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HomeMy WebLinkAbout2752 HARBOR BLVD - Building Permits 32258 SEP 15-7001039.00 COSTA MESA BUILDING-SAFETY DEPARTMENT Lnsp�� 392* *k** P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC I D DATE RECEIVED e DATEvISSUED BUILDING n. 1 - r-7-7o 7 �`y-70 ADDRESS 2754 asaBoR . T3C.V0, i }7ss //�� 7 rt PERMIT NOCr OWNER iLM CL uel OF AINSR(CA A.P. No. �(�I".J6Af'i y .3 2 Z d MAIL T p BUILDING 2./52_ „rot ADDRESS /�LS SUFLS� SI_U Dy ADDRESS / I OQ /JLYO. w WA TEL. TRACT LOT BLOCK CL f..) CITY � AactLa5 el:“.. NO. Z 4 CONSTRUCTION , /I NEDD ALTERM REPAIR MOVING DFnI LSH N W ALENDER IV ON E3. X `_ CL co J n BRANCH JN OWNER J/}I.� • e?(a��' m J ADDRESS VALUE -CO ARCHITECT !!�� TEL Z13 $ $ J Q OR ENGINEER ❑,.tom. 1=.I4IRL(C H NO. 22I-•6o14-I (7)En • FIREr�"� ZZONE TVP GROUP / wa W ADDRESS LLbn N. MIU1! sr, L,A, APPROVED -///�) _ / ')(} J O CONTRACTOR FEt R.A L. StaN BY r� DATE9 - Ir/►j ,), mZ W W ADDRESS ,ton N,maim�'r ZONE NO.OF USE OF NEW�. ^�' ` t/ O= TEL. 213 PLANS BUILDING L;f(J�s" M.'.'�.Cl' ZF. CITY LF,s An Etw4 NO.zy1-.(n).4i C— �' k w 0 STATE . I L I /�- CITY YARDS APPROVED YARDS APP�D j O LIC. NO. -a�-'►1 6 LIC. NO. MAIN BUILDING ACCESSORY BUILDING //1 SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT u, id, C. Ca — e • NOW ON LOT -OW pig FT. I. FT. USE OF EXISTING BLDG.r1LM a TA pm C T�JA LES R._SIDE all FL,I .sI� FT. I— SIZE OF ppII NO.OF I .{- Z NEW BLDG. O X L(o ROOMS l I STORIES L,SIDE $C FT, — ch1...,(4i.y 4 EXTERIOR WALL At GTA L. ROOF yq� V COVERING B PLeX COVERING �.V LV(F<Y'A C- REAR NO FT. ___ pA FT. —I USE OF BUILDING AND WORK TO BE PERFORMED 000 l CL DISTANCE BET. BET.MAIN& 0- To Coo Et Je rt LItis_Fai D_eJGLo pip MAIN BLDGS. ACCESS. BLOCS. Q VAR.tH' DATE O SALE OP FILM jZ6cOROlALCo "6AP� C.U.P.#ZE Gfr'1 O APPROVED q _ 2 ._•2 O H Z APPROVED �,CO ' ATE 9 S `6 O GOLD FOR SPECT REQUIIREMENTS VI hereby acknowledge that I have read this application and state // _ that the above information is correct and agree to comply with sCKY-� Os/1 t-s�/ cc all laws regulating building construction, and I shall not employ / F any person in violation of the workman's compensation laws of fn the State of California. m ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e rE am exempt from the provisions of the State of California Business �1 VALUATION PERMIT FEE $ OK rP d Q 6 N and Professions C de,Division 3 Chapter 9. m • 7 Signature of m Permittee u/vl.[.J $ �/ D PLAN CHECK $ /3i 0 0 E C ^ o Authorized Agent �J u TOTAL FEE $ 9r