HomeMy WebLinkAbout853 PAULARINO AVE - Building PermitsOWNER SEWELL, Richard DATE p_�_��
108ADDRE55 RSl Panlarinn Avonn> BUILDINGPERMITNO. i,zi.�Q
SUBCONTRACTOR
ROUGH PLUMBING
PROP. SWR. LINE n N01
SPRIHNLING SYSTEM
MISCELLANEOUS
NOUGM NEATING AND �IR
TEMPORARV SERVICE OR
IINDENGHOUND � PO
ROUGX WIRING
TRENCNES FORMS
fL00R SVSTEM
PLASTER, BROWN COPT
5� 'CTUR�L, FIHI.L
1 .NG, VENT., REFRIG. AND A.C., fINAL
PLUMBING. FIN�L AND G�5 TEST I-I
For API
BUILDING
OWNER � � ,
MAIL
ADDFESS �
GTY C OS
CONSTRUCTION
BRANCH
ARCHITEi
OR ENGINE
ADDRESS
43478
iA BUILDING-SAFETY DEPARTMENT
200 COSTp MESA,CALIFOHNIA 92626
��ill in Campletely — Use Ink Only
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TEL.
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APPLICAT[ON FOR STRUCTURAL PERMIT
BUILDING
A�ORESS
OWNE
FIRE
ZONE
r / < APPROVED
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DATE O( � / ^
ADORES�D� � /Crr D zoNe n NO.OF ' USE OF NE
CITV NOL��y�� � P�� BUILDING
F STATE CITY VARDS APPROVE VARDS APPRO'
i LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUI
Wi
SIZE NO.OF BLDGS. (FROM C/l STPEET)
�. OF LOT NOW ON LOT RONT FT. FT,
a USE OF
� EXISfING BLDG. SI �, FT
y
� Separate permi[s are required for L. SIDE FT. FT,
electric, plumbing and heating work.
C FEAR FT. FT,
�.W,.i USE OF BUILDING AND WORK TO BE PERFORMED D4STANCE BET. BET. MAIN &
QMAIN BLDGS. ACCESS. BLOGS.
� � VAR.# DATE
a C / / � C.U.P.#+ APPFOVED
} APPROVED + � � � i
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0 I �ereby acknowledge ihat � have reed this applicetion entl staie
y' that ihe above Information �s eorrect antl a8ree to comply wiih
a ell laws reguletinB builtling construetion, entl I shall not employ
Z eny person in violetlon ot the workmen's compensatlon laws of
� the 5<a<e of Califomia.
3 I hereby cenify thet I am p�operly Ileensetl ez a contractor under SQ. FT.
the Stete of Callfornia Businesa and Professions Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDEF VALUATIO
Chepter 9, antl that such Iieenees era in full force end effect, or I THE PURPOSE OF ESTABLISHING A PEFiMIT FF
am exempt from tha provi6lonsof the Stete of California Bustness VALUATION PERMIT FEE S
entl Profeuions Cotle, Dlvisi0n 3, Chapte
� � PLAN CHECK 5
SIB�ature of
Permittee $ � ~� TAX S
AuShO�izetl AOent TOTAL PAID $
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