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HomeMy WebLinkAbout314 PAIGE LN - Building PermitsF � L a h y 'z F C � a �i .d > � a � w a. 0�. S z w '� 3 . i � '�J ' �BILDG # 8 � - . . . .. , � /COSTAMESABUILDING-SAFETV EPARTMENT �j� p.0. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only qECEI VED BV DATE RECEIVED �oTF ,��„�„ OWNE:� Mariners Savings & Loan ASSOC. A.P.N /- MAIL BUILDING ADDflESS 1515 Westcliff Dro ADDiiE55�— cirv Newport Beach No��642-4000 TRACT 10�. pp(�fRUCTiON _i^ W A AL 1 CNl1FR S��e aS QLVVe / BRANCH ADDFE55 A TE L. No. 549-400 Irvinee H ADDWESS 1665 Placentia Ave, TEL. aTv Costa Mesa No.646-1164 �ic No. 336725 iic�No. 14664 SIZE NO.OF BLDGS. OFLOT VdT1011S INpWpNLOT USE OF EXISTING BLDG. SeFarate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED m,.e�l n...�� _ d = 5028 sq. ft. Gana = 2112 sa FIRE ZONE AVPROVED lOT . n . VARDSAPPROVEO DISiANCE BET. MAIN BLDGS. C URP#�Z //� BIOCK USE OF NEW �� �, BUILqfJG ( VARDSAPPROVED ACCESSORY BUILDING MAIN 1 �areby acknowletlBe that I heve read c applicetio antl state ��^� '_' �� ' � -� �-- �^ Mat tne ebove Intormetion is correct an apree to eomply with n ell laWs raguletinp builtling cons[r�ction, entl I shall not employ m eny peraon In vloletlon of Me workman's compenfation laws of m the State of California. 1 hereDY certif that 1 am SQ. FT. N(� Y GroOerly licansetl as a contractor untler j n� Me Staie of Calitornia Business antl Professions Cotle, Division 3, THE AMOUNT SNOWN UNDER VALVATION IS FOR m 1� ChaptOr 9, antl t� h iicenses ere In fuil farce anC efiect, or I THE PUqPO6E OF ESTABL6HING A PERMIT FEE ONLV: am exBmpt fr the pr Isio s o the Stett of fornia Business 'O VALUATION PERMIT FEE E ° �. and Professio s Cod ivisio 3, hapttr 9.� � y n Sipnatare o} 'y^, (� �jG PLAN CHECK S o� Parmittee �lJ li7 $�(/� J� �d O TAX S �� l/ 1// . � AUMol�xatlApant TOTALPAID S�i% /_/1 �� �,��.tio TRACT N0. 10148 LOT N0. ZD CITY OF COSTA MESA REQUEST FOR OCCUPANCY ADDRESS 314 Paige Lane DATE Februarv 22, 1979 cRv o� o�T,� � S� FLANf11NG DEPT. The developer of the above entitled tract desires to sel'ir�lthe a oev�e�et��#'�o''�th lot prior to the time that the tract has been completed'�and'�ts�s��r��dzi,j�4is�'�t accepted by the City of Costa Mesa. � b The undersigned, by executing this agreement, acknowledges that (he-she-they) was or were) advised that this tract has t 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 datnage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. representative BY ' Lender