT
USE OF /f
EXISTINGBLDG. Kr�y� larr
SIZE OF NO. OF
NEW BIOG. ROOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
VSE OF BUILDING AND WORK TO BE P�ERFORMED
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APPLICATION FOR BUILDING PERMIT
Y DATE R� 'ED pATE l
i �
No. IIS-262-06 PERM�(yB
O
BUILDING
ADORESS
R
FIRE
ZpNE
APPROVEO
ZONE
VA
VAR. 9W
C.U.P.sW
APPROVED
VALUE
NO.OF USE OF NEW
VWNS O BVILDING
iAPPROVED YAROSAPPROVE
BUIL�ING ACCESSORV BUILC
lSTREET)
FT. FT.
FT
FT. FT.
FT. FT.
BET. BET. MAIN &
a'S. ACCESS BL�GS.
DATE
/1PPROVED
1.�1L� P.A,i. ...r� �-2v-7
I hereby acknowladpe that I havo raetl this applleetion nntl amte -
ihat Ihe ebovo Informptlon le eo��aet entl opie0 to comO�Y wlth
all lawa ropuleHnp builtllnB construcNon, and i f�oll no[ amploy � �
any person In violedon of tho wo�kmen'a compansaHon lawe of
Me Stata ol Califomle. m�p
I haraby certify thet I om properly cnnaetl aa e contrector undar 5�. FT, d
the Srota of Califomle Busineas e rofesslone Cotla, DIvlelcn 3, THE AM T SHOWN UNDER VALUATION IS FOR ��
C�apter 9, entl thet auch Ilcans efo in fu 1 force onC efioet, or 1 TH£ PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Q
em aeamp m the p�ovlsio 01 [heS of Callfomia Buctnaaa VALUATION
antl asslona D���ai 3, Cnn �•,� Q� N
(/'U PERMIT FEE $ / ]
notura of �t uy /� m
i
ermlttae $ C�L' p�qN CNECK $ �J E
/ O `o
Aut r zad Ap �' LL
TOTAL FEE S