HomeMy WebLinkAbout608 LASSEN LN - Building PermitsCity of Costa Mesa Plan Dapartment
Past Office Box 1200
77 Fair Drive �
I� � Costa Mesa, California 92626
CI l9� � (714) 556-5245
CMF 0569-26
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
TractNo. A�S�/-� Date 7 3 �' 7%
Lot No. � O I
Address hIIR .LAssen� �Hhle; �o.5�a /ii�'sA� �
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, clae—ttreyl�_Iwas c�-we+2l�advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
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 to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
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Bys�<� r
Purchaser
17131 IRVINE BOULEVA�D, SUITE 210
TUSTiN, CAiIFOR�d1A 92680
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
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APPLIC:�1lON [OR S7RUCTURAL PER.411T
For Applicant to Fill in Comple[ely — Use ink Only qECE�VE� BY DATE FE�EI eo
BUILDING / _ DATE ISSVED
ADDRESS `� �� 60¢ �� bo8 L,qsSE�l - o-
OWNER �tI A.P. NO.
I -D -O/ °
MAIL BUILO�NG �—�� � / _
ADDRESS L �� ADORESS �../J
�] TEL TRACT LOT Y BLOCK
CITV L � OOJ NO.
CpNSiRVCTION /� NEW A A TER R PAIR M V
LENDER (/ �
BRANCH / � C
OWNER G��C
AODRE55 �( VALUE �J
AqCHITECT TEL. 5 ���T� ONl/O $ /7�OQU
OR ENGINEEP N
FIRE
ADORE55 Z�NE TVPE GROUP
n APPROVED ��O /
CONTPACTOR � 2�, ` BY OATE
ADDRE55
TEL. E � NO.OF �j USE OF NEW S(� /'�'
CITV NO.
�G P�� L BUILDING
STATE �1 i�l %�� LICVNO. yMAION BU LDINGD ACCE SORV BUOILDDING
LI0.N0. G/(/!
SIZE INO.OFBLDGS. (FROMC/LSTREET)
OF LOT NOW ON LOT RONT FT. FT.
USE OF
EXISTING BIDG. SI � // FT.
Separate permits are required for �, sioe FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
VSE OF BUILDING AND WORK TD BE PERFORMEO DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCF�. BLD['a5.
VAR.3W DATE
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Uiv�r o�v C.U.P.�W � APPROVED
APPFOVE
i�C�;� �'l:, ....:i.: ��9 ni_":' .._....._.'��'r
I hereby ecknOwletlBa thei I have reatl this apP�icatiOn and state
ihat the abova intormation is co�rect antl ag�ee to comply with
ull laws regulacing builtll�8 consvucHon, antl 1 shall not amp�oy
any pa�son in vlolailOn of the wOrkman's compenwtion laws of
the Stata of California. �
1 hereby certify t�at I am p�operly Ilcenutl as a conS�acto� untler Sp. FT.
the SWte of Calitotnia 8usinass and Profeuions Code, Division ], 7HE AMOUNT SHOWN UN�ER VALUATION IS FpR
Chao2er 9, ana that such licenses are in full fo«e antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am eKemp[ }rom tne pro�izionsof theScate ot California Business VAWATION
PERMIT FEE $
antl Professions Cotle, Division 3, Chepter 9, i �
/ / PLAN CHECK b
Signaturo ot / C�1 ��`/� Q� /f` / /,� � Z • �
Permittae C9 G�" t�L �' �l � 5!� OO TAX f `
/ �
AuthorizetlApent TOTALPqID 5 2Z ��
�
vnrv�rc �LTZER EhTERPRISES ° uAit B-ZO-76
JOB ADDRE55 6�0-608 Lassen Lane BUILDING PERMIT N0. 42516
GENERAL CONTRACTOR Owner/Bldr. DESCRIPTION of WORK 5 Unit Condo
AP No. 418-071-61 LOT TRACT FIRE ZONE VALUE $ 195.000.00
GAS
WArEA uw �
ROUGM PLUMBING
PROP. SwR. LINE C�
SPRINKLING SYSTEM
CON.
ROUGM HEnTING AND Alp CON�ITIONING
❑N�ERGROUN� �J POWER
AOWH wIRING
TRENCHES FORMS
FLOOR SYSTEM
BOND BEAM r I STEEL FF
FRAME AN� fLASHI
LATHING — IN jrj/
PLASTER. 9ROWN [
HEATING. VENT., REFRI(
PWM6ING, iINAL 4N� G
ELECTRIC, FINAL
BUII.�ING, FINAL
SPECIAL REOUIREMENTS
'�TEEI RE�NF.
IFORCE I—�
�
A.C., FINAL
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