HomeMy WebLinkAbout467 FAIR DR - Building PermitsOWNER FAIIZ HARBOR C0.
JOB ADDRESS ��'��' rive 1 .
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W ATER
PROP. SWR. LINE �HOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR C0�
TEMPORARY SERVICE Oft POL
UNOERGROUN� � POWER
ROUGM WIRING
TftENCNES � FOftMS �
fL00R SYSTEM
FRAME AND FLASHING
I eTHING — IN n
BUILOING, FINAL
T
CON.
STEEL REINF.
DATE 9-25-69
BUILDING PERMI"
FIRE ZONE VALUE
GROUP H & Fl TYPEV
SUB,CONTRACTOR
4� "�OB�� xov 18-6 "s "`—°0� 804* �=�470.25
�� CNSA
COSTA MESA BUILDING-SAFETY DEPARTMENT
P_O_ BOX 1200 COSTA MESA. CALIFORNIA 92626
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� APPLICATION FOR BUILDING PERMIT
For Applicant fo Fill in Completely
R CEIV BV TEFECEIVED DATEISSUED
BUILOING � _
ADDRESS C� —�J
PERAQI O.
OWNER Fair HOfbOf CO. A.P.NO. � - �- �( I
MA I L BUILDING �V�'/D
ADDRESS AD�FESS [
TEL. TRA� LO T2 BLOCK
CITV NO.
CANSTRVCTION �'�' A A P
LENDER �
BRANCH
OWNER !
ADDRESS ALUE � `�OO�
AflCHITECT TEL 5 5 ✓
OR ENGINEER N
FIqE
ADDPESS ZONE TVPE GROUP F
APPROVED
CONTRACTOR BV DATE
ADORESS NE NO.OF USE OF NEW.�
TEL. p�q� � BUILOING'
CITY NO.
STATE CITV VA:�DS APPROVED VARDS APPRO ED
IIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
S12E NO.OF BLDGS. (FROM GL STREET) "
OF LOT NOW ON LOT FRONT FT. : FT.
USE OF / � I/ ��
E%I5TING eLDG. �j' �D U FT. FT.
SIZEOF � %� O.OF (�
NEWBIDG. ROOMS STOFIES 2' L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING REAR FT. ' FT.
USE'OF�BUILDING AND WORK TO BE PERFORM D DISTANCE BET. BET. MAIN &
�� �" i �6 O t5. W COf orts be ow MAIN BLOGS. ACCESS. BLDCS.
�'� VAR, qW DATE
C.V.P.qW � � APPROVED �
APPROVE
I hereby acknowledBe Me[ 1 have reatl this applicatiOn antl state
thu[ tne abave information is correct antl eprae to comply wit�
all laws repulatinB builtlinB consttuction, entl I shell not employ
eny person in violation ot the workman's compensation laws of
tha State of California. v y_ �
I hereby certify that I am properly licensetl as a contractor untler /�� �OSQ. FT. �v �O � 't�}T' o
tho State of Callfornie Businass antl Professions CoGa, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that such licenses are in full force entl effoct, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt trom tha prOvisiOns ot the State of Celifornia Business �
VALUATION /3 �
antl Professions Cotle, Division 3, Chapter 9. .� -'- PERMIT PEE 5�/ 7� S� �
Signature of q / �J
����� m
Permittee �/� � 5 PLAN CHECK $��I�// E
Authorizetl Agent j� (� �'
I�� JOQ TOTAL FEE $ O� � J