HomeMy WebLinkAbout2861 BOA VISTA DR - Building PermitsSAMAR C�IST.CO. �.. .._ nemF r'���� �
JOB ADDRESS GOI�i ri0& V18t8 llT1V6 BUILDI
GENERAL CONTRACTOR SSmB.T COIIBt.CO. VALUE
DESCRIPTION OF WORK
SUBCONTRACTOR
Forms PJ- Sleel Reinf.
208�0
. �pSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9f] COHTA M69A. CALIFORNIA
--For Applicant to FIII� In Completely,
Tr. 4341 TYPE OR PRINT Lot 123
BUILDIN6 2$(1 BOa Vlsta Drive
ADDRESS
COSTA MESA, CqLIFORNIA
ioas �ninorca urive
TEI.
..OStO Mesa NO. F
EER �{:_ KnlfPnh(�CFI NO. �
1823 E. 17th St. Santa Ana
9 STATE �1n7o0o , N�L. ..
�a LIC. N�. � 7 �JO
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SETBACK LINE FHOM ' " - q
CENTER OF BTPEGT SO � � REAR YARp �L
BIDEYARDI LEFT 5 '"I RI6NT 5
DESCRIPTION Op WORK
BUILOINr.� 238 s .ft
SIZE
EXTERIOR WALLWOOd �
COVERING
USfi OF BUILOING AND W
:�1
rtt Ktt;t�vt�
OCT 1 7 19ti3
fINANCE DEPT. �
CITY OF COSTA A�ESA
APPLICATION FOR PERMIT
BUIIDING
For Ofiice Use Only
I RHC[IPT NO. ' I PEqMIT NO.
er
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ZONING '
ZONB NO.OR ✓�' UBEOFNEW ,
Rl runn ffi a������as/res.w/&'t
�°"� Lot 123 Tr. ' ���+�e
DESCPII�ION )
A. P. NO. �4— � .
NOTE: NO EAYE OVERHAN6 6HALL BE LE59 TMAN
90" TO SIDE @ REAR P. L. .
EAVES
ALLOWEO (U.B.C.REQUIREMENTJ
YARD9APPROVED YARDSAPFROVEO
MAIN BUILDIN6 ACCESSORY BUILDIN6
fFROM'C/LSTREET)
FRONT ( FT. FT•
Ji _ _
REAR S �
, �13TANCE BHT.
MAIN BLOGB.
2 VAR. JF
r n o fl A
Plan 44 BR
I HEREBY ACKNOWLEOGE THAT 1 XAVE PEAD THIB �PPLIWTION
ANO 6TATE THAT TXE �BOVE �8 CORRECT �NO AOqEH TO COM-
PLY WITH ALL CITY OFOINANCE9 AHp BTAT[ LAW9 pHOULAT�NO
BUILDINO CONSTRUCTION.
SIGNATURE OF
PERMITTE ���� � �
AUTHORIZ6D AGEIJT � . .
DATE
!
,!� �/��'so.�� 709 `l'.r�',a. �,�;�' ' �
THE AMOUNT 9HOWN UNDER VALUATION IB FOR TXE F
PURPOSE OR ESTABLI6HIN0 A PERMIT �F2E ONLY. p
VALUATIOI'! . ry �r/ m
PERMIT FEE $ �p � �
0
�j m
$ � Oa(J� PLAN CHECK S . � � ¢
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1
OWNER
JOB ADI
GENERI
AP No. -
INSPEC'
SOIL
GAS
W aTER
ROUGH PL
DEAN
HOUSE CON.
DATE
BUILDING PERMIT N0. 4�g
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SUBCONTRACTOR
MISGEILANCOU5
ROUGM MEaTiNG AND nIR CONOITIONING
TEMPORnRY SEp`/ICE OR POLE
UNOERGROIIND � I POWER Cj '
ROU6N WIRING H1011p and Vent.
TFENCHES FORMS STEEL AEINF. G -
FLOOR SVSTEM
BONO BEAM I—I STEEL REINFORCE I—I
SHEATMING
FRAME ANO FLAS
LATHING — IN�
PLl•SiER, Bl10WN
STRUCTUR4L, FIN
XEATING, VENT.,
PIUMBING. FINnL
S,� �
( COSTA MESA BUILDING-SAFETY DEPARTMENT
P,O, BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
AD'DRESS � 1� � W`''�'t �/�L I � I � �+-' �
OWNER `• L��/U ��, � `�`—" X
MAIL / �) � .J
ADDRESS G'$ �(J �7Jd V�- ��`��- ,�V
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ARCHITECT �, . � , � ��� j:'_ TEL.
CONTRACTOF �-� ��� 'y/ t'�`
ADD R ESS
TEL.
CITV NO.
STATE qTY
LIC. NO. LIC. NO.
S12E NO.OF BLD(S. - �
OF LOT NOW ON LOT
USEOF ccl�ls.n:rs
Separate permits are required for
electric, plumbing and heating work.
UIIDING AND WORK TO BE PERFORMED
I hereby acknowledge that I hava read this applicatlon and state
that the Above informatlon Is corract.entl agree to compiy with
all laws reBuleting bu(Itling construction, entl I shall not amploy
eny perso� in violation of Me workman's compensation laws of
the Stete of Celifornia. '
I hereby Certify that I am ptoperly licensetl as a contractor untlar
the Stata of Cal(fornia Buzinass antl Profeuions CoAe, Division 3,
Chapter 9, and that such licensas ere (n full force and affeci, or I
am exempt from the provfsions ot the Stete of Calitornia Busineu
antl ProfeSsions Cotle, Divislon 3, Chapter 9: ,
,'`�r /, t
SiOnature ol. .� `�j � �/ rA
Permittee � �"' � `.K/<`"�f'<`�
I
Authorizetl ABent '
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P C TION FOR STRUCTURA[. PERMIT
RE E E Y DATEflECE1VE� D E SSUEO
r �
�/' / PERMIT NO.
A.P. N61� ' '�`
BUILDING
ADDFESS � O �� i
TRAC LOT BLOCK
W A D A P
OWNER \./�N �/"����J� '
IICF
P4l��e �"��i 1/C�.V�S ��
20NE
VARDS
DISTANCE BET
MAIN BLOGS.
VAfl. al�
DATE
USE OF NEW�
BUILDING
VAROS API
ACCESSORV
BET. MAIN &
�L7�
THE AMOUNT SHOWN UNDER VA�U
THE PURP06E OF ESTABLSHING A PERI
VALUATION PERMIT FEE $
� r�p PLAN CNECK E
$j -
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