HomeMy WebLinkAbout102 ASPEN LN - Building PermitsCOSTA MESA BUILDI SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicanyfo Fill )� Completely — Use Ink Only
i
BUILDING,'. ♦_.w
MAIL
ADDRESS
TEL.
CITY NO.
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT TEL.
ADDRESS
CONTRACTOR
ADDRESS
PERFORMED
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, andthat such licenses are in full force and effect, or 1
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee _
Authorized Agent
7925 j0/30%M 2.15.00 TLS
752510/30278 '21540C_M
7025 "00004469 58 1A
APPLICATION FOR'STRUCTURAL PERMIT -
RECEIVED BY DATE RECEIVED
O.
TEL.
CITY
NO.
STATE
CITY
LIC. NO.
LIC. NO.
SIZE
NO. OF BLOM
OF LOT
NOW ON LOT
USE OF
APPROVED
BY DATE
EXISTING BLDG.
ZONE
Separate permits are required for
USE OF NEW
BUILDING
electric, plumbing and heating work.
PERFORMED
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, andthat such licenses are in full force and effect, or 1
am exempt from the provisions of the State of California Business
and Professions Code, Division 3, Chapter 9.
Signature of
Permittee _
Authorized Agent
7925 j0/30%M 2.15.00 TLS
752510/30278 '21540C_M
7025 "00004469 58 1A
APPLICATION FOR'STRUCTURAL PERMIT -
RECEIVED BY DATE RECEIVED
O.
rrAJ�SE
(p
PER
ING
ESS Qd LOZ
TRACT
LOT
ADD
AL R
P IR MOVINGRU$
$
ZONE TYPE GROUP
APPROVED
BY DATE
ZONE
NO. OF
PLANS
USE OF NEW
BUILDING
YARDS APPROVED
MAIN BUILDING
YARDS APPROVED
ACCESSORY BUILDING
(FROM C/L STREET)
FRONT FT.
FT.
R. SIDE FT,
FT.
L. SIDE FT.
FT.
REAR FT.
FT.
DISTANCE BET.
MAIN BLDGS.
BET. MAIN &
ACCESS BLDGS.
VAR. 4#
C.U.P. #
DATE
APPROVED
APPROVED
BY
DATE
FT. U
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ON
VALUATION
$ ,/'
PERMIT FEE $
PLAN CHECK $
TAX $
TOTAL PAID $