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HomeMy WebLinkAbout209 SUSANNAH PL - Building Permits • 17371 �J 3--Fp, fREGEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT ��• 198yC6AgCP/bEP 2 P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING Gr S4.rQ ryryq, ,p 4' �" hGH ADDRESS .• . COSTA MESA CALIFORNIA For Office Use Only y I /�'j RECEIPT NO. PERMJT�y 7 I OWNER �� - (� • MAIL 333 /7.c/ RlC81VE� DY I DATE BECPJyGD6 DA I U[D� ADDRESS /7.y� Q �j �/ �� (�/(/�J//—,(((((%J 4cID . . CITY C // L- NG NO�'[.3 fQ y.< ADDRESS O q /1 t6.-{ QZLy-- // 9 ARCHITECT TEL---� COSTA MESA, CALIFORNIA OR ENGINEER NO. J ADDRESS FIRE '/ (�J� /,/�J/fj� ^ //���,,, /n,^ ZONEPE " GROUP �/('/- CONTRACTOR ko-4..a L��/ /���•^'' APPROVED DATE 6.14/•�J(J/l!/ ADDRESS 4--T4 ZONING IONh NO.OF . USE OF NEW sn 7 -fakA CITY K - 2 PLANE [.� BUILDING �/.at y-. LIC..NO.ATE ^�O " �J :/ NO. - _ LEGAL LS'DESCRIPTION s �M6 G ? SIZE 11 I NO. OP BLOCS. /\ OF LOT _��oV^//,}d-(/�/ NOW ON LOT lJ A.P.NO. USE OF (/I YARDS EVES EXISTING BLDG, APPROVED ALLOWED SETBACK UNE FROM 3-i (CENTER LINE ST.) y CENTER OP STREET REAR YARD FRONT _.5—/ FT. l— IN. SIDE YARD I LEFT I RIGHT R.SIDE 9 FT. IN. DESCRIPTION OF WORK /0 -- NEW I �/ L.SIDE FT. 6 IN. /♦ IIIALTERATION I II ADDITION I REAR 3 q FT. IN.N. REPAIR I Y MOVING I II DEMOLISH I APPROVED niree' DATE 6j5//G L BUILDING 1 NO. OF O SIZE /V vb. J 950 ROOMS 7 STORI / EXTERIOR WAL i I ROOF COVERING --N-CVl��N"VVJ COVERING FORM USE OF BUILDING AND WORK TO BE PERFORMED a. Oie• At 7/ gat,a ),,__ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF [STAHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. �'/ VALUATION SIGNATURE OFI n/n �i„ PERMIT FEE $ cu ��T PERMITTEE �LL(l!Y ��VVVV $ / ' 7W-- PLAN CHECK $ (2 / 4 [� o K AUTHORIZED AGENT TOTAL FEE $ 0 / O vWIV LIN UUAt TOM UAIt7-26-74 JOB ADDRESS 209 Susannah Pl. BUILDING PERMIT NO.38737 GENERAL CONTRACTOR Pacesetter Bldg. Co. DESCRIPTION of WORK Add Patio Cover to Res. AP No. 119-132-59 LOT TRACT FIRE ZONE VALUE $100.00 INSPECTIONS Signature Date TYPE TV., GROUP ,T ZONE Rl soul PERMITS ISSUED GAS SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS 0 STEEL REINF. C FLOOR SYSTEM BOND BEAM 7 STEEL REINFORCES SHEATHING FRAME ANO FLASHING LATHING - IN fl OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC. FINAL ���JJ//j�n//� BUILDING, FINAL _' � or �y PAIL r 5c 38%37 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 N. AP I ION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE DATE RECEIVED _ ' TE I U5,F)� BUILDING //�� / ADDRESS X09 Su S/4/r/�(/y ` T- OWNER 7O,7 en)/ A.P. NO.//9—//0 —57 PERMIT NO.38 :pi BUILDING ���777///777/// ADDRESS MAIL ADDRESS O ^ C/,44 �A.),A ADDRESS y/Jr/l.t fa W W TEL. TRACC // LOTS BLOCK BLOCK aU CITY aa7�j'/f iL��_C�7 NO.,�T/FJL7 Zz 4 CONSTRUCTION -v - -""V NEW ADO ALTER REPAIR MOVING DEMOLISH — I-- _ LENDER am J D BRANCH J N OWNER � n ( /ADDRESS J ^ VALUE 30c,6.1;1----- /1, ARCHITECT TEL. USEr9Z L(/y / yil7¢JC 1,0,1_1( - OR ENGINEER N . U Q FIRE Z cc ADDRESS ZONE TYPE GROUP T�,r/ `-7 W 2 APPROVED 7? 7.-.//. /� W Z CON T R AC TO RP/gj f S FS az�// /'n _ BY DATE L "Y f J p - / co Z Q �I n J cc ADDRESS //3 -. ,Bac &i-T O/_ //ro• ZON NO.OF USE OF NF�N �Lf rr -� 0= TEL, PLAN$ BUILDING/flj E�j ZF- CITY SA:fr-yl NO. 529,,y7.. 66'/7 C� no '`J W O - STATE CITY YARDS APPROVED YARDS APPROVED / D O H. NO. 7/6' LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE C NO.OF BLDGS. (FROM C/1_$T,R[JFvF/�T) OF LOT NOW ON LOT / FRONT 7' ?C -//� rd FT. USE OF z/\�rs, EXISTING BLDG. .//J cC/I/ C-7 rR.SIDE /9 f /4-Q/2/ FT. I— SIZE OF NO.OF Z _ NEW BLDG. ROOMS STORIES L.SIDE , FT. FT. Q EXTERIOR WALL ROOF C _V _COVERING COVERING - REAR p FT. FT. —I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& a 0. MAIN BLDGS. ACCESS.BLDGS. _ CiC VAR.* DATE O „/9.l 11 '% ae17-70 ieexpf- CU.P.# APPROVED / / N —ELY //OLD it— DATE {O —7c/ O y CTAT! VI hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ O any person in violation of the workman's compensation laws of y the State of California. 'SAX — m ? I hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Divisicr/3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and elf:ct,z6r I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; Q am exempt from the provisions Sta : . ...Ilf.rni. Bu mess VALUATION 0 and Professions Code, Division 3,Cha r 9. vn ,!i PERMIT FEE $ 3 Signature of ® 2�p r^ -- m Permittee �i�/� / $ JV0 PLAN CHECK $ E v O . Authorized Agent 51__.-- LL TOTAL FEE $