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HomeMy WebLinkAbout166 FAIRHAVEN LN - Building PermitsTA 3 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. •� 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