HomeMy WebLinkAbout578 WENDY LN - Building Permits; �:•.. 45
GOSTA MESA �UILUIN(i•SAhETY DEYARTMENT 9236 4/14/78 ��6a84
P.O.BOX12� COSTAMESA,CAIIFORN1A92626 , j23( 4/14/78 ��6084�
APPLICATION FORSTTtOQfURAL PERMIT � p
For Applic t Fill in Completely — Use Ink Only "
p�,�_�_ HECEIVED BV . DA E RECEI DATE ISSUED
ADIDRESS Maple nvCnIIC' �G
�
OWNER S
n.v. No. 115-321-X6 67 PE
MAIL
ADDRE 5�e�' Md � e`A�9�.P���.
ADDFESS A
CITY Santa Ana No`.751-9930 TRACT�O3HG LOT 'T BLOCK
CONSTRUCTION
LENDEFi
X
BRANCH
OWNER John R. Davies & Son
ADDRESS VALUE
AflCHITECT TEL. $
OR ENGINEE
FIRE
ADDRESS 447 E. llth St. - Costa Mesa 2pNE YP GROUP �
APPROVED �J �
CONTRACTOR BY DATE ��{
ADDRESS 1720 E. Garry Ave. / Ste 118
TEL. ZONE j� NO.OP USE OF NEW
CITV NO. J P�� Z BUILDING .
STATE CITV �'ARDSAPPROVED VARDSAPPqOVED
IIC. NO. IIC. NO. MAIN BUILDING ACCESSOFV BUILDING
SI2E NO.OF BLOGS. (FROM C/l STREE
OF LOT 21 X rJ4 NOW ON LOT OM FT.
USE OF n � � //
EXI5fiNG BLDG. OL p
Separate permi[s are required for s�oe ✓ 4FT ^-' FT.
electric, plumbing and heating work. REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf'. MAIN &
MAIN BLDGS. ACCESS. BLDCS.
VAR.1M� DATE
Sj C.U.P. I MPROVED ���
garage APPROVE d. �- 6'_ _78
I horaby acknowlWp� thet I hava t�ed thh apD�lcetlon antl �tete '
thnt tha ebova Informetlon la eotre<t entl nprse to eomply wIN �
ell lewa rapuletinp �ulltlinp conrtruction, entl 1 shell not employ
eny perwn In vloleNon of tha workman'� compan�etion lew� of '
tha Stote af Celifa��le. ,
I heroby cortify t�et I em properly Iicenastl aa s convector undar SQ. FT. �
tha Smto of Celifa���e Bu�ineu nntl Profeolons Coda, DIvl�ion 3, TNE AMOUNT SHOWN UNDER VALVA710N IS FOR i
Cheptar 9, antl thet �ue� Iicanses ere in full fores en0 eftxt, or 1 THE VURF06E OF ESTABL6HING A PERMR FEE ONLV:
am axempt from (he providons of the Sute of Celifornla eu�lnaa :
VALUATION PERMIT FEE 5
or1E Profaasiom Cotle, Dlvi�lon i ar 9. �
r
Sipnoture ot P�N CHECK S O �� �
Petmittee � � ; S�D�/� � TAX S �
( V �
AuMorliBtlABant I TOTAI.PAID E /� �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
�or Applicant to Fill in Completely — Use Ink Only
BUILDING 1 /)� /LN i w �
OWN�R I I
MAIL
ADDRESS
qT�
Cp�ISiRUCTII
LENDER
BRANCM
AODAESS
ARGHITECT
CIT'�
STATE
LIC, NO.
SIZE
OF LOT
USE OF
TEL.
NO.
TEL.
TEL.
NO.
CITV
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and hea[ing work.
OF BVILDING AND WOFK TO BE PERFOFMED
I ha/eby acknowletlge that I �ave reatl this epplicntion antl state
that ihe obove Informetion is corract antl egrea to comply with
all laws ragulaNnp building construction, end I shell noi employ
eny Darson in �{ofation of ihe workmen's compensaiion faws of
che 5tata of Celifornla.
I hereby cartify that I am pro0erly Ilcansetl es e contractor undar
Me Stata of Californie Business antl Profasslons Cotle, Divislon 3,
Chaptar 9, antl that wch licanses are In full torce end effect, or 1
am e.ampt from Ma provisions of the State of Callfornia Business
entl Profassions Code, Division 3, Chapter 9.
Sipn9tura of
Permittea
AutPorixatl Apent
APPLICATION FOR STRUCI'[JRAL PERMIT
AD
R
FIRE
ZONE
APPROVED
20NE NO.OF
PLAN$
VARDS APPROVED
VAR. iW
C.U.P.�
APPROVED
TH E AMO V NT SI
THE PURPOSE OF
VALUATION
8 �
PER
VALUE
OF
VARDS APPROVED
BET. MAIN &
ACCESS BLD
DATE
APPROVED
VN UNDER VALUATI
"ABl1SHING A PERMR
PERMIT FEE E �
AIAN CFt�
TAX S
TOTALPAID E �
IS