HomeMy WebLinkAbout2675 ELDEN AVE - Building Permits • PA10
37 JAN 11-74t;.—x.00 392* ****48.50
COSTA MESA BUILDING-SAFETY DEPARTMENT •
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ////// '
•
PP ICYTION FOR BUILDING PERMIT
For Applicant to Fill in CompletelyBUILDING CIS
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RE V C.--
V DATE RECEIVED' DgERT1�iSUED�
ADDRESS 2 7//v t/a'& /J`Ve ✓�I]'/M ( p],�L�)Ly�
OWNER nee �/ 1„^..e4)try, Y//` N C- A.P.NO//9—LV`7'O Lin ,,,.1\
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AMAILDDRESS 3( /Pie / 7/_ S BUILDINGDRS ��7` �]1� �t '
Z / G9". Y ADDRESS �J C I/R �i�l 1P/i7
/3,
o-U CITY /�( NO.c rl r9gr TRACT �37� LOT /9 BLOCK
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Za CONSTRUCTION NEW ,ADD ALTER REPAIR MOVING DEMOLISH
—I- LENDER e/JQ L/ C. X
dw C —/ y
J CO BRANCH OWNER rf cJ4f fl v Ew L INC. /
a W ADDRESS
fD J /�' /� 'l �I Cp/LUN /,tq�j�
CO• ARCHITECT _ TEL. USE /O TAIN//s/G-Nf♦'Lls. faiOn
J a OR ENGINEER NO
V Q FIRE �
w ix ADDRESS ZONE TYPE S:r GROUPc--1—
0 LLl APPROV I/�/'I�
W Z CONTRACTOR (l�,N w- BY - OATEI // • /
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03Z
.J CC ADDRESS •
tll 1st Z F CITY NO.TEZ�PLANSa,.BUILDING��O L .C. J/
LU STATE Q./ // CITY YARDS APPROVED — YARDS APPROVED
to 2 LIC. NO. o C, LIC. NO. MAIN BUILDING ACCESSORY BUILDING
D SIZE NO.OF BLDGS. (FROM C/L STREET) /�7
OF LOT NOW ON LOT 0 FRONT FT. (lT.
USE OF
O
EXISTING BLDG. B.SIDE FT. T.
F SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. T.
UEXTERIOR WALL ROOF
_ COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
O. MAIN BLDGS. ACCESS. BLDGS.
0 r!. r, /c 4 Cum//[� ?at
8- C U.P.#pf' .--7.3� APPROVEDS 7-73
CO CrZ I it „..e,„
BOO r0 �7 r 1 Azo p�.t/ �y ROVEU /"'f./ ��6-
DATE /—N-7V
O J CTE(F.1 I hereby acknowledge that I have read this application and state.M all tl the egula ngInb u ildinn is struc i and adree ao cnot a ploy _I- an laws regulating tion of he workmn, antl I shell non employFany person in violation of the workmen's compensation laws of(A the State of California. to
ZI hereby certify that I am properly licensed as a contractor under SO. FT. o
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: 0
o
am exempt from the provisions of the State of California Business
and Professions Cnoe,Division 3,Chapter 9. VALUATION co
PERMIT FEE / CI
Signature of �� /�/,/y .4 $ J
Permittee [- A-,.n.0 IC l f' n $ n '1) PLAN CHECK $ /� j� E
/f G"�` p
Authari Agent (/ o u.
TOTAL FEE $