HomeMy WebLinkAbout400 19TH ST - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT .
APPLICATION FOR STRUCTURAL PERMIT
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APPROVEJ6 SETBACKS
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SIZE NO. OF BLDGS.
(FROM CIL STREET)
OF LOT �lji A� r � NOW ON LOT
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USE OF
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Separate permits are required for
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electric, plumbing and heating work:
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USE OF BUILDING AND WO�tK TO BE PERFO ED
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1 hereby acknowledge that 1 have read this application and state
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that the above information is correct and agree to comply with
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all laws regulating building construction, and I shall not employ
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any person In violation of the workmen's compensation laws of
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the State of California.
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1 hereby certify that I am properly licensed as a contractor untler
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the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
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Chapter 9, aad-that4uch licenses are In II force and affect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
em examSWorna.m the p vision of the�S to of a Ifornla Bu ' ass
antl Prot Cotle, vi r 9.
VALUATION PERMIT FEE b -�
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PLAN CHECK $ __Z
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TOTALPAID $7 �� _
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