HomeMy WebLinkAbout609 LASSEN LN - Building Permitscr�
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CMF 0569-26
City of Costa Mesa Plan���ng Department
Post Office Boz 1200
77 Fair qrive
Costa Mesa, California 92626
(714) 55�5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. — 2/
Date__iL��v� / �
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 t's agreement, acknowledges that
(he, she, they) (was or werel Q.�advised that this tract has
not been given final in pection 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 lia6ility for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersi9ned 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 condit' n.
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i7731 IRVINE BOULElIARD, SUlr� 2�(�
TUSTlN, CALIFOR�iIA 92sRn
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� 425 5
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80% 1200 COSTA MESA, CALIFORNIA 92626
,. �..' FL._.ei��i..KE.jf:.., .,-.�i:�l���.
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use [nk Only
RECEIVEOBV DATERE=EIVEp DATEISSUED
AOOFESS6 6a�6os�o�lo96i/ sse,v — 6 -a _
E PE
OWNER A.P. NO. I"' D � I
MAIL BUILDING �
ADDRESS P.00RES �
TEI. TRACT Q� LOT Y BIOCK
CITV Qo3 NO.
CANSTRUCTION /yQ NEW ADD ALTER R P M V
LENDER L'(J �
BRANCH R��
OWNER EcrZE2 �
ADORESS
ARCHITECT TEL. USE ���r r%�aQALU$ Z� OQU
OR ENGINEER N .
FIflE
AOORESS Z�NE TY E GFO
CONTRACTOF ZE BYPR�VE� DATE �LG�`�
ADDRESS
TEL. � NO.OF USE OF NEW UIJ��
GTV NO.
FLAPIS 2 BUILDING
STATE � �7O �� CITY �'AflDS APPROVED VAqOS APPfiOVED
LIC. NO. � LIC. NO. MAIN BVILDING ACCESSORY BUILDING
S12E NO.OF BLDCaS. �FROM C/L STREET)
OF LOT NOW ON LOT ROM FT. FT.
USE OF
EXISTING BLDG. SI FT.
Separate permits are required for L. SIDE � Fr.
elec[ric, plumbing and heating work.
FEAR FT. FT.
USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCFSS. 9�pGS.
(/�I � ��DQ C VRP. � APPROVED
� 'APPROVED J ',G�' /
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7C� 1 -.^'� ''�� :. .:�'�:..,— -7;..1'�
I � i' . . �.�1. �1,�„i �.� I
� Mereby acknowletl8e that 1 �ave teatl tM1is appllcaSion antl state
that tha above Informatian is correct and agrae io comply wich
�II laws ropulatlng builtling connrueilon, antl I shall not amoloV
8�Y Person in violation ot tha workman's compensation laws of
fie Sxaie of Califomia. �
� hereby certi/y t�a2 I am proparly Iitensetl as a contractor onder SQ. FT.
Yno State of Calitornia 6usinesa an0 Proteszions Coda, Division 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR
Chapter 9, antl that such licenses ere in tull force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT EE ONLV:
pm exampt fram che pruvisians at the State af California Busi�ess
e�tl ProfessionsCotle, Division 3, Chapter 9. VAlVAT10N PERMIT FEE 8 � QQ
- / PLAN CHEC:t E
yi9nature of /, / /�`�z t� � Q '/ '7 �� • Z�
Permittee [a rt � � .� $/�'S�o00 TAX 5 ` �3�
�
AuthorizatlABent TOTALPAID b BZ/� S
a
— �nnctc FIELTZER EN'PERPRISES __— _- _ u,v i t 8-20-76 _
WJOB ADDRESS 601—b11 Lassen Lane BUILDING PERMIT N0. 42505
:�:
AP No
soi� ���� �� SUBCONTRACTOR PERMITS I55 �
Gn5 0"� Dote Number Si nature
WATER � 7 / Ju . P�umbin �
ROUGN PLUMBING �
PROP. SWR. LINE ❑ HOUSE CON. ❑ -�" � �p.� , �
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN� AIR CONOITIONING _/�!� ,Z'��'j .
UN�ERGROUNO I I POWER u
RDUGH WIRING `
TRENCHES �I FORMS STI
FLOOR SYSTEM
BOND BEAM [, STEEL REINFI
SHEATXING
FRAME AND FLASHING
LATHING — IN OIIT
PLRSTER, BFOWN COAT
STRUCTURnI, FINAL
HEFTING. VENT., qEFRIG. ANO A.
PLUMBING. FINAL AND Gn5 TEST
BWL�ING. FINAL
SPECIAL REOl11REM
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