HomeMy WebLinkAbout429 FAIR DR - Building PermitsOWNER FAIR HARB4R C0.
JOB ADDRESS 29 Fair I?r
GFuERAL CONTRACTOR Dale
A >1 1- 91- LOT
PROP. SWR. LINE /� HOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AN '� o ���
TEMPORARV SERVICE OR POL
UN�ERGROUNO � POWER
ROUGH WIRING
TRENCHES � FORMS �
FLOOR SVSTEM
BONO BEAM � STEEL RE
SHEATHING
FRAME AND FLAS IING
LATHING — IN OUT �
P' 'ER, BROWN COAT
5 _TURAL, FINAL
NEATING, VENT., REFFIG. A�
PLUM8ING, FINAL ANO GA51
ELECTRIC, FINAL
BUIL�ING, FINAL
DATE 9-25-69
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
ForApPlicant to Fillin Completely APP��CATION FOR BUILDING PERMIT
BUILDING I RECEI�I$D ���EC�fIVf DATE ISSUED
ADDRESS I�(���� �`� � L ����
�/_ �� PERMIT
OWNEP �f pfbOf o. .a.r.No. 141-491 - 4& 5 �j(�
MAIL BUILDING � "�a/-ia�/
2 .
ADDFESS ADDRESS
W W TEL.
d U CITV NO. TRAC LO BLOCK
ZQ CONSTRUCTION W
O m LENDER \/
/\ �
J � BRANCH
J N OWNER /
a W ADDRESS �� � .yp yy_
mm TEL S G/�W� V/Cl%C AW$ �Q[/�OB
J Q ARCHITECT �
N OR ENGINEER P1
a FIFE /
W� ADDRESS 20NE TVPE � GROUP r�
aW
w Z APPROVED
J O CONTRACTOp BV DATE
m Z
J � ADDRESS
w w TEL. NEq NO.OF USE OF NEW
ZF CITV NO. -` P�� BUILDIN
w� STATE CITV YARDSAPPROVED YARD APP OVED
tn K LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFV BUILOING
�� SIZE NO.OF BLDGS. (FROM C/l STREET)
I!
OF �OT NOW ON LOT RpNT FT. FT.
USE OF n� U U
E%ISfING BLDG. 3) ID �3 Q FT
� SIZE OF — NO. OF (�
Z NEW BIDG. ROOMS STORIES 2 L. SIDE FT. � FT.
U EXTERIOR WALL ROOF
COVERING COVERING REAR FT.� FT.
J USE OF BUILOIN�j' AND WOR TO BE PEF O�iMED
a �' O C1 t5. W Cdf Of t5 �E I OW DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
Q V VAFi. qW pATE
O C.U.P.qW �� APPROVED
F APPROV /
N �6
z
�
VI heraby ackno�+'ledpe that I have reetl tNz apptication antl rtete
� the[ the ebove ��fOrmation is correct and apree to comply with
� ell laws reBulati�B builtlinB concttuetion, anC I shall not employ
� any permn In violatlon of Ma workman's compensatlon laws of
y th¢ Steta of Califomle, ^ ^ m
� I hereby c¢rtity that I am proparly Iicevetl az a contrector untlar �� SQ. FT. y � (%/! � o
the Stete ot Cal�fornie Business end Profaxiio�a Cotla, Dlvisicn 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR a
Chepter 9, antl that such Iicansef ere In full forca anG affect, or I TME PURPOSE OF ESTABLISHING A PERMR FEE ONLV: Q
am exampt irom the provislOns ot iha Stam ot Calitornia Buainess VALVATION
nntl Professlona Cotlo, Dlvlsion 3, Chapter 9. y 1� m
%�T'6 D PERMIT FEE $ Z.i � ✓ !i' �
Sipnatura of �}^' �`'' ]
m
Parmlttea S�_ PI,AN CHECK S I/�i � E
� ,n �` o
Authorized Agant �D¢iVO TOTAL FEE $ �� 1.J LL