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2139 UNION ST - Building Permits
OWNER LEYERLY, GENE R. SEP 2 4 1.57 DATE 14-26-57 JOB ADDRESS 2139 Union Street MAR '1/4 1958 BUILDING PERMIT NO. #4919 UCT 2 81958 GENERAL CONTRACTOR 0ianerLB1dr. VALUE $ 1,320.00 A P115-411-06 A. n LOT 173 LOCK TRACT 1872 Gar. & Stor. Rm. ,2 � .f ikt GROUP J TYPE V ZONE R1 FIRE DISTRICT 1970 PERMITS ISSUED INSPECTIONS ` ire /i0'.51 DATE SUBCONTRACTOR DATE NUMBER r Footing Trench 'le) 71n Foundation Forms and Grade to Garage/ e /1-/-5 7 . f Rough Framing f /4h/v/,S'j`T4 tF i1/21/4.57 U Plumbing,Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating,Rough Heating,Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In OutX 4 Plastering em/A4 Sfitin Plumbing,Final,Fixtures Complete _ Plumbing,Final Gas Test 3> Wiring,Final ir Occupancy _ r - _ FORM 210 3M 10.90 919 4970 FEE RECEIVED COSTA MESA BUILDING DEPARTMENT , 6 / yf,3I , P.O. BOX 317 INAN E DEPT. COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING pi.592�. o ,, BUILDING ADDRESS pi.5924o L�/�+rerdV COSTA MESA.AAACALIFORNIA FOR OFFICE USE ONLY /�/ 1'� RECEIPT NO. EFf11T NON • OWNER „Le, �w..n EC /•L%P PO(/ Y MAIL ADDRESS Walt �J ' Rj$E BY f dEIS7 /,�5'`� TEL. r. BUILD] G pF CITY 164.24.7; N _' . Zo ADORE S ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE /�p(j/ �����j � CITY LIC. 30NCR/ i?.IOGF TYPE I / GROUP J CONTRACTOR A%�TYC/ NO. V TEL. APPROVED •ADDRESS NO. BY DATE LEGAL LOT ✓ `, �J CORRECTIONS DESCRIPTION NO. .yam/ :7�gj� BLOCK TRACT/Q ,. A.P.NO. /fl 5' its--- 0-04 (4') SIZE 73/x /007Se NO.OF BLOCS. / CITY OF COSTA MESA OF LOT A NOW ON LOT PLANNINC DEPT. USE OF ///� ,• SUBJECT TO �C)G. DEFT. REG. EXISTING BLDG. ///D➢➢I""` SETBACK LINE FROM CENTER OF STREET 951REAR YARD BYP jlQLTc �4S/ SIDE YARD RIGHT / ' LEFT 3', PLAN TthC DESCRIPTION OF WORK NEW x ALTERATION : ADDITION REPAIR MOVING DEMOLISH SIZIEDING 6I ROOMS / STORIES / EXTERIOR WALL I - ROOF •COVERING ,4.",,4.", / O/ COVERING +u USE OF NEWS �/ iSJ^�./AY BUILDING y- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. / VALUATION SIGNATUREST OF �' � //J©. PERMIT FEE S '� TTEE 1. ' j/ T S//5 02 ............ PLAN CHECK S 9-- ....----•....----•AUTHORIZED AGENT TOTAL FEE S /J( - J 41 1 F 5Tp"'Fs, CITY OF COSTA MESA q ,‘ CAIJFORNIA 92626 P.O. BOX 1200 WILMEIRMI F J - FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY gkogo�,�.,+ • Project Address 27T /V7o///1 sTi C(9r Permit # T?7oe Project Name--,P 5'/D�e€r ton r,C Type Owners Name ( ).e7ty 4)4rtG y Owners Address 6-107k— , $' d d&� City Use Only Owners Telephone �- 83 2 a I 6P/Y LLri GS/ as Owner, nt ^# r, A;=.L (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall immediately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my own cost, and to indemnify and hold harmless, the City, its officers, agents and/or employees, from and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. 4/y theroy Print Name (natures" / / 1/ Da CMF 0777-46