HomeMy WebLinkAbout984 CARNATION AVE - Building PermitsCITY OF COSTA MESA REQUEST FOR OCCUPANCY
TRACT N0. / �� �
IAT N0, Z 6
ADDRESS / 1} y CGZ't��e..�.wt CGC/-2
DATE .Z
The developex of the above entitled tract desires to sell the above set
Eorth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreemen�, acknowledges that
(he-she-they) (was or were)' advised that this tzact has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approvai which were imposed by the City
at the time the final tract map.was approved.
The City assumea no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from
any claim resulting in damage or personal injury to che undersigned by reason
of the aforementioned uncompleted condition.
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BY � : c.LeC� v �e�c�,�.�
Londer
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OWNER
JOB ADDRESS
GENERAL CON
AP No.
INSPECTIONS
SOIL
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE
SPRINKLING SVST
MISCELLANEOUS
ROUGM HEATING AND AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING � /
TRENCHES FORMS STEEL RE
FLOOR SYSTEM
BONO BEAM ❑ STEEL REINFOftCE [
SHEATHING
FRAME AND FLASHIN r�
LATHING - IN OUT p�
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING. VENT.. REFRIG. AND A.C.. FI
TRACT
DATE 1-1
SUBCONTRACTOR
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BUILDI
OWNER
MAII
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A MESA BUILDING-SAFETY DEPARTMENT
BOX 1200 COSTA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely
�s 984 Camation Avenue
Larwin So. Calif.
TE�.
CITV Kn.�in.. re NO.
BRANCH 16255 Venturo Blvd.
ADDRESS Encino, Ca.
ARCHITECT TEL.n
OR ENGWEER I a/Wj�f NO L
___'.._.._ _. . _L
CONTRACTOR � a��n So. Calif_
nooaess 16255 Ventura Blvd.
TEL.
cir� Encino, CA Na 986•
LC No. �g�3>> IICyNO. p—
51 Z E NO. OF BIDGS.
OF l0T 6O X � OO I NOW ON LOT
USE OF
EXISTING BLDG.
NEW BLo�. 1436 ROOMS STORIE:
COVEERINGALL StUCCO CO�ERING WOOCI Sh
USE OF BUILDING AND WOFK TO BE PERFORMED
I hereby acknowle�ge thet 1 have reatl [his application end state
that [he above information is correci and agree to comply with
all laws regulatin8 builtling constt�ction, and 1 shall not employ
any person in violation of the workmen's compensation laws ot
Me Stare of Califor��a.
1 hcreby certify ffiat I am properly licensetl as a contracior untler
Me State of California 8vsiness antl Protessions Cotla, Divisicn 3,
Chaprer 9, antl that such licenses ere in full torce antl etfect, or 1
om exempt from the provisions of the State of Celitornia Business
and Professions otle Division 3, Chapter 9.
SiBnature
Permlttei� �� i1 D. Downs
Authorizetl Agent
PAi6
�„�; ?_fi-73���;.�011.73` t{ �� t 26.05
APPLICATION FOR BUILDING PERMIT
��EIVF„96�. DATERECEIVED neTc�sc�u
A.P. NO.
BUILDING 9 �
ADORESS �
TRACT %7�R LOT
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FIRE
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APPROVE�
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VAROSAPPROVED VAflOSAPPROVED
MAIN BUILDING ACCESSORV BVIL�ING
S
BET.
VAR. #
DATE
APPROVED
FT.
m
b
Q. FT. � � o
THE AMOUNT SHOWN UNOER VALUATION IS FOR �
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: m
¢
VALUATION W
PEFMIT FEE ^a H3.00 j
$'/� l� � PLAN CHECK $ 41 50 E
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' � TOTAL FEE 5 � , � LL
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COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUIIDING 9xy c�,�N�.�o�
ADDRESS
OWNER OR `ry�„ ^�' ^ ��
TENANT �r1�(JC7 {�
MAIUNG
ADDRESS S�n�
CITV r(X�i'l\ /-�/�iY� NOL_GCrI.D
BRANCH
ADDRE55
TEL.
ADDflESS
CONTRACTOR �qu'F'(1Q/�Ifi SKLILIGI.C1
ADDRESS 1�g���'D 57��lY'rl��
CITV ��JI NF N�LSS�'
STATE CITV
IIC. NO. 3 ' I LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF Q
E%ISTING BIDG. � J
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
I heraby acknowledpe thet I heve reetl this epplication anE rtata
that She above informatian is correct antl a9ree to comply wtth
all laws repulating building consttuetion, end I s�ell not employ
any person in violatlon ot Me workman's compensation laws of
Me State of Californle.
I hereby certlfy thet I am proparly licensetl as a contracior und¢r
Ne Siate of Californie Businesa entl Professions Code, Divtsion 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the provisions of the Stete of Calitornia Business
antl Protessions Cotla, Divislon 3, Chaptar 9.
Slgnature o�„ a� K �_ �'I^
Permittae at �..xxxvM
or `[r UO
Authorizatl ABent Date 1 ��
APPLICATTON
RECEI D�V
�RA� PERMIT � r;� Tl.
° 5�
A.P. NO. '�� �� � � 6 �
BUILDING ��
ADDRE55
UNIT OR
SPACE NO.
TR.NO.iJ� LOT � �i
1`'Ia•.�l
use S��Lf! �r'�I Ll
a
ZONE��� I.T�PE V�NGROUP „�
APPROVED /�
av � DATE � — Z7
APPROVED SETBACKS
NING ACTION
APPROVED
m
C
i
m
m
SQ. FT. �
7
THE AMOUNTSHOWN UNDER VALUATION IS FOF m
THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLV: �
VALUATION PERMIT FEE E , OO �
oOPLANCHECK E
§ / �D TAX $ D f
U
TOTALPAID S R �O