HomeMy WebLinkAbout561 PLUMER ST - Building PermitsSNAFER, M.H. ' DATE 9-2-60
AP. No.
OCCUPANCY
TfLACT FIRE ZONE DESCRIPTI�
� on7E I GROUP I TYPE
SUBCONTRACTOR
Form Y10-5M-11-59 S-B P . 12
;�. ` 2'785
COSTA MESA BUILDING�SAFETY DEPARTMENT
P. O. BOX 917 COBTA M6BA. CALIFOiWIA
Fo� Appiieanf fo Fill In Complefely
� � TYPE OR PRINT �
BUILDING
ADDRE6S
COSTA MESA CALfFORN1A
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� ARCXITEGT � TEL.
� 6iATE
OP p1D08.
USE OF
EXIBTING�BI
6HiBACK LINE
DESCRIPTION OF WORK
NEW I II AL7ERATION I II ADDITIO
REPAIR I IIMOVING I IIDEMOLI:
BUILDING NO. OF
6IZ8 ROOMS STOF
EXTER70R WALL IROOF
i xeneer ACKN�W�HDOH TXAT 1 HAVB peAD TH�9 APPtJGT10N
AND BTATH THAT TH6 ABOVB 18 CORNHCT AND A�R[E TO COM-
PLY W�TX ALL CITY ORDINANCEB AND eTATE L/.WB R60ULATINO
9UILpINO CON9�UGTION.
-�--•--..__ _.�,,, A , ,-. _ � i s
AUTHORIZED AGl
FEE�RECEI�VED
r��FyfNnAsNC(E DEPT..
APPLICATi9N �UI�l�1iFAl'l�� �
BUILDING
For Office Use Only
FiECE�PT NO. I �P �IT��
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COSTA MESA. CALIFORNIA
FIRE '
ZONE TYP GROUP �
APPROVED � .''"� .� `� �.
ZONE y� //I NO.OF � I U6E OF NE
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A. P. NO. / / (� �. O (!j ��. � ii
YARDS EVES
APPROVED ALLOWED
(CENTER LINH 9TJ �
THE AMOIINT BXOWN IINDER VALUATION 18 pOq TH6
PURPOBE OF EBTABLIBHING A PEqMIT FEE ONLY.
VALUATION 1�� �
\ M' PERMIT FEE $ `�
$/D/ \, V PLAN CHECK $ _
OWNER CITY OF COSTA MES�
JOB ADDRESS 561 Plumer St
G�RAL CONTRACTOR penha1
<i?;�;��'o. 116-062-21 LOT
INSPECTIONS
SOIL
GAS
W RTER
ROOGH PLUMBING
PROP. SWR. LINE � HOUSE COM. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND �IR CONDITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGN WIRING
TRENCHES FONMS STEEL REINF.
FLOOR SYSTpM
BONO BEAM n STEEL REINFORCE �
SXEATHING
FRAME ANO KLASHING
LATHING - IN � OUT [�
! 'ER, BqOWN COAT
5. ,CTURI.L, FIN�L
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING. RINAL ANO GAS TEST I-I
DATE
BUILDING PERMIT N0. 43�n�
SUBCONTRACTOR
I J .� � JL�v� -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Comple[e�ly — Use Ink Onl�y
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OWNER �9� �
MAIL
ADDRESS
TEL.
CITY NO.
BRANCH
ADDRESS
AFCHITECT '
ADDRESS
CONTRACTOR 1 �
ADDRESS';�?ne�.�' lk�t/�/'OL_"_ � L�
TEL.
CITV � i4__�. un � v'J.
STATE CITY
LIC. NO. � LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BIDG.
Separate permi[s are required foi
electric, plumbing and hea[ing work.
USE OF BUILOING AND WORK TO BE PERFORMED
I hereby acknowledpe thet I have reetl ihls eppllcation antl state
thet tha abova informatlon is cortaci antl apree to comply with
ell lews ragulating builtling constructlon, entl I shall not employ
eny permn in violation of Ma workman's compensation laws of
tha State of Californle.
1 hereby certify that I am properly Iicensatl as e contractor untler
tha Stata of Californla Businass entl Professions Cotla, Division 3,
Ghapter 9, antl that such Ilcenses ere in full force antl etfect, or I
am exempt from the provisions of the Stata ot California Businass
antl Professions CoAe, Ivislon 3 Chapter 9.
Sipnature of</�-%�r���
Pormfttee
AuthoAzed ABent
-Es -i-���n�F00 004 � ����: �5.50
APPLICATION EOR STRUCTURAL PERMIT
OWNE
FIRE
ZONE
APPFOVED
VARDSAPPROVED
MAIN BUILDING
FROM C/L STREET)
VAP. gW
VALUE p �
$ � `,-
GROUP
DATE �
USE OF
9UILD
VARDSAPPROVED
ACCE SORV BUILDING
� FT.
F
FT.
BET. MAIN &
AOCFSS. BLDGS.
�ATE
ROVED
T ii'_ /._ 7 �
THE AMOUNTSHOWN UNDER VALU
h1E PURP�E OF ESTABLISHING A PER�
VALUATION PERMIT FEE $
// A,� PIAN CHECK E
5��TAX S
CX � G%
TOTALPAID S
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FEE ONLV: �
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