HomeMy WebLinkAbout3383 FUCHSIA ST - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. � �( 1 � �
IAT N0. 3-G� `
annxEss �� 8� � � e-H � � a �-C.
DATE \ ' S " _I 3
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) S Fa-� �Was or were) W n S advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having camplied with the conditions of approval which were impoaed 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 harmleas from
any claim resulting in damage or personal injury to the undersigned by reason
of the aforementioned uncompleted condition.
RECEIUED
CITY OF COSTA PdESA
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Purchaser � T
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BY �����r �� �/ .��.4'� ��l �
Developer and/or autho ized �
zepresentacive ��;f,�� (�
BY �-[.c,c,L���_ ��
Lender
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JOB ADDRESS ��$3 Fi
� GENERAL CONTRACTOR
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PROP. SWR. LINE � HOUSE CON. �
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TEMPORARV SERVICE OR POIE
UNDERGROUND � POWER �
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TRENCHES FORMS STEELf
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LATHING - IN n OUT [
PLA�rER, BROWN COAT
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
AP LI ATION FOR BUILDING PERMIT
For Applicant to Fi!l in Completely
R I BV ATE RECEIVED D TE SUED
ADIDRENS ���� �L%GHS�/��/J ^(/ . _
�H.l7S � / / /OMh' / /!Q/LC��t�/ A.P. NO. PEH � / �. ']
OWNER �,[ �
ADDRESS �'�� /`�UL/�—�'�A �� ADIDRE s 3383 F�G/TsJ/�
CITV �/QSJ/J /�SA No`�.SyG-Zvi TRACT77,O LOT� BLOCK
CANSTRUCTION / W AOD A R P
LENDER �+�E'.
BRANCH ' („'�RS' ! ~�'�' ~ORY���
OWNER
ADDRESS LUE
ARCHITECT � � TEL. SE �U � $
OR ENGINEEF �-- NO.
FIflE �
ADDRE55 ZONE TVPE GROUP�
CONTRACTOR pcv,��,e_ ,�Crrf-�i� ByPROVED � � DATElp'�� �J
ADDRESS �"'—
TEL. ZOry:(� NO.OF USE OF NEW RT��
CITV NO. � „�' P�� � BUILDING y�CR
STATE CITV ' `�AROSAPPROVED YAROSAPPROVED
�IC. NO. �� LIQ NO. � MAIN BUILDING ACCESSORV BUILDING
SIZE q ,/� NO.OF BLDGS. (FROM GL STRE.yET�) JT
OF LOT �(/ /� � QO NOW ON LOT / FRONT SO FT. �" FT.
EXISTING BLDG. /C�—` v I IL.��� S ��4cF� FT.
SIZE OF NO. OF �
NEW BLDG. - ROOMS �— STORIES � L SIDE '3 FT. FT.
EMERIOR WALL ROOF
COVERING '�� COVERING _ REAR � FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
/� MAIN BLDf'v^. ACCESS. BLIX'>S.
����/ / P��/,/ I I� C URP � APPROVED
, APPROVED��% � ']� ']3
I hereby acknowledge that 1 have reatl this application and state
thac ffie above information is correct antl agree to comply with
all laws regulating builtling construction, and I shall not employ
any person in violation of the workman's compensation laws of y
the State of Calitornia. .��
I hereby certify that I am properly licensetl as a contractor under SQ. FT.
the State ot Calitornia Business antl Professions Code, Divisicn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and [ha[ such licenses are in full force and effect, or I. THE PURPpSE OF ESTABLISHING A PERMIT FEE ON�V:
am eaempt from the provisions of the State of Califomia Business
VALUATION
antl Professions Cnue, Division 3, Chapter 9. ^ � �
�A PERMIT FEE $
Signatureoi ;/��� .�J�� ���`� �/ �
Permittee T�_ $ ��N/D PLAN CHECK
� V /
Authorized Agent ' D ✓
• TOTAL FEE $
,jb� . .. . . . . . ...: . . : . . .
� 3507 i b,UC 15-72�AIF�O 99?_�` *:"* 177.24
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ForApplicant to FiII in Completely
BUILDING .�.� d � ' _ . _'
�ATION FOR BUILDING PERMIT
BV DATE FECEIVED DATE ISSUED
_ � y �y_/ .7,
- PERMF"�,IYQ, _
OWNER Larwin Southern California, Inc. A�P�N�•
BUILOING
MAIL 16255 Ventura Boulevard aooRes:
AODRESS
CITV Encino� California nTio�'986-5890 � TR
BIiANCH 16255 Ventura Boulev
ADDRESS Encino, California
ARCHITECT , , _,.... . T
CONTRACTOR LarWin Jouthem C,alitornia, -Inc.
ADDftESS 16255 Ventura Boulevard ,
arv Encino, California No.`986-8890
lC NO. �9�311 ' LICVNO. B�� -
SI2E NOW ON LO 5 O
OFLOT 6O X 1�� ' I
USE OF
EXISTING BLDG. �
SIZE OF NO. OF �
NEW BLDG.Z3S ROOMS STORIES Z
EXTERIOR WALL ROOF --J
COVERING �tUCCO COVERINGWWu ShI11gI8
USE OF BUILOING AND WOFK TO BE PERFORMED ..
11
OWNEA
FIRE
ZONE
VAR
DISTANCE BET
MAIN BLDGS.
VAR. $
C.U.P. #
APPROVED
�
C. ,
� VALUE
v��a
NO.OF USE OF NEW //�J %'�
FLANS �,; BUILOING /�/ R.
'ROVED VARDSAPPROVED
LDING ACCESSORV BUILDING
DATE
A✓
I hereby actnowiedee that I nave reatl this application ana state HOLD FOR SPECIAL EQT.TIR �i�T'I�$
that the above information is correct antl agree to comply with
all laws regulating builtling construction, antl I shall not employ A%C
any person in violation of the workman's compensation laws of
the State ot Calitomia. m
�
I hereby certify that I em properly licensed as a conbactor under � SQ. FT. � o
the State of California Business antl Protessions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF' j
Chapter 9, and that such licenses ara in full force and eftect, or 1 THE PURPOSE OF ESTABIISHING A PERMIT FEE ONLY: m
am exempt Irom the pro�(sions of [he State af Catifomia Business ¢
antl Professions Code, Division 3, Chapter 9.
. VALUATION �
' PERMIT FEE $ � �
Signamre o����,1� O'� 1 7
4y m
Permittae / / �� D • DOWn$ $ �<��--b � PLAN CHECK $ ✓ � E
n�moraaa ne� '- w/ � � '9 S LL
TOTAL FEE $