HomeMy WebLinkAbout2176 ELDEN AVE - Building Permits� �"� 29396 �
COSTA MESA BUILDING-SAFE�If DEPARTMEM
P.O. BOX 1200 COSTA MESA� CALIFOHNIA 92620
For App11mM ro Ffll In Complst�ly
TYPE OR PRINT
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YAPDBAPPROVHD
ACC69HORY BUILOIN6
oierwNea asr..� eer. i
MAIN BLDOD. AGCE.
vw�# 13�oU, Al(out owre
FOR SPI
e
a
n�� u�wrnev�ns wu nvn i�
T%�(r G� a eo. rr. v �
D iMi� A�'I.IGTON TMl I�MOYIR �XOWN tIND[R VALUATION IB !OP TN[ �
�ND AOp6[ TO COtl. NNro86 0/ ftiApYGXINa w PRIitlIT Ii[ ONLY. �
� uw� eacuunwo yAWAT10N ,�%
OU PBRMIT FE6
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TOTAL PH6
rs
;� . 29469 DEC 10-68cns��0 546 0*****3.O1.
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO% 1200 COSTA MESA, CALIFORNIA 92626 �
APPLICATION FOR BUILDING PERMIT
Far Applicant to Fi// in Completely qECEI eo ev DATE RECEIV
� /�_ DATE ISSUED�
BVILDING
ADDRESS '
�� U I U— �� 4— Q� P IT
OWNER A.P. NO.
MAII � BVILDING �7� L�`� H v�
ADDRESS ADDRE55 ��
Z . / �
W W TEL uEu' ��' e
d U GTY � NO '� 9 Q 7RACT LOT Zg�L. BLOCK�
ZZ
Q CONSTRUCTION W
O� LENDEF �(
a m ��
J 7 BFANCM ' ��� �,
J N OWNER UIIC.
m J ADDRESS VALUE n �¢
J m ARCHITECT TEL. S $«�O
a OR ENGINEER N
Z Q FIFE � 2 �
w fL AODRESS ZONE J TYPE GROUP
a w APP VED �
J Q CONTRACTOR i BV DATE —
m� ADDRESS / 7�j1 U
w w � TEl ZONE NO.OF USE OF NEW ��MQ
Z= CITV �� NO. P��� BUILDING
F
w� STATE CITV �'ARDSAPPROVED VARDSAPPROVED
y� LIC. NO. LIC. NO. MAIN BUILDING ACGESSORV BUILDING
�� SIZE NO.OFBLDGS. (FROMC/LSTREET)
OF LOT NOW ON LOT RONT FT. FT.
USE OF i
EXISTING BLDG. S � F
F SI2E OF NO. OF
Z NEWBLDG. ROOMS STORIES L.SIDE F FT.
U EXTERIOR WALL FOOF ,
COVEFING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERPORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCE�. BLDGS.
a
Q VAR.qW DATE
O � C.U.P.qJe APPROVED
F" r APPROVED
N _ Q _ .
2
O
UI heraby acknowlatlga that I have reatl Mia application antl stete
� that Ne ebove intormation is torrec[ antl a8tee to comply with
� ell laws regulatin8 building construction, antl I shell not employ
F eny Darmn In vlolatian ot the workmen's compensaqon laws ot
y the Stete ot Celitornla. �
? I hereEy terH�y that I am property licansetl as a con[rattor untlor SQ. FT, o
tha Steta of Lalifornte Busineu and Profen(ons Cotla, Dlvlaion 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR �
Chepter 9, antl thet s 'tenus are in full for<e entl afiact, or 1 THE PURPOSE OF ESTABLBHING A PERMR FEE ONLV: Q
em exempt }r [ ptovi Ions of ihe $ia[e of CelifOrnlo Business
VALUATION
entl Profossio o¢, Divis n 3, Chapter 9. � N
�/� PERMR FEE 5 ]
Sipnnture of y V m
Parmlttae $��D '� P�pN CHECK S �� E
`o
Authorizetl Apen �j LL
TOTAL FEE S
29471
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
for Applicant to Fill in Completety
BUILDING /1 I ti. ef�. .� �. � .i%��
OWNER
MAII
GITV
CONSTRUC710N
BFANCH
ADDFESS
ARLHITECT
TEI.
CONTRACTOR '� �`��r Ij�R�,�bL
p��
ADDRESS ��'� �� � ! �(��Tj�,
�T��� TEL. ,
CITV � NO.
..�.
STATE CIT V
IIC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
VSE OF
E%ISTING BLOG.
SI2E OF NO.OF
NEWBLDG. FOOMS STORIE'.
E%TERIOR WALL ROOF
COVERING COVEFING
USE OF BUILDING AND WOflK TO BE PERFORMED
tl
I horeby acknowletlBB that I have reetl �this application entl state
thet the abova (nlormation is cor�act�antl aprBe t0 COmply with
oll lews reBulatinB buildinB eonsvucNon, antl I shell not amploy
nny panon in violatian of tha workman'a compansotiOn laws Of
[he Stnte of Californla.
I haroby eertify that I am proparly licansatl es e conireetor �ntler
tha Stete ot Celifornle Busine tl Profasslonz Code, Divisian 3,
Cheptar 9, entl th ue li nzes re In lull force and effaet, or I
nm exompt from ha Oro ons of tha 52e[e of Callfornie Buainess
entl Profossiona C tle, DI ion 3, haptar 9.
Slpneturo of �
Parmlttea
Authorizetl ABant �
DEC 10-68Cfl5`.',00 548 0**�*+r+*3.OL
APPLICATION FOR BUILDING PERMIT
RECEI V D BV DyTE RECEIV � DATE ISSU
i
�•� � a -io-
�7 E ^^
A.P. NO. U � `7
BUILDING _ L/
AODRESS a, � LG[ti�
1 e
TFACT N�.r��l �OT �tJ BLOC
VAIUE
NO.OF USE OF NEW
_ PLANS J BUILDING �� AA2
Y/✓' .
APPROVED VARDSAPPFOVED
FT
&
VAR.# DATE
C.U.P.aY+ APPFOVED
APPROVED I � . neTo �%/�Q
m
SQ. FT. o
THE AMOUNT $HOWN UNDEfl VALUATION IS FOR '
THE GVRPpSE OF ESTABLISHING A PEFMR FEE ONLV: �
VALUATION m
PEFMIT FEE $ �� �
�
m
9 �D � PLAN CHECK $ �� E
h � .. LL
TOTAL FEE