HomeMy WebLinkAbout2397 ELDEN AVE - Building Permits 167 APR -9-70CPn1600 578 0*****5.00
15t.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Comp tely APPLICATION FOR BUILDING PERMIT
RECEI ED BY DATE RECEIVED DATE IS ED
BUILDING i / —g-7o • _ ' 7.1
ADDRESS a' ia_ Ace Ant E S %^-U
OWNER /IO
/ UA'rA.�NO. — O 1 — a "MI' O /
/rea A / a /,` i -
MAI L / fAA/ A ��',,,zzz,,,,,, !` BUILDING �J�i /
AODRESS�� !/// p//7rV1 ADDRESS p(�7 �/
I01 lij-() a'�` �EL. „J TRACT JO U LOT,jS 3BLOCK
CITV NO.
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Z Q CON UCTIO / » NEW ADD ALTER REPAIR MOVING f)FMOI ISH
O1- LENDER //� % —
J D BRANCH
J N OWNER 2Jpj' tt7t /1/2_LF
m J ADDRESS ,(//���, ,I fe/�yAL'OE �I
J CO ARCHITECT TEL. USE ""ter"' �' t`" !?Cf� $ �t�V
QOR ENGINEER NO. _
U N FIRE
W CC ADDRESS /yam ��� ZONE �� TYPE /2i GROUP ��mss/
JLIJ Z C"/'r � 't'1""!
APPROVED
O CONTRACTOR BY DATE
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J CCADDRESS p,,4"4/641;
lL W TEL. Z E NO.OF USE OF NE
0 i CITYY NO. - r PLANS 0 BUILDING j�(F''�p/�'
Lu— O STATE CITY YARDS APPROVED YARDS APPROVED
CO CC LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
_0 SIZE NO.OF BLOCS. (F ROMC/L STREET) /
OF LOT I NOW ON LOT FRONT FT. / FT.
USE OF /T/
EXISTING BLDG. B.SIDE FT. FT,
I— SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
VEXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PEjiF9pMEO •s DISTANCE BET. BET.MAIN&
d /6/J
a j��^[ J MAIN SLOGS. ACCESS SLOGS.
VAR.. DATE
APPROVED
O .P.#l)fr 4
I—
ROVED L/ d ,/r 11/(f bp
to BY WVV ATE 7 J 1
2
O Ur i
I—
L) I hereby acknowledge that I have read this application and state
D that the above Information is correct and agree to comply with
IX all laws regulating building construction, and I shall not employ
I— any person in violation of the workman's compensation laws of
rq the State of California. m
b
? I hereby certify that I am properly licensed as a contractor under SO. FT. ti
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i
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,Divis • t,Chapter 9.
x PERMIT FEE $ - 0 0 n
Signature/of '• 6/ r w
Permute/ % / /k ;� drib O. r5i PLAN CHECK $ E
o
Authorized Agent
LL
,` TOTAL FEE • 0 0