HomeMy WebLinkAbout1847 PARK AVE - Building Permits 141 •41(l ie... TZa4I ICOR S 2/06/00 404.25 TL"
COS A MESA ICD I— E DEPARTMENT APPLICATION: 'OR STRUCTURAL PERMIT
P.O.BOX 1200 COS MESA,CALIFORNIA 92626
►RECEIVED BV PERMIT ATO 4 _9 _.3 _
For Applicant
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A.P. NO.
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8�7ADORESS BUILDING � P jf r
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MAILING NO.
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ADDRES rd 4,„,„ /Z,lU TR.NO.
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CITY i 41 /\ TEL.
LENDER CONSTRUCTION /\ NO. NEW ADD ALTER REPAIR MOVING DEMOLISH
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BRANCH •
OWNER &TZ tic 6.57-.4 get,"
ADDRESS �j/ VALUE
ARCHITECT s 4}8-t .. ....a..41._......,
. 1 USE[ c/ •a -j;4?/ r $7c.`3 q1 _i
OR ENGINEER �j ./y:::,.e..
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ADDRESS�J 2e ean4949041l�s- .; :::,. ' /-• {'.J c`7NE 4�/�/'}�}„rTVYS�Yj�r! 'R5*wUP 6,40.4 2)CONTRACTOR'/� ��rl7ti4'K sJLLF �i� APP ROVE vWz"'1 DATE Z . 2)
ADDRESST.V. * ,�
CITY �•L
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APPROVED SETBACKSAE4o44 CITY
CITNO.h11F
SIZE NO.OF BLDGS.,,,��-----,,,��(((((''''' (FROM C/L STREET)
o.IIL OF LOT ' NOW ON LOT FRONT FT. _
OF
con EXISTINUSEG BLDG. R SAIF FT.
FSeparate permits are required for L.SIDE FT.
electric,plumbing and heating work: REAR FT.
Ew.., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
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f D �A'LG Sit der-le DATE
APPROVED
>. e S^ -�� AP1LPROVE .'Y z �
DATE /G
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0O I hereby acknowledge that I have read this application and state N-
o• that the above information is correct and agree to comply with
lam all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of 2
LU the State of California.
S m
3 I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am exempt from th• •rovisions of the State of California Business VALUATION PERMIT FEE $
and Professions +:e, Division 3,Chapt a fey 1
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Signature r/moo PLAN CHECK $ /�7 �� '^
Permitteealif i S/ O . TAX $ tee^(
or • ../.e / / I / u
Authorized Agent Date •F� ` TOTAL PAID $r fO V, ZS