HomeMy WebLinkAbout3358 WISTERIA CIR - Building PermitsCITY OF WSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. "���
LOT N0. 1 1 �I
ADDRESS ���� `-V �A,��-�-0.
DATE �I`��]-wi
1
The developer of the above entitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he-she-they) � (was or were) C�-k advised that this tcact has
not been given fina \spection nor has it been accepted by the City of Costa Mesa
as having complied with the conditiona of approvaS which were imposed by [he City
at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees [o indemnify and hold the City harmless from
any claim reaulting in damage or pereonal injury to the undersigned by reason
of the aforementioned uncompleted condition.
RECEIVED
CITY Of COSTd MESA
Pi'.'INIYf UF.P7.
JAiV 2� 1973
A� PM
7�8�9�ID�ll�12i1i2�3i4�5i6
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BY �G/ � �,�L/ `� �
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Purchaser
BY L�r�,�C� � C�� �G���iv
Developer and/or auchorized
zepresentative
BY .i%GcCCC�� /1c��Ir,�
Lender
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.S 5 J
COSTA MESA BUILDING-SAFETY DEPARTMENT
ilARP•O.BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicanf to Fill in Comp/etely
BUILDING � � ��
ADORESS Wisteria Circle
P.UG 15-7?Pa�oO01062'� *�*126.05
CP15p
;ATION FOR BUILDING PERMIT
BV D'lE2/'IV�� DATF IS�UI
/7 !1
OWNEF LarwinSouthern Calif., II1C. A�P�NO.
MAIL BUILDING ^�
ADDRESS 16255 Ventura BZVC�. ADDRESS J���
No.`986-88� TRACT �71� LOT
arv Encino, Calif.
CANSTRUCTION �
LENDER Larwin Southern Calif.
BRANCH 16255 Ventura Blvd.
ADDFE55 Encino, Cdllf.
ORENGINE R Larwin No�273-44
ADDFESS 9100 wilshire,Beverly Hil
CONTFACTOR Larwin Southern Calif •
ADDRE55 ],Fjzrj�j Ventura BIVC�{.
TEL.
c�rv Encino, C�l.i£. No.986-88
l C NO. 1(�13�.�. LICYNOB-1
S12E � NO.OF BLDGS.
OF LOT GO X LOO I NOW ON lOT O
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEWBLOGL�F3G ROOMS STORIES L
E%TERIOR WAL ROOF '
COVERING �tllCCO COVERING Wd. Shing
USE O�G AND WOFK TO BE PERFORMED
I hereby acknowletlge that I have reatl this application antl state
ffiat ffie above information is correct and a0ree to comply with
all laws regulating builtling construction, antl I shall not emplay
eny person in violation of the workman's campensation laws of
the State ot California.
I hereby certity t�at I em properly licensetl as a wntractor untler
the State of California Business entl Professions Code, Divisicn 3,
Chapter 9, antl that such licenses are in �ull force antl effect, or I
am euempt trom the provisions of the State of California eusinass
and Professions Code, Division 3, Chapter 9.
Sipnature ot �,�/�
Permittee �'�1'/L9f-� D. DOW[1S
Authoiizetl ABent
OWNER �./�f'%�
s Es /�,
FIRE
ZONE T
APPRO
BV
20NE NO.OF
'Q PLANS
VARDS APPROVED
MAIN BVILDING
(FROM C/L STREET)
DI5TANCE BET.
MAIN BIOGS.
V AR. #`
0.U.P. #
APPROVED 1.
//_� VALU$
C7lr
BIOCK
VARDSAPPROVED
DATE
/.7 U
m
b
SQ. FL -� o
THE AMOUNT SHOWN UNDER VALVATION IS FOR �
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: m
¢
VALUATION � �
PERMIT FEE $ �
J
m
$ �DQ • P�pN CNECK $ ' E
� `o
LL
TOTAL FEE $