HomeMy WebLinkAbout312 CAMPBELL LN - Building PermitsF
�
C�.
a
y
h
�
F
- / ��
� ��i.Dc � iz � _:.: _ - -
_-,--�,-=_.::`.,:• .. "�:�'.�i
COSTA MESA BUILDWG-SAFET PARTMENT 31 % CC�Q��
P.O. BOX 1200 COSTA MESA. CALI ORNIA 92626
APPLlCATION FOR STRtICT'URAL PERMIT
For Applicant to Fill in Completely - Use Ink Only
RECEIVED BV DATE RECEIVED DATE ISSUED j
BUIIDIN�ICI �� C p � � D
ADDRES <
I .�+.�. PE
OWNER Mariners Savin s& Loan Assoc. A�P� NO � ���'` J J
MAIL BUIIDING f.,_ o //
ADDRESS 1515 Westcliff Dre
ADDRESS JO ' I � i�r�•`
CITV Newport Beach No�642-4000 TAACT 1�14$ LOT BLOCK
COKSTRUCTION W A D A P
LENDEfl SaIIIB d5 dbOV2
BRANCH � r
OWNER
ADDR ESS VALUE
ARCHITECT TEL. E
OR ENGINEER
Suite (i FIRE
ADDRESS ZONE T E GROVP
APPROVED /�
CONTRACTOR BV �ATE � (,/`�
ADORESS
TEL. ZONE NO.OF USE OF NEW �
ciTr � No.64 -11 Z vuvsz eui�anc �
STATE CITV �'ARDSAPPROVED YARDSAPPROVEO
uc. No. 336725 uc. No.14664 MAIN BUIIDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREETQ)—A
OF LOT VdZ'l.pll5 NON�ON LOT FT.v FT.
USE OF �
EXISTING BLOG. FT
Separate permits are required for � sioe �r. FT.
electric, plumbing and heating work. -
REAH FT. FT,
USE OF BUILDING AND WORK TO BE PERFORMED qgrqNCE BET. BET. MAIN &
Total Units - 4 enniN e�ocs. ncc6s. e�s.
VAR� p4TE
Total = 6232 s. ft. c.u.r.� -7%�J�j APPROVED
Tot ar. = 768 s ft. 'qPPROVE�i!%iQ �� � 3- Q• 7$
' -' s'��IA REETi<<: ; ' .
I heraby acknowlatlpe Mat I �ave � this appiic ion anC stata �
Mat the above information Is correct and apree to comply wit� i
ell lews reBuleting building conatruction, antl I snall not employ
eny oarwn in violatian of Me workmen's compensation laws of ,
tha State of Calitornie.
I hereby certify that I am properly Iicensetl as a contractor untler SQ. FT. i
tha Smte of Celifornia Butiness and Professions Code, Division 3, THE AMOUNTSHOWN UNOER VALUAT�pN IS FOR �
Chepter 9, antl that such licenses are In full torce antl effact, or I THE PURPOSE OF 6TABL6HING A PERMR FEE ONLY: '
:
am exempt fro ie (ovisions o the Siate pt alifornia 6�sinau VALUATION PERMIT FEE E
antl Protession od �pivision haptar 9. � �
� 2 :
PLAN CHECK E �
Sipnature of 2 :
Permlttee � $ /��) � TAX S
/ �
Aut�oftxatl Apeni I TOTAL PAID S
�I
m
�
COSTA MESA BUILDINGSAFETY DEGARTMENT
P.O. BOX 1Z00 CQSTA MESA. CALIFORNIA 92816
; ..�; .
, , � - . ,.,.; �
APPI�CATION FOR STRUCNRAL PERMIT
For Applicent to F� in Compktely — Uee Idc Ody qECEIVED BV DATE RECEIVED
BUILDING
AODRESS
t .
PERMIT NO.
OWNER A.P. NO.
MAI L ���
ADDRESS NDDREBS
TEL. TRACT LOT BLOCK
CITV NO.
�OtySTHU�CIION
LENDER
BRANCN
OWNE
ADDRE55
ARCMITECT TEL. • • _•
fIRE
ADDHESS 20NE VP
A►iROVED
CONTRACTOR DATE
ADORESS
TEL. ZONE NQOf USE Of NEW
CITV NO. �� ���p�
STATE CITY VARDSAYPROVED YAqDSAVPROVED
LIC. NO. LIC. NO. MAIN BUILDINO ACCESSORY BUILDINO
g�=E � � �� (FROM Gl STREET)
Of LOT �IDW ON LO'f FT
USE OF
EXISTNO 8LD(3.
Separate pertoitt are required tor
ekctric, plumbing and heeting work. R�Aq �T. FT.
USE Oi BUILDINO ANDwOFK TO BE oERFORMED �� � �� a
N BLD�.
VA0. t OMTE
r C.U.►,i pAfqVED
APPRWED
I MnDy ecknowlWp� tMt I ��v� rw0 MI� �po�knlon ud sbq
uwc Ne abo.�� IMormnion I� oerr�et �nD prw w comolv +MM
�11 Iswt rpulatiny bulWkp consduetlon, �nG I�MII no� wnpbY
�nY Wrnn In r7ol�tlon af die workm�n'� tomp�metlon Iw� 01
tM SnL Of GIHOrnI�.
1 Mnbv crtky Me[ I rr� propvlY (IcAnrG a� � conVxtw unOw Sd FT.
ttr� SLn oi Cellfo�nl� Bu�lneo eM Profwlont CoW, DNIAon 3, THE AMOUHT SHOWN UNOER VALUATION IS FOR
C�por 9, mC tMt wc� IkH1Ms R� In iull }oIp �ntl �H�et. M 1 TME PUipO6E OF E4TABl.6lqNp A PEMYf fEE ONLV:
�m �:�mpc trom tM D�w�dom o1 th� Sten o1 Glltornb Bu�inN ypLUATION � MIT FEE •
�nA Gro7wiom Cpf�, DNhlon 3, Cn�pmr 9.
Sipnatun of PLAN CMECK i
V�mltba � TAX •
A�ma�b AP�t TOTAL VAIO •
h
C
0
i
0
i
m
�
n
n
0
LL
i
u