HomeMy WebLinkAbout925 CARNATION AVE - Building Permits��� � � y :-�-�. � � -�o, � r C, Y' _
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iRACT N0. �� �5� �
IAT N0, (�
ADDRESS ��,� [� �— _
DATE � 3
The develope: of the above entitled tract desires to sell the above set
forth lot prior to tne tice tnzt the tract hzs been comoleted and its streets
accepted by the City of Costa Mesa.
The uadersig^ed, by executir.g t::is 2greer.te^.t, acknowledges that
Cae-sne-they)_�(was or were)__��/� advised that this trac� has
not bee.^. givea final i.^.spectio.^. nor has it beer. accepted by the City of Costa *fes.x.
as having camplied with the conditions of 2pprovai which were imposed by the City
at the ti:-ne the final t:act map wzs 2p?roved.
The Ci:y assi:.::es no liability for the enforce�ent of the conditions
necessary for approval other thaa those conditions protecced by surety bond.
The undersigned agrees to inde.�.nify a^.d hold the C3ty harmless =ron
aZy claim resulting in damage or persor.al injury to the undersigned by reason
of the afore�entioned uncompleted conditioa.
RECEfVED
GIiY OF COSiA ;;;ES;i
nL,�P!�dlCf R_??".
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7i$�9�10i11�12i�i2i3�4i5i6
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BY
urch3ser
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bY /£_,: -:a_.; : �� �� lt,.•... �:. C�—
Developer ar.d/or autho:ized
zepresenta�ive
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BY �iuc.z, .i.._ �.- c�
Lender
OWNER T
JOB ADDRESS
GENERAL C01
AP No.
INSPECTIONS
SOIL
GAS
WATER
ROl1GM PLUMBIN(
PROP. SWR. LINE
SPRINKLING SYS'
MISCELLANEOUS
Owner Bldr.
ROUGH NEATING AND Alft CONDITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO n POWER (
ROUGH WIRING
TRENCHE5,0 FORMS . STEEL REINF.
FLOOR SYSTEM
BONO BEAM � STEEL fiEINFORCE �
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT
PLASTER,BROWN COAT
FINAI
MEATING, VENT., REFRIG. ANO A.C., FINAL
PLUMBING, FINAL AN� GAS TEST n
ELECTRIC, FINAI
6UILOING, FINAL � �
DATE
iRACT 7557 FIRE ZONE VALUE
$i arwe Date GROUP I�J TYPE
SUBCONTRACTOR
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359��2
COSTA MESA BUIIDING-SAFETY DEPARTMENT
/{�LC P•O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For qpplicant to Fill in Completely
BUIIOING (�
ADDRESS -(Z� �/�Z�/�TIL�/J
OWNER L,arwin So. Calif.
ADORESS 16255 Ventura Blvd.
TEL
CITY Encino, Calif. � No.
BRANCH
ADDRESS
ARCHITECT
100 Wi
CONTRACTORj�gTW1R So. CaLiY.
ADDRESS 16255 Ventura Blvd.
TE�.
cirv $ncino, Calif. No.986-8890
L C No. 191311 I.ICYNO. $-1
SIZE NO.OF BLDGS.
OF LOT F1() X�J�F I NOW ON LOT Q
USE OF
EXISTING BLDG.
SIZE OF NO. OF
NEW BLDG. $ ROOMS STOFIES
EXTERIOR WALL ROOF
COVERING BtUCCO COVERING 0700d shingl
USE OF BVILDING ANO WORK TO BE PEFFORMED
I he�aby acknowledga that I have reatl this application antl state
tha[ th¢ abova information is correct and ag�ee to comply wlih
all laws regulating building conscruction, and I shall not employ
any person in viq�ation of the workman's compensation laws of
the State ot California.
I heraby certity 2hat I am properly licensetl as a conttactor untler
Ma Stote of Calitornia Business antl Professions Code, Divisicn 3,
Chaptar 9, antl Max such licenses are in full force antl effect, or I
am exempt from the provisions of ihe Staie of California Business
antl Professians C tle, D' ision 3, Chapter 9.
Signature o ����/
Permittee • A//���/� D. DOW[15
� �o
Authorizatl ABent
pn�n
!r.r���-��c:�.00i�z�.� �>:A142.C8
APPLICATION FOR BUILDING PERMIT
i
BUILDING Q�
ADORESS �
TRACT 7S
OWNER
E
1� I IP�'� � I BUILDING�kI�
VARDSAPPROVED YAPDSAPPROVED
MAIN BUILDING ACCESSORY BVILDING
DISTANCE
FOR
THE PURP�E OF I
VALUATION
$ a� y� �
%
BET. MAIN
ACCESS. el
DATE
/ ��
TAX
N
� O
JN UNDER VALUATION IS FOR �
'ABLISHING A PERMIT FEE ONLV: m
¢
PERMR FEE s 94.00 j
PIAN CHECK $ 4J.00 E
`o
l LL
TOTAL FEE 5 / /I �