HomeMy WebLinkAbout780 PAULARINO AVE - Building Permits�e�
OwxEg KWK CONST.CO., INC.
OCCUPANCY
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C12ACT FIRE ZONE L
DATE I GROUP I
- ---I SUBCONTRACTOR
DATEl-3l-fil
OF WORK
Form 21�SM-11-59 S-0 P 13.766
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1�'��� FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT �A� 3
P. O. BOX 977 COSTA MEBA. CALIRORNIA 1 �v�
FINANCE D��� �
For Applieanf fo Fill In Complefely qpp���7(j��y8� ��T
, TYPEn OR PRINT gU1LDING
BUILDING � / / �
ADDRE85 G. �/C I'�-O
COSTA MESA. CALIFORNIA For Offite Use Only
OWNER K� aece�ar NO. �li NO.�
/Ew G L- ;�-
MAIL /' / � yp- . Ae ��*D BY OAT6 RECEIVl� I D TC IBBUED
ADDRESS I� J �[ (.� C W�1 � h, �� I � �
TEL. BUILDING
CITY NO. Ti-% pDDRESS
Afectfi7eCr� TE�. � COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS RIRE
ZONE TYPE GROUP
CONTRACTOR - L — APPROVED
BY DATE
ADDRE63 ZONING •
ZONE NO. OP U68 OF NHW y� _/�
un ' I vLAt18 G' eU1LDINa i1LP/�'/tft'1•
BTATH TEL. �gQ��
LIC. NO. NO. DEBGNIPTION
BIZE I NO. OP BLDOB. / T✓�� �
OF LOT NOW oN LOT p, p, NO.
U8E OP 1/ V � YARDS EVES
PJCISTING BLDG �I APPROVED ALLOWED
BRBACK YN8 FRON IGCMT[R LINE BT.) � /
¢NTex O� eTHeer REAR YARC
SIDB YARO LEFf IRIGHT
DESCRIPTION OF WORK
NEW I II ALTERATION I I ADDITIO
REPAIR I II MOVING I II DEMOLIE
BUILDING NO. OF
BIZH ROOM6 -STOF
E%TERIOR WALL IROOF
COVERING COVERING
USE OP BUILDING AND WORK TO BE PERFORMED
i
1 HEP2BY ACKNOWLEDOE THAT t XAVE PCAD TH18 �PFLIGTION THE AMOUNT BNOWN UNDEN VALUATION IB FOH THE
•NG eTATH THAT THH ABOV6 18 CORAEGT AND A6RCH TO GON- pUPP08¢ OP EBTABLIBHIN� A P6RMIT PeE ONLY.
PLY WITX ALL CITY ORDINIINC¢9 AMD STATH LAWB 1180UTATIN6
OUILDINO CONBTRUCiION. VALUATION
BIGNATURE OF PERMIT FEE $ ���
PERMITTE � � /��// � n
$�D// �{ PLAN CHECK $
AUTHORIZED AGENT / �. ✓ �
TOTAL FEE LL
I