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HomeMy WebLinkAbout2528 NEWPORT BLVD - Building PermitsOWNER MONTE VTSmA TOwrluOT, JOB ADDRE55 2 2$ ew rt ENERAL CONTRACTOR a_1 ra„a c P uo. LOT T IN CTIONS - ' n So�� �s �WATER ROUGN PWMBING ROP. SWR. UNE NOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGM ME�TING ANO AIR CONOITIOMING TEMGOR�RV SEPVICE OR POLE UNOERGROUNO � POWER � AOUGX WIRING TRENCHES FORMS STEEL REINF. FLOOR SYSTEM BON� BEAM STEEL REINFOFCE SHE�iHING Fq�ME �ND FLqSHING L�TNING - IN OUT PLASTER. BROWN COAT ST� 'TIIR�L, FIN�L H! u, VENT., NEFRIG. AND A.C., FIN�L PLIIMBING, FIN�L ANO GAS TEST ELECTRIC, FINAL BUILDING, FINAL DATE BUILDING PE SUBCONTRACTOR F C � a a � � s F C �7 F a Li ,..i � i' .� � w a O � a Z W x 3 0%5�35 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA ME$A, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING (j ��(�j ' `�� �.� Q I ADORESS G_ l� tiJ �� L•• OWNEFITIV��� Ul`l C1.1 ��MJ'�lN�� MAIL !?� � n_. .� e+ T CITY �fZ�J, CONSTRUCTION BRANCH ADDRESS CONTRACTOR ADDRESS ��T� HN- STATE LIC. N0.33 512E OF LOT NO. TEL. TE No. 2 , CITV LIC. NO. INO.O BLF�OGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. UILDING AND WORK TO BE PERFORMED �,.o-i ts+l N�uS�'� �.. I hereby ocknowlatlBa that I heve reatl this appllcallon nntl cmm that the abovo informetlon Is correet entl aB�ea to comply wit� nll lawz raguletln0 builtlinB conrtrUcclon, entl I s�all not amploy nny panon In violation of the workmen's compenmtlon laws ot Mo Smte oi Californle. I harahy cartify that 1 am properly ���ensatl as a contracior untle� Me Stan of California Bus(nasa antl Professions Cotle, Divlsion 3, Chnpter 9, nntl that suc� Iicenses are In full force entl effect, or I em exempt from Ma provisions of the State of California Businev entl Professiona Cotla, Division apter 9. � 1 Sipnoture of � Parmittee AuthorizaE AOBnt 6383 '10/05778 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BV DATE RECEIVED nnrc �SsuFn A.P. NO. LJ -� BUILDING ^ � ADDRESS �G TRACT �7� OWN FIRE ZONE APPqOVED ,��(i�� DATE ZONE/J� INO.OF I USE OF NEW ,� PLAI�LS BUILDING VAROSAPPROVED VAROSAPPROVED DISfANCE BET MAIN BLDCS. VAR. $'+ C.V.P.qW APPROVED BET. MAIN & ACCESS.BLD DATE THE AMOUNTSHOWN UNDER VA�U TME PURPOSE OF 6TA8LISHING A PERI VALVATION PERMIT FEE S PLAN CHECK S 5 �oo TAX E TOTALPAID E 5.,50.. TI� N n m i m m N DN IS FOR m =EE ONLV: " n a N m m 0 LL � � U