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HomeMy WebLinkAbout1171 KINGSTON ST - Building Permitsr / 6731 11/14/79 311.94 TL' COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT :.- - P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -RECEIVED BY P/E T/C e 4445_8For Applicant to Fill in Completely -,Use Ink Only ///YYY c�(AY V BUILDING A.P. NO. 4`a--Q' r —Cl ADDRESS Tract 10278, Lot 46 OWNER R BUILDING 1 \71 KjiniSn G64ThTENAN� McLain Development Co. ADDRESS UNIT OR MAILING SPACE NO. ADDRESS 1470 Jamboree Rd. TEL. bb— TR.N�. LOT4/ BLK. CITY Newport Beach NO 640-6800 NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER 1/ BRANCH OWNER ADDRESS VALUE ARCHITECT TEL. USE $ OR ENGINEER Corbin/Yamafuji NO. 752-5567S• � ADDRESS 3661 Spruce St. , Newport Bch. ZONE ry� R/ty1Or D TYPE GROUP APPROVED CONTRACTOR McLain Development Co. BY DATE ADDRESS 1470 Jamboree Rd. TEL. CITY Newport Beach NO. 640-6801 _ I—1 STATE CITY APPROVED SETBACKS iveLIC.NO. 273875 LIC. NO. 18873 SIZE NO.OF BLDG (FROM C/L STREET) 4 OF LOT I S NOW ON LOT FRONT 24 FT. Q USE OF 4 EXISTING BLDG. R SIDE 5 FT. ca F Separate permits are required for L.SIDE 1�5 FT. O electric,plumbing and heating work: REAR r� b kT. F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION It CI DATE mt Single family residence [ APPROVED aNew house —BY ROVEDAI.ne r n DATE la/1471 a. vw � �V� 0 I hereby acknowledge that I have read this application and state n _ , a that the above information is correct and agree to comply with ,. ,fes` 0e all laws regulating building construction, and I shall not employ /1' Z any person in violation of the workman's compensation laws of : (L S' the State of California. N FT. I hereby certify that I am properly licensed as a contractor under SQ. N 7 the State . thCalifornia Business and inf full Professions Code, Deffect, 3, THEPURPOSE AMOUNT SHOWN UNDER VALUATION IS FOR m _ , Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n �`` am exempt from the provisions of the State of California Business ►7 �7r� a and Professions Code,Division 3,Chapter 9 VALUATION PERMIT FEE $/ /'Uv ar Signature of f/1, PLAN CHECK S/R/•_O m^ 1 Permittee 1 $ ,'Q t0/'�/'TAX $` A $4 . u or (/// �ll LJ T' Authorized A t Date TOTAL PAID $