HomeMy WebLinkAbout2414 HARBOR BLVD - Building Permits (o Cij84 1
)IOV 18.69PA1000 821* e**312.75
COSTA MESA BUILDING-SAFETY DEPARTMENT cnsa
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
O _(eJRECE �7O7)SE9:$7,/ D TE ISSUED
BUILDING o2✓:41
ADDRESS Harbor Boulevard �i eel
PERMIT
OWNER Fair Harbor Co. A.P.NO. 141-491-4 & 5 . 1 IO I
BUILDING r1-4/4/4, for /< /
MAIL ADDRESS arbor Blvd. lqq L
ADDRESS ®/"J d i
W W TEL. '"�� er#f '
CL U ti1
CITY NO. TR AC 7}�r0s LOT R BLOCK
Z C CONSTRUCTION NEW ADD ALTER AIR MOVING OFMfI ICH
Z
O N LENDER \/
o. 03 X.
JD BRANCH -1 /�'�-� /
JN OWNER tiPd4.4,/ g,t,h"r-J
m J ADDRESS VALUE
ARCHITECT TEL. S
JQ OR ENGINEER - NOMIVIV
U Q FIRE ,I., /
WZIP
Ir ADDRESS ZONE TV PE, j� GROUP
a.W APPROVED
J O CONTRACTOR BY DATE
m Z
JCC ADDRESS
IL w TEL. ZO E NO.OF USE OF NEW
0= PLANS BUILDING �OJ
ZI.— CITY NO. ,3"C O
,
WQ STATE CITY YARDS APPROVED YARDS APPROVBO
to Q LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
DO "— (FROM C/L STREET) it /
OFZE INO ON BLDGS.O / /
SILOT NOW ON LOT FRONT '76 FT. U Q/)• FT.
USE OF y," ,37r ,r 9 IS
EXISTING BLDG. 4 X37//\D R SIRE o 5 FT.. FT,
H ' SIZE OF 1011 it111XYO=O"NO.OF
Z NEW BLDG. ROOMS STORIES 2 L.SIDE 3OT.ir��..,,
-/h/l FT.
UEXTERIOR WALL ROOF re /
COVERING COVERING REAR 3//FT. LO.-t FT.
J USE OF BUI LOIN%ANO WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& •
1 L:- Dap S. MAIN BLOCS. ACCESS. BLDGS.
fDATE
O CURP..# 73—g.Y APPROVED 451- -,47
Z
EtY
APPROVE � P DATE f7—/ r - YJ /
0
C~.1 I hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
fn the State of California. A� i)0 to
? I hereby certify that I am properly licensed as a contractor under O (/M SQ. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Ei
Chapter 9, and that such licenses are In full forco and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
CC
am exempt from the provisions of the State of California Business VALUATION
and Professions Code Division 3,Chapter 9. m
'o PERMIT FEE $2C1 /sJ0 D
r u � if
B
Signature of _ /
Permittee $ ,v v /v. ./ PLAN CHECK § Q i
(� E
o`
Authorized Agent l 200 TOTAL FEE 5 J/G.,,.I �j//5
u.