HomeMy WebLinkAbout1054 WESTWARD LN - Building Permits . . • tta
COSTA MESA B[1ING-SA ETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Appli ant to Fill inromp etely- Us I k Only APPLICATION FOR STRUCTURAL PERMIT
v t/{ RECEIVED BY DATE RECEIVED DATE ISSUED
BUILDING
ADDRESS r`7 (A�t. "r�✓t'(,( { PERMIT NO.
OWNERr�� ii �C. _r
/ /jFlN 346 -o /1^3
MAILBUILDING
ADDRESS/?"1/ 4.7 i %.v ADDRESS I. ..0/ a/
CITY /�. �i �I r NEOL'/.�•� /_ TRACT j%leMil�Pkgi ICI.22)jJ
CONSTRUCI,D / / e ',r •:/J" - . •• PAInL.tG191.`a�`7 ,..
LENDER a /....elf
BRANCH Lfp 4 vt vr ���A�D '
OWNER ,/-t,•./(`
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ADDRESS J�'� r �z�
ARCHITECT /Lips?
NP702,/73- SJSE/.tell G(N 14-Vin.VALUE
OR ENGINEER �} \�/J/L/
FIRE /
ADDRESS — J Ar _ !/ - - ZONE TYPE / GROUP J/
���jJ//���� APPROVED
CONTRACTOR L���G'%'!.C/t./ BY DATE
ADDRESS TEL. Z NO. USE OF NEJ�
CITY NO. PLANS n BUILDING
(—, STATE CITY YARDS
LIC.NOCt /) g LIC.NO. YAR
MAIN VED BUI DO NGAPPACCESSORY R LDWG
SIZE li"--VV NO.OF BLDGS. (FROM C T)
a OF LOT`,r� _ NOW ON LOT ONT FT. J FT.
h USE OF ' /J( 6 e?L_
EXISTING BLDG. R.SIDE 7[/�T �"� FT,
inE F Separate permits are required for L.SIDE < ' FT.
electric,plumbing and heating work.
REAR T. FT.
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F, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
G1. g � Q/ MAIN SLOGS. ACCESS.BLOCS.
VA
Q 3 _ s///sD4 C URP. .. ?DATE()
APPROVED n5/�7J�7��j
��\`31' L/S�QI�s/��_VVV —�Y ROVED�i 1�PU DATE/ �{/� /
HOLDFO<G/
F R SPEC7A1 REQUIREMENT$
0 I hereby acknowledge that I have read this application and state r.
X that the above Information Is correct and agree to comply with m
G• all laws regulating building construction, and I shall not employ
i
Z any person in violation of the workman's compensation laws of
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the State of California. 13,
SO. FT. Jai. I!Y•/�eD'Ad� -.
I hereby certify that I am properly licensed as a contractor under ✓ N
the State of California Business an• Pr•fesslons Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, an• at sup lice�=s v full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; e
am exe - - ro , - • ovisi••s• ••e State of California Business e
r1. a VALUATION PERMIT FEE S
and Profession Divis i looter 9. N
CO
PLAN CHECK S m
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Signature o /r/�� , $ TAX S LL
Permittee i ice/
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Authorized Agent TOTAL PAID E