HomeMy WebLinkAbout1034 WESTWARD WAY - Building PermitsI . .
COSTA MESA BUILDING-S FETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Compl tely —Usp I Only
'0 141pm`` h_//(( p'/ RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING A
ADDRESS
p M-C) Gta 1 al 03/ o PERMIT NO.
OWNER /
ADDRESS,L1- if
i •. •MAIL ADDR ESS,D �� I, a� (i)
CITY 97tfg
r}1s,� '7f NO.64I_4TH TRACT <o,53 PLO70,/J0'LoCK
CONSTRUCTION C. NEW ADD ALTER REPAIR MOV 1 DPW?ISH
LENDER � V
BRANCH /�a •
'
( 0)Ol E' I/ Old Ia sat• . 'L at
ADDRESS /734.. I/`!
VALVE
ARCHITECT 7es/ TEL. S_ at /iI • $
OR ENGINEER i_ -les • x - re!
7 sJ 1
FIRE /
ADDRESS 204-3 �I6s' �Q ZONE TYPE f GROUP
APPROVED
CONTRACTOR OKRA BY DATE
ADDRESS Z��/ ///J/�,"�O. ((J
CITY NOie
L fl "(/I 'LAO g BUILDING EN� �//`�j/
F STATE CITY YARDS APPROVED YARDS A RO EO//
p!.( LIC. NO.26 RS 2 LIC.NO. MAIN BUILDING A CESSO BUILDING _
PA SIZE NO.OF BLDGS. (FROM C/ S : - ) WI
p. OF LOT S4-e. NOW ON LOT c' , RONT a, , . FT.
USE OF
EXISTING BLDG. • / ..,.4% FT.
ft S
F Separate permits are required for L.SIDE a i T. FT.
cc
electric,plumbing and heating work. REAR f2 /FT.,/ / , FT.
LIZ
I..i USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& •
G / /I MAIN BLOOGS.. 7/ �/ ACCESS. BLOCS. -7 (/�
...1 3 het„,„
c/�,, C U.P.arif.-.6
D.TO DATE
APPROVED✓ / 7
Q „W"� �J A �J
.,.1 �'--'-1 /1APPROVEO/-I , '�_ __DATE I— ��� /�
/Czf� l� HOLD IFLOI FOR SPECS • REQUIREMENTS
sal
A. I hereby acknowledge that I have read this application and state tn
IY that the above information is correct and agree to comply with m
4' all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of ///��� o
the State of California. J3 o J 140 i /- w ..
J NWU m
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
o
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $
and Professions Code,Division 3 hapter 9. in
PLAN CHECK S m
Signature of (///��)�j o
Permittee `+tern's+ $ TAX S U
f
U
Authorized Agent ` TOTAL PAID E