HomeMy WebLinkAbout1172 KINGSTON ST - Building Permits . -o(cu —! !fl4(!7 311 .94 TL
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -
RECEIVEDBY }1P�R�pFT 716 94 TLS
For Applicant to Fill in Completely -Use Ink Only ■��s/"r117"',y/ ^�1 V - ,.
.BUILDING A.P. NO. ��— n`, „—a/
ADDRESS Tract 10278, Lot 12
BUILDING 1 17"') Nys h L-
TTENA TWNER OR McLain Development Co. ADDRESS l pL_ J
UNIT OR
MAILING SPACE NO.
ADDRESS 1470 Jamboree Rd. TEL TR.NOia.^c, LOT la IBLK.
CITY Newport Beach No.640-6800NEW ADD TS\ALTER I REPAIR MOVINGDEMOLISHDEMOLISH
CONSTRUCTION 1I
LENDER
BRANCH
OWNER
ADDRESS VALUE
ARCHITECT TEL. USE $
OR ENGINEER Corbin/Yamafuji NO. 752-5567•
FDR—3661 Spruce St. , Newport Beach ZONE1DR— I C TYPE GROUP
APPROVED
CONTRACTOR McLain Development Co. BY DATE
ADDRESS 1470 Jamboree Rd. •
TEL.
CITY Newport Beach No640-6800
F_ APPROVED SETBACKS
STATE CITY
�y+ LIC. NO. 273875 LIC.NO. 18873
F5 SIZE NO.OF BLOCS.
(FROM C[L SIR EET)
GW. OF LOT NOW ON LOT FRONT �-di ) FT.
y • USE OF �}
EXISTING BLDG. R.SINF r FL
rd
I-51 Separate permits are required for L.SIDE FT.
C electric,plumbing and heating work: _ _REAR 3.SSFT.
F USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
a
Ca
DATE •
a Single family residence. APPROVED ///
> New house —AAPPROVE/a/ TE (0/18./.7(3
1. 1
Cd
W
O I hereby acknowledge that I have read this application and state n
W that the above information is correct and agree to comply with ,y _•
4 all laws regulating building construction, and I shall not employ • '\
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any person in violation of the workman's compensation laws of
L. the State of California.
I hereby certify that I am properly licensed as a contractor under
SQ. FT. N
the State of California Business and Professions Code, Division 3, THE 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 6FEE ONLY: V
e
am exempt from the provisions of the State of California Business �Q .V✓M
VALUATION PERMIT FEE $ Q
and Professions Co e,Division 3,Chapter 99.. )/)j ,is. :rt
Signature of \1 N4-2
- ` y /Yi A J $ PLAN CHECK $ /a/� "' m rW
Vr //ry7Q(_NK (((��� (�"L FA/ ' //�/DD ! '✓_ o \lel/
Permittee J a /j7 TAX $ j' f f u
Authorized Agent Date or / TOTAL PAID
3/ •14