HomeMy WebLinkAbout3117 MCKINLEY WAY - Building PermitsOWNER gpgg�T, DIANE R. DATE
JOB ADDRESS 3117 McKinlev Wav BUIL[
LOT TRACT FIRE
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PROP. SWR. LINE D HOUSE CON. D
• � SPRINKIING SYSTEM
MISCELL�NEOUS
� ROIIGq HEATING RNO AIR CON�ITIONING
iEMPOfl0.RY SEAVICE OR POLE
(� UNDERGROUND � POWER �
� ROUGN WIRING , .
TRENCNES �/ FORMS � STEEL REINF.
FLOOq SYSTEM
BONO BEAM � STEEL flEINFORCE ❑
SMEATHING
FRAME ANO FL0.5HING
LRTNING - IN �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completety — Use Ink Only
UILDING
DDRESS � L V
WNER � �
MAIL `
ADORESS �\ b )
TEL.
CITV C NO. _ i
CANSTRUCTION �
BRANCH
ADDRESS
ARCHITECT TE L.
ADDRESS
CONTRACTOR �L�Q('�,S_�M1O-��;�qw�
ADDRESS���1r �i1P�Pn\ �2 O�. � �Z
�7
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CITV�`Pl.l'i(1�'=�lyYp�i� NO. R\Z�
STATE CITV
U4 NO. �3'��� LIC. NO. '
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PEFiFORA
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1 hereby acknowledge that I have �eatl this application antl state
that the above informatlon is correct antl aprea to comply with
all laws reBulatlnB bulltling construction, antl 1 shall not amploy
any person In violation of the workman's compensatlon laws of
tha State of Californie. �
I hereby certify that I am properly Ilcansed as e contractor untler
the State of Califo�nia Business and Professions Cotle, Division 3,
Chapter 9, antl thet such Itcenses ere in full force entl atfact, or I
am exemp< fram Me provlsions of the State of Callfornia 8usiness
and Pfofe59ion9 C de, Divisiarr9, Chapter 9.
� P E� - +
SIgn9�ura' /of
PeImIM�
Authorize Agent ' �
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'll—fi-77�r��.Q� 55_ 3:,. l
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV DATERECEIVED naTciccucr
� f.�S 1 �
FIFE
ZONE
APPROVED
N NO.OF
PLANS
VARDSAPPROVED
DI5iANCE BET.
MAIN BLDGS.
VAR. #
VALUE
DATE V'.
USE OF NE
BUILDING G�
VAflDS APPROV
ACCESSORV BUIL
7 �� �
DATE
APPROVED
&
THE AMOUNTSHOWN UNDER VALUA
THE PURPO6E OF E5Tf>BLISHING A PERMI
VALUATION ' PERMIT FEE $
n/ � PLAN CHECK $
� /l�� TAx y
TOTALPAID E
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CO�aTA MESA BUILDING-SAfETY DEPARTMENT
P. O. BOX 9f7 C08'�A MEBA. GALIFORNIA
For Applieanf fo Fill In Compleiely
TYPE OR PRINT
BUILDING //�Q
AOORE55 W
COSTA ME6A. CALIFORNIA
■ MAIL
'ARC'••TEGT TEL.
OF iNEFR NO.
TEL.
� SCTBACK L1NE PROM
DESCRIPFION OF
■ EXTERIOR
NO.
STORIEb
F RECE111�D
�fi�6 �i i 196�
FINHNCE DEPT.
CITY OF COSTA NiESA
APPLICATION FOR PERMIT
BuaoiN�
For Office Use Only
RECEIPT NO. P(fl1tIT�I�f�'
/ x i �,
RECEIVEO ly�l OATE RECE�VED I �6TEJ98UE0 I
� Ftu
BUILDING
ADDRESS
COSTA MESA.
FIRE
ZONE
APPROVED
i
ZONING
ZONEn NO, OF UBE OF NEWSin' �2M �
/( �� I PLANS � BUILOING LV�ILZT �Aw .
.�
LEOAL Y- i�./_- T/1 / (O ��'
OEeCqIPTION �U / ��
� �� (CENTCR LINE BT.1 �J
� FRONT �% (
R. SIDE s_
L. SIDE r_
IREAR ... � O
� - / �O
I HEREBY ACKNOWLEDOE THAT � HAV6 READ THIB APPLIGTION
ANO BTATE THAT THE ABOVE 19 LORRECT AN� AGREE TO COM-
PtY wITX ALL Qtt OROINANCEB AND BlAiE LAWB �tEGUL�TING
BUILDINO CONBTRUCIOLN. f) /L / ._
, AUTHORI2ED AGENi
��j3o
3
,�-�9�� � �.� �� u_ �/ 38c R "
THE AMOUNT BHOWN UNDER VqLl1AT1 IB pOR TXE
PURPOBE OF E9TqBL19HING A PEpMIT FEE ONLY.
VALUATION �j/ �
PERM17 FEE $
' N
� �� D�%�'� PLAN CHECK $ �O�✓v m
/_ F
TOTAL FEE ((/ � S 0 4