HomeMy WebLinkAbout1539 WINTERGREEN PL - Building Permits 22239
COSTA MESA BUILDING-SAFETY DEPARTMENT SEP - 31970
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION,FOR BUILDING PERMIT
ForAp icant Fill in Coln�6[Bly RECE By DAYE.RECEIVED
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AUILDING i liwr� ^Q/C '/ //YT -9;--47-71,-- ��-f� 7t�
ADDRESS ` •
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OWNER f- Angel yz �///s co21 c
MAIL BUILDING
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CONSTRUCTION / ` NEW ADD ALTER REPAIR IMOVING DEMOLISH
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[DJ ADDRESS // (age
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W Z CONTRACTOR ,• BY
m- Z 9940 5-A,// c 121
_1 ADDRESS
W w A ,r ZON NO.OF USE OF NEL
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CITY YARDS APPROVED - YARDS APPROVED
fn LIC. NO. // LIC.NO. MAIN BUILDING ACCESSORY BUILDING
D O r (FROM C/L STREET)
SIZE NO.OF BLOGS.
OF LOT (NOW ON LOT FRONT% FT.
USE OF
EXISTING BLDG. R $101/01FT. FT.
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDfi/Q FT. FT.
VEXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. FT.
J USE OF BUIL IN AND W RK TO BE PERFORMED DISTANCE BET. BET. MAIN&
a
a ,(� MAIN BLDGS. ACCESS.BLDGS.Q /
I?bec1< eaaA // VAR.* DATE
O /, C.U.P.# APPROVED
I- APPROVED
N Y BDATE 9ys,'o -7Q
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U I 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 - m
CG the State of California.
e
ZI hereby certify that I am properly licensed as a contractor under SQ. FT. o
the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0
CC
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3,Chapter 9e. OO PERMIT FEE $ 2 6 .0
00 j
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Signature of� // 4F' / / - m
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Permittee // ----ea_::. ra $ �ODD PLAN CHECK $ Qr E
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Authorized Age _,..447 ' •4"s`'✓c - TOTAL FEE $