HomeMy WebLinkAbout3440 LUPINE CIR - Building PermitsCI14 OF COSTA ?fESA itcQtiEST FOR OCCU..L�CY
T_RACT n0. ��
TOT v0, l o�
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ADDRESS
DATE /�d ��
The develope: of the above eatitled tract desires to sell the aboce set
forth lot prior to the time that the tzact has been completed and its streets
accepted by the City of Costa Mesa.
The unde: igned, by executing tnis agreement, acknowledges that
(h�ecrtney) (za�.were)�_ adcised that this tract has
not oeen g'_vea fina inspection nor has it been accepted by the City of Cesta Mesa
as having cc=pl:ed :;ith the coad'_tior.s of approcal G�hicn were imposec by the City
at tre t;.:-�e =he •`i^el tract map ::as aop:oved.
?'he City assa�es no liability :or the enforce^�eat of the coaditior.s
aecessary for 2pproval other than :hose conditions protected 'oy surety bond.
The uadersigr.ed agrees to iade,�r._fy ard 'nold the C3ty �amless froT
any claim resulting ia da,.age o- personal injcry to the undersigned by re2soa
of tne afore:�entioned uncompleted condition.
RE�EIVED
.cm aF cos�,1 MESA
PL?�.,�,�.., ..�
Pi.
S�P 28 19)3
AM �
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BY � , �
Purchaser
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Developer aad/or aucnorized
reoresenta�ive
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BY :/�/_d,J J��I, L� /%G�L�.
Lender
OWNER
DATE
JOB AODRE55 �440 Lunine Circle BUILDING PI
GENERAL CONTRACTOR aamo DESCRIPTION of WORK �
AP No.
IN
SOIL
GAS
WATER
iRACT 7557R FIRE ZONE
SUBCONTRACTOR
PROP. $WR. LINE � yA0U5E CON.
ROUGM HEATING AND AIR GON�ITIONI
TEMPORARV SERVICE OR POIE
UNDERGROIIND � POWER �
ROUGH WIRING
TRENCHES FOftMS STEEL
FLOOR SYSTEM
FRAME AN� FL
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STRI'�-'iRAL, I
NEA VENI
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COSTA MESA BUILDING-SAFETY DEPARTMENT
]OL AR P.O. BOX 7200 CpSTA MESA, CAIIFORNIA 92626
For Applicant fo Fill in Completely
ADIDRESS 3440 Lupine Circle
OWNER Larwin Southern California, Inc.
ADDRESS 16255 Ventura Boulevard
c"'i cirv Encino. California N�L7H6"SH�
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aoor+es€ncino, California, 91316
nAcnHirinEiFFa LaiWlh Cn. C'alif_ N
CONTRACTOR LQ��
ADORESS 16255 Ver
cir� Encino. Ca
��� No. 191311
SIZE
OF LOT 89 X
USE OF
E%I5TING BLDG.
SIZE OF 2354
NEW BLDG.
EXTERIOR WALL
COVERING S�L1CC0
USE OF BUILDING .4ND
TEL.
No.986-88
cirv B_�
LIC. NO.
INO.OF LB�DG.
NOW ON LOT Q
NO. OF
ROOMS STOF
ROOF --J
COVEFINGW�tIu $h
K TO BE PEFFORMED
2
FF.iD �.:::i LI
?; 11-73�;•� 00 652� 1�7.7_,
APPLICATION FOR BUILDING PERMIT
RECEIVEDBV DATERECEI ED DATEISSUI
/�/l, �L_i�,..%✓�
I PER �h�
A.P. NO.
BUILDING /�
AODRESS yyQ Gll �/✓�L� `
TRACT%SS%—B LOTLOH BLOC
OWNER LF�w�� .i 0
�sesF,ect rv/�e
FIRE
ZONE TVPE
APPROV 1/ � .
-in�
NE _/NO.OF USE OF NEW Sf ��% k
FLANS � BUILDING
VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORY BUILOING
6 t
VAR. #
C.U.P. #
APPROVED
�
HOLD FOR
I hereby acknowledge that I have read this application entl state
that the above information is correct antl apree to comply with
all laws re9ulating builtling construction, entl 1 shall noi employ
any person in violation of the workman's compensation laws of
the State of California.
1 �ereby certify that I am properly licensetl as a contractor under SQ' �
the State ot Calitomia Business antl Protessions Cotle, Divlsion 3, THE MOVNl
Chaptar 9, and that such licenses are in full force antl aftect, or I THE PURPC6E �
am ezempt trom iha prOvisions of the State of California Business VALUATION
and Professions Code, Division 3, Chapter 9.
SiBnature of
Pa,mine . D. Downs $ 35,600
Authorizetl ABent
BEf. MAIN &
m
� o
� R VALUATION IS FOR '
G A PERMIT FEE ONLY: �
FEE $ 116. SO �
]
HECK $ 58. 25 E
`o
174.75 LL
FEE $