HomeMy WebLinkAbout2253 PACIFIC AVE - Building Permits^ COSTA MESA BUILDING-SAFETY DEPARTMENT
' P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING �"j
ADDRESS `) n
OWNEROR' /I-n1�Ci �I1/. _ 0(!�
TENANT `Ci1.�-�-/
TE
BRANCH
ADDRESS I.�xi-: �U19'�l.d.�-
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F STATE / CITY
i UC. NO. ��d yl� LIC. NO.
d
{,y S12E NO.OF BLDGS
LL OF LOT NOW ON l0T
a USE OF
� EXISTING BLDG
y
F, Separa[e permiLs are requ'ved for
� electric, plumbing and heating work:
H USE OF BUILDING AND WORK TO BE P RFORMED
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� I hareby acknowlatlBa thet I heva reatl ihis applicatlon antl stete
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y� that Me abovo Information Is correct antl eprae to comply with
� ell laws reBulatlnB builtlin0 conrtrucxlon, en0 1 shall not omploy
Z eny person in violatlon of Ma workman's compensation lawa of
SMe Smte of Celifornia.
3 I hareby certity that I am p rly licanmtl ns n co tractor untler
the Stata oi CnlHornla Business nd Protesslons , Dlvision 3,
Chaptar 9, antl at ch lieense are In full forc a tl etfoet, or I
am axampt fro the ovisions f the Stata of C It rnie Businqcg
end Profeaslon otle, Ion , Chapter 9. ���
\
Slgnntura ot K�
Permlttee �y
or
Authorizetl Apant Date
APPLICATION FOR STRUCTURAL PERMIT .
RECEIVED BV PERMIT ^' I^/� p� �A T�.
A.P.No. aa -,✓oGi-oB-o�-�o
BUILDING /1 1r1� �
ADDRE55 (� �(L/
VNIT OR
SPACE NO.
NEW
OWNER
LOT
>LTER REPAIR MOVI
E
DATE
APPROVED SETBACKS
N
DATE n
� � � APPROVED O�
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n
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m
m
SQ. FT. a
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF FSTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE E D q
n
� PLAN CHECK S o
/ V J�� LL
$�`�J TAX E O f
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TOTALPAI� S . .
'"�" �" COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Complerely — Use Ink Only
BUILDING
ADDRESS �
OWNER OR "� � �
TENANT �J[��/,��r +
CITV
BRANCH
AODRESS
ARCMITECT
ADDRESS
CONTRACTOR ,�.'��
ADDRESS • / �
CITY �
TE L.
APPLICATION F(iEt�5�'Rl/�
c .
2ECEIV BV PERMIT
A.P. �o. a� - o
BUILDING ^��� /
ADDRE55 �(
UNIT OR
SPACE NO.
TR.NO� � LOT �
NEW ADD ALTER REPAIR
OWNER
USE � a
ZONE E
APPROVED
� STATE CITV APPROVEDSETBACKS
IIC. NO. ���j� LIC. NO.
� S12E NO.OF BLOGS. (FROM C/L STREET)
L OF LOT NOW ON LOT OM FT.
a USE OF
'� EXISTING BLDG.
h
FSeparate permits are requ'ved for � s� F.
Q elec[ric, plumbing and heating work: REAR FT.
� USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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% APPROVED �
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� 1 hereby acknowletlBa thet I �eva read this eppllcaHon and state
�
(y� that Ne ebova Information ia corract entl aBrae to comply with
a all laws ragulating builtlinp construcNon, entl I shell not employ
,'� any perzon in violation of ihe workmen's compensaiion lews ot
Sthe Steta of Celifornia.
3 I hereby certity that I om proDerly licensetl as a contracior untler SQ. FT.
tha State of California Business entl Professions Cotle, Div(sion 3, THE AMOUNT SH04
Chapter 9, antl that such licanses are in full force end effect, or I THE PURP�E OF ESl
am exampt from ihe provisions of tha Stete of Celitornia Businass
antl Professions Cotla, Oivizion 3, Chapter 9. VA�UATION
Signeture ot �y i //_�`r � $ ���
Permittee ����VG�
o� ^ — �U �— 7
Authorizetl Agent Date
DATE
APPROVED
PERMIT 5.50 TL'
E
�S
7
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8
e
n
i
m
m
7
VN UNDER VAIVATION IS FOR m
�ABLISHING A PERMIT FEE ONLV: �
PERMIT FEE E a
� m
PLAN CHECK S "�
�— o
LL
TAX $ tsb �
u
TOTAL PAID $ ,� CT
[�
� COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FBR�S'['R��'�UEtA1. PERMIT 72•50 TL�
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
RECEIVEDBV PERMIT �a -48588
For Applicant to Fill in Comple[ely — Use Ink Only
BUILDING �.,�, �� �� • " ' Ii. � _ A.P. NO. i � O ^, � �
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OWNER OR
TENANT
MAILING
ADDRE55 �
GTV A/
BFANCH
ADDRE55
ARCHITECT
ADDRESS �J//
CONTRACTOR
ADDRESS
CITY
STATE
LIC. NO.
SIZE
OF LOT �
USE OF
TEL.
NO. ,
TEL.
NO.
CITV
UC. NO.
NO.OF BLDGS
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work:
I hereby acknowletlge that I have reatl this appllcation and state
that t�e above informaiion is correct and agree to comply with
ell laws regulating builtlinp conshuction, antl I shall not amploy
any perwn in violation of the workman's compansation iaws of
i�e State of California.
I hereby certify that I am properly licensetl es e coniracior untler
ihe State of California Business end P�ofessions Cotle, �ivision 3,
Chapter 9, antl that such licenses are in full force antl effact, or I
am ezempt from tha provisions of the State ot California Businass
end Professio Cotle 'vis n6 3, C'11 ptar 9.
Signatura o
Permittee
or
Authorizetl A nx Date
BUILDING ^C^,�� �
ADDRE55 i 1
UNIT OR
SPACE NO.
TR.NO.��� LOT �
NEW ADD AITER REPAIR MOVIN6
X "'
(`
OWNE
� UE
U N E
ZONE TVPE GROUP
APPROVED
gy DATE
APPROVEOSETBACKS
PLANNING ACTION
on�
APPROVED
THE AMOUNTSHOWN UNDER VALV
THE PVRPO6E OF ESTABLISHING A PERP
VALUATION PERMIT FEE E
PLAN CHELK 5
d
$ $6a0� TAX E
TOTALPAID E
m
C
i
m
m
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IS FOR m
ONLV: �
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m
m
0
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OwNER Jack Thompson
JOBADDRESS 2253 Pacific ve
GENERAL CONTRACTOR E. & G.
A" �422-061-09 LOT 9
II. _CTIONS
sai�
GAS
W ATER
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE CON. �
SPPINKLING SVSTEM
MISCELLANCOUS
ROUGH MEAY�NG nN0 AIR CONOITIONING
TEMPORARY SEFVICE OR POLE
❑NOERGROUNO '� I POWER G
ROUGH WIRING
TfiENCHES [ FORMS STEEL REINF. [
FLOOR SVS7EM
BONO flF4M I—I STEEL FEINFORCE I—I
FFqME ANO �LHSHING
LATHING — IN —I OU'
PLASTER,BAOWN COFT
ST URA4. FINAL
HE. ..G, VENT., REFRIG.
PLUMBING. FINAL AND GR
ELECTRIC, 61NAL
Bl➢LOluf, i1NAL
IN
DATE 7-20-79
BUILDING PERMIT
SUBCONTRACTOR