HomeMy WebLinkAbout469 FAIR DR - Building PermitsOWNER FAIR HARSOH W.
JOB ADDRESS azr
AP No.141-491-4&5
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GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE OUSE
SPRINKLING SYSTEM
MISCELLANEOUS A/.L
ROUGH HEATING ANO AIR LON
TEMPORARY SERVICE OR POl
UNOERGROUN� POWER
ROUGH WIRING
TRENCMES � FORMS �
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DATE 7'c� vy
BUILDING PERMIT N0.
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
KOV 78-69PAl900 784� �**
casn 389.25
APPLICATION FOR BUILDING PERMIT
For Ap icant fo Fi!l in Complefely 0' O
FiECEIV BV DATEFECEIVED D TE//ISSUE/D
ADIDRESS �J'�'iI �� � � �OI��CJ
PER
OWNER Fair Harbor Co. n.P. No. 141-491-4 & 5 _� ��,
BUILDING 7AM1 H..��.�- Q��•�, �Q�'/f/ �
ADDRESS ADDRESS "�
TEL. � ^
CITV NO. TRACT L T BLOCK
CONSTRUCTION . W ADD A
LENDEF `�
x
BRANCH •
OWNER
ADDRESS �i,�-/ ff� ALUE �7Q �y�{�
ARCHITECT TEL. SE L(/IGCA` / • S ✓d �/UU
1
OR ENGINEER N
FIRE
ADDRESS ZONE TYPE GROUP
APPROVEO
CONTRACTOR BV DATE
ADORESS
TEL. Z�N NO.OF USE OF NEW
�3-C'P PLAPiS BUILDING �
CITV NO.
STATE CITY 1'AROS APPROVED VARDS APPRO ED
�IC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FFOM C/L STREET)^
OF LOT NOW ON LOT FROM FT. A" FT.
USEOF (/ � Y ��
EXI5TINGBLDG. JC.� �O FT. FT
SIZE OF ' O.OF .Z ' �I
NEWBLDG. ROOMS STORIES L.SIDE FT. FT.
EXTERIOR WALL ROOF /�
COVERING COVERING REAR FT. � FT.
USE,UrOj BUILDING pD1DaWrpS K TO BE PERFORMED MAIN B�Df3S. ACCESS. BLDGS.
I O f DISTANCE BET. BEf. MAIN &
VAR.# n DATE
C.U.P.#'+ - - �7 qPGqOVED
APPROVED
I hereby acknowletlge the[ I have reatl Nis applicetion entl sta[e
that tha above information is correct end aBrea to comply with
all laws regulatinq building consnuction, antl I shall not employ
any person in violation ot the workman's compansation lews of
the S[ate of Califomia. m
I hereby certity that I am properly licansetl as a contratior �ntler /� � SQ. FT, o
the State ot California 8usiness antl Proteulonz Cotle, Divisicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl that suc� litenses are in full force entl atfact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt trom the Orovisions of the Stete of Calitornia Business �
VALUATION
antl Protessions Cotle, OiviSiOn 3, Chaptar 9. Q N
A /"" ""' , .•' PERMIT FEE 5 � ]
Signatureot /�. � �� �„_,.'��� m
Permittee ���-� ��i� §/�� �QO P�p,N CHECK 5 E
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Authorizetl Agent TOTAI FEE 5� ♦LJ