Loading...
HomeMy WebLinkAbout164 FAIRHAVEN LN - Building Permitsa r. COSTA MESA BUILDING -SAFETY DEPARTMENT P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 _7012 4%18%79 100.20 TU APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBY PERMIT For Applicant to Fill in Completely —Use Ink Only BUILDING r L A.P. NO. / / — ADDRESS r OWNER OR. BUILDING /— n ADDRESS II[J c //�� TENANT ' JS©`j 1` r MAILING UNIT OR ' SPACE NO. n , ADDRESS 1�.J ' TEL. T �5ZZ LOT 2-5 JVALUE CITV NO. CONSTRUCTION NEW ADD ALTER REPAIR LENDER BRANCH OWNER I, ADDRESS —^� p / CF` ARCHITECT USE tr�TEL. OR ENGINEER N -{— 2 i I '\ ADDRESS ZONE J TYPE GROUP. + 1 APPROVED BY DATE CONTRACTORG r ADDRESS t TEL- ZI� CITY NO. STATE CITVAPPROVED SETBACKS UC. NO. UC. NO. SIZE ( ' NO.OF BLDGS. (FROM EE OF LOT NOW ON LOT RO USE OF EXIS71NG BLDG. Separate permits are required for L SIDE FT. electric, plumbing and heating work. REA USE OF BUILDING AND WORK TO BE PERFORMED PLANNING AACTIONDATE�j • APPROVED g APPRO �J 1 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 1 shall not employ any person in violation of the workman's compensation laws of the State of California. (fiq r I /, 5E SO. FT. n `�' I hereby certify I am properly licensed as a contractor under the State of C iforn Bus&aProf.ssions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9,an that s ch lifull force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt fr m thep viate of California Business VALUATIONantl PERMIT FEE $ Professio s Cod is9. PLAN CHECK $�j Signature of / yD Permittee $� �try� TAX $ 7 or 7U u Authorizetl Agent Date I TOTAL PAID $ 20 OWNER FIARVIEW ASSOC. DATE 8-16-79 u AP No. I 1_711 -,?A LOT 1)G 1RACT TnGo) FIRE ZONE VALUES co nnn nn INSPECTIONS Si nature I Date TYPE V GROUP ZONE RJ SOIL SUBCONTRACTOR PERMITS ISS EQ GAS Date Number $i nature _ WATER PI mbin ROUGH PLUMBING - _ 76 - PROP. SWR, LINE 1_1 HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS —^ ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER E] ROUGH WIRING %2-2,c -7 Heatin and Vent. TRENCHES !J FORMS STEEL REINF. FLOOR SYSTEM BOND BEAM [1 STEEL REINFORCE SHEATHING FRAME AND FLASHING t LATHING — IN ZT• O PLASTER, BROWN COAT— STRUCTURAL.FINAL ' HEATING. VENT.. REFRIG. AND A.C., FINAL •i. I2 -I �' PLUMBING. FINAL AND GAS TEST /t ELECTRIC. FINAL A RIIII OINF.. FINAL ��