HomeMy WebLinkAbout260 MONTE VISTA AVE - Building Permits- - COSTA MESA BUILDING -SAFETY DEPARTMENT
' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
G
TION FORS STRUCTURAL PERMIT 59.90 TL
For Applicant to Fill'in Completely —Use Ink Only
"'- N° 49489
BUILDING ESS �,�-G/1// - Wl%
A.P. NO. -
BUILDING
OWNER OR /I� /rC,�
ADDRESS
TENANT (�Q "]Y/I
UNIT
SPACE NO.
ADDRESS ,t.
TR.NO.TEL.CITY
NO.
M-3
NEW ACONSTRUCTIONLENDERBRANCH
OWNER
ADDRESSUSE
ARCHITECT TEL.
OR ENGINEER NO
Q
ADDRESS
ZONE ` �I TYPE GROUP
(10AIS-r.
APPROVED
r�
CONTRACTOR
CONTRACTOR
BY
DATE
ADDREss70 Q�
TEL,
/^
CITY 140e Z)CfI,4- NO:_'�,JZ'IT—JL
STATE CITY
APPROVED SETBACKS
LIC. NO. LIC. NO.
SIZE NO. OF BLDGS.
(FROM C/L STREET)
OF LOT NOW ON LOT
RONr FIr.
USE OF
EXISTING BLDG.
R. SIDE
19 IF
Separate permits are required for
LN
L. SIDE
9
electric, plumbing and heating work:
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
/f (J'�({/ {may
APPROVED
APPROVEAkrxcy
l O
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SO. FT.
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 frntins of Sh Staie of California BusinessVALUATION
antl Profession 3, C pter 9.
PERMIT FEE $
Signature of
M
o+C/
PLAN CHECK $ 't o
Permittee
$
{(/ 6/VL/ �^�
TAX $ 0
or (�
I
Authorized Agent/Date `�
TOTAL PAID $ V