HomeMy WebLinkAbout2120 NATIONAL AVE - Building Permits�ANGE COUNTY BUILDING DEPARTMENT . APPLICATION FOR PERMIT �
636 North. Broodwey � ■ . � � � � � p
�' � SANTA ANA, CALIFORNIA - . V V
FOR APPLICANT TO FILL IN _� FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO
BUILDING +('' J 1
AODRE55 2��n idat9nnal � �} 3,3 a- �JQQ`i�
SCHOOI OIST. RECE�VED BY DATE REC'D. DATE ISSIiED
OR TOWN ��}n McCn „ A —��
NEAREST T rJ � q_ a, �� 9-3
=RosSST. Victoria Ave. ���'i�
OWNER PUEBLO HOHES. INC• BUILOING � • ^� �—^ ��- • /1
ADDRESS
MAIL SCHOOL DIST.
A�DHE55 Q�L'f LI IL�N � AC RI �/fl _ �
7;'T
ci7v BEVERL Y HIILS „o�cR. 5436t N
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ARCHITEGz LI0. Z
ENGINEEaI.AQ� 8c MCKERRACHER No.
ADORESSZ��O E. WAINUT ST.� PASADENA —
A
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CONTRACTOR NEMPORT VISTA co.No�t35 2
AODRE55 Z ' � HIRE BIVD. BEV.HIILS —
LEGAL LOT q 17 Q
JESCRIPTION NO. � J BLOCK I TRACT 1 I�J —
NO. OF BLDGS.
SIZE OF LOT 7O X � � O NOW ON LOT
USE OF NO, OF N
EXISTING BLDG. Fswn.�cs I R�
DESCRIPTION OF WORK
NEW f X I ALTEFATfON I I qOOtT10N I
REPAIF I I MOVING I I DEMOLISH I
BUILDING�O�1, SO•FT ROOMS � STORIES �
SIZE �f
EXTERIOR WALLC� I CQ�ERING ��INGLES
COVERING STUG
USE OF NEW
BUILDING QFCIf1fNf.E�A'F'Y re�.rnr.t
FO
I HEREBY AGNNOWLEDGE THAT I HAVE ftEAD 7H15
APPLICATION AND STATE THAT THE qBOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FR
AND STATE LAWS REGULATING BUILD�NG CONSTRUCTION.
LA
SIGNATURE OF NEWPORT VI � q /„O. _ �A
AUTHOHIZED AGT(Ej
VALUATION S
SM 9-90-09
PERMIT FE6 S�� MH50�
PLnN CHECK E�Z BOND I
TOTAL
FEE s � FINAL
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NO. OF � TYPE
PLANS
CORRECTIONS
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CAIIFORNIA 92626
.. g �z-� �""on 766�• `s.5e
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APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEIVE DATERECEIVED O E/I�S $JUED
ADIDFESS �i� Z� � /O/Vi� L , I � � �`-' �
'PEF
OWNER .l.��/.� j�/(� CC�RILK A.P.NO. JI5��1 �OS
MAIL p TLoj� /�aGi}.c0<' P��To�' BUILDING ,I •'`
AD�RESS /O FtY Ci(T a�✓7. �, ADORESS � �IQ.�1GY1 �/
TEL. TRACT y LOT BLOCK
arv �p3Ti+— ti(rS�— No.Sf�%772
CONSTFUCTION W AOD A P
LENDEfl ��4M1
BRANCH j_
OWNER (�,ITQ/� � aC�
ADDRESS
ARCHITECT TEL S ��Ze a.�(y � VALU$ GAO
./ J
OR ENGINEER N
FIRE
ADDRESS ZONE TV E GROUP
APPROVED � �j�
CONTRACTOR BWA/L�Q� B�' DATE �
ADDRESS f dE 20NE / NO.OF USE OF NEW (Q5� rz
TEI. p�q� � BUILDING �JJ
CITV NO.
STATE CITV �'AP�SAPPROVED VARDSAP ROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLIX'�.5. (FROM C/L STftEET(L�'�
OF �OT NOW ON LOT ROfYT � FT. L FT.
VSE OF
EXISTING BLOG. 5 E a FT
$IZE OF NO.OF -
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVEFING COVERING REAR FT. FT. '
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.� DATE
� GG-G E ChyL Ps C.U.P.# APPROVED
�U/��/ L� APPROVED/.1 �'� �
W
I horeby acknowletlge thai I have reatl this application end state E
t�at the above information is correct and aBree to comply with
ell laws regulating builtling consVuction, antl I shall not employ !�
eny person in violation of the workman's compenutiOn laws ot �
2he Stete of California. m
b
t hareby certity Met I am properly licensetl as a contractor untler SQ. FT. T� i O
the Sm[e of California Business antl Professions Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chopter 9, antl that zuch licenses are in f�ll force antl effect, or I THE PVRP06E OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fram H�e provisions of the State o( California Business ¢
VALUATION y
antl Prof¢ssions Cooe, Division 3, Chapter 9. / n
PERMIT FEE $ ]
SIB^ature of /J/ � /) �' m
Petmlttee /./L�.� �%�c-c�.-.--��— 5 OV PLAN CHECK $ E
� o
Authorized Agent � LL
TOTAL FEE $
ADDRESS
GAS
� WATER
ROUGM PLUMBING
PROP. SWR. LINE
1 SPRINKLING SYST
� MISCELLANEOVS
UNDERGROUN�
ROOGH WIRING
HOUSE CON.
PIR CONDITIONING
BOND BEFM U STEEL REINFORCE
SHEATHING
FFFME FND FLASNING
LATHING - IN �
PLASTER.BROWN GOAT
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ELECTRIC, FINA
BUILOING, FINAI
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SUBCONTRACTOR
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