HomeMy WebLinkAbout1401 WAREHOUSE RD - Building Permits Pn1u .50
\PR 24-74-;1;•00 935* ':'r5
38318
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP;LIC/ TION FOR BUILDING PERMIT
For Applicant to Fill in Completely RECEI E 6L-.
DATE RECEIVED DATE ISS ED
BUILDING l,I/ / Ln�
ADDRESS 14�6t �AeCC Ficu$L �7
OWNER r 1a S t LAN A.P.NO.M— /— /WHOU
NO.
MAIL ADDRIESS ILIO i w42EHDu5
Z ADDRESS -SC) S. :Rai/rl�.
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0- U CITY c ,. lA A 1-.4 NO.w Ill 54o-4'p.I C TRACC' )Q*FJ LOT- 8/Br?
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Z Q CONSTRUCTION •i e se
NEW ADD A_TEfl REPAIR MOVING DFH
O- N LENDER ASIL�c..N
O- m
J O BRANCH IA(50✓L
-I anOWNER rr� S •�-�Gf' _-
mJ ADDRESS �_. ///� ,"`p r-�� �^^VALUE rte,
...-CO ARCHITECT TEL. - USE 1'(.It e. G_A_I.1 Del) $ I`r U
Q OR ENGINEER L_ •�'�yo K'(N NO. 540-412.1
O(a 1 FIRE ...��-/�^ �f
W 0: ADDRESS AP/QOJIC A ZONE '/I PE yam- GROUP L.(`�
0- Ikl APPROVE
W Z CONTRACTOR �W '/Lf�V• BY VWWV VVV��/ DATE 9-4'9(
J O
CO Z .
J Ir ADDRESS
W Lu2 NO.OF USE OF NEW /• /}["
o= CITY NO M1 PLANS�BUILDING
ZF
-0 STATE CITY YARDS APPROVED YARDS AP ROVED
III
to CC LIC. NO. LIC.NO. MAIN BUILDING AC $S BUIL NG
D O (FROM C/L STREET)/
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT FRONT FT FT
USE OF .-
It-, � L ^
EXISTING BLDG. I. 9NS"Ir I AR.SIDE / I, . f ,.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE I L FT.
Q EXTERIOR WALL I ROOF r
V COVERING COVERING - REAR T. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
0
CL MAIN BLDGS. / ACCESS-BLOGS.
Q f VAR.# DATE
Q 'AVE)CI: LAr.'tL. \::CC .'it CT C.U.P.#
APPROVED
APPROVED \� ti—.2-� //��B DATE
Z
O N ATATE
VI hereby acknowledge that I have read this application and state ��
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ ,�
F any person in violation of the workman's compensation laws of
N the State of California. TAX m
b
Z I-hereby certify that I am properly licensed as a contractor under SO. FT. r
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: d
EC
am exempt from the provisions of the State of California Business
and Professions Cove, Division 3,Chapter 9. VALUATION m
PERMIT FEE $ t. N
D
Signature of Cr' m
Permittee �^ • 11Na $ ' Cry PLAN CHECK $ E
may/ o
.
Authorized Agent JL j U.
TOTAL FEE $