HomeMy WebLinkAbout104 16TH ST - Building PermitsUWNtK UUM4 nUii,c,n UA I t y�
JOB ADDRESS 104 E. 16th Street BUILDING PERMIT NO. 49776
GENERAL CONTRACTOR owner/Builder DESCRIPTION of WORK DEm Army Barracks
AP No. LOT IRACI FIRE ZONE VALUE E 500.00
INSPECTIONS Si nature Date 11 TYPE GROUP ZONE
SUBCONTRACTOR MTS ISS E
O Dafe Nvm ber Si nvture
WATER Pivmbin
ROUGH PLUMBING
PROP. SWR. LINE HODS ON. I� /
MISCELLANEOUS
ROUGH HEATING AND AIR CON
TEMPORARY SERVICE OR POL
UNDERGROUND POWER
ROUGH WIRING
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT
PLASTER. BROWN COAT
P11NG, F
E RIC. F
s
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COSTA MESA BUILDING -SAFETY DEPARTMENT APPL ATTON FOcRjSTRUCTURj4L PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ul •�� l u HI I ,60
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REC VE PERMIT
A/17 7
For Applicant to Fill in Completely — Use Ink Only
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A.P. NO. II7(—DC 71-O
AUILDINS
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ADDRESS O `�j L T M
TENANTOWNERUILDING
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UNIT OR
MAILING
SPACE NO.
ADDRESS _
TR.NO. LOT
BILK.
TEL.
CITY NO.
NEW ADD ALTER REPAIR MOVING
DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER
ADDRESS
VALUE
USE E
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ARCHITECT TEL.
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OR ENGINEER NO -
ADDRESS
ZONE TYPE GROUP
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CONTRACTOR (,�J/( _5 1j/
APPROVED
BY DATE
)S=,
ADDRESS
TEL.
CITY NO.
STATE CITY
APPROVE SETBACKS
LIC. NO. LIC. NO.
(FROM C/L TREET)
SIZE NO. OF BLDGS.
OF LOT NOW ON LOT
FRONT
USE OF
EXISTING BLDG.
Separate permits are required for
L. SIDE FT.
electric, plumbing and heating work:
REAR FT.
USE OF BUILDINGANDWORK TO BE PERFORMED
PLANNING ACTION
APPROVED
APPROVED
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11d1p,
DATE �
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I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SQ. FT.
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION
IS FOR
Chapter 9, and that such lice are in full force and affect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provij;i6ns f the State of California B 'ness
and Professi s e, Di 74io pte
VALUATION PERMIT FEE $
Signature o
PLAN CHECK $
`P—
Per
$ 0-0. TAX E
0
or
or /
VV
r
Aut raze Agent Date
TOTAL PAID $
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