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HomeMy WebLinkAbout441 FAIR DR - Building Permits3A � 4 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant to Fill in Completety BUILDING ��� OWNER FOI MAIL AODRE55 CITV CON5TRUCTION LENDER BPANCM AODRESS ARCHITECT OR ENGINEER ADORESS ADDRESS CITV $TATE LIC. NO. SI2E OF LOT USE OF �EX15TING BLDG. SI2E OF � V � ' NEW BLOG. EMERIOR WALL TEL. NO. L. CITY LIC. NO. INO. OF 8LOG5. NOW ON LOT 37���� K 3, NO.OF ROOMS STOF ROOF COVERING AND WORK TO BE PERFORMED , NOV t B-6 P��O 797� *++* 276.75 CNSA APPLICATION FOR BUILDING PEflMIT RECEIYEO BV DATE RECEIVE neTc icei u BUIIDING ADDRESS FIRE ZONE � APPPOVED DATE NE NO.OF USE OF NEW PlANS BUIIDING VARDSAPPROVED VARDSAPP MAIN BU�LDING ACCESSOFV iOM C/L STREET) il NT FT � F' y� /I o� FT O� U F. �l �,� �) iIDE �D FT. �v"'F' .n .-. i. I r � VAR. BET. I BET. MAIN & I hereby acknowlatlga that I heve reatl this application entl siete that the above informetion is corracc antl aprae to compiy wlth all lews reBuleNnB b�iltlin0 �onstruction, antl I shail not amploy any person in vlola[ion of Iho wOrkman'a compansation lawa Of [he State of Celifornia. I hereby cartify thet I am pro0erly Iicensetl ef a connactor untlar SQ. FT Me State of California B�sinesa antl Profasslons Code, Dlvisicn 3, THE AMOUNT S Chaptar 9, end that such Iiaenws ere In full force and etfect, or I TME GURPOSE OF am eKempt from tha providons of the State of Celifornia Bucinacs VALUATION antl Profassione Co^tle, DlvialP� 3, Chepter 9. G� Signatura oP -���� L. . � .. tD Pelmlttee �sL_a .1 '��- �� —bi-u.�� 5 �J Authorizetl Apent [74 �+/�J � � m 0 VALUATION IS FOR ^ A PERMIT FEE ONLV: Q E S SO � 7 K s 9a, .? 5 e `o S �' . ,,lj LL OWNER FAIR HAIiBOR C0. JOB ADDRESS 441 Fair ih GENERAL CONTRACTOR Dale] A' '�• 141-491-4&5 LOT II. cCTI0N5 SOIL GAS WATER ROUGH PLUMBING PROP. $WR. LINE pi HOUSE CON. �' SPRINKLING SYSTEM MISCELLANEOUS ROUGM NEATING ANO AIR CONDITIONING UNOERGROUN� � POWER U ROUGH WIRING TRENCNES � FORMS � STEEL R FLOOR SYSTEM BOND BENM � STEEL REINFORCE SHEATHING FRAME AN� FLASHINCy/ � LATHING — IN OUT i PLASTER, BROWN COAT 5' iURAL, FINAL HE. .NG� VENT., REFFIG. AND P.C., F PLUMBING, FINAL ANO GAS TEST �i— ELECTRIC, FINAL mui n�uc ciuei DATE 9-25-69 BUILDING PERMIT VALUE SUBCONTRACTOR