HomeMy WebLinkAbout103 EUCALYPTUS LN - Building Permits5`3
COSTA MESA BUILDI G -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /O
ADDRESS
I
OWNER
MAIL
ADDRESS
TEL.
CITY NO.
CONSTRUCTION
LENDER
BRANCH
ADDRESS
ARCHITECTTEL.
OR ENGINEER N
ADDRESS
CONTRACTOR
ADDRESS
TEL.
CITY NO.
STATE CITY '
LIC. NO. LIC. NO.
SIZE
NO. OF BLDGS.
OF LOT
NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
s
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
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee
Authorized Agent
7920 j0/30/78 215.00 TL-�
7920 10/30/78-215.000UD
792D 0000446953 IQ
APPLICATION FOR STRUCTURAL PERMIT
EGEIVED BY DATE RECEIVED DATE ISSUED
PERMIT NO.
UILDING
DDRESS IDIJ jig 1&40t
TRACT I LOT BLOCK
OWNE
FIRE•
ZONE ROUP
--TUE
APPROVED J100—
BY DATE
DISTANCE SET.
MAIN SLOGS.
ZONE
NO.OF
PLANS
USE OF NEW
BUILDING
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
%FROM C/L STREET)
FRONT FT.
FT.
FT
L. SIDE FT.
FT.
REAR FT.
FT.
BET. MAIN &
ACCESS. BLOCS.
DATE
APPROVED
DISTANCE SET.
MAIN SLOGS.
VAR,*
C.U.P.#
APPROVED
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SO. FT. a
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
u
PERMIT FEE a Y
n
PLAN CHECK S �
LL
TAX $
u
TOTAL PAID $ 0I
Ilk
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0 6 779 o¢27T7�
779.1 10/27/ 78II 1 1'.966Cd6
COSTA MESA BUILDING -SAFETY DEPARTMENT 7791. D0004469 53 ......I p "
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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PLICATION FOR STRUCTURAL PERMIT
For Appticant to Fill in
IVED By
ECEIVED
pgTE ISSUED
BUILDING / 0O,
ADORES ek4qm
OWNERMr)nO
oS' •GtjQ�t
kYss
t�
f�ILr•!RZ•
rJi!
MAIL
ADORES
nNO-75
LDING
ADDRESS
clryBeachCONSTRUCTIONNEW
TR
BLOCK
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ADD AL R
R PAI
MLENDER
BRANCHER
ADDRESS
UE
SE
ARCHITECT TE 635-585
ORENGINEER
FIRE
ZONE VPE ROUP /
4 N NgSW 'OEt Blvd2 2'
ADORESVew ort neRaci
CONTRACTOR
APPROVED I2�
8Y DAT
ADDRESS
ZONE
'�
NO.OF
PLANS
USE OF NEW /
BUILDING
TE
CITY NOL
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE NO.OF BLDGS.
(FROM C/L S FEET)
OF LOT NOW ON LOT
FRONT FT.
FT.
USE OF
EXISTING BLDG.
R SIDEFT.
FT.
Separate permits are required for
L. SIDE FT.
FT.
REAR XQ FT.
FT.
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
New Townhomes Project
DISTANCE BET.
MAIN BLDGS.
BET. MAIN &
ACCESS. SLOGS.
VAR. lE
DATE
APPROVED - i-
APPROVE Q
CIAIF /O -,27-79 a17.JpO
OLD FOR SPECIAL
FEOUIREMENTS
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
SO. FT.
L W—
the State pf California.
1 hereby c ertlfy that I am properly licensed as a contractor under
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State Of Callforn Business and Professions Code, Division 3,
Chapter 9, an a ch licenses are In full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fr rovl ions of th to of California Business
and Professio i 3, Ch 9.
VALUATION
PERMIT FEE $
CHECK $4 s
Signature (of
f
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TAX E 141
Permittee
$
i/�� J �a
?
uthorized Agent
TOTAL PAID $
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