HomeMy WebLinkAbout166 FAIRHAVEN LN - Building PermitsTA
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COSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECEIVED BY PERMIT
For Applicant to Fill in Completely — Use Ink Only
BUILDING
A.P. NO.Zyl—
ADDRESS P_ 14AAM-U
BUILDING
OWNER OR
ADDRESS
TENANT
MAILING ,
UNIT 0G
NO.
SPACENO.
ADDRESS ,
TEL.
TR.NO. LOT ,.—S BLK.
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CITY O O.
L
'N
EW ADD ALTERIREPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER
ADDRESS
VALUE
ARCHITECTTEL.
USE 6J s p
OR ENGINEER
3_13
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR Ct
BV DATE
ADDRESS "NJW,
, r TEL I
CITU l� _74, NO.
STATE CITU
APPROVED SETBACKS
LIC. NO. LIC. NO.
Of
SIZEII NO.OF BLDG &�j
(FROM C/L S
OF LOT l NOW ON LOT
ONT
USE OF
EXISTING BLDG.
�`I
Separate permits are required for
L SIDE FT.
electric, plumbing and heating work.
REAR
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
TE p
APPROVED 9 Z6
APPRO Y, Q
/ �i
QATP L
1 hereby acknowledge that 1 have reed this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shell not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify th t I am properly Iic sed as a contraptor under
SD. FT. '
the State of Ca ffor e 6 slnass e d Pr essions Cod ,Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, entl that s c ca sa a In ull force entl effect, ort
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fro the q 1 'o t to of Calif Is Business
and Profess lo ns Codo, si C pt
VALUATION PERMIT FEE E
PLAN CHECK E
Signature of
''S0
Permittee
E TAX E
or
Authorized Agent Dale
7 / 666���(�� TOTAL PAID E
OWNER FAIRVIEW ASSOCIATES. DATE 8-16-79
JOB ADDRESS 166 Fairhaven Lane BUILDING PERMIT N0.
GENERAL CONTRACTOR C. W. Hoklg DESCRIPTION of WORK Res ar _
AP No. 141_711-24_ LOT 26. TRACT_ 10522 FIRE ZONE VALUES e
INSPECTIONS Si nature I Date ITYPE V GROUP I & J ZONE R 3
SOIL SUBCONTRACTOR ITS
GAS Dote Nom ber Si natoro
WATER Plumbin I
ROUGH PLUMBING
PROP. SWR. LINE 1. HOUSE CON. Lj
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING E — i rktt)
POWER
ROUGH WIRING
TRENCHES I_f
BOND REAM I 1 STEEL REINFORCE I I I 1 II ' it ' -// I/n _ /_.9A /'7c? -0'W
FRAME AND FLASHING p
LATHING - IN ^ OUT2-it-914
PLASTER. BROWN COAT 3-%3
STRUCTURAL. FINAL S 'S
HEATING. `/ENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST I -I if if
ELECTRIC, FINAL
Rllll DING. FINAL