HomeMy WebLinkAbout308 CAMPBELL LN - Building Permits- - _
BLDG # 13
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COSTA MESA BU DING-SAFETY DEPARTMENT �
o n ClIY 19M rncre �ncce rei ��nenue m<�a
For AppGcant to Fill in Completely - Use Ink Only
BU�LOING 2�,.,<�, �_ � �,� j?v
A�DFESS�Z' �._j � ��..t��—�^
OWNEF Mariners rJdV1r1CJS & Loan Assoc,
o� RFSS 1515 Westcliff Dr.
TE �. 642-4000
cirv Newport Beach No.
ARCHITECT
OR ENGINEER
ADPRESS 1'j!
CONTFACTOR
Same as above
5 Placentia Ave.
ciTY Costa Mesa
STATE
uc. No. 336725
siz¢ -
OF40T Various
USE OF
EXISTING BLOG
-".- _ ' - ,....Si
APPLICATION FOR STRUCTURALPERMIT
PECEIVED BY DATE FECEIVED DATE ISSUE
�i i„ _ '�
BUIlO1NG
ADDRESS
�
10148
OWNE W/
rE �. 549-4002
Suite H FIRE
Irvine ZONE
APPROVED
8Y
TEL. ZON� NO.OF
roo.646^1164 P�^"�
CITV
uc. No. 14669
nro, oF e�ocs.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WOFK TO BE PERFORMED
ToY.aLunit�—� _. _
dSTANCE BET.
MAIN BLDGS.
VAR #
C.U.P. ��
//
�i
J� FT,
BEf. MAIN &
ACC65. BLDGS.
D�4TE (�
APVRpVEW B �
nnTc� ���,�
._. ._.... .�.i �\i \.:'.:.. .� . .. � ` N
hereby ecknowledge tnet 1 have r this applica on end rtate """" �
fiax i�o abova informallon ia corract antl apree to comply with �
AI laws repuleting build(np conrtruction, antl I shall no2 amploy �
ny person In violation of the workman's compenssTion laws of p
he Steta of Calitornia.
m
hereby certify that I am proparly IicensaA as a coniractor untler SQ. FT. �v
he Siate Of Califo�nia Businea antl Profassions Cotle, Div(sion 3, THE AMpUNTSHOWN UNOER VA�UATION lS FOR �
'.hapter 9, antl that such licenaes are In full for e and atfect, or I THE PURPO6E OF ESTABLISHING A PEPMfT FEE ONLv:
m exempt tro rovisions of the Stete ot e itornia 8usiness VALUATION d
PERMIT FEE E
ntl Protesslon Co ivislo 3, hapter 9. m
LAN CHECK S (�
ipneture ot �� n o`'�
ermirtee � $ ��� //h/) TAX S f!K
, f�i�/ • v ` V
uthorized Apant TOTAL PAID S �/f � �i
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92826
APPIICATION FOR STRUCTURAL PERMIT
For pppGcant to F�1 in Compktely — Use Ink Only
RECEIVEDBV DATERECEIVED E UED
BUILDING
ADDRESS VENMIT NO.
I
OWNER A.O. NO.
MAI L ���
ADDRESS ADDHESS
TE�. . 7qpCT LOT BIOCK
CITV NO.
OD�b'TRUCf10N
LENDER
BRANCH �
OWNE
ADDRESS
ApCHITECT TEL. ' • s —
OR ENGI E R
FIRE
ADORESS ZONE TYFE R
A7VROVED
CONTRACTOR BY � DA7E
ADDRESS
TE�. ZONE NO.OF USE OF NEW
CITV NO, ��� ����'
STATE CITY YApOS APFROYED YARDS APPROYED
LIC. NO. LIC. NO. MAIN BUIlDINO ACCESSORV BUILDINO
SIZE �pFg�� (FROMGLSTqEET)
OF LOT �.pYYpNLOT T FT.
USE OF
EXISfING BLDG
Separate permits are roqu'ved for F FT.
electric, plumbing and heating work.
REAR FT. FT.
USE Of BUILDING AND WOHK TO 8E PERFORMED p�rANCE BET, BET, MNN 6
MqIN BI.00fi. ACC�, BLDCiS.
VA0.t OATE
C.U.P.♦ APVRpVED
APPfqVED
1 MnbV ecknowNdp� Mat 1 �ave ��s0 Mi� pDlicaMon antl tu»
met tM abov� {nlorm�Hon N co/nct �ntl aprw m eomply whh
ell iaw.'r�inioo euumnp CONtluetlon, enC 1 Oull not �mplOy
eny pa�wn In violatlon oi the workmen'� eomp�metlon I�ws of .
tM Stats of Celiforn�e.
I �areby cMlfy Mrt 1 em oroP�lY IldnMd n a eonbxtor uMu SQ FT.
U�e Sute of Ca)Ilornis Busln�u anO ProfpNons Coas, DNINon 3, 7HE AMOUN7 SNOWN UNDER VALUAT70N IS FOR
Chapta� 9, �ntl Mat weh Iic�nsn ere In full forc� end eif�ct, or 1 7ME R1Wb6E OF ESfABIISHING A PERMfT FE qJLV;
em exemDt +�om Me provltlons of th� Stet� of CalHornla 8u�inw yp�UATION PEqMiT FEE {
ana Prof�niom Coes, DNIUOn 3, Gheptar 9.
Sipnature of P�N CHECK f
PermltW f TAX t
AuthorizWApent TO7AlPAID •
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COSTA MESA BUILDINGSAFETY DEPARTMENT ,, 6952 I O/ I 3/78 5•'E
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 --- •� �� � �
APPLICATI N FOR STRUCI'URAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
�, 1 RECEIV DATERECEIVED D ^I$SUEO
ADIDRESS Q CA„I�U�-"LL ���v�+ / �
OWNER Q IL� Wcy • �—(J. A.P. N(T.�'�'IfN'�I (,J � PERMIT NO.
ADDRESS � ��� Py'�-�� �� � BUILDING � /j�L /�t
ADDR ESS r �,��,
G./ 1• TE�'/� ,� (. TRACT LOT BLOCK
c�Tv � NO. �'�"lo
CONSTRUCTION {�/LI NL�.S �7� � W A P
LENDER ,1
BRANCH ��G4F� � �DVL/L (/'��
OWNER OG� �• �/ •
ADDRESS � VALUE
ARCHITECT TEL. S $
OR ENGINEER N
FIRE
ADDRESS ZONE TVPE GROUP
VOC -� ��. C�, P`PPROVED
CONTRACTOR BV DATE
ADDRESS SNt� �t'J{.1l%E
TEL. �ONE � NO.OF USE OF NEW
CITV NO. P�� � BUILDING
STATE CITY YARDSAPPqOVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLIX'aS. 2 (FROM C/L STREET)
OF LOT NOW ON LOT p"J � FROM FT. FT.
USE OF � i 1, �
E%ISTING eLDG. �� 5 FT
Separa[e permi[s are required for �. sio FT. FT.
elec[ric, plumbing and heating work.
REA FT. FT.
VSE F BUILOIN AND QRK TO BE PERFORMED DISTANCE BET. BEf. MAIN &
� � .C:� MAIN BLOGS. ACCEQ. BLOGS.
VAR.sW DATE
C.U.P.qW w /1PPROVED
APPROVED/: �' • , !. „/? �`� Q
C.IN V � V y
I hareby acknowledpe thet 1 have reatl thie epplication nnG stata
Mat the ebova Information is correet en0 aBrea to comply wiih
ell �ews repulating bulltlinp eonnruction, end I shall not employ
nny parson in vloietlon ot the workman's compensetion lews of
tho Staie of Celifornle.
I haraby cartify that I am propo�ly Ilcensetl aa e contrector untler SQ. FT.
the Sieta of Celifornie Businasa entl Protezzlons Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS POR i
Chaptar 9, and et sueh lieenses are in fuil force antl effact, or I THE PURPO6E OF RTABLISNING A PERMIT FEE ONLY:
am exempt om the pro Islons ot tha Stata of Celifornla Business VALUATION PERMIT FEE E
entl Profe ions oda, DI ial n 3, Chapter 9. i ��%
PLAN CHECK E �
$ipnaTur ot � i
Pe�mltta $ � D TAX E � (%
Authorizatl Agant TOTAL PAID E�sv
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