HomeMy WebLinkAbout1049 WESTWARD WAY - Building Permits COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in ComQletel Use hqr(Only
�� 7 � RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING it /-wY/IY//
ADDRESS PERMIT NO.
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OWNER Ifarg��I i1 ALI�y
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CITY NO filifilin�I �_J��_)
IMRE
CONSTRUCrIOt� ) _ / rill •• AL R ridN41x6.7�litFu(
LENDER fFY�YIJr.�P .m■--�—
BRANCH _TA
• OWNE-'4y, / / Ie•-' a I/_
ADDRESS ti— Fr tit) VA UE
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• FIRE
ADDRESS 2Q¢ J
3 �/'s!r(•/ r ZONE TYPE / GROUP
APPROVED
CONTRACTORf,CJe..4 BY DATE
ADDRESS -,q
TEL. �yI�{� /J NO.OF USE OF NEj
CITY NO. Y,PIPLP'hS BUILDING ,O �.
�_ YARDS APPRO / YARDS AP VED /
gLIC. MAIN BUILDING ACCESSOR /w (FROM IN TLDI I I
FNw F LOT A NOVVON LOTRONT FT I - a FT.
Q USE OF
y EXISTING BLDG. 0.SIDE e 'r . FT.
on
F• •
Separate permits are required for - L.SIDE / / T. FT.
electric,plumbing and heating work. REARNI* I �
� FT. `
LH USE OF BUILDING AND WORK TO BE PERFORMED �_ •
F DISTANCE BET. BET,MAIN& -
C ^ `�/Z / /�y/`7,. Q MAIN BLDGS....r_� /.y ACCESS. BLOCS. '''7 �]
DATE
.1 ` — Lzl//it✓"`'_s" - ✓ •'-'(m[///7i,1 C U.PVAR...oe di i 'la;:o. APPROVE / /
'C ,y �/s
, I APPROVED //. . 7��I DATE I`� l / 7
1
• Coo I hereby acknowledge that I have read this application and state S ! n
GC that the above information Is correct and agree to comply with oa
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all laws regulating building construction, and I shall not employ u
Z any person in violation of the workman's compensation laws of ��) +� w
.Wj the State of California. ���D SQ. FT. ►! - 3Q+Dal f/{ „Ni.
I hereby certify that I am properly licensed as a contractor under s
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:
am exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE E
• and Professions •.e, Division 3. hapter 9 J,
m
��Of
PLAN CHECK E G
Signature of �J►G�—o_J a
Permittee . -_ ti $ TAX $ F
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Authorized Agent TOTAL PAID E