HomeMy WebLinkAbout433 FAIR DR - Building PermitsOWNER ��,.� .............. .....
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GAS
WATER
ROUGH PLUMBING
IN
Dr. Blda. 2G
HEATING AN� AIR CONOITIONING
UNOERGROUNO U POWER U
ROUGH WIRING
TRENCHES RM$ STEEL REINF.
SHEATHING
FHNME ANO FLASHING,
LATHING - IN (
PLASTER. BROWN COAT
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DATE ' " v'
BUILDING PERMIT N0.
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SUBCONTRACTOR
2�' 308I2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. HOX 1200 COSTA MESA. CALIFOFNIA 92626
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APPLICATION FOR BUILDING PERMIT
For A licant to Fill in Completety _ C c i e ev D TE RECEIVED p E ISSVED
BUILDING � -�,�-� �a�_/ /�
ADDRE55 ' ��7
141-491-4&5 PERMT
OWNER Fair Harbor Co. n.a.No. '��1Fi' '
MAII BUIIDING �', /O/'/UT
ADDRESS �+DDRESS
TEL. TRACT OT � BLOCK
GtTY NO.
CqNSTRUCTION W A
LENDER
BRANCH
OWNER
ADDRESS VE ��{
ApCHITECT TEL. $ $ � V
OR ENGINEER N
FIFE '
AODRESS 20NE TVPE GROUP
APPROVED
CONTRACTOR QQ� — BV DATE
ADDRESS
TEL. Z NE NO.OF VSE OF NEW
- PLAN$ a BUIIDING
CIT V NO.
STATE CITV �'ARDSAPPROVE� VARDSAPPROV D
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIL�ING
S12E NO.OFBLDGS. (FROMC/ISTREET) '�
OF LOT NOW ON LOT FRONT FT. FT.
USE OF � i �+ I�
EXI571NG BLDG. S �D S T. FT
SIZE OF ' X NO. OF ��
NEW BLDG. FOOMS STORIES 2 L. SID FT. O FT.
EXTERIOR WALL ROOF ' ��
COVERING COVERING FEAR FT. aII FT.
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
�- 8 a t5. MAIN BlDGS. ACCFSS. BLDGS.
�' VAR.#'- DATE
C.U.P.qW � ,3 - APPROVED 8
APPROVE
I hereby acknowledge that I have raed this application antl state
that the ebove information is correct antl aprea 2o comply with
all laws regulating builtlin8 construction, antl I shell not employ
any person in violation of the workman's compensation laws of
Me State of California.
I hereby certlfy that I am properly licensetl as a convactor untler ��� SQ. FT.
the State ot Celifornia Businass entl Professions Cotle, Dlvisicn 3, THE AMOUNT SMOWN UNDER VALUATION IS FOfi
Chapter 9, antl that such Iicenses ere in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt trom the provisions of tha State of California Buslnass
Chapter 9. VALUATION /
entl Professlons Cotle Division 9, PERMIT FEE $/ �� �
�� ���Q� � _y'
SiBnature of j /J _
Pe�mittee � `-'-' S,� ��� 0 PLAN CHECK 5
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Authorizetl Apant �J 0 Q � TOTAL FEE $�(p�j G-5