HomeMy WebLinkAbout443 FAIR DR - Building Permits(�A �p�,'�9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.o. eoX 1200 COSTA MESA. CALIFORNIA 92626
2 .
a cw.)
Z
Z Q
ON
am
J �
J N
aW
¢] J
-m
J a
UN
Za
w�
aw
WZ
J Q
m z
J �
W W
�
ZH
W O
N Q
70
aov t a-6sPA'°00 e� 9�• *�� 31 Z.75
�OISA
APPLICATION FOR BUILDING PERMIT
For Applicant to Fi!l in Com letely
RECE �V O T�`CE VED �� �SsSC
BUIIDING � J G ���
AODRESS
PERMI �r](�
OWNER Fair Harbor Co. A.P.No. 141-491- 4& 5 ,�� �7
MAIL ' BUILDING 'QI' �O (�
ADDRESS �+DDRESS
TEL. TRAC LO BLOCK
UTY NO.
CANSTRUCTION W A
LENDER
BRANCH
OWNEq
ADDRE55 VALUE
ARCHITECT TEI. SE $
OF ENGINEER N
FIflE
ADDRESS ZONE • TVP GFOUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. ZO E NO.OF USE OF NEW
CITV NO. ��, P�� BVILDING �
STATE CITY VAFDS APPROVED YARDS APPRO ED
IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OFBLDGS. (FROM�/LSTREET) ��
OF LOT NOW ON LOT ROIOT FT. FT.
USE OF (�
EXISTING BLDG. T. F
SIZE OF —'X — � NO. OF Q ,�( n 1�
NEW BLOG. � � D ROOMS STORIES L. SIDE V FT. O. FT.
EXTERIOR WALL ROOF /�
COVERING COVERING REAR FT. � FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
('i'� MAIN BLOC'>S. ACCESS. BLDCS.
VAR� DATE
QU.P.# APGROVED
APPROVE "
I hereby acknowletlga that I heve reetl this application antl state
that the above intormetion is cOrrect end agrBe to comply with
all laws regulating building construction, antl I s�ell not emplOy
any person in violation of the workman's compensetian laws of
the Stete of Calitornia. A
I hereby certify that I em properly licensetl az a cont�actor untler 'J SQ. FT.
the State of Calitornie Businass and Protessions Code, Div151cn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl ihat such licenses ere in full forca antl effett, or I THE PURP�E OF ESTABLISHING A PERMIT FEE ONLV:
em exempt from ihe provision4 of tha Stete ol Callfornia Business VALUATION
antl Professions Cotle, Division 3, Chapter 9.
' �� PERMIT FEE 5 / SO
Sipnature of - �r �/���(Q e^^^ • ^ �� ) j
Permittee . T�✓W $ jJ PLAN CHECK $ 0'i `J
Authorizetl Agent �/ {�OO TOTAL FEE 5�/o�// ./
OWNER FAIR HARBOR C0.
AP No141_4O1_4R�5 LOT TR
W ATER
MISCELLANEOUS ��,�fj
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS ❑ STEEL RE
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE [
SHEPTNING
FRAME AND FLASHING
LATHING - IN OUT
PLASTER, BROWN COAT
DATE 9-z5-69
BUILDING PERMIT N0. .
SUBCONTRACTOR