HomeMy WebLinkAbout3051 NEWPORT BLVD - Building PermitsOWNER pp�p DRIVE-IN DATE 6-21-68
� No. 4iR_m i _m LOT
SUBCONTRACTOR
151FYtli�
NG
UNDERGROUNO U POWER
ROUGH WIRING
FORMS I I STEEL REINF.
FLOOR SYSTEM
90N0 BEAM � STE
SHEATHING
FRAME AND FLASHING
LATHING - IN n 1
PLASTER, BROWN COAT
'TURqL, FINAL
!, ,NG, VENT., REFRI
PLUMBING, FINAL ANO
ELECTRIC, FINAL
BIIIL�ING. FINAL
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28722
COSTA MESA BUILDING-SAFEIY DEPARTMENT
P.O. BO% 1P00 - COSTA MESA, CALIFORNIA 93EZ!
� For Appllcanf ro FJII In Complefely
TYPE OR PRINT
COSTA MESA,
�u lu �r�
7
DESCRIPTION OF WORK
WALL
ac�n
1 HCR6BY ACKHOWL6D06
AND BTATB THAT TXH Ae
PLY WITX ALL CITY ORD7I
BUILDINO CONBTROCI'IOIG
OP
LT �T]
0
Ki TO COM.
RIOYLATINO
Al� 21- °hsA00.t86s +***•*2.00
APPLICATION FOR PERMR
BUILDINf3 :
For Offlca Um Only
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ZONING
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BHALL B6 LE88 THAN
YAROBAPPROVHD I YARDBAPPROVHD
MAINBUILDINO ACCFASORYBUILDINO
VM. �C
BR. MAIN Q
ACCESY. BL[
DAT2
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TXH IIMOUNT OMOWN YNCBp VALUATION �8 PDX TX6 j
PUpPOOt OI UiAlLIBN�XO A PEqM�T �88 ONLY. .�J.
VALUATION �
� /f� P6RMITFBH � p
� �
8 � �- k.
TOTAL FEE S C.X -�
OWNtR pA
JOB ADDRESS
ROUGH PLUMBING
�PROP. SWR. LINE Q NOUSE CON. �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGM HEATING RND AIR CONOITIONING
TEMPORNRY SERVICE OR POLE
UNOERGROUND �] POWER �
0.0UGH WIRING
TRENCHES FONMS � STEEL pEINF
FLOOR SVSTEM -
BON� BEAM � STEEL REINFORCE n
SMEATHING
FRAME ANO FLRSHING �
LATHING - IN n OOT ❑ '
PLr15TER, BROWN CONT
STRUCTURAL, FINAL
M IG, VENT., FEFRIG. ANO P.C., tINAL
PL .dING. FINAL ANO GAS TEST ❑
EIECTRIC, FINAL
9WLOING, FINAL /�
UAIt
SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For AppGcant to Fill in Completely — Use Ink Only
BUILDING 2 /j � �J _ _
ADDRESS �J �V(�i _�JII1G
OWNER ,� � � LCS � Ll
MAIL �
ADDRESS � � / /�
CITY /�J�C/./Ani% �rHf fi rTio��8J3-A
BRANCN
ARCHITECT
OR ENGINEER
ADDRESS
CONTRACTOFi
ADDRESS
CITV .//�rsn
PA1L n *�*
MdR 23-76�,�5.00 �� 6t .. 119.R4
FOR S7RUCfURAL PERMIT
DATE RECEIVED neTc �eeucn
� � /
BUILOING
ADDRESS
FIRE
ZONE
APPROV
DATE
E NO.OF USE OF
� PlAf�l'i BUIIOi
F STA CITV �'AADSAPPROVED VAFDSAI
LIC. NO.C— % 9�Z, LIC. NO. MAIN BUILDING CCESSOR
� SIZE NO.OF BLDGS. (FHOM C/L STREET)
G. OF LOT NOW ON LOT � NT FT
a USE OF
� EXIS'TING BLOG.
y
FSeparate pemtits are required for � si
0 electric, plumbing and heating work. REAq FT.
: USE OF BUILDING AND WORK TO BE PERFORMED
DSTANCE BET. BET. MAIN &
Q MAIN BlDGS. ACC6S BLp
�' VAR.$� DATE
aL', �j C.V.P.qW AGPROVED
� � � / � APPROVED
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� � E%i7/�f/ '`
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pI hereby ecknowlaApa t�at I hwa raatl this epPlication end n
(y, that Me ebov� Informetion Is correct antl a9��a to eomply wlth —
a all lews repuletinp builtlfnp conrtruetion, en0 I thell not employ
�Z any perwn In vlolation of the workmen'� <ompenution lew� of
� Me Sieta of Calitornle.
3 I heraby cartify thet 1 am properly Iieanutl a� e contractor untler SQ. FT.
Ma Suta af Cellfornie Busin�u antl P�of�asions CoEa, Divlsion 3, THE AMOUNT SNOWN UNDEH VALU
ChepMr 9, entl thet weh Iieanwa era In full fores antl Nfect, or 1 TNE WRP06E OF ESTABLISHING A PERI
em exampt trom Me provi�lona of Ma Stete of Celilornla Bu�inen VAIUATION PERMIT FEE S
end Profenions Code, Division 3, Chepqr 9. //JJ �
��� A/�'�'' / / LAN CHEGK f
Sipnatvrs �/ ��� A�j/
PetmltUe / . H v � _ $ / / / !� (/ TAX f
Authoflza0 Apent TOTAL PAID S
BLOCK
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