HomeMy WebLinkAbout425 FAIR DR - Building PermitsOWNER rrun tuuvsvx cv.
JOB ADDRESS 25 Fair Drive
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PLUMBING
SWR. LINE
ROUGH HEATING AN� AIR CONDITION
TEMPORARY SERVICE OR POLE
UNOERGROUNO POWER �
ROUGH WIRING _
BONO 6EAM
SHEATHIN6
FRAME ANO FLASMING
LATHING — IN OUT
PLASTER, 9ROWN COAT
STftUCTURAL, FINAL
HENTING, VENT.,.RGFRICy.
PLUMBING, FINAL ANO Gn°
ELECTRIC, FINAL
BUILOING, FINA�
F INAL
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. 1-B BUILDING P
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FIRE ZONE VALUE 8 1;
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SUBCONTRACTOR
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATtON FOR BUILDING PERMIT
FOf APpI%� L[O FIII I/1 COO7/JlBiBlj/ _ RECEI ED BV DATE RECEIVED
DATE �SSUED
BUILDING /9 � 9��+
ADORESS 2J mq ��
owNea Fair Harbor Co. a.r. No. 141-491- 4 8� 5 P,E.�U��
MAIL BUILDING � '
ADDRESS ADORESS
TEL. TRACT LO�� BLOCK
CITY NO.
CANSiRUC710N NEW AD A R
LENDER �
BRANCN
OWNER
ADDRESS ALUE �y
ARCHITECT TEL. SE . 5 �a�J �
OR ENGINEER N r
FIqE
A�DPESS ZONE TVPE GROUP
APPROVED
CONTRACTOR BV DATE
ADDRESS
TEL. ZO E NO.OF USE OF NEW
CITV NO. �- P�� � BUILDING
STATE CITV �'ARDS APPROVED VARDSAPPqO ED
LI0. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
S12E NO.OF BLDGS. (FROM C/L ST EET)
OF LOT NOW ON LOT FRONT � FT. L� FT.
E%ISTING BLDG. p I� �/,�� a S E F • T
SIZE OF '. X - O. OF � � �r
NEWBLDG. ROOMS STORIES 2 L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVERING COVERING IiEAR FT.� FT.
USE OF BUILDING AND �'ORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
%C � MAIN BLOGS. ACCESS. BLDGS.
v VAR.�I`- D�+TE
C.V.P.# C- � APPFOVED
APPROVED
I hereby ecknowletl0e Mat I hava reatl ffiis epplication and stata
that the above information is correct and apr¢e to comply with
all laws repuloting builtlin8 constr�ction, antl I shall not employ
any Oerson in violation o� the workman's compensation laws of
the Stata of Celifornia. a
¢
I hereby rerUfy that I am Properly licensatl as a contractor under '�r� S�. FL '
the State ot California Buziness antl Profeaiona Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chepter 9, antl that such licenses are in full torce antl effect, or I TME PURPOSE OF ESTABLISNING A PEFMfT FEE ONLV: a
am exempt irom the pro��sions of the Steie of California Business ¢
and Professions Co Dimslon 3, Chapter 9. VALVA� T10�J �` F�. Q
� PERMIT FEE 5 •✓ •.�O °
Signatare of �� m „ �� � q a
Permittee � � �� ��.s $ `3� QQQ PLAN CHECK $ /o� f
�
A�thorizetl Agent -%D l L' u
TOTAL FEE S.J (7 / G J