HomeMy WebLinkAbout171 FAIRHAVEN LN - Building Permits — 7004 4.t!7,! 102.34 _ TL!
COSTA MESA BUILDING-SAFETY DEPARTMENT•• APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
• RECEIVED BY 'PERMIT @
(1117?6
For Applicant to Fill in Completely — Use InkOnlyt7
BUILDING
ADDRESS I'll PAIt2 4.4v).n! t.A1,, A.P.NO./ /�77j.� 2 y ��`///��� ���,,, l
BUILDING Ill PA I„ 11 A � w' itieln l/�—
OWNER OR F�--.�A,�' /� ,� ADDRESS I f' {- IG•I•�#VLS J I�jfj/V`il/C
TENANT FM t,1/I?w ��\c ,
MAILING 1 •_• �-l/, I•• UNIT ORtk � h" I
ADD RESS �_ /�&.�Q SPACE NO. Io /
TEL.2J3 TRR[��.NO. LOT 7 BLK.
CITY NI A i LLS 9D27Q- NO. c^f,eon . �'
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER t .
BRANCH A
OWNER F j.0O
Iio--tt/ •550/7/4-7 -5
ADDRESS
ARCHITECT }-' °Amin{� y� qtr` n. z.TE L: USE �! /G ,C VALUEsir lra
OR ENGINEER SC( ILf3Dl 11 NO. 'e 2 '�'j� ''�'' G�T
N2Mlret Cf0 5 ZONE {G TYPE �{L— GROUPfi 4
I� . {i vt1 1 t �� APPROVED
CONTRACTOR , I `h�eig�' , BY DATE
ADO RES+. Pi lvj//71C.-I- LA'u . •
'�z�1111� /�11 TEL.• 1
CITY OLLi�1�� ¶O23 NO. @ql^
F STATE !I' l'CITV ij�ll/ APPROVED SETBACKS
LIC. NO. ";I,665 LIC.NO.
iU SIZE s �V ��I NO.OF BLDGS. (FROM Clyy ST ET, �_
C. OF LOT I) NOW ON LOT C) FRONT T.
Q USE OF __,._, EXISTING BLDG. R.SIDE_ T.
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Separate permits are required for L.SIDE /-5 FT.
G electric,plumbing and heating work. REAR
IW. USE OF BUILDING AND WORK TO BE PERFORMED PLAN G ACTION
a �y' I� /�N ��{�y p
Q emit) PA a V 'L•''Li%S 2 ` g. // r APPROVEEDD L/�[TJ 9.
>•1 i I —BY
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DATE C �7 --7
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0 I hereby acknowledge that I have read this application and state N
eg that the above Information is correct and agree to comply with
0. all laws regulating building construction, and I shall not employ i
Z any person In violation of the workman's compensation laws of /TJ�-!// ////� s�("��—/t 2
ra x the State of California. /KO SQ. FT. P CX/(/"/ t/-d//N w
I hereby certify t I am properly licensed as a contractor under
the State of Cali ern Business an• Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o
Chapter 9, and at s h licenses In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ut
am exempt fro the p Is• ,O . State of California Business
VALUATION PERMIT FEE b \
and Professions ode, • Is •l :,•ter 9. qqq w
I /�.If'�; / PLAN CHECK S �Q g0
Signature of .
or �• 9//�/�/] TAX E
Permittee , , S�j r '"' TOTAL PAID S/D� �.� V
Authorized Agent Date
OWNER FAIRVIEW ASSOC. DATE 8-16-79 0
JOB ADDRESS 171 FairHavan Tanr unit A BUILDING PERMIT NO. 47868
GENERAL CONTRACTOR I' t,t yos,,Q DESCRIPTION of WORK BAS la/ Gnr
AP No. 1L1.-711_7k LOT 17 TRACT 105,2 FIRE ZONE VALUE $ 5/,Q1111 nn
INSPECTIONS. Si2noture Dote TYPE V GROUP I & I OZONE 123
SOIL Z 75 44 3o ni• P SMITS ISSUED
GAs SUBCONTRACTOR f J
�oc Tn g SO 79 Plumbin.
Date Number Signature
WATER n` r�1 " ��rr ( ! }{
ROUGHPLUMBING P I2 lV-5L S ? •era - PD-rajni/-Lifl
PROP. SWR. LINE 0 HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING ry. /tire-8a
TEMPORARY SERVICE OR POLE _-_
UNDERGROUND 0 POWER ❑ rt
ROUGH WIRING C..-C. 1Z-5'9`7 Heotin! and Vent.
TRENCHES LT_ FORMS fl STEEL REINF. ❑ _ 1;1121 "---
FLOOR SYSTEM
W
BOND BEAM El STEEL REINFORCE ❑ � � - �i
SHEATHING
FRAME AND FLASHINGt¢
LATHING — IN OUT n ��/II//ffff���/��_
—
PLASTER. BROWN COAT ,,,o-matt 49/A C 3-/3-St
STRUCTURAL, FINAL \ 9 3t' 0 Electric} T '
HEATING, VENT., REFRIG. AND A.C.. FINAL A 6 / Q� Lotacb L-ieG( [,a-itni "/4're 9j --P-
P
PLUMBING, FINAL AND GAS TEST 6C1r 41
ELECTRIC, FINAL C_C. �J�2-CM •
RIIII.DING. FINAL 1 1 r 4.21>PYf
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