HomeMy WebLinkAbout403 FAIR DR - Building PermitsOWNER FAIF2 HARBOR C0.
JOB ADDRESS 3 F�' �'ive
GENERAL CONTRACTOR e ux
p- �o. 1 1- 91- L0T
II eCTIONS
SOIL
GAS
WATER
ROUGM PLUMBING
PROP. $WR. LINE HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEPTING AND AIR CONDITIONIN Qq
TEMPOflARY SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIflING
TRENCMES ORMS [�STEQL REINF.
LATHING — IN ��{' OOT �({�
PLASTER, BROWN COAT
TURAL, iINAL
H�. .�NG, VENT., REFRIG. AN� A.
PLUMBING, FINAL ANO GAS TEST
ELECTftIC, FINAL
BUILOING, FINAL
DATE y-�7-by
BUILDING PERMIT N0.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P_O_ BOX 1200 COSTA MESA. CALIFORNIA 92626
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APPLICATION FOR BUILDING PERMIT
For Applicant ro Fill in Completely qECEI o e D T RECEI eo
BUIIDING � i �,� y;�.r-�` °�T�S�y
ADDRESS ' D
PERMIT
OWNER Fair Harbor Co. a.P.No. 141-491- 4& 5 ,K(�t-�,.Q.ri .
MA I L BUILDING � '/
ADDRESS ADDRESS O ^ O4
TEL. Q�i/1'k'✓t A�U
CITV NO. �� LOT BLOCK
CANSTRUCTION W A P
LENDER ` '
x
BRANCH
OWNER �
ADDRE55 VALUE
ARCMITECT TEL. S S
OR ENGINEER
FIRE �
AODRESS ZONE TYPE GROUP
APPROVED
CONTRACTOF BY DATE
ADDRESS
TEL. ZO E NO.OF USE OF NEW �
CITV NO. Pu+� � BUILOING
e
STATE CITY �'ARDSAPPROVED VARDSA ROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OFBLDGS. (FROMC/LSTREET) �1
OF LOT rvoW ON LOT FRONT FT. a FT.
USE OF r [( � d
EXISTING BLOG. (� �} (
SI2E OF ' X NO. OF 2 Yj
NEW BLDG. .�+� O��ROOMS STORIES L.SIDE FT. �. FT.
EXTERIOR WALL ROOF (�
COVEFING COVERING REAR FT. FT.
USE,OF BUII�ING AND WOR TO BE PERFORMED DISTANCE BET. BET. MAIN &
� � Of rts below MAIN BLOGS. ACCE�. BLDGS.
VAR.qW (J OATE
C.U.P.qW )f APPROVED �a '
APPROVE ' _ /
a
I hereby acknowledBe t�at I hava reatl Mis apP��ca2ion antl state
thet the ebove IMormetion is mrrect ond epree to comply wit�
ell lows re9uln[InB building consttacHon, entl I shall not employ
any person in vloletion ot the workmen'a compensation lews of
che Scata of Celitomie. //�//J �'" m
I hereby certify that I am properly Ilcensetl es e eontraeior under ���'"— Sn. FT. Fi �A2 � i1. p
the State of Calitornie Business ontl Professions Catle, Div(slcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl that such licenses are In full force antl effect, or I THE PURPO6E OF ESTABLISHING A PERMR FEE ONLY: Q
am e.ampt irom the provisions of the State oi Cal(fornia Bus(nass VAyUAT10N
antl Professions Code, Division 3, Chaptar 9. y,� � �,_��� / .(� m
7�' •� � PEflM1T FEE 5 ✓ �
7
Slgnatura of m
Permkiee 5�— PLAN CHECK $ E
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Authorizatl Apant (�S' v(,/ TOTAL FEE $�(Q�� �J LL