HomeMy WebLinkAbout3498 FUCHSIA ST - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT
P.O.BOX1200 COSTA MESA, CALIFORNIA 92626
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ocT 30-72 soT 635.50"0
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P C ION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE V
ATE RECEIVED DATE ISSUED
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BUILDING
1
ADDRESS UC S
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OWNER
MAIL
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ADDRESS 760 y
ADBUILDING
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TRACT
OT� BLOCK
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CONSTRUCTION
LENDER
BRANCH
OWNER
ADDRESS
VALUE
LAG W LI -b S
ARCHITECT TEL.
OR ENGINEER
FIRE
ADDRESS
ZONE T PE OUP
APPROVE 6 ,
CONTRACTOR z NGj
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ADDRESS C 1
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NO. OF
USE OF NEW (���
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CITYdnf /J /1 NO.'7i,. 002
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PLANS
BUILDING L(/
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. 00 LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE
NO.OF BLDGS
(FROM C/LSTREET)
OF LOT
NDW ON LOTFRONT
4T.
USE OF
f11T.FT
EXISTING BLDG.
R. SIDE
SIZE OF NO. OF
)
e
NEW BLDG. ROOMS STORIES
L. SIDE •�
FT.
EXTERIOR WALL
ROOF
COVERING
COVERING
REAR FT.
FT.
USE OF BUILpING AND WORK TO BE PERFO ED
DISTANCE BET.
BET. MAIN &
/ /e)nzzi /
MAIN BLDGS.
ACCESS BLDGS.
VAR.*
DATE
C.U.P.#
APPROVED
APPROVED
By
a d
I hereby acknowledge that 1 have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shelf not employ
any person in violation of the workman's compensation laws of
TtJ(
the State of California.
I hereby certify that I am properly licensed as a contractor under
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Cotle, Division 3,
Chapter 9 uch licenses are in full for o and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exa pt fro visions of the State f California Business
Pro 'sion
VALUATION
r^"
and .:,ions Cotle, DI 3, Chapter
PERMIT FEE S r
Sipnatura of-�i,'/
11 (�.
Perm a �� L1._
S I TSS t' TO
PLAN CHECK $ IoZ
Authorized Agent
I �/W
i
^
5
TOTAL FEE $ r
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