HomeMy WebLinkAbout181 FAIRWINDS LN - Building PermitsCITY OF COSTA
REQUEST FOR OCCUPANCY
TRACT NO. 10522 DATE:
LOP NO. 7.
ADDS 1$1 Fairwinds Ione
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been conpleted and its streets /
accepted by the City of Costa Mesa.
By executing this agreement, the undersigned acknowledges that he/she/they
was/were advised that this tract has not been given final inspection nor has
it been accepted by the City of Costa Mesa as having conplied with the conditions
of approval which here imposed by the City at the time the Final Tract Map was
approved.
The City assumes no liability for the enforce ent of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from any claim
resulting in damage or personal .injury to the undersigned by reason of the
aforementioned unoomleted condition(s).
BY
RECE. V r D
U— 02 19bu BY
SECURITY PACIFIC NATIONAL BANK
BY ��iC L %�ryLaLi
(Signatu of Len er)
Midge Bonds,AVP
4%19
OWNER DATE J
8-16-79
JOB ADDRE ..,. — . _ ._ BUILDING PERMIT NO. i.inca
141-711-94 LOT 7- TRACT Ins,),) FIRE ZONE VALUE$ 54 onn_On
IK i.CTIONS
Si noture
Date
TYPE GROUP
ZONE
SOIL
SUBCONTRACTOR
PERMITS
GAS
Dote Number
I Signature
WATER
Plum bin '
ROUGH PLUMBING
PROP. SWR. LINE I. HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND POWER [I
ROUGH WIRING
moi,
�-Z I
Heotin and Vent.
TRENCHES IJ FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM [-1 STEEL REINFORCE
SHEATHING
FRAME AND FL ASHI G
LATHING — IN
PLASTER. BROWN COAT
�f
5 'URAL. FINAL
5Electrac
HL .NG, VENT., REFRIG. AND A.C., FINAL
PLUMBING. FINAL AND GAS TEST 17-1
ELECTRIC. FINAL
C
'
BUILDING, FINAL
�7Q'�
��� �� �-r4�9�
,.�
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING JC) 1 rn.f. 111.x — / AA,—
APPLICATION
S II
APPLICATION} FOR93TR AL PERMIT 02.34 TL'
RECEIVED By 'PERMIT
A.P. NO. /
BUILDING
OWNER OR h `Mt�^1 , P ' ADDRESS
TENANT IL ULJ �C/
UNiTF
MAILING ,j �� /
TR.NO. LOT rf BLK.
TE L.'ZI'�
Z I
CITV 'Z NO. -
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH
OWNER
ADDRESS
VALUE
ARCHITECT TEL, 213
USE $
OR ENGINEERWIAM NO.
4 J
ADDRESS ��
ZONE TYPE GROUP
CONTRACTOR �. 1
APPROVED
BY DATE
ADDRESS 4Vr-,
TEL"Z )3
CITY Ll,� OZ, NO.
STATE CITY
APPROVED SETBACKS
LIC. NO. LIC. NO.
(FROM C/L STRE T)
SIZE NO. OF BLDGS.
OF LOT NOW ON LOT
FRONT
USE OF
EXISTING BLDG.
3 YET.
Separate permits are required for
L. SIDE U FT.
electric, plumbing and heating work.
REAR 26 FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
�' O
46 3e
i
QAIE
I hereby acknowledge that I have read this application and state
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
/!�O I
0
I hereby certifythat I am properly licensed as a contractor under
SQ. FT .-
the State of Cal' nia Business an rotessions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and hat uch I{ enses a in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt fr m the pro -i on o th State of California Business
VALUATION PERMIT FEE $
and Profession Cod , Div he tar 9.
PLAN CHECK $
Signature of
Permittee
`,'7/G t
$ �J
Aulcc
Authorizetl Agent Date/22
/ TOTAL PAID $
JV
1
E'
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FbIATR C L PERMITI97'00 TL
For Applicant to Fill in Completely — Use Ink Only
R I P R�1 S1EN2
s�
BUILDING ,, ^^
ADDRESS 181
A. NO.
OWNER OR
TENANT r
BUILD1N
ADDRESS �1tJV
UNIT
SPACE N NO.
MAILING
ADDRESS t
T R.NO. LOT
BLK.
CITY
NOI. 21 3
NEW
ADD ALTER REPAIR
MOVING
DEMOLISH
CONSTRUCTION Cw I
LENDER 6'4
BRANCH
OWNER
ADDRESS
VALUE
USE E
ARCHITECT TEL.
OR ENGINEERNo.
ZONE
TYPE GROUP
ADDRESS
CONTRACTOR
APPROVED
BY DATE
ADDRESS
TEL.
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
APPROVED SETBACKS
SIZE
OF LOT
NO. OF BUD
NOW ON LOT
(FROM C/L STREET)
NT FT.
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
L. SIDE FT.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
DATE
APPROVED
APPROVED
By
DATE
I hereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I properly licensed as a contractor under
the State of Californi sl ass end Professions Code, Division 3,
Chapter 9, antl that -]hull, c n. are in fill force and effect, or I
am exempt from the provI 1 of he t a of California Business
and Professions Code DivitI C a
Signature Of
Permittee
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
,%�/
5 1' //
PERMIT FEE S
PLAN CHECK $ !�
TAX E
or
Authorized Agent Date
TOTAL PAID b