HomeMy WebLinkAbout2516 ALDER LN - Building Permitsr
COSTA MESA BUILDING -SA ETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FC
For Applicant to Fill in Completely —Use Ink Only
RECEIVEDBV I OA
BUILDING �/// r
ADDRESS
MAIL
ADDRESS
CONTRACTOR
ADDRES
TRACT
TEL.
CITY NO.
CONSTRUCTION
LENDER
ADDRESS
W
A D
BRANCH
NO. OF
OWNE
ADDRESS
CITY NO.
S
ARCHITECT
OR ENGINEER
TEL.
NO
FIRE
YARDS APPROVED
7911 10/30/
LOT
DATE
BLOCK
USE OF NEW
BUILDING
YARDS APPROVED
FT
DATE
APPROVED
2.15.00
:2.1.13 00C
n
CONTRACTOR
BY
ADDRESS
N
TEL.
ZONE
NO. OF
m
RING A PERMR FEE ONLY:
CITY NO.
PERMIT FEE $
PLANS
PLAN CHECK $
STATE CITY
YARDS APPROVED
i
LIC. NO. LIC. NO.
MAIN BUILDING
W
SIZE NO. OF BLDGS.
(FROM C/L STREET)
0.
OF LOT NOW ON LOTFRONT
FT.
a
USE,OF
EXISTING BLDG.
R. SIDE FT.
HSeparate
permits are required for
L. SIDE FT.
electric, plumbing and heating work.
REAR FT.
[W.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
QMAIN
BLDGS.
VAR. $
C.U.P.4L
a
APPROVED
>
-1
4L'
W
Q1
hereby acknowledge that I have read this application and state
ai
that the above information is correct and agree to comply with
0.
all laws regulating building construction, and I shall not employ
Wany
person in violation of the workman's compensation laws of
,y.
the State of California.
3
1 hereby certify that I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHO'
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are In full force and effect, or I
THE PURPOSE OF ES
am exempt from the provisions of the State of California Business
VALUATION
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee
$
Authorized Agent
7911 10/30/
LOT
DATE
BLOCK
USE OF NEW
BUILDING
YARDS APPROVED
FT
DATE
APPROVED
2.15.00
:2.1.13 00C
n
TOTALPAID $
m
i
m
N
VN UNDER VALUATION IS FOR
m
RING A PERMR FEE ONLY:
m
PERMIT FEE $
<
n
PLAN CHECK $
m
0
0
LL
TAX $
U
U
TOTALPAID $