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HomeMy WebLinkAbout2560 ELDEN AVE - Building Permits PAID SEP 28-77cnsAOO1477if *****5.50 4472 i COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Onl RECEIVED BY DATE RECEIVED D TE ISSUED UED BUILDING ADDRESS c ,s--6 O _,',/ �/ 9 G� -7-e_7 7 OWNER /000 /2sC . () • A.P.NO.9374 -/ 17,-,7 MAIL BUILDING T ADDRESS��I�U EA,,OEt) nt. ADDRESS JO / \ (/CITYAk7/0r �'' 4EL. NOTR ACTS7C L017` BLOCK CONSTRUCTION NEW ADD ALTER REPAIR $MOVING Df�///EMOILS> LENDER III h BRANCH L( . UIS . y ` OWNER /UV ) ADDRESS �//t,q�}�•/J� •ALOE ARCHITECT ' 4 TEL.`�I , / US / Vim' v ` $ ,i' Atte/ OR ENGINEER S '- ii •Lao fJ FIRE ADDRESS ,/V/C���e- �L (�, _ ZONE T 'E GR e. P /` CONTRACTOR //��i1 �� fj�J/(,/_�J���� (J2. APPROVED,� • DATEjl2=, ADDRESS /CX/ /0 • 606/',/,ILS,STATE y� ZQ NO.OF USE OF NEW j TEL. — IPLANS © BUILDING P. CITY (9/e4-1,(j/(9/e4-1,(j/ CITVO YARDS APPROVED YARDS APPROVED LIC. NO. 1d-,..,7 7`79 LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLDGS. / L (FROM C/L STT) OF LOT NOW ON LOT FRONT F yn�/ �/') FT. a USE OF l)Cf� O (J/r� (�/ 41 EXISTING BLDG. G R,SIDE FT. FT. V) /p E Separate permits are required for L.SIDE Ff/'l- ieliC FT. G electric,plumbing and heating work. REAR FT. FT. ty USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET.MAIN D QMAIN BLOCS. ACCESS.BLDGS. VAR.#'• DATE Q P-4-712-0• /e2....0 . C.U.P.SfE APPROVED •�/ I/� APPROVEDadleate L o•c! ` rl ABY DATE ig W O. I hereby acknowledge that I have read this application and state n ce that the above Information Is correct and agree to comply with m 6. all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of 2 5 the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect, • I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of ellforn la s 1 VALUATION PERMIT FEE E p a and Profesnature sions Code,Divisione3,C •tar 9. �� rtn n A PeSiemlttee oto-.G A->T ✓cAPO 5-1,0 !Le__ TARN CHECK S t�O a 3 Authorized Agent TOTAL PAID 3 �.„s�