HomeMy WebLinkAbout577 PAULARINO AVE - Building Permits_ . 29521 ,
COSTA MESA BUILDING-SAFETY DEPARTMENT PAIO ,� �.�**�
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 DEC 30-68�M�.,001005 ��.���
ForApplicanttoFi!linCompletely APPLICATIONFORBUILDINGPERMIT
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j O LIC. NO. 6 -- Q IIC. NO. MAIN BVILDING ACCESSORV BUILDING
SIZE NO.OF BIDGS. (FROM GL STREET) g� ``��
OF LOT Q D NOW ON LOT RONT FT. � ��N FT.
USE OF �}�
EXISTING BIDG. ��FT FT
H S12E OF NO. OF �ii
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aUSE OF BUIL�IN AND W RK TO BE PERFOFMED DISTANCE BET. .' BET. MAIN &
/�/ �f L �
C/^ O MAIN BLDCS. ACCESS.BLDGS.
p/•l N�( � G7 (� Q C UflP # ASTE2 ��N .4PPROVED �Ou, LS h68
~ APPROVED
v� II e 1
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O - - t(ULD FOR SPECI L RE UIREMENT;.
VI hereby acknowledBe thet I heva reatl Nis aOPlication antl state / O� �j 1_ ��
� that the above informetion is correct entl aBree to comply with ��
� oll laws regulaNng builtlin0 consnuction, antl I shall not employ �'1 'C � _
F„ any person in violation ot the workmen's compensatiOn lawc ot 1
y the State ot CalifOrnie, m�
zI hereby certify tnat I am properly licansetl as a contractor untler SQ. FT, o
ihe State ot Califprnia Business antl Professions Cotle, Divislcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl thet such licenses ere in full tarce end atfaet, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
am exempt from She provisions ot the Siaxa of Calitornia Business ¢�
VALVATION �' Z +D� rv
antl Profassions Co Div on 3, Chapter 9. QQ PERMIT FEE 5
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Signaiura ot (/' // � `_ / m
Permiitee � f� � s(p OGYJ P�AN CHECK $� b. � 0 E
� � ��� D 0 "
Authorizatl Agant � TOTAL FEE $
, • - 30175
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX1200 COSTAMESA;CALIFORNIA92626
For ApGpli¢caTnt to Fi!l in C npletely
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APR 25-69CX5�001454 �**��34.00
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECENEO nnrvieci�i
A.P. NO. /�
BUILDING �j
ADDRESSJ
TRACT
�
OWNER /L.
USE ��-�
�
FIRE �?
znuc J
NE _ NO.OF
PWNS
VARDSAPPROVED
MAIN BUIL�ING
DISTANCE
APPROVED
I �ereby acknawled0e that I have reetl this applieation antl stata
the[ xne abova iMolmation is correct and agree to comply with
nll lews reBuletlnB buildinB �a�struction, ontl I shall not employ
nny Oerson in violat�on of tha workman's compensetion tawz of
tha State of Celibmia.
1 hereby cenify that I am properly licensetl as a contrector untler SQ. FT.
Ma Stare o( California Business antl Professions Cotla, Divtsicn 3, THE AMOUNT SH(
Chapter 9, entl thet sueh licanses ara In full toree antl atfeet, or I THE PURPO6E OF E
am exampt from the Proviaionsof Ne S[ate of Celifornia Businen yAIVATION
and Professions Co Division 3, Chapter 9.
StBneture S^7'� r�`O �/ �J� �
Permittee �C � `'L'0 � � ��^ $ J
Authorizetl ABent
LOT I
VALUE
i�ow�.rG 9._-_ r,
(L � -�
VARDSAPPROVED
.CCESSOFY BUIL�II
_ A t
BET.
t
e
0
UNOER VALUATION IS FOR ^
LISHING A PERMR FEE ONLY: Q
m
FMIT FEE $ �
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4N CHECK 5 �� E
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TAL FEE S � �