HomeMy WebLinkAbout1867 PARKCREST DR - Building Permits CITY OF COSTA MESA REQUEST FOR OCCUPANCY
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TRACT NO. 7013 . . ' DATETAA• �
•' LOT NO. 1 Z •
• ADDRESS/f6' 7 -ae. aG p �1.
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
Tho ,,.:dcrsigne , by" c xccut. ng this ag
is fi,i:iiiCii L, acKfiJ i•J J.Cii�:fe5
that (he-she-they) (was or were) 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 condition.
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 theaforemention uncon - ted condition.
Bii- ice
Purchaser
D-velop of/ : or 'uthor ize
• representative
alb
BY
'ee
PATO
^^��• DEC -2-70cn$A00 181* ***1)14.75
2 e-COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
/�L o For Applicant to Fill in Completely RECE WED a DATE ECE VED
BUILDING// `� / [/��jr �� �j DATE IS�'SfUED �s
ADDRESS y�JJJj��If 7 yeatiikkedec7 Pp ^ , O 4R7_mos — 7O
OWNER /N/r''/�fr/•��A u/�Y2I47s r Am A.P. NO. / PE,FI J'`/, /,
ADDREES/- / J ADDRESS / Ip_7 p( P,/t[y� µ,df
MAIL //// '�66 /�• i y�
C Z CITY/a4 d, g /'r Bide No/,7336a� TRACT'O'R) LOT BLOCK
Z Q CONSTRUCTION / - �y NEW, ADD ALTER REPAIR MOVING. DFMHtI ISy
0-CO LENDER —."siJ� I
J 3 BRANCH 1'�•�/
J fn O W N Er0gl/ q7 �f
J-I ADDRESS `r14� ���� 7 rfl
ARCHITECT �+�/d,, TEL./r USE
J/6D '
ti N OR ENGINEER p �`l�J�/ f NON�,D/Q , "
Q ,I� D FIRE s�
W¢ AODR ESS ��L7 J� ljQ f/�Q,(dI Q. /ri�/J ZONE TYPE GROUP U/\
a-w / APPROVED
W Z CONTRACTOR ,, - . w .L, ' .r(e- 6, BY DATE
03 z
J Lil cc ADDRESS O/ /0. /..,..-pC// TELr �jfp� (j.I� NO.OF t� S
aI- CITY a' te/ AigS NO✓�"D/'W 2OO I PLANS {� BUILDING /(Jy�/�
W- O STATE CITY YARDS APPROVED YARDS APPROVPRQ'E art,
V)O LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
(FROM CIL STREET)
SIZE y r NO.OF SLOGS. -
OF LOT OQ r NOW ON LOT O
t RONT FT. FT.
USE OF
EXISTING BLDG. �J s FL SIDE .S-FT. FT.
Z SIZENEW OBL RIOR/A/Cal , NO.
/ STORIES /tel L.SIDE .FT. FT.
Z NEW BLDG. //'"'�s// ,(�-' �t, pp
V COVERING ALiy— . COVERING F 7 Y� REAR�/.4ra 3T. FT.
—I USE OF BUILDING AND WORK TO BE PERFHMED DISTANCE BET. BET.MAIN&
BLOCS.
a' ';% /J���y��J/�� _MAIN 40;.7 •
- DATE
ACCESS. BLDGS.
O ,VC. //_' -tiHt�A_ itiefre
C.U.P..fr<L q3-70 APPROVED 2-J---7 d
z - -BY W L. 6i' fATE / P-'/ �/ 0
O V
~ I hereby acknowledge that I have read this application and stateCi
HOLD FOR JYtUAL ttCQUIRtMENT5
that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
F, any person in violation of the workman's compensation laws of
ca the State of California. / /�� //�tt / m
!17 tf //yl' to
I hereby certify that I am properly licensed as a contractor under 50. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
em exempt from the provisions of the State of C ornia Business
and Profess: Division 3,Chapter 9 / VALUATION 9 SD N
yps-�oc�a�� PERMIT FEE $ / x
Sarnia sot_---1---�' �/ / d C� E
Permittee //i e.,c_._� $ '�)7 /1 n'\ - - PLAN CHECK $ ^7 br .L.tJE
Authorized Agent
r ` /�/ �(! TOTAL FEE $16/9) 96--