HomeMy WebLinkAbout2436 CRESWELL LN - Building Permits/ � � i � � BLDG � 3
/ COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely - Use ►nk Only
BUILDING
ADDRESS
owNea�iners Savin s& Loan Assoc.
MAI l
ADORESS 1515 Westcliff Dr.
TEL.
cirv NA,,R,nrt RPa�h No.642-4000
BRANCH
ADDRESS
APPLICATION FOR STRUCTURAL PERMIT
ECEIVED BV DATE RECEIVED DATE ISSUEC
/h. /O _'lS
sui�oiNc �
ADDFES�
TRACT
��
LOT
ADDRESS Sll1LB N 20NE TVPE GPO�VJP r
LONTRACTOR h1 D ByPROVED OATE /� U�/ CJ
ADDRESS 1665 Placentia Ave, �
TEI. ZON NO.OF USE OF NEW ��,
PLAKS BUIIDtNG
ciTr Costa Mesa No�646-1164
r+�+ STATE CITV VAHDSAGPROVED VAROSAPPROVEO
uc. No. 336725 uc. No.14664 MAIN BUILDING ACCESSORV BUILDING
g.� S12E NO.OF BLDGS, (FROM C/L STREET)
6. OF LOT VdT1011S NOW ON LOT R FT. FT.
� USE OF
„h� EX5TING BLDG. �� F
N �
� Separate permits are required for �. s � FT. FT.
Welectric, Pllliflbl7lg 3IId IIC221IIg WOfI(. qEAR FT. FT.
�USE OF BUIIOING ANO WORK TO BE PERFORMED p�-rp�ry� BET. BEf. MAIN &
Q — MAIN BLD +CS. ACC6S. 8LOG5.
� a = 462 s f CURP��� ��/.7j� APPqOVE� �'%7
y MVROV
� Total Gar. = 1800 s . ft. ��/,� - � � /Q-/�
d
u� -
� I haraby ecknowlatlpe t�et I �ave r tl this application O�tl rt8tt �� L�� � ,�� �� �^
n
y� Mat the abova Informetion Is correct antl apree to comply with m
a ell lawa rpulatlnB builtling construction, entl I shell not employ �
Weny Derwn in violetion of tha workman'� compansation laws of m
� Me Stata of CelHomle. �
� I heraby cMify that I am proparly Iicensetl es e connactor �ntler S�. FT.
Me State of California Business and Profassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, an uch Iieenses a�a In f�ll torca antl effect, or I THE VURPOSE OF ESfABlSHING A PERMR FEE ONLV:
em ezempt om t� rovisi ns f the State of C tornia Business iO `'
VALUATION pERMITFEE S a
entl Profau ns C tle, ivisi epter 9./� N V
Sipnatore o ) ' l./1 /� � PLAN CHECK f � O o N
Parmittee � ��� $ l a5q� TAx , f m
^ � �f V
Aut�orizeOApent TOTALPAID S✓ n. ✓
C':,�., i.,.:_..',1�..,. o,l.,,..:�i _-..
,
COSTA MESA BUILDIN •SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 9T82G
APPIICATION FOR STRUCTURAL PERMIT., � e-
For AppGcant to FiD in Completely — Use Ink Only qECE1VEO 8Y DATE RECEIVED DA E I U D-� J���'�
BUILDING 7�"; ' ., ' �
ADDHESS -
� � PERMIT NO.
OWNER A.P. NO.
MA I L BUILOING �
AD�RESS ADDNESS
TEL. , TRACT LOT BLOCK
CITY NO.
ODNSTRUCTION A
LENDER
BRANCH � � �.�
OWNE (
ADDRESS � E "
ARCHITECT TEL. 'S
OR EN INEER
FIRE
ADDRE55 ZONE TYPE G OUP
APPROVED
CONTRACTOR BV ' DATE
ADDRESS
TE� ZONE NO.OF USE OF NEW
GTY NO. P��� ����'
STATE CITY '�ARDSAVPHOVED VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BU�LDING ACCESSORV BUILD�N6
512E NO.OFBLOGS (FROMC/LSTREET)
OF LOT NOW ON LOT FT. FT.
USE OF
EXISTING BLOG.
Separate permits are required for s FT F
electric, plumbing and heating work.
REAR FT. FT. i�'��
USE OF BUILDINQ AND WOflK TO BE PERFORMED p�-T/1NCE gET gET, MAIN6 '
MAIN BLOGS. ACC65, BL06.
VA0. 4� OATE
C.U.P.t APPRpVED
APPROVED
I Mr�bV xknowl�dp� that 1 Iw� ruA Mi� epPllteHon �nA tta» '�
tnet t�e ebwa inlormatlon Is eort�et antl eQre� to eomply wIM C
0
ell lews repuletinp nuiltlinp <onmuctlon, snG 1 thell not �mploy �
eny p�rwn In violetlon of M� wo�kmen't eomp�nxtion law� 01
tM SUv of CalifornM.
I hv�by c�rtify tl�at 1 em proOKly Ile�nfW a� eonnaetor untl�r Sd FT. rv
the Sinm of California Bualnw erM Prafwlo�� Code, DNl�lon 3, TME AMOUNT SHOWN UNDER VALUATION IS fOR m
C�apbr 9, end Met �uc� Ilc�nps are In full forc� enE eMect, or I TME PUFVOBE OF ESTABL6MIN0 A VERMR FEE ONLV:
am axemOt from t1f0 p�OvitlOn� of th� SLH Of Cl1110f�1� ButInPY y�y�UAT10N PERMIT FEE S /, 11
entl Profeulom Cods, ONision 3, C�eOnr 9. i�y �
�
Si9�etur� of PLAN CHECK 3 "�
0
Pwmitteo 8 TAX S LL
i
�
AuMorizeE Ap�nt TOTAL PAID • �