HomeMy WebLinkAbout950 CONGRESS ST - Building Permits�nn�K rr�ttc � c�u uni� 5-13=f(
JOB ADDRESS oSn rr,;,orP�a a+rPP+. BUILDING PERMIT N0. h�o��
AP No.
GAS
SPRINKLING SYSTEM
9 MISCELLANEOUS
\ ROUGN HEATING �ND �IR COMOITIONING
TEMPORAHV SERVICE OR POLE
UNDERGROUN� � POWER �
ROUGH WIRING
TRENCMES FOFMS STEEL REINF.
FLOOR SVSTEM
BOND BEAM � STEEL RE
SXEATHING
FqqME ANO F�RSHING
LRTHING - IN OUT
PLASTER.BROWN CO�T
SUBCONTRACTOR
MEATIHG, VENT., FEFRIG. �ND A.C., FINAL
PLUMBING. FINAL �ND GAS TEST -
ELECTRIC, FINFL
BUILOING, FIN�L
SPECIRL REOUIREMENTS _ . .
.
, � �:�9Z�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ [o Fill in Completely — Use Ink Only
BUIIDING �1L
ADDRESS .�O•T
OWNER �
MAIL pr.f /� _ _ _ . C��
BRANCH
ADORESS
AFiCHITECT
TEL.
NO.
TEL.
A.P. NO. / S�`
BVILDING
ADDRESS
TRACT ��
FIRE
��
`�AY 13-77PAI�OG 660� **°+*4Z.50
CMS!
FOR STRUCCURAL PERMIT
DATE RECEIVED DATE IS!.S�UEC
,� ��S—�
CONTRACTOR / .} tiY
ADOFESS !Y`� �
TEL. ZONE NO.OF (
CITV �./ NO. y.SI P�'�
i-F. STATE CITV �'AROSAPPROVED
LIC. NO. �IC. NO. MAIN BUI
{s7 SI2E / ]� -�� NO.OF BLDGS. (FROM GI�T
0. OF LOT 7(� �`� � O f NOW ON LOT / FROtYT �
� USE OF �1 � y / �
EXISTING BLDG. II !.A .�."�"�a S Y�
: �.
� Separate permits are required for L SIDE
q etectric, plumbing and heating work. REAR �
(.W.� USE OF BUILDING AND WORK TO BE PERFOflMED OISTANCE BET.
QQ MAIN BLDGS.
�/ �7 VAR. #`
a ,l",� G c.u.P.9w
7 APPROVE[�W
�.
a
a
w
� 1 horeby acknowladpe Shat I heva reaA this applieetion antl state
(y� thet tha ebove Iniormetlon ia correct entl eBrae to comply with
� all laws reguletinp buildlnB construction, and 1 shall not employ
Z any person in violetlon o1 the workmen's compensatlon laws of
� che Scate ot Celifornle.
3 I hereby certify that I am properly Ileensed es e caniractor untler S�
the Stata ot Callfornie Business entl Professiona Coda, Division 3, THE AMOU
Chapter 9, and thet s�ch licenses are in full torce and effeci, or I THE PURPOE
am exempt from the provlsions of tha State of Calitornia 8usiness VALUATION
antl Prafessions Code, Division 3, Chapter 9.
sipnature t- ^�
Parmlttee S �G
Authorized AB nS
VALUE
USE OF NEW/�
BUILDING [/Jp��76�
VARDS APGROVED
ACCESSORV BUILDING
FT.
OATE
APPROVED
_ _ __ , S: �3-
n
m
i
u
m
T. N
SHOWN UNDER VALUATION IS FOR m
iF ESTABLISHING A PERM FEE ONLY: �
PERMIT FEE a
N
m
'V PLAN CHECK E "� .
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TAX S LL
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U
TOTAL7AID S � ,S
i
• C�ta Diesa Building Department
111 EAST 20th STREET �- �
,
� � COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
Building
Addrou CnnTaAa �fi
Costa Mesa, California
Nearest
Cross St. Tlo1-i nnal � G�rq
Address
Contractor
tion I No.
Metes and
Center oT Street
DES�
New �7I
Size
Exte
COVf
Use
BuiL
Block
" --� I No.of I No.
Families Roa
Rear Vard
:7 � � Side Vard � nJ
fPTION OF WORK-
Alteration I I Addition
Stories
t
I hereby acknowledge ihat I have read this Application
and state that the above is correct and agree to comply
with al] City Ordinances and S�ate Laws regulating
building construction.
Signature of
Permittee �.7_}� _ +�
���....
AuthorizedAgt. �w�
Valu.ation �(�j3p.p� Permit Fee $
Plan Check $
$ 7otal
Fee $
�nnn 'Lnq (.- 1M 1'L-63
APPLICATION FOR PERMIT
__._�u��p,�t�G_--- .
I�'OR OFFICE USE ONLY
Receipt No. Permft��
� - � /��
Receivediby, I Date Rec'd. I Date I��
�
Mesa, California
Zone ! I No, of I Type
i Plans
AppFoved i
by �
� CORRECTIONS
: 7
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_ _ ' ' . ' _—.._. "_ `_' __ ._ . " . Z
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APPROVAI.S
�undation Location Inspector
Forms, Materials,
Under-Pinning
'ame: Fi�e Stop3,
Int.
Exi
r, Ini
r, Ext.
Date
5 ,
Show Iocation and distanees from
� property line and between buildings.
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