HomeMy WebLinkAbout15001 GOLDEN WEST - CofO (8)3
A 6159 T
13UILDING PERMIT
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Applicant to frl; in area within
j
heavy /i y
c
eultntNCITYOF HUNTINGTON BEACH
ADDRESS I)EPARTMENrOF
w DEVELOPMENTSERVIOES 1
P:O, BOX 196 . CALIFC>'Il; 82
--.: 648
ofNa"_"-f-tract {714j536,5241 �f
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G P of Construction pa.o Load
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ad is Jf State — ^' .. � Parttin9 SPac Gmred
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Coastal
let t,)0Permit Zone G7 es
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rd Araver! O
Addre53 —
_.Pi''".. FEES_
State Lic No _ t
-�-_ Permit ffi
p mil A
City � ,
C,tY
Lis. Nor dis, Plan Check
:Architect or:Ec;lmeer P - � �. at
or No AdData—
S tlresa Recei —"--
dress
P Nn. :. . C.T �Q"'c�i5`
L ic. No /
Cri Cc nmunity E richment TOTAL $ ✓ �s�
y
State ,� library Fee S
p Q t
�� Rt•ma,ky — -----� Fee$
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Sc, Ft Living No of No °t
Stones Check OaA
Scq. Ft Gary e - Families
9 Y)escriohon
cr NEW """-----------
ADO ,-------�
tr ALTER
Use of Building REPAIR -, InsPectlon Record
. t._^.'. AGProva; I
Vale
Valuation CEA10L Fo` L'Ition InsPector
(Including Labor & Mat.) _ and Localinn
-"
ti
RELOCATE FrnnrS!aas
I have read this application antl agree tb C.,"tply With of! tocar and late t3 '
a Plicable to building Construction aws
.
1, 1 am Validly rogisteted and. licensed 3s r shearh;ng
J 2 Hunbhgton Beach and the Siatr of c r equired by h ,.,aty.�.t ..
t nrn the ter t a ,forma, 3r a nwner
,<
f
nt the above desnr.bad ro crt - F,ammg
have fit wtan t e uyo un,!cgton earn ^��- c
A .+rtlflCate of _con^ent
to seif-lnsnrP iS$L'ed. #SY Iba tJuentCr. 1;,1h or
of Industrial Relations. or ---�- __.
- —�
i1 2 A centftcate at workers'
comPen5atton insuradPp ss. Drywall
a 3 an admilted irSUrer, or tjed by
An exact copy dY duplicate thereof
*
or the insurer, or certdied by the Duecto, Brcwa C,saf
! 1 4. t certify that to'he
porformance of the wor.. -cr which this p
Permit is, ued i shot, not em� oy an an,ng
o as to become ub a y Person many manner
1•ct to it,�2
t WOrker5 cnmPBnsamn laws oC
cenirf he Slate eF rider pen Landscaping
torreeY for dectaro] under penany cf partturY }haf
anq
- the toregom i^ a
this tleclarattnn was a cult, o the
at Hurt, Beach. California. dayof p3
Land Use
Conditions
m rice
1t walk is r5 cot nedfor neC 18D da' from a Frnat
wort is abanloned for more than 18Dda w, In. S A rmd. or d
Y or I
P atrmit shah ite null antl l`Li ty
Re=`ease
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