HomeMy WebLinkAbout2918 JAVA RD - Building PermitsDATE
ADDRESS
PER6IIT
INSPECTIONS DATE I GROUP J T1'PE V ZONE
Underground Soil U.G. Water PERMITS ISSUI
:�;,.,..._______., ,.__ ---I SUBCONTRACTOR I .
OCCUPANCY
Form 410—SM-11-59 5-B P ., . 1(jB3(,�
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C057A-MESA BUILDING-SAFETY DEPARTMENT
i'. O. BOX 917 CO$TA MEBA. GLIFORNIA
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For Applicanf fo Fill In Complefely
TYPE OR PRINTZI�'/�i �IfT//fI�
BUILDING .i' �-�� �77.u% -
COSTA MESA. CALIFORNIA
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OWNER
MAIL / �����J
AD�RE55 �GT �-J ���-^�/% /.{!�
O � �i.� TEL.
TEL. ..-
NO.�� �C�.i �.'/a
� NO. OP BIDGB.
S 8HT9�CK LINB PROM
DESCRIPTION OF WORK
WALL
FEE RECEIVED
JUL 101,6T
FINpNCE DEPT.
APPLICATi'ON ��R�PERtv1fT�
BUILDING
„ For Offiee Use Only
PCCEIP! NO. // 4 LN/
�
R!� D B^ I DAiE RECEIVCD I�/e1^8�/
�ofC� %//%-6 / '"'
FIRE
"'COSTA MESA CALIFORNIA
JV DATE /
ZONING `
NO. OF ��se oF N
PLANB BNLDING' `���..
'•"-� �3Y� �.OT' Iq�O�
(C8M6R 4N8 BTJ
,ED"�/�ilY�'Hv%iTf DATE � �i �
� p�- t�OC f( w 'i'6 R g
�n "1'� �r ! S r /�( 3 '
/� G � /� /,..0 G� �td�i%�-.
i HBPHBY ACNNOWL8C6E THAT � NAVB RGD THIB APPLIGTION TN8 ANOUNT 9XOWN UNDER VALUATION 18 FOP TH8
AND BTATE TXAT TH6 ABOVe 19 CAIiRCCI' AND AGIi68 TO GOM- pURPOBE OP 88TAB48HINe A PEpMIT FEE ONLY.
PLY WITH I�LL GITY ORDINANCEB AND 8TAT8 LAWB P60ULATINO
Bu1LDIN0 coN6iRu ON. � VALUATION
61GNATURE OF�� lx F, ���� PERMIT FEE $ /�• �
PERMITfE // /
_ ' $ .'� 7�'�• PLAN CHECK $ �j, �
AUTHORIZED AGENT �' I �Q
TOTAL FEE
OWNER OXBOW. Inc.
JOB ADDRESS Q91H Jav& Rd
GENERAL CONTRACTOR y],
AP No. LOT Q_
INSPECTIONS
DA'rE 10-10-
BUILDING PEF
er VALUE $ _p_.
TRACT 33$p FIRE ZONE DESCRIPTION OF
Signature DATE GROUP T TYPE III
SUBCONTRACTOR �,
.. . t �978 ,
COSTA'MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 CO�A MEBA. CALIFORNIA
For Applicanf fo Fill In Compleiely
TYPE OR PRINT
BUILOING
ADDRE88 U� �
COSTA MESA. CALIFORNIA
■ MAIL
F E RECEIUED
ocr i o �ss2
. FINANCE DEPT. �
CITY OF COSTA MESA
AP�PLICATION FOR PERMIT
`� BUILDING
For Offiee Use Only
RECe1PT NO. PiP�T���
/
REC81V8D BY I DAi N8C81VEO � DATE_IBBUED
ARCHITECI' TEL. �/f COSTA ME�C CALIFORNIA
OR ENGINEER NO
ADDREb9 / � ST FIRE �
ZONE TYPE GRO/UP
CONTRACTOR G `� BYPROVED � ' DATE/� f/
ADDRE66 / C ZONING �
CITY p ZONE� I I NO. OF � I U8H OP NEW � G
PLANB BUILDINO
LIC.TNO. (/OIa � NO. /� �3 S oeeCRlr � 3 r 6 t
81ZE .�� I NO. OP BLD69. � l��
OF LOT
USE OP ` —
EX1671NG BLDG
88T6�CK LAN6 PHOM .��
DESCRIPTION OF WORK
BUILDING NO. oF __
81ZH - ROOMS STORIES
8%TERIORWALL ��IROOF
COVERINO COVERING
USH BUILDING AND WORK TO BH PERF EO
�O � o�G1 GL ETE uJ O/� /�.
%A/�T�D vNOEQ �E�VMi � 3
i H8R8BY ACKNOWLEDGC TXAT 1 NAVE RP.�O TH19 MPLIGTION
AND BT�T6 THAT TH8 ABOVE �8 CORPECT AND AGHE¢ TO COM-
PI.Y WITM ALL GIIY OXOINANGQe ANO BTATE LAWB PB�ULATINO
BUILDINO CON9 UCiION. �Z '
SIGNATURE OF I� /� � i�. n�
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�
(CENTBH LINe 8TJ �
; RONT FT. IN.
l n i.
2. SIDE ��"u.Q7,rn 0/ XA�-c IN.
, D^.-p
'_.SIDE ' v FT. O !"""` IN. ..
2EAR � FT. IN.J _.
4PPROVEP �\.W�'✓� oATE I B'I B�V
3V
TH6 AMOUNT 9NONN UNOER V�LUATION 18 ROR TH8
PlIRP09E OP EBTh9L16HINa • veRMIT REE ONLY.
VALUATION
PERM17 FEE $ • �'�
a
P
$ PIAN CHECK $ ��
Z
C
TOTAL FEE i�� d
A 2� �