HomeMy WebLinkAbout2140 FEDERAL AVE - Building PermitsOWNER (
JOB ADDRESS
ENERAL C0�
(L . 115-4
.INSTECTIONS
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W ATER
ROUGM PLUMBING
PROP. SWR. LINE
SPRINKLING SVST
MISCELL�NEOUS
JOE
ROUGN MERTING AND �IR CONDITIONING
�EMPORRRY SE(iVICE OR POLE
UNOERGROUNO � POWER � �
ROUGM WIPING
TAENCHES �J FORMS STEEL RE
F�OOR SVSTEM
BONO BE�M STEEL REINF RCE
SHEATMING
FRAME ANO FL�SNING �
LATMING - IN OI/T
� `STER, BROWN COAT
JCTUR�L, FIN�L
ME�TING, VENT., REFRIG. �NO �.C., FI
PLUMBING. FINA� ANO G�5 TEST ❑
ELECTRIC. FINAL
son
DATE
SUBCONTRACTOR
9-21-78
ERMIT N0.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
. P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fdl in Completely — Use Ink Only
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CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR �,(JJ,�f,O` ����Y / �.�. y�'� J.
ADDRESS p� �7 ` d a�/��.
� D OG TEL.
CITY NO.
STATE CITV r
LIC. NO. �, I.IC. N d
SIZE /O �' � NO.OF BLDGS.
OF LOT :C NOW ON LOT
USE OF �
EXISTING eLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
1 hereby acknowledga that I heve reatl this applicatian and rtate
that the above intormation is corract and agree to comply with
all laws regu{atin8 bulldinB construction, antl I shall not employ
any person in violation ot the workman's compensaiion laws of
the Siate of California.
I hereby certlfy that 1 am oroperly licensetl as a concreccor under
the State of California eusine5s and Protessions Cotla, Division 3,
Chapter 9, and that such licenses are in tull force antl ettect, or I
am exempt from the provisions of the Stata ot California 8usiness
end Professions Code, Divisian 3, Chaptet 9.
S(enatura of
Permlttea
Authorizetl Agent �` v�y,�� . �f�,�_
�„
APPLICAT[ON FI
ECEIVED BVTDF
BUILDING
ADDRESS
OWNER
FIRE
ZONE
APPROVED
� 9%2]778 72.63 TL
RU@%f'gJ�A�PERMIT 72•63�Q
�E� D TE ISSUED
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LOT O I BIOCK
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$
GROUP
DATE �d I
ZONE n/ NO.OF USE OF NEW r'/^�
/� PLANS O BUILOING R4,p
VAROSAPPROVED VARDSAPPROVED
MAIN BVILDING ACCESSOfiY BUILDII
VAR. �
C.U.P. #�
C
DATE
APPROVED
FT.
asE
�
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m
SQ. FT. �v
TME AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPC6E OF ESTABLISHING A PERMIT F E ON�V: �
VALUATION PERMIT FEE E � �
m
PLAN CHECK S ' m
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$ V � O TAX $ / LL
/ � �
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TOTALPAID $ �
OWNER �p
JOB ADDRES:
C" `.RAL CO
A. ,o. 115
INSPECTIONS
soi�
Gn5
W nTER
ROUGN PLUM8IN
PROP. SWR, LIN
SPRINKLING SY'.
MISCELLnNE0U5
ANA
Federa
iR D
LOT
_
�
_
ROUGM MEnTING ANO RIR CONDITIONING
TEMPORnRY SERVICE OP POLE
UN�ERGROUN� � POM'ER �]
ROUGM WIRING
TRENCMES FORMS STEEL REINF.
FLOOR SYSTEfn
BONO BERM J SiEEL REINFORCE �]
SHEATHING
FRAME nN0 FL45HING
I 4TMING — IN ��
STER, BRO�/N C04T
�.HUCTUR4L, FIN�L
NEPTING, VENT., REFR
PLUMBING. FIN4L 4ND
ve.
el
FI
DATE ��'ZZ'79
SUBCONTRACTOR
0
5322 10/22/79 29000
�
OSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX1200 COSTAMESA,CALIFORNIA92626
(3ECE PERMIT " "
For Applicant to Fill in Completely — Use Ink Only �� 4 9 016
BUILDING A.P. NO. � Z �.�Cf
ADDRESS
BUIIDIN /f O
OWNE0. OR ADDRE55 L�
TENANT
VNIT OR
MAILING SPACE NO.
ADD RE55
TR.NO. LOT � BLK.
TEL.
CITV NO.
NEW ADD ALTER REPAIR MOVING DEMOLISH
CAN5TFUCTION
LENDER
BRANCH
�
OWNER O��
AODRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER N .
�
ADDRESS ZONE TVPE � GROUP �
APPROVED
CONTRACTOR BV DATE �0 LL 7
ADDflESS
TEL.
CITV NO. GS%' I
STATE CITV APPROVEDSETBACKS
IIC. NO. 9 UC. NO.
SIZE NO.OF BLDGS. (FROM C/�ST )
OF LOT NOW ON LOT RO
USE OF
' EXISTING BLDG.
Separate permits are required for L. SIDE T.
electric, plumbing and hea[ing work. REAR
USE OF BUILDING AND WORK TO�E PERFORMED P�.4NNING ACTI N
� �,t! r
DATE
APPROVED
APPflO �� '7
1 hereby acknowletlBe that I hava reatl this epplication entl rtate /
that the above information i5 corract and agree to comply with
all laws regulating builtling consvuction, entl I shall not employ
any person in vlolation of Me workman'S tompensation laws ot
tha State of Cellfornia.
I hareby certify that I am properly licansetl as a conttactor untler SQ. FT.
the Siate of California Business antl Protessions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such litensas are in full forte and eftxt, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am axamDt trom the p�ovisions of the Stete of Celifornta Business
antl ProfessionsCotle, Diviston 3, Chaptar 9. VALUATION PERMIT FEE y � � �0
Signaiure of ,/J • Q . D �',J 7LAN CHECK § ,�
Perm(ttee'/!/��w.G � • l•�•�•�— 5/QSO �� TAX S (—
or �� • U �
Authorizatl Agent Date /���(,Z.�z 4 TOTAL PAI D S . QO
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