HomeMy WebLinkAbout1805 Tustin Ave - Building Permits PAIL ,}t• ,:�5.50
43489 _pe —8_77m,.00 41_15 1.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
A P C ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RE E Y DATE RECEIVED ATE ISSUE
BUILDING -r-� B
ADDRESS /////eQ f ta(/S / l/ A-VE �j/j PERMIT NO.
OWNER CrtO •�. M,4 SCS A/ ' A.P. N0117~on/•• /�
BUILDING /(SOS A)
MAIL ���-Q _ TEADDRESS
ADDRESS -O — —
CITY G. ./tit , NOLJ ]f_3 74' icw' zt- /"'i `�/ Y -- M4 BLOCK
CONSTRUCTION 14.</We.---
BRANCH
7� NEW I ADD XR REPAIR MOVING DFMOI ISH
LENDER X /1
BRANCH o OWN Fr-7(W. ibetSO/� ,
i ADDRESS N s�yy�a�'/��s_QpE j��I 44ARCHITECT TEL. jJ` ---jam^ Qgel. .------
ARCHITECT �f
OR ENGINEER NO J
Li FIRE � J
ADDRESS _ZONE TYPE ROUP
APPROVE
CONTRACTOR 5 El..., BY (..-
DATE 01-8-7 y
ADDRESS /jp.. r7/s 7 lid
2rE NO.OF USE OF NE
TEL. ✓ PLANS BUILDING r, /
J
CITY ` i 7✓I , NO 3 _ A
F. STATE CITY YARDS APPROVED ARDS APPROVED I I
LIC.NO. LIC. NO. MAIN BUILDING SSORY BUILD
I (FROM C/ TREE ) ryOl
SIZE // / NO.OF BLOCS. p
0. OF LOT f(jtf�( />4 INOWONLOT • 7j FROM
Q USE OF /
EXISTING BLDG. ,PES _R.• _ FT ./� I' T
rA 4 / .
hil
F Separate permits are required for r
?electric,plumbing and heating work. FT
[ , USE OF BUILDING AND WORK TO BE PERFORMED =TA DISTA C T. BET.MAIN& •
aQ /t EA . Its rel-L[. JX I‘ o'N"Ekb MAIN BLOCS. ACCESS.BLDGS.
/�fI'R/(-f�TE TJO/1� >� ��MO ✓E ( /✓O - ;;/-may` DATE
..1 C�r,�r - -0 APPROVED/1'51°.7�p
} IV/A nti L✓S f/fl .4tt E �Tli_� 17 ODG2 �CC..R7/'-- ri .-e.�77w oil sysE sPECIAL REQUIREMENTS
C I hereby acknowledge that I have read this application and state
N
g that the above information is correct and agree to comply with n
m
Mx all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of F.
Sthe State of California.
I herebycertifythat I amSO. FT. co
properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPCGE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business y
VALUATION PERMIT FEE $
and Professions Code,Division 3,Chapter 9. S JI
Cl
/." PLAN CHECK $ Cl
Signature of (/ It
Permittee /171114'..101.----- $ TLam] It
2
(532 AX E \Jv u
u
Authorized Agent TOTAL PAID 5 L-]