HomeMy WebLinkAbout611 LASSEN LN - Building PermitsCity of Costa Mesa Plz g Department
Post Office Box 1200 . �
, • 77 Fair Drive
� ��j Costa Mesa, California 92626
�� 19� � (714) 556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. �/r—`�/— 7�
Lot No. i%�
Address
Date %`"�/'' �J��%
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, she, they)�(was or werel�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 approvai 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 uncompieted condition.
RECE1�/ED
Ci7Y (1F CGS"i, i�1ESA
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CMF 0569-26
BY Purchaser '
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epresentative
ey
TkE CO�1WELl COPAPAIdY
17731 IRi11NE B�ULEVAAD, SUiT�' 230
TUSTiN, CALIFORNIA 92680
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COSTA MESA BUILDING-SAFETY DEPARTMENi
P.O.BOX 7200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Compietely — Use Ink Only
BU�LDING �/ /j
nr'lORESS��.���SGO/�LO7 II SSE
OWNEF c�L�IF/i C.tITF�1PAJ+G!—/�
MA�L �`— � /, �AI�
ADDRESS f--o [.f� .cr�
CITY L/� G/ %J� �A NOL
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qqCHITECT TEI.
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CONTRACTOF �� L/ L �
qDDRESS
TEL.
C17�' NO.
STATE � � 7�� CITV
�;C. NO. O/ LIQ NO.
i
S I Z E I NO. OF BLDGS.
OF LOT NOW ON �OT
USE OF
EXI�ING BLDG.
Separate perrttits are required for
electric, plumbing and heating work.
USE �F BUIIDING ANO WORK TO BE PERFORMED
s ll�t// f a�i/� e
' , i -'.- . : ' .. , ' ��,! �I ...
... .,�, � . .., . ....,
APPLICATION FOR STRUCTURAL PERMIT
FECEIVED BV DATE FECEIVEp DATE ISSVED
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PE
A.P.NO. � "D /
BUILDING �
ADDFES
TRACT (p� LOT Y BIOCK
NEW ADD A TER R PA M
X
OWNER . EC�LE,C � .
VALUE
FIflE
20NE
APPROVED
��d
QQy
p� �_ INO.OF � I USE OF NEW �p (]�ll'
�� PLANS BUILDING ���2
VARDSAPPROVED VAFDSAPPROVE�
MAIN BVILDING ACCESSORV BUILDING
II
DISTANCE BET.
MAIN BLOGS.
VAR. #-`
C.U.P. # �
APPROVED
;C' � �^,
BET. MAIN &
ACCE$$. BLD
DATE
APPROVED
Ci.��.L ::�.��:.._...
1 h&reby acknowletlge thet I hava reatl this application and s2o<e �
thai the above information is carreci and agree to comply with
all laws ragulecing builCing conziruction, antl I shall noc employ m
any person in violation af the wo�kman's compensetion laws of v
Me State at California. �
I hereb certif Mat 1 am SQ. FT. N
y y properly licensetl as a conttactor vntler
the Siate of Calitornia Buzinass antl Protessions Code, Division 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR m
ChaPter 9, antl that such licenses are In full force antl etfeci, or 1 THE PURPOSE OF ESTABLISHING A PERMIT EE ON�V:
am exemFt f/om che provisions of cha State of Calitornia Bvsinass 'D
VA�UATION PERMIT FEE § a
antl Protessions Cotle, Division 3, Cheprnr 9. • Q Q �n
m
Signature of // > t PLAN CHECK 5.�� � LQ o
Permittee (Y • E�f4 CK �N �� $/ ���DOD TAX $ ` 3� �
Authorized ABent . _ _ _ TOTAL PAID $ � � �I �jr U
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- �nrv�K HELTZER ENTERPRISES '- --- _ - unie 8-20-76
UJOB ADDRESS 601-611 Lassen Lane BUILDING PERMIT N0. 42505
GENERAL CONTRACTOR pc.merlBldr. DESCRIPTION oF WORK 6 Unit Condo
APNo. 418-071-01 LOT TRACT FIRE ZONE VALUES 234.000.00
soi� ���� ��2 SUBCONTRACTOR PE MITS ISSU D
Gns �i� Daee Nomber Si nature
wAiEF �) j '/ ,/u .7 Plumbin �
ROUGM PLUMBING �
PROP. $WR. LINE I,] HOUSE CON. � '� �p.� . 1
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH NEATING NNO AIR CONDITIONIN6
TEMPOFARY SERVICE OR POLE '
UNOERGROUNO � POWER �
ROUGH W10.1NG Meafin pnd Vent.
TRENCMES�I F�RMS STEELREINF. , 7 i/�r� �_ �Cj-/(! �jR%„�y �Q
0 9EAM
FRAME AND :L45NING � .( . 7
LATHING — IN OUT G'
PLRSTE0.. BROWN COAT
STRUCTUR4L,FINRL
HEFTING, VENT., REFFIG. �ND A.C., FINAL ' �' r O ��
PLUMBING.:INAL RNp GAS TEST ' %� ( ,
ELECTRIC, FINAL
BUILOING, FINAL Q,L �_ �
SPECIAL 9EOUIREMENTS f� ���l�_�L ��(� /
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