HomeMy WebLinkAbout1291 WAREHOUSE RD - Building Permits 30558 JUL 23-6 sAOOi857* ****27.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
ape e DATE RECEIVED
BUILDING ((��) _ 11'' a EG E. / DATEISSUEDISSUED
ADDRESS !Z7r w#t l��mi.� p o. ;pep' / 4 4l U' 7-013 •••-‘9
_ _ y_ yip �y � // ` / /� PERMIT 10,.x
OWNER pop rturi IUVYJ I'r (' A.P. NO. i4/-3,5 EL) a_
ffLOT
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ADDRESS kS�M r BAUD!
DRESS 4a`— �C.J
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O CITY Co rte' M t'J ft TEL.,5 76 Wag TRACT, OCK
-Q ZNEW ADO ALTER EPALISH
CONSTRUCTIONEDE ,r 11
O w LENDER
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_ID BRANCH _ D ��
J CO OWNER �11L-40
CO J ADDRESS ��� p�V�A //J/� �()
_10] ARCHITECT TEL. SSE V $1}l LIQ
Q OR ENGINEER NO.
U FIRE r �J
WQ ZONE TYPE �Y�GROUP V
L ADDRESS }� a r+) yt ,,//7
JO CONTRACTOR C/1 47 /L u r N�C /c APPROVED ////. DATE 7_423-1
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z cc ADDRESS Z- G-`/ FDA 0 /4-4-/t') OR. �~
W W 2 VrI INO.OF USE OF NEW
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TEL.z� CITY C0,7 I-T' / { _JA NO. J�/G ge qPLANS BUILDING ry
W- O STATE CITY YARDS APPROVED YARDS APPROVER
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LIC. NO. J 41I ri LIC.NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF SLOGS. (FROM C/L STREET
OF LOT 30 J X IJ 0 NOW ON LOT Z FRONT FT.
USE OF y t�
EXISTING BLDG. 'HO PP 0 (CJJ i lV& rt. R.SIOF FT. FT,
I— SIZE OF NO.OF
Z NEW BLDG. y ROOMS STORIES L.SIDE FT. FT.
U COVERINGERIOR AL 1' J�l-. COVERINGROOF 24-'' *I C6- REAR FT. FT. '
J USE OF BUILDING AND WyORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
a
CL (C DJC / /✓ r"d f ?� C C MAIN BLOCS. ACCESS BLDGS.
Q z DDI k' SI-. G f D 'f
O CU.P.# APPROVED
~ APPROVED LcA iQ 7 I}.3/I z{
Co \ —_EL — ' " ' .DATE / �,Jj
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UI hereby acknowledge that I have read this application and state\
D that the above information is correct and agree to comply pl
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all laws regulating building construction, and I shall not emplooy � ,• �
F any person in violation of the workman's compensation laws of • C], ti�ci
t/) the State of California. ( U m
ZSO. FT. o 2
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses ere in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from the provisions of the State of California Business cc
VALUATION
and Professions Code, Division 3,Chapter 9. re
PERMIT FEE $ / .O D
nO ON
Signature ofP �yy m
Permittee $ /o DO PLAN CHECK $ ,7nG E
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Authorized Bent ` TOTAL FEE $ 2 'Oe7