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HomeMy WebLinkAbout310 18TH ST - Building Permits 14 39758 ''&R 27-7`, F 00 8811` *: * 0.10 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely AP LITTON FOR BUILDING PERMIT sem' •-� R C I Y DATE RECEIVED DQ[�T $$/U ADILDING DRESS 0 �to.F kr-L-// S( . // � �j n /� s/g�(f,,t��'(�In[] OWNER Lr')" 7gty}-.Wiz/ 0.�nr:.%., A.P.NO, 0/7- ZSi - is' PER % (ICI NG ADDRESS 1 QOt , f d,/1/j�(/' ADDRBUILDESS 3�6 9 ter' Sr w Q.U CITY �__ airier OA NO.ac-3,11 / TRACT for LOT 7 BLOCK O cnZ CONSTRUCTION NEW ADD ALTER REPAIR MOVING fFMOI ISH LENDER Abe 0. BRANCH • D C.�C.%tr7G�r^ixy aI <N OWNER G I[ m J ADDRESS . �n V -CO ARCHITECT TEL. USE r IL L° OR ENGINEER NO O Q FIRE m1/ r' • w cc ADDRESS ZONE TYPES GROUPn/ �J CW / APPROVE s I , A DATE 3V2774 %....$) J Z CONTRACTOR QGY /W t� I I r /// / mO Z J cc ADDRESSr �Y, W W TEL. ZONE ^� NO.OF USE OF NEWC' �. ' CQl1Af Z CITY NO. .r f/Z PLANS Z BUILDING • -0 STATE CITY YARDS APPROVED YARDS APPROVED LB V)O LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLOCS. (FROM C/L ST EET) C.\ OF LOT (NOW ON LOT FRONT .SFT. FT. • USE OF 4- EXISTING BLDG. R.SIDE 7S FT. FT. Li__ F• SIZE OF NO.OF /� Z NEW BLDG. ROOMS STORIES L,SIDE I L•FT. FT. Q EXTERIOR WALLROOF �J� C.) COVERING (COVERING REAR X00 FT.t- FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 13.1 MAIN BLDGS. y ACCESS. BLDGS. DATE O 7;1,41.603-01/29 v 1A {I�Q {7 '` /G f'7Y� ' C.0 P.gW �sp'S(p APPROVED Ft/N -7r F- APPROVED N ,eEGa eAl TEb !e i-za, RY �tJ DATE �'`�—�� _o MOLD /F�OI PFCL' L p z f� ~q: N I hereby acknowledge that I have read this application and state AT�f LII 1 3 Dthat the above information is correct and agree to comply with . EC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of fA the State of California. so ZI hereby certify that I am properly licensed as a contractor under SO. FT. e, 8 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: am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. n PERMIT FEE $ Signature of -.�O./�,� ` /�s 0d G�tg m Permittee ��Oaf /'l Il r',V/1 l` �1A $ 3Ow PLAN CHECK $ /J E o 0 LL Authorized Agent TOTAL FEE $ 3