HomeMy WebLinkAbout126 BROADWAY - Building Permits ""L^ ROSS, John C. "^" 25—Z/—/b
JOB ADDRESS 126-C Broadway BUILDING PERMIT NO. 42579
GENERAL CONTRACTOR Driver Eddy DESCRIPTION of WORK Fxpinstion Damage Repair
AP No. 117-104-06 LOT TRACT FIRE ZONE VALUE $3.500.00
INSPECTIONS Signature Date TYPE p GROUP ZONE g_9
SOIL SUBCONTRACTOR PERMITS 155 ED
-GAS
Date Number Signature
`WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING 4. j I E
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER E
ROUGH WIRING /12.3 tie/i �iU fiG' Neatinq and Vent. •
TRENCHES n FORMS 0 STEEL REINF. 0 9,14144-, Gra Cj-LQ-14 l3ep/e-
FLOOR SYSTEM
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BOND BEAM L STEEL REINFORCE '
El
SHEATHING
FRAME AND FLASHING - MIA-) li C'74
LATHING - IN 'ry OUT A Al, .6 r7Cp
PLASTER, BROWN OAT a ' So I.
STRUCTURAL. FINAL '
HEATING. VENT., REFRIG. AND A.C., FINAL - -,01. 1" . -
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL ,W9 finyl76 .
BUILDING, FINAL n40 J I0 MTh
s IIS PAID 1 't ***CI
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42579
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
/� //✓/ RECEIVED BY DATE RECEIVED D TE ISS E
BUILDING A /J/ n KzoA,.404 y �J� FA 7'7 7-a, -23 71
ADDRESS //)) f(J C/� I// /�["+ /q� 'J �/ „-.,mss PER`sI�/•y�p�/,Q
OWNER lekrii I`,�p ryO�/ss 7) ///�/�/y/�//r// A.P. NO.Jt.ate' /a T ,.,—s'•�(�c �TI��]-v`:, ! J
MAIL /�Si eff//��r///cT Cic/�✓/ (/r/J/!//7 ADIL IING iZLC 4--°. � rL✓f/- (11��L/I')Y
ADDRESS �J/� /I / �Q�
CITY �0lt� fifes/--y NOTELS/f p TRACTS'I/7 LOT3I BLOCK
CONSTRUCTION / /„_ NEW ADD ALTER REPAIR MOVING DFMOUSH
LENDER X
BRANCH 4,111-411./T / /
OWNER " Ci ectc 1
ADDRESS �j/ //VALUE 2
ARCHITECT TEL. USE 741AU,&)L/ E a
OR ENGINEER � NO. //
ADDRESS i9t2 &,q,e�¢e ,t�jt�eS/� FIRE ó,/, PE
X •//�
oo ZONE
PR GROUP'LCONTRACTORIJ�w� C/ � BVPROVEDATER 6.-2(
ADDRESS/J/%I�2 �/(7,41,821.-dr:
� �( 'J USE OF
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CITY �S'/a ' f=5� NOL YARDS CITY �J'U�jS 7c !- C PLANS NO.OF-� BUILDING EG"OS APPRl!// /
g LTC. NOATE R-/ 4 OC LIC.NO. //,J5 MAIBUILDING
(FROM
Ar)VED V�C ESDSORV BUILDING
Ia SIZE NO.OF BLDGS. (FROM C/L STREET) /
0. OF LOT NOW ON LOT FRONT FT. I. FT! r /
-et USE OF
, hy
�., EXISTING BLDG. R SI I /FT. Il + V T. At/
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Fz- Separate permits are required for L.SIDE{ 1 Fr�
c electric,plumbing and heating work. REAR 1` //fir. SU1 ` ,j t.
DR USE OF BUILDING AND WORK TO BE PERFORMED R (� '
F DISTANCE BET. BET. MAIN/8:
MAIN BLDGS. ACCESS. BLDGS.
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X/ ✓A1i(�/✓ ��1�/7G l,/ C URP# DATE
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APPROVED
7 d s/ /ny�TyA/` AM/WC]u
APPROVE ,(n' �/6�- t� -27-7A�]�
.r-1 /! C/2/7//` _ / t —BY L/�/V DATE 1G 27 1 A
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0 I hereby acknowledge that I have read this application and state n
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ac that the above Information is correct and agree to comply with y�
0• all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
x the State of California. m
I herebycertifythat I amSQ. FT. 91
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such li - -•s -r- In f II force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the p,• •• s• he S.!e o alifornia Business y
`q I VALUATION PERMIT FEE $ �Q
and Professions C•4, on h-,t• i! �'E/ 'n
4L PLAN CHECK $ /41-7.7.51
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Signature • ,LQ__
Perms //l/`r $ ��(f/1 �— TAX $ /S"'t' LL
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Authorized Agent TOTAL PAID $ Y� 70