HomeMy WebLinkAbout1031 WESTWARD WAY - Building Permits COSTA MESA BUILDING-SA ETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use I Onl
f}' RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING /O3 / ja / /
ADDRESS (/ J// ac,
(�(/ n
I s. eic Oa �3 PERMIT NO.
OWNER J r k0..11. r a LA.... .P.NO. ,s.f I
MAIL BUILDING (�
1 y ADDRESS to,/ 4�
ADDRESS 2a �,t/, CQpS / NW �s���..
CITY / ' , / , //// NO.6�r44/� TRACT r"I:ge �l�3 OCK
CONSTRUCTION //'' / // fyEW ADD ALTER REPAIR MOVY�G OF MOI ISH
LENDER Nen,4:2_ F
BRANCH S r-r/ ..
, A
OWNER I\ �I i ...a it A!
ADDRESS ti -1-Ad,: _ _
- / './` VALE
ARCHITECT TES. S_ 4±.1.;/...&./a h{. - / $
OR ENGINEER .- N•.wa:ilala
,r FIRE /I
ADDRESS ,` 44-3 M' /,-AC 4(/3 ZONE TYPE / GROUPr
APPROVED
CONTRACTOR ON/NPY BY �n•tM.n////tttr (DA[i1T�yE.s��/��j
ADDRESS tl E —/ [Ir.
BVILC9 113 ,' �/
TEL.
CITY NO. AtJ
F STATE tt ,.L3 CITY YARDS APPROVED YARDS APP VED
LIC.NO.2.62 V�r LIC. NO. MAIN BUILDING ACCESSOR UILDING_
14 SIZE I NO.OF BLDGS. (FROM C/I�S?EET
L OF LOT � C NOW ON LOT FRONT Pte/ /FT FT.
4 USE OF
cn EXISTING BLDG. R.SIDE A ,41: FT.
to
(-•
Separate permits are required for L.SIDE tdif. FT.
i. electric,plumbing and heating work.
WREAR FT. FT.
i.. USE OF BUIL ING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
.2 MAIN BLDGS. ACCESS.BLDGS.
A
LN 1e‘- C URP.. �% -j ' APPROVEDD/7-76.
}>' sy , APPROVEOa- C/,J SATE_• 2/-7I
cc . 1. • io l►• : • _ t • I r t
W -
O I hereby acknowledge that I have read this application and state Ln
r.
p; that the above information Is correct and agree to comply with m
R. all laws rogulating building construction, and I shall not employ
i
Z any person in violation of the workmen's compensation laws of w
44 the State of California. 'JyJ � ��' D�,r/�
I hereby certify that I am properly licensed as a contractor under /3/L/ SD. FT. ✓-�30- ad VLF/ tmv
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business o
VALUATION PERMIT FEE S
and Professions Code, Division 3,Chapter 9. m
PLAN CHECK $ ^
Signature of/ r U.
Permittee 62.... $ TAX S LL
2
U
Authorized Agent TOTAL PAID S