HomeMy WebLinkAbout462 BROADWAY - Building Permits�,rOWNER KTRKPATRTCK_ S. D.
c' JOB ADDRESS 462 Broadwav
�GENERAL CONTRACTOR �er Bldr.
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� INSPECTIONS Si �of�re
\ SOIL
GAS
WATER
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PROP. SWR. LINE Q-NOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONOITIONING L1.
TEMPORAftV SERVICE OR POLE
UNOERGROUNO � POWER �
� ROUGH WIRING / - _ C-%�
TRENCHES � FORMS � STEEL REINF. (�1
FLOOR SVSTEM d
BOND BEAM STEEL REINFORCE
SHEATHING
FRAME AN� FLASHING C � �-Jj
LATHING — IN OUT C-
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING, VE FRIG. G
PLUMBING, FINAL ANO GAS TEST
ELECTRIC, FINAL l.G
BUILOING, FINAL iQl,fi
�or�i.� oc���ioc�.c.ire I
DATE 2
BUILDING P
IRE ZONE VALUE
GROUP TYPE
, SUBCONTRACTOR
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' 36059
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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CITV NO.
STATE CITV
LIC. NO. LIC. NO.
512E / NO.OF BLDGS.
OF LOT (J U��Z � S I NOW ON LOT
USE OF �7
EXISTINGBLpG. /�eS/1{iyr(c�
SIZE OF NO. OF
NEW BLDG. ROOMS STORIE:
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COVERING COVEFING SLlG (P.
USE OF BUILDING AND WORK TO BE PERFOR D
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A PL ATION FOR BUILDING PERMIT
R E�V TE ECENE� DATEISSUED
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ZONE — / NO.OF
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VAROSAPPROVED
VAR. #
G.U.P. #
USE OF NEW (/0-//S6
BUIIDING U ��
VAFDSAPPROVED
ACCESSORV BUILDING
BET. MAIN &
ACCESS.BLD
DATE
4PPFOVED
I hereby acknowletlge that 1 have reatl this application antl state � �J
that the above information is cOrrect and agree to cOmply with
all laws regulating builtlinq conzttuction, and I shall not employ �
any person in violation ot Me workman's compensation laws oi �
ffie State of Calitornie. m
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I hereby certify that I am properly licensetl as a contractor under SQ. FT. o
the State of California B�siness antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VA�UATION IS FOR �
Chapter 9, antl thac such licenses are in tull forca antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from the provisions ot the State of Celifornia Business ¢
and Professions Code, Division 3, Chapter 9. VAlUAT10N /iiJ m
/N�1 P RMIT FEE $ �� �� �
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SiBnetura of �� �� /�'�p�.T/Z �/f,/ E
Permittee � ��� �a/�/ PLAN CHECK $
G%(,i/�/w�/ V l/ � `o
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Authorized Agent / TOTAI FEE $
OWNtK
No.117—�42-28 LOT 28 TRAC7 1154 . FIRE ZONE
501 L
WS
,WpTER
ROIIGH PLUMBIHG
PROP. SWR. LINE � NOUSE CON. �
SPRINK�ING SVSiEM
MISCELLANEOUS
ROUGH HEATING RND AIR CONOITIONING
TEMPOFARY SERVICE OR POLE
UNOERGROUND [� POWER �
ROUGH WIFING
TRENCHES FORMS STEEL REINF
FLOOR SYSTEM
BONO BEAM [] STEEL FEINFORCE �J
SHEqTNING
FRAME AND FLASHING �
LATMING - IN n OUT �
PLASTEF,BROWN COFT
STRUCTURAL, FINAL
MEATING, VENT., REFRIG. ANO A.C., FINAL
PLUMBING. FINAL r1ND GAS TEST n
ELECTRIC, FINAL
BUILOING, FINAL
CPifIAI GGI1111RFMGYTC
DATE 12-4-
BUILDING PERMIT N
SUBCONTRACTOR
.• - 3764�3
COSTA MESA BUIIDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
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CITV (_'.C%�SI/7 ��C�YT NpL.
CONSTRUCTION .
BRANCH �-
ADDRESS ��
ARCHITECT �, TEL. —
OR ENGINEER NO
ADDRESS '—
CONTRACTOR ��jQ�r�//Z� (�'//L� j
ADDRESS yj /!�G(/��r� S /
TEL.
CITY n ; � NO. ����j
l. C NO. ��C�6� �IC NO��
OF LOT S�/� // '� I NOW ON LO S /
USE OF /�
EXISfING BLDG. /C�,S .
SIZE OF NO. OF
NEW BLDG. ROOMS STOFIES
EXTERIOR WALI ROOF
COVERING COVERING
USE OF BUILDING ANO WORK TO BE PERFORMEO
� � � PkI� �;:,•�ru
F - i-73�—;��00 115' S.50
�N FOR BUILDING PERMIT
DATE RECEIVED D/A.TE IAUI
��
BUILDING
ADDRESS
OWN
FIRE
N NO.OF
PLAN$ �
VARDSAPPROVED
MAIN BUI�DING
VAR. #
C.U.P. #
VALUE
.L� $
ROUP
DATE /
USE OF NE .
BUILDING p�- �
r
VARDS APPROVED
ACCE�SS/ORV BVILDING
�V �FT.
�
FT.
O FT.
FT.
BET. MAIN &
ACCESS. BLDGS.
DATE
AP7ROVED
I hereby acknowletlge that I have raatl this apP�ication antl state v
that the above information is correct and aBree to comply with
all laws reguleting builtling construction, antl I shall not employ (�
any person in violation ot the workman's compensation laws ot �
ihe State of California. m
e
I hereby certity that I am properly licensetl as a conttacior under SQ. FT. o
t�a State of California Business and Professions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR �
Chaptar 9, antl thac such ticenses are in full forca antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt fror� tt�e p�ovisions of the State of Califo�nia Businass ¢
VAIUATION
antl Professions Cn e, Division 3, Chapier 9. �— N
A PERMIT FEE $ ]
Si8^atura ot � // , �� � �% �/ m
Permittee w -�� � / G'[d g//�� PLAN CHECK $ E
Authorizetl AOent o
LL
TOTAL FEE $ �