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HomeMy WebLinkAbout3425 SUMMERSET CIR - Building Permits5' COSTA MESA BUILDING -SAFETY DEPARTMENT 0830 2%2:j %7S P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION1,11930' Uj44�I' For Applicant to 7Cortipletely —Use Ink Only RECEIVED BV _ RECEIVED DATE ISSUE BUILDING 1-1 ADDRESS TT'aC8•sPERMIT NO. OWNER cLant O. A.P. NO. L/I.2-O7I�0�MAIL BUILDING ADDRESS 1470ad ADDRESS p CITU TTEL'64o-6800 TRACT 102111LOT V 1 BLOCK BRANCH OWNER pj=Prt.. ADDRESS _ I __ VALUE ADDRESS }OO.L 5 CONTRACTORMCLain ADDRESS 1470 JI CITY Newpor, E STATE REAR FT. 6 LIC. 273875 SIZE BET. MAIN & ACCESS. BLDGS. OF LOT 50 X 1( Co. Road CITY LIC. NO. NO. OF BLDGS. NOW ON LOT FIRE SONE APPROVED ZONENO. OF USE OF NEW POa-mo PLANS BUILDING RE 5 YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) EXISTING BLDG. 10 T 0 FT. Separate permits are required for electric, plumbing and heating work. L. SIDE FT. FT. REAR FT. 6 FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. MAIN SLOGS. BET. MAIN & ACCESS. BLDGS. Single famil residence VAR. # C.U.P• - 3S/ DATE APPROVED 2 7 ,• APPROVED . n 1 hereby acknowledge that 1 have read this application and state 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. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions Codre1, Division 3, Chapter 9./ / Signature of \I rt t �^ p ^ C� (' -^ ^ / Permittee 111��J t•1 L V' C JY `-^'� 'n n m m w ro y 'n o SO. FT. (G /(0 / THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALVATION $ C2� 700.00 / PERMIT FEE S OO PLAN CHECK $ O TAX $3,61—d._,I2 \ Authorized Aga t/ / TOTAL PAID $ 293.19