HomeMy WebLinkAbout122 EUCALYPTUS LN - Building PermitsF
046956
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS / Q(� rAy(AhIHW'�f-1�/`5`Y l..J'9YLr
OWNER
MAIL
ADDRESSa()1 nnVp St #275
TEL.
CITY N07F
BRANCH
ADDRESS QQ
OR ENGINEER Brion Jesnn Att' dtV lSSOC8
ADDRESieW D 04 N
Ngwepmt Blvd #202
CONTRACTOR
ADDRESS
TEL
CITY NO.
STATE CITY
LIC. NO. LIC. IS
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING SLOG.
Separate permits are required for
electric, plumbing and heating work.
I hereby acknowled Bo that I have rand this application and nate
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 em properly licensed as a contractor under
the State of Ceilfor is Business and Professions Coda, Division 3,
Chapter 9, antl ch licenses are In full force and effect, or I
am aaempt it th ovislons of tete of California Business
and Professio . 3a t 9.
Signature of
Permittee
Authorized Agent
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7794 10/27/7B 121e61ckkf
2 7794 '00004h6956 IA" '
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY D .0 VED
DATE I/S�SU ISSUED
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VALUE
$ �J
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FIRE
DATE
ZONE IPaN •7 I BUILDING EW[,ptlw�
YARDS
YARDS APPROVED
NS BUILDING IA ACCESSORY BUILDING
BUILDINGO G- ACCESSORY BUILDING
DISTANCE
MAIN BLD
VAR.$
C.U.P. 46t
DGS. \
�--%
2fj 1ISO. FT. 145 rl- tette
THE AMOUNT SHOWN UNDER AMOUNT SHOWN UNDER VALUAT
THE PURPOSE OF ESTABLISHING A PERMIT
VALUATION PERMIT FEE $
A/ PLAN CHECK $
S (/O V TAX E
73
TOTALPAID E
0
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS
MAIL
ADDF
CITY
CONSTRUCTION
LENDER
BRANCH
ADDRESS
TEL
NO.
ARCHITECT TEL.
OR ENGINEER
FIRE
ADDRESS • ZONE
APPROVED
CONTRACTOR By
ADDRESS
i
7923 '10/30/78 233.00 TTL
7923 233.00 FL
7923 10/30/78-233_.000_KT_D_
APPLICATION F078MUNW-46PIUMIT � A
ECEIVED BY
DATE RECEIVED DATE ISSUED
C
Zj
NO.
TEL.
PLAN
CITY NO.
F
STATE CITY
APPROV
LIC. NO. LIC. NO.
BUILDIN
(FSTREET
W
SIZE
DATE RECEIVED DATE ISSUED
DATE
USE OF NEW
BUILDING
BET. MAIN &
ACCESS. BLD
DATE
APPROVED
A.
n
m
i
m
• N
VN UNDER VALUATION IS FOR m
'ABLSHING A PERMIT FEE ONLY;
PERMIT FEE $ e
N
m
PLAN CHECK $ e1
IL
TAX $ u
E
U
TOTAL PAID $
C
Zj
NO.
TEL.
PLAN
CITY NO.
F
STATE CITY
APPROV
LIC. NO. LIC. NO.
BUILDIN
(FSTREET
W
SIZE
NO. OF BLOCS.
p.
OF LOT
NOW ON LOT
FRONTFT.
a
USE OF
.�.,
EXISTING BLDG.
N
F
Separate permits are required for
LFT.
electric, plumbing and heating work.
RFT.
I.W.,
USE OF BUILDING AND WORK TO BE PERFORMED
DBET.
MS.VC.
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1 hereby acknowledge tlpe that I have this and stets
pt
that the above Information Is correct and agree to comply with
D.
ctioead
d I shall n
all laws regulating bulking construction, and 1 shall not employ
Z
any Person in violation of Me workman's compensation laws of
5W
the State of California.
3
I hereby certify thet I am properly licensed as a convector underthe
LAPPROVED
State of California Business end Professions Code, Division 3,Chapter
9, antl that such licenses ere In full force end effect, or 1am
exempt from the provisions of the State of California Businessand
Professions Code, Division 3, Chapter 9.Signature
of
Permittee
Authorized Agent
DATE
USE OF NEW
BUILDING
BET. MAIN &
ACCESS. BLD
DATE
APPROVED
A.
n
m
i
m
• N
VN UNDER VALUATION IS FOR m
'ABLSHING A PERMIT FEE ONLY;
PERMIT FEE $ e
N
m
PLAN CHECK $ e1
IL
TAX $ u
E
U
TOTAL PAID $
C
l
ti
DATE
USE OF NEW
BUILDING
BET. MAIN &
ACCESS. BLD
DATE
APPROVED
A.
n
m
i
m
• N
VN UNDER VALUATION IS FOR m
'ABLSHING A PERMIT FEE ONLY;
PERMIT FEE $ e
N
m
PLAN CHECK $ e1
IL
TAX $ u
E
U
TOTAL PAID $