HomeMy WebLinkAbout216 ALBERT PL - Building PermitsOWNER pETER
JOB ADDRESS 2
AA' .
MI
AIR
RARV SERVICE OR POL
iROUNU � POWER
WIRING
REINF.
fL00R SYSTEM
BOND BEAM [, STEEL REINFORCE
SHEATHING
FRAME AND FLASNING
L�TNING - IN n OUT ❑
PLASTER. BROWN CORT
5T" 'URRL, :IN�L
N , VENT., REFRIG. ANO A.L., FINAL
PL. .�NG, FINAL RN� GFS iEST n
ELECTRIC, FINAL
BUILDING, FINAL
DATE
fU6CONTRACTOR
PERMIT N0. 46343
.;�.�:- �s��o
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. o. BOX 917 COSTA MESA, GALIFOFiNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
BUILDING /
AO�RESS CO
COSTA MESA. CALIFORNIA
�
STATE 1� /1 [
LIC. NO. L•L
SIZE /_ �
OF LOT ��
USE OF _C
EXIBTING BLOG
8lTBACK LINE FROM
�
TEL.
NO.
TEL.
NO. OF 0LDG8.
NOW ON LOT
�ruK[�
OF WORK
��� ��������
AiV 9 1962
fINAiVCE DEP�,
cirr oF cosra M��n
APPLICATION FOR PERMIT
BUILDING
For Offlee Use Only
RECEIPT NO. PH MIT NO. �
%% j �-
RE��„Eo a� I j��y �„�2�� �� e%�G. .
us�,
BUILDING
ADDRE66
COSTA MESA. CALIFORNIA
FIRE
BY ��I�C�� DATE ���� " LO�
ZONINC� S '
ZONE NO. OF U6E OP NEW � �
� PLAN9 BUIIDIN6 �
LEOAL A• � 1^. �/_ i i/ � aI_ r
(G6NT8R LINB BT.)
S�
� ��
EVES l�
ATION I IIADDITION I � I3� ��
REAR FT. IN.
IG I II DEMOLI6H I BYF'ROVED /'�_ i� � DATE I` Q-G
( !l LY
NO. OF �Z (
ROOMS STORIES � �,� � � r 3
EXTERIOR WALL ROOF
COVERING COVERING � ^ / � 5 � � � �
USE OF BUILDING AND WORK TO BE PERFORMED
� �i�LD FOfi 5P�CIA� P�Uft2FrAch'
5 _� . �< S� � :
._
a1 � y
1 HEREBY ACKNOWLEDGE TXAT 1 HAVE RCAD TH18 APPLIWTION HE AMOUNT BHOWN UNDER LUATION IB FOP THE
ANO BTATE THAT THE ABOVE i6 COPRECT ANO AORBE TO COM- pUftP08E OP EBTABLIBHINO A PERMIT PEE ONLY.
PLY WITH RLL CITY ORDI BTAT¢ LAW9 fteOULATINO
BOILo1Nc CONBTnUci�O VALUATION /
SIGNATURE OF PERMIT FEE $, �(� ��
PERMITTE %% /y�/
$ �j�P�`� PLAN CHECK $ ! O �
AUTHORIZEO AGENT
iOTAL FEE
OWNERGRAY� RICHARD
GENERAL CONTRACTOR
AP No. 118-12�+-14 LOT
IT""'ECTIONS
S
Gas
i
i_
OCCUPANCY
O
TRACT I'IRE ZONE
�Signature� DATIi GROUP
i-i8-62
BUILDING PERMIT NO. loJ:eV
VALUE � 1 �020.00
DESCRIPTION OF WORK Re6.W Det.Gar.
� 'TPYPE 4 ZONE
SUL-'CONTRACTOR
QP'�
' ;. ' � ii c3't �
�'.
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[ely — Use Ink Only
BUILDING r / � A / Q, n . �/- / /% . . ..
OWNER �-�'�
MAIL
ADDRESS
CITV
CANSTRUCTION
LENDER � i
BRANCH
ADDRESS
8379 7%07Y78 �� g.50 TL
APPLICATION FOR STRUCTURAL PERMIT
A.P.'NO. I �
�� BUILDING /�
ADDFESS ((J
TEL. �/ �'7RAOT --�.
NO - �
W ADD
�
�
OWNER
7EL. 5
No.
FIRE
20NE
, /� APPROVED /j
VAIUE
20NE(/ �J PLO.,rO�F� BUILDING�
TE /j/J 1\�.i
CITV N y�
.F+ STATE CITV VARDSAPPROVED VARDSA
i LIC. N0.3/� LIC. NO. MAIN BUILDING ACCESSOR
i
{ni„�� SIZE ��{ J1 NO.OF BLOGS. (FROM GL STREET)
L OF LOT (/ (/ NOW ON LOT OM FT.
a USE OF I
� EXISfING BLDG
y
FSegarate permits are required for � sio F �.
q electri�, plumbing and heating work. REA Fr.
�. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
Q / � MAIN BLD(S. ACCESS BLp
Q( �FI / VAR.# DATE
a C.U.P.� . n APFROVED
� APPROV � l.Ai
�•C.!
.d !
a
w
QI hereGy atknowl0dge that 1 have reatl this application antl state
y� that tha above informetlon is cor�eci and agrea to comply with
a all laws regulating bu{Iding conrtruction, end I shall not employ
�Z any pe�son in violation of Me workman's compensation iaws of
� Me State of California.
3 1 haraby certify tFat I am properiy Iicensetl az a contractor untler SQ. FT.
the Stata of Califarnia Busineu and Professions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALU
Chaptar 9, antl th9i such licensas era in full force and effect, or I THE PURPO6E OF ESTABIISHING A PERt
am exampt from the provisions of tha State of Calffornia Business VALUATION PERMIT FEE E
end Professlons Cotle, Division 3, C ar 9.
l OO PLANCHECK E
Signetura a / �f / � �
Pe�mlttae�l � � �� %/ / V $ y/ �� TAX $
� d
Authorizatl Ageni TOTAL PAID E
BLOCK
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