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HomeMy WebLinkAbout2189 PACIFIC AVE - Building PermitsOWNER S�mg VIEW, TNC_ JOBADDRESS 2189 Pacific Av GENERAL CONTRACTOR Ti-b7ar A �. 422-121-10 LOT 25 IN�. ECTIONS SOIL GAS WNTER ROUGH PLUM9ING PPOP. SWR. LINE n NOUSE CON. � SPRINKLING SYSTEM MISCELLnHE0U5 ROUGH NERTING ANO AIR CONOITIONING iEMPORRRV SERVICE OR PO�E UNOERGROUNO � POWER � ROUGN WIRING TRENCHES � FORMS STEEL REINF. FLOOR SYSTEM BOND 9EAM �] STEEL FEI SMEpTHING ' �NFRqME AND FL�SHING LATHING — IN n OUT � �(�l'-TER, BROWN WAT QS lURAL, FIHAL ,ZHEni1NG, VENT., REFR16. AN[ PLUMBING. FIN�L 4N0 WS TI ELECTRIC, FINRL BWLOING. FINAL & C DATE SUBCONTRACTOR � . . .. ' �eaeo i, i i i�ieo _2s.00 T�� F � W G. Q � � _ F O W F� 'a 7 .r.l � W o. � �. O. Z Lid .T. 3 COSTA MESA BUILDINGSAFETY DEPARTMENT APPL ATION FOR STRUCTURALPERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECE PERMIT For Applicant [o Fill in Completely — Use Ink Only N° � 5 0 9 7 6 BUILDING A.P. NO. � � � ADDRESS i vF � C BUILDING�/� ^n/� ^ OWNER OR e� /, ADDRE55 r�L �� TENANT ' • MAILING / / , � �e r /` SPACE NO. � C ADDRESS TR.NO. LOT BLK. TE CITY � f%.SL N . � Z NEW ADD ALTER REPAIR MOVING DEMOLISH CONSiRUC710N / ` ! LENDER .�/ X / ` BRANCH OWNER ADDRESS � VAWE y� � ARCHITECT TEL. US E/ Ov . OR ENGINEER N ADDRESS ZONE TVPE GROUP APP VED CONTRACTOR — �%'J ,� C 8� DATE ADDFESS � � �-y � TE , CITV ' 1� N �/ STATE CITV APPROVEDSETBACKS LIC. NO. �J[j lJ LIC. NO. SIZE NO.OF BLDGS. (FROM C/L STR OF LOT NOW ON LOT M FT USE OF EXISTiNG BLOG. Separate permits are required for � sioe Fr. elec[ric, plumbing and heating work: REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION DATE APPROVED • APPR E I heraby acknowletlge tha[ I have read this applicetion antl stata that the above intormation is correct and agree to comply wlth ell laws reBulating buildinp construction, antl 1 shall not amploy any p¢rson In vio�etlon of the workman'z compensation laws of Me Staie of Califomie. 1 hareby certity that I am proparly licensatl as a conttactor under SQ. FT. Ne Staie ot Californle Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that such licenses ere in full force antl etfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am ezempt from the provisions of the Stata ot California Businass VALUATION PERMIT FEE 5 antl Protessions Cotla, Division 3�hapter 9. ,� � PLAN CHECK $ s� SiB�ature o� Pe�mittee �y �% $ �' TAX E � /S Authorizetl ABent Data �l ��` �J '-� ' � TOTAL PAID a p�