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HomeMy WebLinkAbout525 CENTER ST - Building PermitsER c•s W �TER ROOGM PLUMBIVG PPOP. SWR. LINE � MOUSE CON. � SPRINRLING SYSTEM MISCEIl�NE0U8 AOIIGM XE�TING �ND MP CONOITIONING TEMPOR�Rv SEN`nCE OR POLE ' UNDERGAOUN� � �OWER � ROUGN WIRING TRENCNES FORMS STEEL pEIMF. FLOOA SVSTEM BONO BE�M n STEEL FEINFORCE ❑ SME�iMING FR�ME �ND F��SMIMG LATMING - IN o�T n PLASTER.BROwN CO�T STRUCTUR��, iIN�L Mf G, VENT.. AEFRIG. �ND �.C., FINAL PL.. _.aIHG. FIN�I �NO WS TEST rI EIECTRIC,FIN�L BUILOING, FIN�L DATE BUILDING SUBCONTRACTOR �OWNER k � JOB ADDRE55 '$ GENERAL C0� AP No. 116—C � ECTIONS � GAS W ATER ROUGH PLUMBING PROP. $WR. LINE SPRINKLING SVSI NG AN� AIR CONOITIONING UNDERGROUND U POWER ROUGH WIRING FORMS � � S7EEL REINF. FLOOR SVSTEM BOND BEAM � ST SHEATHING FRqME AN� FLASHING LATHING - IN n PLASTER, BROWN COA' STRUCTURAL, FINAL 1 NG, VENT., REFF �I:7_[�ll DATE BUILDING PERMIT SUBCONTRACTOR � . 29867 .� : , , COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 Fo� Applicant to Fill rn Complete/y I BUILDING C S I ADORESS 7 OWNER MAIL Z ADDRESSS d U CITY [u NOL.� 8-� ZZ Q CONSfRUCTION �'�, � m LENDER J � BRANCH J ' a ADDRE55 m ARCHITECT TEL. J N OR ENGINEER O bV N e+�� U Q w � A�DRE55 aW J O CONTRACTOR m Z J ¢ ADDRESS W W p TEL. Z F CI7Y NO. W O STATE CITY y� LIC. NO. . LIC. NO. _� SIZE � � NO.OFBLDGS. OF LOT 3 �Q NOW ON LOT 2 USE OF EXI5TING BLDG. F S12E OF NO. OF Z NEW BLDG. ROOMS STORIES , a EXTERIOR WALL � flOOF TO BE PERFOAMEO RAR 7_0-64�A;A00 492 �*****11.00 APPLICATION FOA BUILDING PERMIT EIVED BV �ATE RECEIVED DATE ISSUI �73�' �-za-6 �-zo- BUILDING ADDRESS � TPACT � FIRE � ZONE I APPROVED NE NO.OF �� PIANS � VAROSAPPROVED O wG(�G�, �7�CEK� '/ W(J /W C D C URP. q� ~ APPROVED � z 0 � I heraby acknowledpa that I have raetl this application antl state � tha[ Ihe abova intorme[ion is corrac[ entl apree to comply with � all laws regulatinp building conztructlon, antl I shall not amploy r any person in vialation of the workman's compensation laws of y the Stere of Celifomia. z1 hereby certify [nat I am properly Iicensetl es e contractor untlar SQ. FT. che State ot Calitomia Businass antl Professions Cotle, Divisicn 3, THE AMOUNT SI Chapter 9, antl that such licensas ere in tull torce antl effect, or I THE PURPO6E OF am exemp2 from tha provisions of the State of Calitornia Business entl Pra(essions Cotle, Divislon 3, Chapter 9.Q VALUATION Signatura ot�� ^ Le _ � n U Y i �rt� � Permlttee �� � ������ $ U � Authorized Apent USE OF NEW �Q�F�• BUILDING VAqDSAPPROVED ACCESSOPY BUILDING FT. t FT S T. F BET. MAIN & ACCFSS. BLDGS. D4TE APPROVED ---- �, �,._l9 � O ER VALUATION IS FOfl y NG A PERMIT FEE ONIV: m ¢ m FEE $ / OQ �`+ � ��� m HECK $ E `o ,�� LL FEE S ..4��81 ` �COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BVI�OING % � ADDHES �` OWNER L�C--�'�`r •/ n3Al MAIL GTV CONSTRUCTION LENDER BRANCN ' ADDRESS ARCHITECT OR EN NEER ADDRE55 CONTRACTOR ADDRESS �L F � o�i a � � 2 F G 'y 0 .� Q � r a a w o. O C a. z W S 3 LIC. NO. SIZE OF LOT TEI. NO. TEL. CITV LIC. NO. NO. OF BLOGS. NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. OF BUILDING AND WORK TO BE PERFORh I hereEy ecknowlatl0e thot 1 have reatl this epP�lcation antl stete fhnt t�e ebova informetlon ia correct antl apree to comply with ell lews repulatinp builtling constructian, entl I shall not amploy eny pa�wn In violatlon of Ma workman'a compensation lawe of Me Smm of Celifarnia. I heraby certify that I am properly Iican,etl ua a connector untlar She Stnm of Celitornle eusineu entl Protesalona Cotle, Dlvlsion 3, Chapter 9, entl that such Ilcansas ere In full force antl effact, or 1 am exumpt irom the provisiona of t�e Stem of CelifOrnla Buaineu end Profasslone Cotle, Dlvislon 3, C�epmr 9. Sipnet�ra of�j/� Parmittea ��"� Auiho�lietl Apant 0652 5/09/7� 505� TL 0652 5/�9/7a 5o5DC�tTJ 0652 O[7Q04+.59 g I 1 p APPLICATION FOR STRUCTURAL PERMIT �� EC� DATE RECEIVED E S � � _ Il�i�l�(-JI— �I PERMITNO. P NO BUILDING ADDRESS TRACT l- , VALUS ��y��� !IU N NO.OF �y USE OF NEW f PLAKSr�/ BIHLDING �' �-,� 1= VARDSAPPROVED VAROSAVPROVED MAIN BUILDING ACCESSORV BUIIOING DISTANCE BET. I BET. MAIN & MAIN BLDGS. ACCFS�'^. BID VAR.�$ DATE S, N � m i e m SQ. FT. a THE AMOUNT SHOWN UNDER VALUATION IS FOR m TNE PURP06E OF ESTABLISHING A 7ERMIT FEE ONLV: � VALUATION PERMIT FEE E p ( N m /7� PLAN CHECK y � $ �D C/ TA% E � �� LL E U TOTALPAID E v