HomeMy WebLinkAbout3496 QUEENS CT - Building PermitsOWENS•CORNING
Fiberglas ��
Blanke# Insulation
The contractor named below certifies that the Owens-Corning Fiberglas
Blanket Insulation used carries the NAHB Research Foundation, Inc. label
for assured thermal performance and that the Blankei Insulation is in-
stalled in conformance with current energy conservation regulations,
California Administrative Code, Titie 25, State of California, in the building
located at:
e�/i/ /1'.� o�-nU ��inf /,S� /d.� % 5�
Street Lot Number hact Number
Exterior Walls
Owens-Corning Fiberglas Blanket Insulation
Ceilings
Owens-Cornin�_Fiberglas Blanket Insulation
Floors
Owens-Corning Fiberglas Blanket Insulation
Foundation Walls
Manufacturer ,Type
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Thickness R-Value
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Thickness R-Value
Thickness R-Value
Thickness R-Value
General Contractor License No.-
By - - Title Date
(Sgnalure)/,,� �/� /
Insulah ontr tor ��-���+"�y�'� +-r�-' �-��*-�%����LLicense No. % � �'"' '
' ', r_' � /e -,4'l
By — . __ — Title �� Date _
�s �am,e)
Homeowner Copy (White)
State Copy (Yellow)
Builder Copy (Pink)
Pub. No. 16-84699SA Li�po in U.S.A.. July 191]
OWENS-CORNING FIBERGLAS CORP.
Insulation Operating Division
Fiberglas Towei. Toledo, Ohio 43659
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
o�oRess 3496 Queens Court
OWNEROR Wimbledon F1550C.
TENANT
NDDREs 1470 Jamboree Rd
c,T,.. � Newport Beach. No540-6800
CANSTRUC710N
LENDER Imperial Savings & Loan
BRANCH Pasadena
ADDRESS 61 S. Lalce Ave.
ARCNITECT _ . .__ _ . . TEL:. _ __ ,. .
ADDFESS
ADDRESS 1470 Jamboree Rd �
arr Newport Beach No�b40-6800
LIC.NO. Z%3H%S LICVNO. �.HH%3
512E - NO.OF BLDGS.
OF LOT � I NOW ON LOT O
USE OF
EXISfING BLDG.
- Separate permits are required for ',
electric, plumbing' and heating work�. .
USE�OF BUILDING AND WOFK TO BE PERFOFiMED
PRD - New Construction
Single-family dwelling
I hereby acknowletlga that I have reatl this application anE stete
ffiat the above information is correct antl agree to comply wlth
all laws regulating buildin8 consttuction, and I shall not employ
any perwn in violation of tlie workman's compensation laws of
the State of California. . .
I hereby cerUfy that I am properly licensed as a contractor under
the State of California Business antl Professions Cotle, Division 3,
Chapter 9, and that such licenses are in full torce antl effact, or I
am exempt from the provtsions of the State ot California Business
antl Professions Cotle Division 3�Lhapte ' ' �
Signature ot �
Permittae �
or
Authorizetl Agent Date �' �'�
6l16 i%21/�i 24i+.9Q TL�
APPLICATION FOR STRUCTURAL PERMIT �
RECEIVE V ' PERMIT NQ � ^ ^ � �
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A.P. NO. I '�Y�/.>-' � UY���S�
BUILDING
ADDRESS R496 O� na ouYt
UNIT OR
svace
TR.NO. LOT E
10275 15
NEW ADD ALTER IREPAIR IMOVING DEMO
OWNER
VALUE
USE $
NGROUP R— J
�ATE � �2�%/p I
APPROVEDSETBACKS
l 3 •�'O
PLANNING ACTION
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THE AMOUNTSHOWN UNDER VALUATION IS FOR N (�
THE PVFPOSE OF ESTABLISNING A PERMIT FEE ONLV: � /�
VALVATION PERMITFEE $ �" � �
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PLAN CHECK E °' Q�
$Ij� �W� TAX $ ��� � �
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