HomeMy WebLinkAbout1058 WESTWARD LN - Building Permits _ __ . .
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely— Use Ink Only APPLICATION FOR STRUCTURAL PERMIT
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� RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRBUILDING Lc
ADDRESS / y
✓. �� 0�(��'•�'�O7PERMITNO.OWNER ��MAIL
ADDRESS 2, /`�J6!/,TEADDRTsyic: 58 // /op/y5 tnelLi
CITYAV/ `/ • NiL - TRACTS nr 1 'LDT/O~- B •
CONSTRUCTION/ ' n /--/-�� P1�iry- ADD ALTER REPAIR MOV e DEMOLISH
LENDER Lisa- ` .Y.Uf Alt
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BRANCH J'•(�`�-�/ ALI�M��/ //eainie-
ADDRESS
J I7 li l�l t OWNER I VALUE
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ARCHITECT �(ry TE /-� S en, �� /
r// A, $ 1
ADDRESS ER////JJ(J //// �� - '// ,N1e1ioIRE
� /rFr -4J/ ///.E,121J ZONE TYPE / GROUP
1 '���/!!G//.� APPROVED
CONTRACTOR ../ BY DATE [_/
ADDRESS r -,
TEL. `���/(tr�t' O.OF USE O
CITY NO. A � Pj BUILDI G
Mi•y� STATE //77 CITY - YARDS APPROVED YARDS APP ED
E LIC. N eeeepz kz LIC.NO. MAIN BUILDI G ACCESSORY ILDING
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W SIZE 11.. NO.OF BLDGS. (FROM C/ R- //s
C. OF LOT NOW ON LOT O FRONT i v r Ana_
a USE OF �t /
co EXISTING BLPG. &IDE �tJFT.(/.% •. FT,
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F Separate permits are required for L.SIDE FT.
Ci electric,plumbing and heating work. REAR r. FT.
(W., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& `
-eCQ I ' MAIN BLDGS. ACCESS. BLDGS.
DATE
C URP# ,. - APPROVE.
APPOr ROVED/�Q�t// Al/ _- /-21—..77/ 7
W HOLD FOR SPECIAL REQUIREMENTS
0 I hereby acknowledge that I have read this application and state n
g„ that the above information is correct end agree to comply with m
:LI all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of a
W the State of California. I�
I hereby certify that I am properly licensed a a contractor under , SO. FT. ���3D•. [LR+ N
the State of California r sl -ss and Professi• s Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, a_Ad.t s P enses are In full arca and eff- t,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt fr' •r• 'sions •. the Stat of California tuskless a
VALUATION PERMIT FEE $
and Professions ' •••, •�n n ,Chat- m
�,�, / PLAN CHECK $ rg
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Signature of o
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Permittee - $ TAX $ 2
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Authorized Agent TOTAL PAID S