HomeMy WebLinkAbout2160 PUENTE AVE - Building Permits�
COSTA M�SA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �
ADORESS � x
OWNER � _Y
ADDRESS � � � Q U`
TEL. . �
CITV � NO.�
CONSTRUCTION '
LENDER
BRANCH
ADDRESS
ARCHITECT � . (1 � �,, \ % TEL.
ADDRESS
ADDRESS
CIT�-� , `NOL
F STATE CITV
LIC. NO.' � � l� IIC. NO.
� SIZE NO.OF BLOGS.
d OF LOT ' NOW ON LOT
a USE OF •. )
„�. EXI5fING BLOG.
h
FSeparate permits are required for
0 elec[cic, plumbing and hea[ing work.
W USE OF BUILDING AND WORK TO 8E PERFORMED
Q �
Q � ( �-
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a �
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QI harebY ecknowletlBe that I have �eetl fhie epplleetion end state �
p! that ihe above InformaSion Is correet an� eprea to eomply with
a all laws repulqtinp buildlnp conatruction, and I shell not employ
,� any person In ��olatlon of Me workman's compensation laws of
,��„ ffie StaTe of Californla.
3 I ha�eby ceKify Zhei 1 am properly Iicensatl as e conirector under
the State of Cailfornle Bueineza entl Profeuione Code, Oivision 3,
C�apSar 9, entl that cuch ffronsez ere fn fuf! force end etfect, or i
am ezempt frqm Me provlsions of the State of Callfornla�Businau
antl Profeceions Cotle, Divislon�3, Chapter 9. i
Sipnature of •! \ \1 r�
Permlttee �it'
' Authorizatl Apent
'dAY 2Q-77aaiu�O100y# c�**18.50
fMSn
FOR STRUCI'URAL PERMIT
BUILDING
ADDRES:
.OWNER/�/� F�C
S
FIRE
ZONE
APPROVE
BY
ZO NO.OF
PLANS
VAflDS APPROVE
MAIN BUILDI C
(FROM C/L ST
VAfi..i�
PERMIT NO.
O�/J�� 1
iT /
VAL `
$
GPOUP�
i i
OATE �� �
/%.
USE OF �
DATE
FT
THE AMOUNTSHOWN UNDER VA�UATI
THE PURPOSE OF ESTABI.ISNING A PERMIT
VALUATION PERM�T FEE E
� PLAN CHECK $
$ � ?� 7Ax E
TOTALPAID $
n
m
i
0
m
J
m
m
a
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ro
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OWNER GIIVDRE, N. LE DATE 5-20=(7
JOB ADDRE55 Puente Avenue BUILDING PERMIT N0. h4m�
G AS
WATER
ROUGN PLUMBING
PROP. SWR. LIH2 Q XOUSE CON. �
SPRINKLING SVSTEM
MISCELL�NEOUS
� ROIIGM HEATING �NO FIR CONDITIONING
UNOERGROUND [� POWER
ROUGH WIRING
TRENCHES tORMS
FLOOR SYSTEM
BOND BEAM � STEEL RE
SHEATHING
FNAME AND FLA$H�NG
LATHING - IN n OUT �
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AN
PIUMBING. FINAL ANO GAS T
' ELECTRIC, FINA�
BUILDING, FINAL
VA
SUBCONTRACTOR
Costa Mesa Building Department
/3�`t�, �71 �AST 20th STREET
COSTA MESA, CALIFORNIA
FOR APPT.ICANT TO FILL IN
s��ia�� �
Address � / % /j iii�i,��
Costa Mesa, California
Nearest -e /� A � i /
ICross St.
Owne
Mail
Address
or
Metes
APPLICATION FOR PERMIT
=� 25'� B U I L D,� 1�! G '�
-- �
FOR O&'FdCE USE ONLY �
; _._ _ Receipt No.. I Permit fyQ.' �
T y7o
Received by Date Rec'd. Date Issued
. i I���_�s
" Costa Mesa, California
� Nearest
�Tel. CrossSt.
_ �� J%ss�r/ Zone /J. � No. of � TYPe / I
Coverin
Yard
Demolish
Date
CORRECTIONS
Building � 'Foundaiion LOC:
Forms, Materi
Under-Pinnini
� Q9 � � Freme: Fire Sto
p , Bracing, Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the aUove is correM�and agree to rnmply Lath. Ext.
with aIl City Ordinances and State Laws regulating
building constn}ction. _
- - � � Masonry Reinforoed t�
Valuation Permit Fee $ ��, O O ti
Plan Check $ , c-o Bond Beam '�
$ 9� � O � Total � � o
Fee $ ^Z 7 • FiNAL
ifIRM 206 G-H 2M 5-56
.�
O
A
�
OWNER
JOBADDRESS
NERALCONTRACTOR�
DATE
BUILDING PERMIT NO.
VALUE
LOT $3 BLOCK TRACT 7� Rin�lp Famil� TTcrol__��l_n�
GROUP I TVPE V ZONE jW FIRE DISTRICT ZZS%
PERMITSISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER
g TrenCh �!G
ation Forms and Grade to Garag
Framing • N—��'
ing,Roug� �¢ �£
�ing, Rough Complete t �%�
irery Pole
3, Rough XG
ig, Rough r
.g, Final G� ,
, House Sewer, 3t.G,1/a
Tank or Cesspool
g, In � Out �/ �
Plumbing, Fin��al, Fixtures Com ete<LG�y�2 _�p `\
Plumbing, Fin�al GasTest/� �
Wiring, Final �� � y J�� �
Occupancy LC �L YD -J
Fm�m 7.10 (:-H 1500 � -55 . ..
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