HomeMy WebLinkAbout439 FAIR DR - Building PermitsOWNER r�si.cc nr+ccnvn �v.
JOB ADDRESS
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ROUGH PLUM9ING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOIIS ( �
ftOUGH HEATING AND AIR CON�ITIONING
TEMPORARY SERVICE OR POL
UNOERGROUN� � POWER
ROUGH WIRING
FRAME ANO FLASHING
LATNING — IN OUT �/
PLASTEft, BftOWN COAT
STRUCTIIRAL, FINAL
HEATING, VENT., REFRIG. ANO A.
PLUMBING, FINAL AND GAS TEST
ELECTRIC, FINAL
BUILDING, FINAL
F INAL
/
DATE� " "'
BUILDING PERMIT N0.
� Apt.B]
VALUE5104.200.00
ature Datc GROUP 11 crc N'1 TYPE
SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
for Ap licant to Fill in Com lete/y /e/ �(ol/ �
AVPLICATION FOR BUILDING PERMIT
BUILDING d� � RECEIj4F} @V DAj'i ijE��IV�D ppT`�g�i��
ADORESS . O� �� �J ��� g 6
PERMI
OWNER Fair Harbor Co. n.P. No. 141-491-4 & 5 .il I�i,
MAIL BUILDING �R � �O�'(O�
ADDRESS ADDRESS _ —
TEL. TRA LOTDv• BLOCK
CITV NO.
CONSTRUCTION W p'
LENDER �
BRANCH
OWNER
ADDRESS q
ARCHITECT TEL. S �INi��' �% � ALu$ �O FODw
OFi ENGINEER ���
FIRE (�
ADDRESS ZONE � TVPFr '"� GROUP �
APPROVED
CONTRACTOR BV DATE
ADDFESS Z E NO.OF USE OF NEW •((f
TEL. p�pryg • gU1lD7NG
CIT V NO.
STATE CITV VARDSAPPROVED YARDSA ROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BVILDING
SIZE NO.OF BLDGS. (FROM C/L STREET) ��
OF LOT NOW ON LOT FOfYT FT. FT.
USE OF p/ q 11
EXISTING BLDG. �/ IO SI FT
SIZE OF — X NO. OF _
NEW BLDG. ROOMS STORIES 2 L.SIDE FT. �' FT.
E%TERIOR WALL ROOF
COVERING COVERING IiEAR FT.� FT.
USE OF BVILDING AN� WORK O BE PERFORMED DISTANCE BET. BET. MAIN &
� MAIN BLDGS. ACCESS. BLDGS.
✓ VAR.vk DATE
QU.P.�W — APPROVED
APPROVED
I heraby acknowletlga that � hBvo reetl this application end stata
that the ebove information �s correct antl eB�ee to comply wlth
all laws regulating builtling consttucHon, antl I aholl not amploy
any person in violetlon ot tha workmen's compensotion laws of
the State of Celifornlo. // � ^���eQ�.
I heraby cer[ify 2hat 1 em Oroperly I(cansotl ae a conbactor untlar l�"� SQ. FT. C
the Stute of Callfornie Busi�ess antl Profossion� Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl Net euch Ilcenaos ere In full torca antl eftect, ar I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV:
am exompt trom the provis�one of Me Sto[e of Cell(ornie 8usin¢as VALVATION
entl Prafessions Cotlo, Divisie� 3, Choptar 9. 7�i O PERMIT FEE $��,� `
Slgnature oi � �/� _ � �in y �—
Permittae � �kTw�,�� � �� §.� P�,4NCHECK$ /Ji S
Authorize0 ABent [/ Z�� TOTAL FEE $ � ' ♦ � �