HomeMy WebLinkAbout1052 WESTWARD LN - Building Permits VZITy
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 •
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — U In Only
RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING 3,--2_ 1AJ j_
ADDRESS s'V ! �_0 ,o ,
15 I G PERMIT NO.
OWNERBULi/�/;/(�L����� /+.r'. NO. /� /� C 8 J /-,
MAIL el
f �f %/sly. RIESSNG '[/�p( �;lJ iW
ADDRESS f'1
NAL ,,// TRACT 6)63 �aOQJ
CITY , i4.i %i • 7v�✓ /G, , BLOCK
CONSTRUCTIOve `� �i NEW ADD ALTER REPAIR MOVIrtf clMO'ISH
LENDER /1 . O//!/G///JJ//,O/ � IN
(,/r/t '. 1 /�L{�/ �(�/
BRANCH Lid; -!/lus— OW N E R/7er / '. /, !� �/rret!/_
ADDRESS /�-1 /_lj _ Ricer
ARCHITECT //-� TE /J S_ .i// Of ! V LU$
OR ENGINEER (- I. -/ N� //v�� !/ T
FIRE i
ADDRESS 2.6 �� , :� ZONE TVP GROUP y r
APPROVED
CONTRACTOR (3.a. ^9V DATE
ADDRESS TEL. '�f�E 13 NO.OF /I USE OF Nero �/
CITY NO.
VV//{{�_ PLANS IVT// BUILDING
F, STATE CITY YARDS APPROVED YARDS APP tot
'
LIC. N0.2t2r LIC. NO. MAIN BUILD NG ACCESSORY ILDING
0,1 SIZE NO.OF BLDGS.iq (FROM C/L ST T)
6. OF LOT (rae_.., I NOW ON LOT CJ FRONT T. J / FT.
Q USE OF J� �(–/�„y--
cn EXISTING BLDG. R.SIDE t Ara �/E'�� FT.
U)
F Separate permits are required for L.SIDE file FT.
electric,plumbing and heating work.O REARFT. FT,
I
F., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
�Q MAIN BLDGS. ACCESS. BLDGS.
/n✓M VAR-yp /J DATE /
Q VY C.U.P.W/fp��p 3 APPROVED 5----/7-7
�/) APPROVEnA RpA lj`J n �/)
/[/ APPROVES),
4 SATE / !'1'-/ -.
W CJAt REQUIREMENTt
a.
o 1 hereby acknowledge that I have read this application and state —"
IY that the above information is correct and agree to comply with
Cl-: all laws regulating building construction, and I shall not employ m
Z any person in violation of the workman's compensation laws of m
Fi] the State of California. /no _,/�� i
I /noidsof.
I hereby certify that I am propel y lic-in d as a contractor under SQ. FT. s N
the State of California B nes, nd ' of scions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that c icons 4 an In ull force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt fro p Isla oft e - ate of C: ifornla Business .t
VALUATION PERMIT FEE $
and Profess' s C isle /C•ap •r 9. - m
PLAN CHECK $ o
Signature offir
Permittee $ TAX $ it
U
U
Authorized Agent TOTAL PAID $