HomeMy WebLinkAbout2379 NORSE AVE - Building PermitsF
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COSTA MESA BUILOING-SAFETY OEPARTMENT
P.O.BOX1200 COSTAMESA,CALIFORNIA9262fi
For Applicant to Fill in Comple[ely — Use Ink Only
BUILDING 7.9�1 A JI. _� � i� •./�
OWNF
MAIL
C1TY
LENDER ��
BRANCH �
ADDPESS �
ARCHITECT� . . .
ADDRE55 JQ `�s N� I���� J�IIM
CONTRACTOR /y� Q�SSOCl/*'�`_ �
�y q
ADDftESS ��k �J, �
TE�. �
CITY � �Q N0.�3� .�
STATE CITV
LIC. NO. 6 LIC. NO.
SIZE � NO.OF BIDGS. _
OF LOT ��X �1', 2 NOW ON l0T
USE OF
EXISTING BLDG. �� '
Separate permits are required for
electric, plumbing and heating work. _
USE OF BUILOING AND WORK TO BE PERFORMED
. /1 _ / . . � �
I M1eraby acknowledge that I have read this application and rtate
that tha above information Is corract antl a9ree to comply with
all lews regulatinB building consttuction, entl I shall not employ
any pe�son in violatlon of the workman's compensation laws of
the Staie of California.
I hereby certify ihat 1 am properly Iicensetl as a contractor under
the State of Calitornia Businass antl Professions Cotla, Oivision 3,
cnaprer v, ana xhen such licenses are (n tull force a fect, or I
em exempt from th prov ions ot the Stat f Cali r Business
antl Protessions C e, D' ion 3, Chapter
Signature of �
Permittee ��
Authorize Bent
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PAIL
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FORSTRUCTURALPERMIT
A.P. NO. I �
BUILDING
ADDRESS 1
� TRACT
OWNER
FIRE
ZONE
APPROVE
Z NO.OF �
PLANS 1
YAROSAPPROVED
MAIN BUILDING
3
DI5iANCE BET.
MAIN BLDGS.
VAR. # ^�
C.V.P.�S�/S� I
�o�
VL•a
DATE
USE OF NEW/LN' W/
BUILDING
VARDS APPRO D
ACCESSORV BUILDING
�
DATE
APPROVED (I'j O—
��r� V 2Z��
N
n
m
i
d
S0. FT. CI � oi
THE AMOUNT SHO N UNOER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIY FEE ONLY: e
VALUATION PERMIT FEE $ d
m
�� P�AN CHECK $ ^�
O
$.�3 3a� LL
TAX $
/ � U
TOTALPAIO $ �
�CITY OF C" '4 MESA
PARA cS No
Fee Payment Receipt
Project Address Z�7� . Z98 3, 2987 IVO�� f-i�% . Park Area
A. P. No. � � 1 —�Z —�'C�
Building Permit No. �� % �� ��,� } �2—.
OWner's Name � Le.�� �V�L�� . I ��_
� _ � �•
Mailing Address Y�� '�X ���i� .r�VS�]tJ .�/°�- -
FEE
Single Family * No. of Units �� @ 5455.20 = I 3CoS � Co 0
Multiple Family ** No. of Units @$321.32 =
To[alFee ��'�3�•�O
Planning Departmen[ Approval ,�ete�_
Applican['s Signature �
� city Ortlinance 72-44 ' . '
** Clty OrCinance 72-45 �
**' Clty (3esolution 7442 .
Whita- Glanning; Canary - Plannlnq; Pink - Finance; Goltlen�otl - Applicant CMF 0174-26
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