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HomeMy WebLinkAbout1101 SEA BLUFF DR - Building Permitsn n 44.1 OCT 13-77PAMKSAtB00 616* ****33.50 C COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APP CATION FOR STRUCTURAL PERMIT For Applicant to Fill in Com letely — U Ink i R/E.0 V DATE RECEIVED S9ATE IS UT,p7 BUILDING //n _ . _ _ / �� / / OWNER (?&e(00&� DEVELVPA49-,eJ-r 40, 1 A.P. NO MAIL BUILDING aCLt. -ITC ADDRESS 319'7— al a�WA'/ UF 1?ADDRESS CITY GoSTd M ES/L. NOL'151-3 q0 LOT _TE[�, BRANCH p OWNE F ADDRESS �,,,J. S ' VALUE $ ARCHITECTDAVIQ L0WA) j4'j I TEL+J/. .00 OR ENGINEER rvT r�r� ADDRESS 4d4.4 Ilor uFwPoA, 6LV 0. Ill FIRE ZONE T PE GROUP. /�� CONTRACTOR b&VWr1. co"_r. CQ • APPROVED DATE 6' 7 ADDRESS 31S% -G OIR.W� sty%• �Q L// �e� TEL, b CITY COSTA • .&S( NO. 2 NE - NO. OF LANS USE OF NEW BUILDING F i STATE CITY LIC. NO. LIC. NO. YARDS APPROVED MAIN BUILDING PP YARDS AROVED ACCESSORY BUILDING w fY SIZE 1 OF LOT 440 X I0o01� NOWON LOT O (FROM C/LSTREET) FRONT FT. FT. yUSE OF EXISTING BLDG, R.SIDF I Ex+ WREAR Separate permits are required for electric, plumbing and heating work. L SIDE FT. FT. -� FT. FT. E. CMAIN USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BLDGS. BET. MAIN & ACCESS. BLOGS. -a a RE'f41NIUG WALL 0A#Ly 4LOAA9, UPEST VAR. 46 C.U.P. 46 DATE APPROVED rf�R.Op r' Q. LIuE -ro surpovr Fu.fi{uec Face APPROtoo a n g T 17v w 0 I hereby acknowledge that I have read this application and state N a 0. Z 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. m e - 1. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Coda, Division 3, Chapter 9, and that such licenses are in full force and affect, or I am exempt from the provisions of the State of California Business end Professions C e, Division 3, C a ter 9. . Signature of Permittee SO. FT. a m b N LL V THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION ,L,.�/ V �v $ /A� PERMIT FEE E PLAN CHECK E 1� �`_ TAX E, S ^�/S/� TOTAL PAID Authorizad Agent 1`4 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1210 COSTA MESA, CALIFORNIA 92629 For Applicant to Fill in Completely — Use Ink Only OWNER L1IL(O(pOlr MAIL �t ADDRESS 31 d !-� CITY CC6TA- i" CONSTRUCTION LENDER BRANCH ADDRESS Pe;VEL, CO. At !N 3m ARCHITECT I Z7 L0jZe V-X&Uf TE L.(prft-&05 _ OR EN fi� _ _NO. ADDRESS444—A 010• tvel"I O&T bt-VP' CONTRACTOR Ca N57- C ' ADDRESS TEL CITY G_M NO. _111 fp' STATE CITY 2, LIC. NO. LIC. NO. W SIZE ' I 0". GOP BLDGS. d OF LOT tj.a(-O >[ rOOb NOW ON LOT a USE OF ti EXISTING BLDG. rn FSeparate permits are required for electric, plumbing and heating work. �.. USE OF BUILDING AND WORK TO BE PERFORMED a 0 1 a r a a LQ fL OCT 21-77[PnF7i5PB001208* ****30.50 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY DATE RECEIVED D TE ISS ED 9 that the above information Is correct and agree to comply with m ©_ PERMIT O. A.P. NO. Wany porion In violation of the workman's compensation laws of BUILDING = the State of California. ADDRESS L I hereby certify that 1 am properly licensed as a contractor under FT. H the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m � TRACT Chapter 9, and that such licenses are In full force and affect, or 1 LOT BLOCK em exempt from the provisions of the State of California Business and Professions Cive, Division C ter 9. VALUATION PERMIT FEE S S m Signature of •/ ^ PLAN CHECK S o i OWNER g � Q TAX S U / Vuy �A ' IS FN �'A4PLAN.S BUILDING r ' YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING ,06 9 BET. MAIN & 0 1 hereby acknowledge that I have read this application and suite 9 that the above information Is correct and agree to comply with m 01 all laws regulating building construction, and I shall not employ i Wany porion In violation of the workman's compensation laws of e = the State of California. m �+ I hereby certify that 1 am properly licensed as a contractor under FT. H 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 affect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: em exempt from the provisions of the State of California Business and Professions Cive, Division C ter 9. VALUATION PERMIT FEE S S m Signature of •/ ^ PLAN CHECK S o Parmitte0 �'s ar-. g � Q TAX S U Authorized Agent TOTAL PAID $,30.0