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OWNER g7.FR���'Q'�
JOB ADDRESS 595 Marw�
GENERAL CONTRACTOR R.
AP No. 1-0 1- LOT 2�
iv �cnor+s
s�
GAS
WATER
ROUGM PLUMBING
PROP. SWR. LINE � HOUSE CON. �
SPftINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UN�ERGROUNO � POWER �
ROUGH WIRING
TflENCHES � FORMS � STEEI RE
FLOOR SYSTEM
BOND 9EAM � STEEL REINFORCE �
SHEATHING
FRAME AND FLASHING
LATHING - IN � OUT �
PLASTER, BROWN COAT
STRUCTURAL, FINFL
H' 'G, VENT., REFRIG. AN� A.C., FI
DATE
E ZONE
SUBCONTRACTOR
� 29802 NAR -5-6�00 083 0*****7.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIfORN1A 92626
APPLICATIOM fOR BUILD�NG PERMIT
ForApplicant to Fill in Completely RECE ev DATE RECEIVED
c A DA�jTEISSUED
BUILDING SJ S ! e l`/'. ��'C� �6 d_`J _6
ADOFE55
OWNEfl �LO Si Y/� A.P.NO. -Q I_ P R T�O.
MAIL ADIDRIE S �
Z AODFESS S /N L� S�
W W N��' �� 7 U TFACT l LOT � BLOCK
a U CITY ujQi`
Z2
Q Cp (FUCTION W P
ON LENDER o Z (�
a m ��
J � BRANCH
—� N �J OwNER
� ��� ADDRESS �,3OU ��j�Y �y l� y/— /� VALUE / '
J ARCH�TECT `�' TEI. 5 �/ 1rO `-^m Y�/� 5 O�S�--�
" OR ENGINEER N .
z Q � � FIRE �
w CL ADORE55 20NE TYPE GROUP
J O CONTRACTOP � f�. BVPROVED DATE � S(�
J� ADDRESS/�g(/QS�`��(��/1�d•
w W TEL. 20N NO.OF USE OF NEW
�= CITV� NO. b PLANS a BUILDiN -
ZH
w� STAT& �� /� CITY VAROSAPPROVED VAROSAPPROVED
j O LIC. NO. LIQ NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLOGS. (FROM C/L STR ET)
OF LOT NOW ON LOT / RONT � FT.
USE OF
EXISTING BLOG. FT
� SI2E OF NO. OF �
Z NEW BLDG. ROOMS STORIES L SIDE FY. FT.
U EXTER�OF WALL ROOF
COVEP�NG COVERING REAR F7. FT.
J USE OF BUIL�ING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
� MAIN BLDGS. ACCESS, BLDGS.
f
G� VAR.M'+ DATE
O C.U.P.q�+ APPROVED
N O .,r � APPROVEO � `— Li
�� U �
z �
0
VI herohV acknowletlge that 1 have reatl this application entl siate
� that the above intormation is correct and a0rea to comply with
� all lews reBulatin8 building conStruGtiOn, antl I shall not employ
F nny Oerson in violation ot ihe workmen'a compensation laws af
y the Scata o( Califomia. m
ZI herobVi certify [hat I am properly licensetl as a conuacior andor SQ. FT. o
No S[ata of Californie Business antl Professiona Cotle, Dlvlsicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR �
Chepter 9, and that su ' enses era In full lorco antl etfect, or I THE PURPOSE OF ESTABLSHING A 7ERMiT FEE ONLV: Q
em eanmpt irom t r v( onsof Me Stem of C Iliornla Bvsiness VALUATION
antl PrOtessions e, iv' 0 3, Choptar 9. PERMIT FEE S �� c'
!.� �
SIBneNra ot / m
Parmittee 5/� � PLAN CHECK $ E
lJ LL
Au[hor��etl ent TOTAL FEE 4 OD
��qFz .�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 1200 - GO6TA MESA, CAUFORNIA Y26t0
For Appflcant fo Fill In Comp/etaly
TYPE OR PRINT
���Na .r�c� ..r� MA-fZm��
DRE69
CO$TA MESA. CALIFORNIA
I N r-
I ■ BIZE
a ocre�crc
�t Mea�v �
/�HO 9TAT6
PLY WITX I
BUILDIN6 C
T[L
�
_�, q I R,o�
DESCRIPTION OF WORK
l�J
� AUTH011IZeD Aq6NT
OEC27-67� 0 911• ****90.00
APPLICA7ION FOR PERMR
BUILDING
Ror OHice Use Only
nac:irr no. ��
�_ i
ZONING
iON[ NO.O! Uf[O�M
Rl 'ux� 2 e���o�no - att gar.
ui�e�mon � (! � � '�l� \ a � A
w. r. no. 141-041-08
N0T6: H0 6AV[ OV [RNANO SXALL �8 LCBS THAN
SO' TO 81D[ a RQAR P. L
swves
ALLOWiD �U..B.C.RCQUIRHMBNT'.
YARDBAPPROVHD YAR�8MPROV6D
MAIN BUILDINO AGGBCSOAY BUILDINO
, 2`b ��� , �. P
� R. cioe p
. DID PT. !
V RQAR � YT. P
DIYTANC[![T. B6T.MAIN4
MAIN BLD ACCHBII. BLI
VM.$ DATB
'Itl I C. U. P. �C APPROV[D
1 MAVH RfAD TXIY APPLIGTION
I CO BCT�AND wOqE[ To eoM•
6 Alib RAT6 LAWY R[OYIATINO
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V�' a
HOLD FOR SPEC AL RFnn aFr.+G�� �
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7 � �
0
n�s �wourrt exowx uHoex v��u�nor� �e ron n�s �
•YRP086 Ot [BTAOLIBN�NO I� PlHMIT R88 ONLY.
VALUATION �
s /���� ERMITFEB ��i w
O
/ O /
TOTALFEE $