HomeMy WebLinkAbout3333 WYOMING CIR - Building PermitsZ
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COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
PA10 * >fk**
MAR zo 7oCp5f,00 sai 34.50
APPLICATION FOR BUILDING PERMIT'
For Applicant to Fill in Completely
REC ED
DATE RECEIVED
DATE IS�SJUJED
BUILDING `` �� II !
ADDESS lir.
' ""��PERMIT
NO.OWNER
A.P.DIN ---
BUILDING
MAIL
ADDRESS 1IO TN
ADDRESSCITY
NNOLTRACT6695
Iq
LOT BLOCKCONSTRUCTION
W
ADD
PLENDERBRANCHOWNERADDRESS
VALUEARCHITECT
EL.���
5 !(/L $ORENGINEEppR�!�n
FIRE
ZONE TYPE / GROUP
ADORESS qy1 i`r- QOLLfU`.3 A Awa
APPROVED////�
CONTRACTOR p
BY / DATE d
ADDRESS
TEL
ZO
NO.OF
I
USE OF NEW
CITY NO.
/
14
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LI C. NO.
MAIN BUILDING
ACCESSORY BUILDING
512ENO. OF SLOGS.
(FROM C/L STREET)
•>.•.�
OF LOT NOW ON LOT
FRONT FT.
USE OF
EXISTING BLDG.
E FT
FT
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
L. SIDE FT.
EXTERIOR WALL
ROOF
COVERING
COVERING
REAR FT.
FT.
USE OF BUILDINGAND WORK TO BE PERFORMED ft
DISTANCE BET.
BET. MAIN &
eAZC
MAIN SLOGS.
ACCESS. BLDG$.
VAR. #
DATE
C.U.P.+
APPROVED
APPROVED
/
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am property licensed as a contractor under
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
em exempt from the provJsjons of the State of California Business
ter 9.
antl Professions Co;cz
VALUATION
PERMIT FEE $ .173!a0
//
Permittee nature of (MT�I.e
��II ��))
S�� �dV
PLAN CHECK $
O
Authorized Agent
1
J` �/
TOTAL FEE $