HomeMy WebLinkAbout1015 NANCY LN - Building PermitsOWNER BALALIS & PIGNERI DATE 4-2(-77
JOB ADDRESS 1019. 1015. 1017 Aanev Lane BUILDING PERMIT NO. 49578
AP No. 115-029-09 LOT TRACT Q6m FIRE ZONE VALUESL20.200.00
INSPECTIONS et al
Signature Date
TYPE v
GROUP
H & j
ZONE
SOIL
SOI£,F
SUBCONTRACTOR
GAS
1
Data
NumberI Signature
WATER
Plumbiso
ROUGH PLUMBING
PROP: SWR. LINE ❑ HOUSE CON.C3
17-0-77
740-7
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
�,. •�,• �.�
ROUGH WIRING
Heatinand
Y nt.
TRENCHES jd FORMS Le STEEL REINF. ♦
Af,
xAn&&Q
7-11421/
FLOOR SYSTEM
BOND BEAM "STEEL REINFORCE
SHEATHING7
FRAME AND FLASHING X
, la. --
LATHING
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PLASTER, BROWN COAT
. (�
STRUCTURAL. FINAL
HEATING, VENT., REFRIG. AND A.C., FINAL
CL
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Ll�-
PLUMBING, FINAL AND GAS TEST
ELECTRIC. FINAL
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BUILDING. FINAL
•%
SPEC I AL_ REQUI REM ENTS -
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N
43578
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only j
BUILDING / '
ADDRESS I7 — O 'lOI7 G GA7✓E
OWNER /f
MAIL
ADDRESS OQ f.(/r 0,41,4949 1Jz-vV-
TEL. r
CITY/i/Pi j*ki XrA9i-_l-I NO.�/
BRANCH
ADDRESS
APP4T)ON FOR STRUCTURAL PERMIT
FIRE
ADDRESSgS7Y /L/(L,£'/ /I , r7' n. ZONE
APPROVED
\ CONTRACTOR BY
ADDRESS
TEL. NE NO.OF
CITY NO.
'L STATE CITY YARDS APPROVED
LIC. NO. LIC. NO.
®
I
SIZE
V",
(FROM C/L EE'
O,
OF LOT
100971=90
PONT FT.
' J ��
USE OF
STABLISHING A PERMIT FEE ONLY:
.�.
EXISTING BLDG.
RL2DE
Separate permits are required for
L. SIDE 13T.
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TAX S •
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TOTALPAID S
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REAR �O
DISTANCE BET.
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MAIN BLDGS.
VAR. #
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FIRE
ADDRESSgS7Y /L/(L,£'/ /I , r7' n. ZONE
APPROVED
\ CONTRACTOR BY
ADDRESS
TEL. NE NO.OF
CITY NO.
'L STATE CITY YARDS APPROVED
i
i
DATE
USE OF 1,
BUILDING
6
DATE
LIC. NO. LIC. NO.
MAIN BUILDIf,
e
{sl
SIZE
NO. OF BLDGS.
(FROM C/L EE'
O,
OF LOT
NOW ON LOT
PONT FT.
Q
USE OF
STABLISHING A PERMIT FEE ONLY:
.�.
EXISTING BLDG.
RL2DE
Separate permits are required for
L. SIDE 13T.
rn
^
TAX S •
f
U
TOTALPAID S
electric, plumbing and heating work.
REAR �O
DISTANCE BET.
USE OF BUILDING AND WORK TO BEP RFORMED
Q
UAlIT
MAIN BLDGS.
VAR. #
J
APPRO
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Y
a
n:
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hereby acknowledge that I have read this application and state
athat
the above Information Is correct and agree to comply with
J(\ JI
all laws regulating building construction, and 1 shall not employ
any person In violation of the workman's compensation laws of
Z
the State of California.
,3
I hereby certify that I em properly licensed as a contractor under
SD. FT
THE AMOUNT S
the State of California Business and Professions Code, Division 3, _
Chapter 9, and that such licenses are In full force and affect, or I
THE PURPOSE OF
em exempt from thf1rovislons of the State of California Business
VALUATION
and Professions Co a Division 3, Cha ter 9.
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Signature of
,Permittee
$/ �f 1�%]
(/(/
Authorit d Agent
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i
DATE
USE OF 1,
BUILDING
6
DATE
n
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/{
N
)WN UNDER VALUATION IS FOR
m
STABLISHING A PERMIT FEE ONLY:
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PERMIT FEE i
n
PLAN CHECK
n
TAX S •
f
U
TOTALPAID S