HomeMy WebLinkAbout198 BRANDYWYNE TERR - Building Permits� ��.7.�:�3�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely �—� Use Inlf.Only
BUILDING.�'� � Q�U�iF iN/G /i�iRF
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ADDRESS,�y
CITV
CONSiRUCTION
BRANCH
ADDRESS
ADDRESSpl��Z �IU�' �( �iUr'�(• p/� •
CONTRACTOR Q � (j�LjfE�.
AODRESS �
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CITY NO.
F STATE CITV
LIC. NO. LI0. NO.
� OF LOT D, NOW ON LOTs�.b ^
a USE OF
� EXISTING BLDG. /(/
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FSeparate permits are required for
� electric, plumbing gnd heating work.
(.�. USE OF BUILDING AND WORK O 8E PERFORMED
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APPLICATION F(7R�19tUQ�i�.��MIT �A `� ^,
ECEIVEDBV DATERECEIVED nervicc�icn
AD
TRACT
FIFE
ZONE
APPROVED
20NE � NO.OF
PLAPLS
VARDSAPPROVED
MAIN BUILDING
(FROM C/I..6�RrLT)
DISTANCE BET.
MAIN BLDGS.
VAR.�`r7f� ��
C.11 P a��� .
' PERMIT NO. /
i �
LOT BLOCK
M
VALUE �
$
GROUP
/ � �DATE �
USE OF NEW
BUILDING
VARDSAPPROVED
ACCESSORV BUILDING
BET. MAIN &
ACCESS.BId
DATE i
� I heraby acknowledge that I hg�e reatl this application end rtata �
� that the above information Is correct antl a8ree to comply with m
a all laws re8ulating builtling co�struction, antl I shall not employ
i
� any person in violation of e workman's compensation laws of °
� tha State of Celiforn(a. Z� ��_ �
f� m
3 I hereby certify that �y �icensetl contractor under � SQ. FT. �CJ �v
She State of Califor fa usi antl Pro ions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIO IS FOR m
Chapter 9, antl tha li s n full force end effect, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from t p vi the State of Celltornia Businea a
VALUATION PERMIT FEE S
and Proiesstons Co e, i' , Chapter 9. �
70. S o
PLAN CHECK $ ^�
Signetura of n� LL
Permlttee $ X � TAX $ !� �
�� � U
Authoriza t v � TOTALPAID $
� MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applican[ to Fill in Completely - Use Ink Only
BUILDING
ADDRESS �t 7 �3,�8•Branduwune Terrace
°ENaNr°RYe12ow Brick Road Bui2ding Co.
MAI LI NG
ADDRESS 2082 Buisness Center Dr., #145
TEL.
CITV �r______ NO. ovo_ac
BRANCH n„
ADORESSS%4S
ARCHITECT EIl
APPLICATION F��I'R���Q1it%A�.
RECENED BV
A.P. NO.
BUILDING
ADDRE55
VNITOR
SPACE NO.
NEW I ADD IALTER �REPAIR IMOVINGIDEMOLI
Federal Savings
OWNER
, Orange, Ca 92668
7 �... USE
,aooaess666 Baker St., #267, Costa Mesa
CONTRACTOR
A�ORESS 7n
CITV j
STATE
LIC. NO. j�l
SIZE
OF lOT 2
USE OF
EXISfING BLDG.
TEL.
Na� 833-8638
CITV
�ic. rvo.19429
INO. OF BL�OGS.
NOW ON LOT n
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I hereby acknowletlBe that I have reatl this application end stete
that the above infotmation is correct antl agrea to comply wlth
all laws reguleting builtling consttuction, end I shall noi emplay
any parson in violation of the workman's compensation laws of
the State of California.
I hereby certify ffiat I am properly licensetl as a contrector untler
the State of California Business and Professions Cotle, Division 3,
Chepter 9, and ffiat such licenses are in full force antl effect, or I
em ezempt from tha provisions of the State of California eusinass
and Professions Code, �ivision 3, Chaptar 9.
Signatura of ���/// •
Permittee _� �//� � / �7
or fyl � 7 r/ (
Authorizetl ABeni Date
APPROVED
APPROVED SETBACKS
L
PLANNING ACTION
OATE
APPROVED
$
THE AMOUNTSHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
VALUATION PERMIT FEE $ 3�.
PLAN CHECK y �
$ TAX $ �—"
TOTALPAID $��� ��
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