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HomeMy WebLinkAbout2161 RALEIGH AVE - Building PermitsPtoject Address QoK A. P. No. � CITV OF COSTA MESA PARK FEES Fee Payment Receipt _ _ t-r� / ' ;.7J �' Building Permi[ No. ��(O�� Qwner's Name Mailing FEE Single Family * No. of Units Multiple Family "' No. of Uni[s P►anning Depaztment Approval Date / � ~ N° 226 -�_ Applicant's Signatu ` Clly Ortllnanca 72-4 •* Clty orelnance 72-45 "�' City Resolutlon 7aQ2a _ Wlfile - Planning; Canary - Plannln9; Pink - Finance; Goltlenrotl - ADO�Icant Pazk Area @ $455.20 = 'o�v' @ $321.32 = To F d CMF 0174-26 � / . � �I COSG�I �1CSJ uwntK POINDEXT: JOB ADDRESS 2161 GENERAI CONTRACTOR AP No.115-554-14 L INSPECTIONS SOIL WS W�TEN POUGN PLUMBING PROP. $WR. LINE HOUSE C( SPRINKLING SYSTEM MISCELLANEOUS ROIIGM NEATING RNb AIN CONO TEMPORARY SERVICE OR POLE UNDERGROUNO. OWER [ ROUGN WIRING TNENCMES FOpMS FLOOR SYSTEM � BONO BEAM [� �! SNE�TNING FRnME AND FLASNiNG LATHING — IN OUT PLPSTER,BROWN CpqT STRUCTURRL, FIHRL NEATING, VENT., REFRIG. ANO PLUMBING, FINRL ANO GAS TE ELECTRIC. FINAL BUILOING, FINAL Avenue u^�� 11-12-76 BUILDING PERMIT N0. ZONE VALUE PE GROUI SUBCONTRACTOR � ' �� � r ' �7'/n�+ F � � C. Q N h x F � w F� Q G � Q � } � � � a O a a z [+.1 S 3 e . CbSTA MESA BUILDING-SAF�I'Y DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only /aDDRES$ �j / .4�Es6� � OWNER �,Qd�.a o%tl7�EXr"E MqIL C17v /a4DRESS ARCHITE( CONTRACTOFi AODRESS C17Y STATE 114 NO. SIZE OF �pT V$E OF TEL. NO. TEL. TEL. NO. CITV LIC. NO. NO.OF BLOGS NOW ON LOT Separate permits are required for elec[ric, plumbing and heating work. OF BVILDING AND WORK TO BE PERFORD I hereby acknowladge thet I have reetl thic eppllcation antl steta that the above Intormecion Is correct nntl epree io comply with a�� laws .ee��ai��e buildin0 construccion, nntl I chall not employ e�y Oerson in violatlon ot the workman's compensetion laws of the State of Calitornla. I he�aby certity that I am ptope�Iy licansed as a cOntracto� untle� the Stata of Calitornia Buainass antl Professions Cotle, Division 3, Chepier 9, antl 2het such licanses are in full force end effect, or I arn exempt from the provisions ot the Stem of Celltornia Business antl Protesslona Cotle, Divislan 3, Chapter 9. 5�9natura of Permlttee A�thorizetl ABent mr 79_7'�"I (l�i 777 c'• ' 11� f. APPUCATION FOR STRUCTURAL PERMIT ECEIVy2���// DATERECEIVED nn7c�ssucr BUILDING ADDR�SS TRACT OWNER USE � FIRE ZONE T APPROVED BY ZONE NO.OF PLANS VARDSAPPROVED VALUE USE OF NEW BUILDING VARDSAPPFOVED ACCESSOf1Y BUIIDING DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDi VAfi, qIb DATE C.U.P.qp APPROVEO APPROVED N n m i SQ.FT. cmi THE AMOUNTSHOWN VNDEP VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE LV: � VA�UATION PERMIT FEE E ♦OU Ji / � PLAN CHECK E �� "� O g 7AX S �� LL � U TOTALPAID E �Ov _ J .. ... 42b2� \ TA MESA BUILDING-SAFETY DEPARTMENT .BOX 1200 COSTA MESA,CALIFORNIA 92626 Applicant to Fdl in Completely — Use Ink Only` BUIIDING, ADORESS /� � 'F OWNER DAU l�� l�iU�PJc�P� GTV BRANCH ADDRESS TE �EP —8-�6�fi1.40 385" �S.i?2 _M ° d: i: C� •1 APPLICATION FOR STRUCTURAL PERMIT RECEI V V DATE RECEIVED DA E ISSUE❑ %/11P ii.� c-.rv A ♦�� ER� M�TP10� BUIIDING OWN ✓✓I ADDRESS r, O �v0 � 20NE T PE GROU APPROV ED _ � � � CONTRACTOR 0�((y BY DATE . ADDLIESS ,sO �l �: /���[L Z NO.OF USE OF NEW p TEL. p�p,�^ BUILDIN `� CITV `. %� � NOfj 7.� � / � STATE CITV YARDSAPPROVED VAROSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIIDING {t� SIZE Sp x f 3'7• 6' NOW ON LO � FRONT / F ' � a. OF LOT a USE OF / ..�„ EXISTING BLOG. SID T. FT. �� �`�.�s Separa[e permits are required for L SIDE �FT. FT. � electric, plumbing and heating work. REAR FT.J FT/ [.W.i USE OF BUILDING AND WORK TO BE PEFFORMED DI5TANCE BET. BET. MAIN &� O�r MAIN BLDGS. ACCE55. BLIXSS. a �J l�i,rsl,4rr,qcE/F.e C URP.� APPROVED/ ' L��'1 �C A 6 E /aPPROVE � � } / � � W OLD FOR SPECI L I� � 1 hereby acknowletlpe thei I have read this applicetion antl stete / � [( that the above Intormation is <or�ect enC ap�ea to cOmply wi[h m � all lews reB�leHng builtlin0 �onctruction, antl I shall not employ Z any parson in viOlatlon of the workman's compensation laws ot m �1 � the Stata ot Californie. m Q 3 1 hereby cerUfy ffiat I am proparly Iicensetl as a contrector untler SQ. FT. i D =� the Svte of Callfornie Busineu entl Protessions Code, Div(sion 3, THE AMOUNT SHOWN VNOER VALUATION IS FOR m Chaptar 9, antl that such Ilcensas ara in full torca entl effact, or I THE PUFPOSE OF ESTA0J-ISHING A PEFMIT FEE ONLV: em exempt from the provisions of the Staie of Celifornia Business 1O � VALUATION P RMIT FEE y a antl Prof¢ssions Coda, Division 3, ChaPter 9. � � �.,/ S ��� $ V�/O PAXN CHECK S ; O � /� ' SIB^atura Ot LL v Permittee /j�_�� �6�._�"�� � e^ / Authorizetl Agent / �OTAL PAID $ 0 N