HomeMy WebLinkAbout401 FAIR DR - Building PermitsOWNER
JOB AL
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DESCRIPTION of WORK O �i
FIRE ZONE VALUE $6 800
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 80% 1200 COS7A MESA. CALIFORNIA 92626
Nov is-6�00 82a� ***263.25
CIISp
APPLICATION FOR BUILDING PERMIT
For Applicanf to Fill in Completely q p
� FEC �BV Di�TE.�E�/V� / �'�✓'Cs'
BUILDING /QI^(O � O� (f
ADDRESS
141 - 491 - 48�5 PEHMI
OWNER Fair Harbor Co. A.P.No. .il��'S�.d
MAIL BUILDING _ ' (O/'�Oy
AODilE55 AD�RESS
TEL. TRAC LOT BLOCK
CITV NO.
CON5TRUCfION A
LENDER
BRANCH
OwNER �
ADDRESS VALUE
ARCHITECT TEL. 5
Ofi ENGINEER N
FIRE
ADDRESS ZONE TVPE. GROUP �
APPROVED
CONTRACTOR 8V DATE
AODRESS
TEL. Z E NO.OF USE OF NEW
CITV NO. PU+� p2 BUILDIN ,
STATE CITV VARDSAPPROVED VARDS PFiOVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOpV BUILDING
SI2E NO.OF BLDGS. (FROM G/LSTREET')/ (/
OF LOT NOW ON LOT ONT FT. `F FT.
USE OF � � �� 11
EXISTINGBLOG. � �J �� FT
S12E OF % — X NO. OF 1( �
NEW BLOG. POOMS STORIES 2 L.SIDE FT. - L
EXTERIOF WALL ROOF
COVERING COVEflING REAR FT. � FT.
USE OF BUILDING A�yD WOR TO BE PE F RMED DISfANCE BET. BET. MAIN &
�'� _) 4 OP15 • W%�wrports �e�ow MAIN BLDGS. ACCESS. BLDGS.
VAR.�W DATE
C.U.P.qy. — qPPROVED
APPROVED �
I hereby ecknowletlga [het I have reatl this appl(ca[ion antl stete
thet the nbove Information is correct antl aBrae to comply with
all laws ropuleNnO builtlinB �e�s[ruction, entl I s�ell not employ
eny purson in vlolation Pt the workmen's compensation law6 of
Me Stata of Celitornie. /� �
I hareby certify Met I ein Properly licanzed as a contractor �nder � SQ. FT. /L. �� �
tha Sta[a of Californla BN+��ess antl Profauions Cotla, DivisiGn 3, THE AMOUNT SNOWN UN�ER VALUATION IS FOR
Chopter 9, antl thet Suc� licanses are In full torca antl efton, or I THE PVRP06E OF ESTABLISHING A PERMIT FEE ONLV: �
am exempt from the pro+�sions of Ne Stete of Californis Businecs �
VALU TION
antl Professions Cotla, Dlvieion 3, Cheptar A a
/J� ' � PERMIT FEE $ S(�I !'
SlOnatura of '�/� � �" "" � �� a
Permittea i�/ / FC�'✓`� 5 PLAN CHECK $ �
r�f i
Authorizad ABant �%' piQ %/ 2 ` r °
5� �/ TOTAL FEE $ G(OJ •' G�/