HomeMy WebLinkAbout583 WENDY LN - Building Permits_� , ' 45823
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely — Use [nk Only
IIDING .._n u__'_ "____..-�.
OWNER
MAIL
CIY�'
ADDRESS
ARCHITECT
ADDRESS
clYv
STATE
LIC. NO.
SI2E
OF �OT 7
R uwner - �uiider
1720 E. Garry Ave.iSte 118
CITV
IIC. NO.
NO.OF BLOGS
NOW ON LQT
Separate permits are required for
electric, plumbing and hea[ing work.
UILDING AND WORK TO BE VERFOR�
I hareby acknowlatlpe thet I �ove reatl chi� applleation entl �tata
thet the abova Info�ma<lon Is corract en� opree to compiy wlth
ell lewz repulatinB bulltllnB �onttructlon, pntl 1 shall not employ
eny cerson In violation of the wo�kmon'� compen�etion lews of
the Scata of Californle.
I ne�oby certify ihat I am D�oDarly Iicenmtl ec e contractar unOer
tha Stnta of Cal(fornia Bufineta antl Prof¢faions Cotle, Divitlon 3,
C�apter 9, antl thet suc� Iicanws ere in full force enE affect, or 1
em exempt from Me pfovifions of che Srote of Calitornla Bu�inan
untl Prolasslon�;�,ivi�lo , apte� 9.
Slpnature of
Permlttae
Authorized Aeant
92�'6
98�'6
9�26
APPLICATION FOR ;
T
r
A/14/78 84065 TL
4/14/78 84o65CNT0
OU�04458 23 IA
RUCTURAL PERMIT
VALUE
Ufll t S
:ON NO.OF USE OF NI
3 P� Z 8�����
VARDSAPPROVED YAR�S
MAIN BUILDING ACCESS(
FROM C/L STF�EET) _
VAR. #'*
�oyo :
TNE AMO
T11E PURPI
VAlUAT10N
6°
�e sII �RI
$�D 0�'D
n
FT
-�3
FL _ I �.SU.C�
f SNOWN UNDER VALUATION IS FOR
OF ESTABLISMINO A PERMR FEE ONIV:
PERMIT FEE 5
�L PLAN CNECK S �
Tnx s , %L
TOTA PAID S
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5 3
GOSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
�`-t�= ��' ay
7115 6/27/78 127.00 TL'
APPLICATION FOR STRUCTURAL PERMIT
For Applicant [o Fill in Completely — Use Ink Only
RECEIVEDBV DATERECEIVED pp+rEISS E
BUILDING 2 �� —
ADORESS ��
PERMIT NO.
OWNER A.P. NO.
MA�� BUILQING
ADPFlES �10ORESS ��3
TEL. TRACT LOT BLOCK
CIT�' NO.
CpNSTRUCfION W D A R P
LENDER
BRANCH
OWNER
ADPAESS VALU
ARCHITECT TEL. $
OR NGINEER
FIRE
ADPRESS ZONE TVPE GROUP
APPROVED
CONTRACTOR � BV DATE
ADDRE55
TEL. IONE NO.OF USE OF NEW
CITY NO.
PLqPiS BUILDING
STATE CITV VARDSAPPROVED VARDSAPPROVED
IIC, NO. LIC. NO. MAIN BVILDING ACCESSORV BUILDING
SIZE NO.OF BLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT FT. FT.
USE OF
EX15TING BLDG. FT. FT
Separate permits are requ'ued for L SID FT. FT.
electric, plumbing and heating work.
REAF FT. FT.
VSE OF BUILDING AND WORK TO BE PERFORMED DSTANCE BEf. BET. MAIN &
MAIN 8LDG5. ACC65. BLOGS.
VAR.qW DATE
C.V.P.4e APPROVED
.nwaoveo
I hefeby acknowlatlBa thet I have reatl this applieetion entl stata �^
n
that the above InformeNon Is corract and eBree to comply wit� m
ell laws regulating buildinp connruction, and 1 shall not employ �
nny parmn in vioiatlon of Ma workman's compensaHon laws of m
Ma 52ata ot Californie. 1e��
I heleby certify ihat I am Oroperly licensed es e conirecio� under SQ. FT. �v'
the $tete of California 8usiness antl Profezsions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR m
Chepter 9, antl that such Ilcenses are in full force and ef}ect, or I THE PURP06E OF ESTABLISMING A PERMIT FEE ONLV: �
em oxempt from t�e provlzions ot the Stata of Calltornle Business VALUATION PERMIT FEE a
antl Professions Cotla, Division 3, Chapter 9. E� in
m
PLAN CHECK E �� �
SIB�ature of �
Pe�rt+�ttee $ TAX f �— LL
f
U
Autl+orized Apant TOTAL PAID i /� �
�rPY OF COSTA MESA REQUEST FOR OC�.,�ANCY
TRACT ND._ ��%� C�
LOT N0. �
ADDP,ESS J�LY3 I���i �4/ �Ol1 P.
T ''
DATE �j" `'�� ' r /
--r
C�o�4 �e��,c� f��.6�
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been campleted � 4� ��x�d��I
CITY OF COSTA MESA
accepted by the City of Costa Mesa. PLANNING DEPT.
(': !'� p { t
A�M�g . PM
The undersigned, by executing this agreement, acknovl@tl��s��Q��t���2i���sh�L4h§y�
'�� (Ues or were) /�/.Q j- � advised that this tra�ct has
not been given final inspection nar has it been eccepted by the City of Costa
Mesa as having complied with the conditions of approval which Were impased by
the city at the time the final tract map was approved.
The city assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the city harmless from any clei�
resulting in des:age or personal injury to the undersigned by reason of the
aforementioned uncompleted condition.
BY � %�•-�"--�
ender