HomeMy WebLinkAbout746 WESLEYAN BAY - Building PermitsJ 7#0 41Z i q__V10 V9 6-0j 52, 6'4', S$, 6o 6z�
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COSTA MESA BUILDING -SAFETY DEPA T 7 jAPFLICATION FOR STRUURAL PERMIT- i %• I T
PA. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely - Use Ink Only
R C VBV P RMIT '
57 NP �
BUILDING
ADDRESS Tract 10626
AR NO,�y_a9/1opio /d- /B
BVILDI SS f�
ADDRESS 6
TENANT WNER OR M.D. Janes Co., lnC.
UNIT OR
SPACE NO.
MAIADDRESS 2950 Airway Ave., D-9
T R.NO. LOT
BLK.
clTv Costa Mesa No�979-3376-
EW
ADD ALTER
REPAIR
MOVING DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
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OWNER fgry gS (_Or -
ADDRESS N/A
VALUE
USE f
ARCHITECT TEL.
OR ENGINEER Dan N -
F/R� ?,
ZONE `� /�
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TYPE 1° GROUP y ✓
ADDRESS 3848 Cam
CONTRACTOR owner
APPROVED
By DATE
ADDRESS A
TEL.
CITY a NO. e
STATE'CITY
LIC. NO. B LIC. NO. A
APPROVED SETBACKS
SIZE
OF LOT 550' x 334'
NO. OF BLOGS.
NOW ON LOT A
(FROM C/LST T
FDCWT
USE OF
EXISTING SLOG. N/'94401
f FT.
Separate permits are required for
electric, plumbing and heating work.
L. SIDE FT.
REAR f FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
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APPROVED.? 1('
C-4r6asr--z
DATE L 7
1 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
Me State of California.
1 herebycertify that I am
y properly licensed as a contractor under
the State of California Business and Professions Cod., Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the revisions of the State of California Bysiness
and Professions Cod Divisi 3, Chapter 9.
Signature Of
Permittee
or
LAuthorized Agent e = 8/17/79
E Lb 74-
el SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
-"l
s
PERMIT FEE f
PLAN CHECK f Sd 7
TAX f
TOTAL PAID f15,1 7,281