HomeMy WebLinkAbout1000 NANCY LN - Building PermitsCity of Costa Mess ening Department
Post Office Box 1i-
77 Fair Drive
Costa Mesa, California 92626
�9�JU (714)556-5245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No.
96 � /
Lot No. l
Address /DUb A)A1Q(,'I LAJ
Date 1Z/ W -7-7
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they) 4C., (was or were)_b-nad advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
RECEIVED Bydtlbaall 0--7
Pu aser /
C! -JY OF cIszA ".9ESA c
DEC 19 1977
AM Pill
71819110111112111213141516
.49
CMF 0569-26
By LF-G`GR4x ,r,
Developer a ' /or Authorized
Representative'
OWNER BALALIS & PIGMMI DATE 4-26-77
JOB ADDRESS 1000.1002.1004 Nancv Lane BUILDING PERMIT NO.',' 43572
AP Noll S-O2*4_1l 1 OT TRACT CAQ1 FIRE ZONE VALUE S ign P(N1_Ml
INSPECTIONS et al
Signature Date
TYPE V GROUP
R & J ONE
SOIL
28
SUBCONTRACTOR
PEP
GAS
Data Number Si nature
WATER p g
Plumbing
ROUGH PLUMBING
•�•
-�%
PROP: SWR. LINE ❑ HOUSE CON.
n
d
SPRINKLING SYSTEM
MISCELLANEOUS
_22
ROUGH HEATING AND AIR CONDITIONING'
(�17
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER
ROUGH WIRING
G•
eatin O en
Vt
TRENCHES FORMS STEEL REINF.
A7 -o7
FLOOR SYSTEM
IJ
BOND BEAM Lj STEEL REINFORCE
SHEATHING
Q
FRAME AND FLASHING
LATHING — IN 7 0U7
PLASTER, BROWN COAT
-
STRUCTURAL,FINAL
HEATING, VENT., REFRIG, AND A.C., FINAL
/
PLUMBING, FINAL AND GAS TEST
Z•
ELECTRIC, FINAL
BUILDING.
SPECIAL REQUIREMENTS
W 43572
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ec /niA _ /AA2• y�iii. e.As.Ly /,Q./G_
OWNER
MAIL
CITY IVC4,1�i
CONSTRUCTION
BRANCH
ARCHITECT
OR ENGINEER%%
ADDRESS
CONTRACTOR
ADDRESS
CITY
STATE
LIC. NO.
SIZE
OF LOT
USE OF
,A
&LVO.
BUILDING
TELNO.
+ADDRESS
ClN?fS
N0L9LI-2Qg7rAPPROVED
TEL.
NO.
CITY
LIC. NO.
NO. OF SLDGS.
NOW ON LOT
FOR STRUCTURAL PERMIT
VALUE
�A!1111r rim
ZQNE P� /� I BUILDING E�,��,� (�
���\J YARDS APPROVEDdYARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/1 CTREfCA
Separate permit3 are required for L. SIDE 0 FT.
electric, plumbing and heating work.
REAR FT. FT,
USE OF BUILDING AND WORK T BE RFORMED DISTANCE BET. BET. MAIN &
VN GG DO MAIN�BLDGS. ACCESS. BLDGS.
VA.C VRP.y J'��— _/L APPROVED/�/ �J/J/ —/ /
I hereby acknowledge that I have read this application and state 'n
n
that the above Information Is correct and agree to comply with �
all laws regulating building construction, and I shall not employrVALUATION
PECT L REQ r'^'^ a >
any person in violation of the workmen's compensation laws of�Ir_ � Z 1 m
the State of California. _
I hereby certify that I am properly licensed as a contractor underTthe State of California Business antl Professions Code, Division 3, SHOWN UNDER VALUATION IS FOR DChapter 9, antl that such licenses are In full force antl effect, or iOF ESTABLISHING A PERMIT FEE ONLY:
exempt fromthe p vizibns of the State of California Business nd Professions Cod: ivlSlon 3Che or 9. PERMIT FEE E4I/PLAN CHECK E Signature of _/ 0
Permittee TAX E U
U
Authorized Agent TOTAL PAID E
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 f
N FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
REMX DATE RECEIVED DAIE 1 SUED
G�
BUILDING/J /r
ADDRESS/D[/ -
G
RMIT NO.
OWNER L
MAIL
�_� ^,
ADDRESS
l.� L A-1
TEL.
CITY NO.
nN
LOT BLOCK
CONSTRUCTION
LT R
REPAIR MOVINGLENDER
BRANCH
L %ADDRESS
VALUE
$
ARCHITECT TEL.
OR ENGINEER N .
FIRE
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR
BY DATE
ADDRESS
TEL.
ZONE
NO. OF
USE OF NEW
CITY NO.
PLANS
BUILDING
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LIC. NO.
MAIN BUILDING
ACCESSORY BUILDING
SIZE NO.OF BLDGS.
(FROM C/L STREET)
OF LOT NOW ON LOT
j
FRONT FT.
FT.
USE OF
EXISTING BLDG.
R SIDE FT,
FT
Separate permits are required for
L. SIDE FT.
FT.
electric, plumbing and heating work.
REAR FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. BLDGS.
VAR.#
DATE
C.U.P.#
APPROVED
APPROVED
I hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person In violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am examor from the provisions of the State of California Business
VALUATION
PERMIT FEE $
and Professions Code, Division 3, Chapter 9.
PLAN CHECK $
Signature of
TAX $
Permittee
$
Authorized Agent
TOTAL PAID $ 3/ 115