HomeMy WebLinkAbout779 HUDSON AVE - Building PermitsOWNER WICII�RRT, E]mer
JOB ADDRESS 77
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TEMPORARY SERVICE OR POLE
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ROUGH WIRING
TRENCHES � FORMS �
FLOOR SYSTEM
BOND BEAM ❑ STEEL RE
SHEATHING
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STRUCTURAL FINAL
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MEATING. VENT.. REFRIG. ANO A.C.. FINPL
FINAL AND GAS TEST
FINAL
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DATE • Auaust 16
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35201
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Fo� Applicant to Fill in Comp/etely
eui�olNG T
ADDRE55
OWNEFi���
MAI l
ADDRESS �'
CITV Q uSl
CONSTRUCTION
.CE-tiBEFl--
BFANCH
ADDRESS
ARCHITECT
TEL.
ADDFESS
TEL.
CITV NO.
STATE CIT V
LIC. NO. LIC. NO.
OF LOT / OO' X�(� , NOW ON LO I
VSE OF
EXISfING BLDG. � O�/1'1 F_
SIZE OF NO.OF
NEW BLDG. ROOMS STORIES
EXTERIOR WALL FOOF
COVERING COVERING
VSE OF BUILDING AND WOftK TO 8E PERFORMED
I heraby acknowletlBe thet I have reetl this appliceiion antl state
that tha above Information is corract and apree to comply wit�
ell lawz reBulatinB builtllnB �onztruction, and I shali noi employ
any parson In violation ot tha workman's compenseilon lews of
ihe Stete ot Californle.
I hereby certity [ha[ I am properly IIc¢nsetl as o cOntrectOr untlar
the Smta of Celifornla Businesz antl Profenions Code, Divisicn 3,
C�epter 9, nntl that s�ch lieanses ere In full force entl effoct, or I
am axampt (rom t�a provizlons of Me Steie of Celifornie B�sinea
antl Professlona Cotle, Division 3, Chapter 9.
Slpnawra of (/(�/�� � �� R� `
Parminee X � "`"-'�- � `
Authorizatl ABant
A.P. NO. / `7°
BUILDING
ADDRESS �
TRACT
ER E
FIRE
PAID �H.OH
AUC 17-77cnsn001315# ****
FOR BUILDING PERMIT
i
��� // I PERMI'f�NQ.^.
/(7 .7JL
9 �lucsav �9as.
) OQ LOT I10 BLOCK
VALUE
p�E NO.OF USE OF NE
J/ PLAP1Sp� BUILDING ��'T�D S
VARDSAPPROVED VARDSAPPROVED
VAR. #
C.U.P.�W
VA�UATION
$/�0
a
UNDER VALUATION IS FOR
LISHING A PERMR FEE ONLV:
TOTAL FEE
b
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.:JSTA MESA BUILDING-SAFETY DEPARTMENT
P. O• BOX 917 COBTA MHBA. CALIPORNIA
For dpplleanf +o Fill In Complefiely
COSTA MESA. CALIFORNIA
■ MAII
■ 512E / n �
� BBTBACK LIN6 PPOM /�^/ /
TEL.
I I NO: OP BLDOB. O
i I LEFT �/ I RIGHT ✓�
pESCRIPTION OF WORK
NO. OF
FIRE
ZONE
APPROVED
20Nfi
R _1
LEGAL
F�E RECEIVED
G� FINANCE DEPT.
ClTY OF C05TA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only .
RBCEIPT NO. P6HMIT NO.
�c r''YK
er I �S'/�e/ / I �l'�//9 / /
COSTA MESA. CALIFORNIA
ZONING v I
NO. OP USE OP N8W H], . B
PNN9 n I BUILOINO __/ �ia
fCBNTHR LINB 6TJ
rlb
EXTERIORWAL�Tucco ICOV�ERir��od shingle
COVERING
USH OP BUILDING AND WORK TO BE PERFORMED
ATTATCHED X GARAGE
Pla o 2-D
I H8R8BY ACKNOWL8D08 TXAT I NAVH R6AD iHIB �PPLIWTION }Hg AMOUNT BHOWN UNOER VALUATION 19 FOR TH[
AND BT�TB TMAT THB �BOYB IB CORPELT ANO AORBB TO CON• pUPP09E OP E9T�9LIBHINO A PHqMIT PH8 ONLY.
PlY WITN �LL CITY OPDINANCEB /.ND BTATH LAWB R80UL�TINO
BUILDINo COMBTRucnON. VALUATION
BIGNATURB OP
PERMIT FEE $ � �'—r
PERMITTE - /ry' e
8 '�/ �r PLAN CHEGK $ � �
AUTHORIZEP AGENT /// / �/ TOTAL FEE � �
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