HomeMy WebLinkAbout748 WESLEYAN BAY - Building Permits7#042-Hyf "7'9 57 I52�5���k��a'B/6o
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COSTA MESA BUILDING -SAFETY DEPA T T 7 ' FLICYTIONFORSTRUC7URALPERMIT I TL
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely — Use Ink Only BY P No
ADDRESS
Tract 10626
BUILDING
TOENER OR
M.D. Janes Co., Inc.
ADDRESS
6 av
STATE CITY
APPROVED SETBACKS
UNIT OR
LIC. NO. e LIC. NO. B
MWAINLAINNG
ADDRE 5
2950 Airway Ave., D-9
SPACE NO.
SIZE NO.OF SLOGS
(FROM C/LST T
9.
T R.NO. LOT
BLK
clTv
TEL.
Costa Mesa No. 979-3376-
EXISTING BLDG.
NEW ADD ALTER
REPAIR
MOVING DEMOLIS
CONSTRUCTION Not selected
HSeparate
permits are required for
LENDER
LE
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BRANCH
N/A
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OWNER /QrvIL5-'
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ADDRESS
N/A
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VALUE
ARCHITECT
TEL.
USE
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OR ENGINEER
Daniel'
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APPROVED,—.
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CONTRACTOR
ADDRESS Q
TEL.
CITY a NO. e
F
STATE CITY
APPROVED SETBACKS
LIC. NO. e LIC. NO. B
SIZE NO.OF SLOGS
(FROM C/LST T
9.
OF LOT 550' X 334' NOW ON LOT Q
Q
USE OF
N/A
EXISTING BLDG.
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HSeparate
permits are required for
L. SIDE FT.
electric, plumbing and heating work.
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REAR FT.
F
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
Q
a
DATE
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APPROVED,—.
APPR _
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<Y
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hereby acknowledge that I have read this application and state
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that the above information is correct and agree to comply with
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all laws regulating building construction, and 1 shall not employ
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any person in violation of the workman's compensation laws of
the State of California.
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I hereby certify that I am properly licensed as a contractor under
A 7 SO. FT.
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect, or 1
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
am exempt from the rovisions of the State of California BVsiness
VALUATION
PERMIT FEE E
and Professions Cod Divisi' 3, Chapter 9.
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PLAN CHECK E
Signature of
Permittee
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$5
or
8/17/79
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TAX E
Authorized Agent e -'
TOTAL PAID E �� 7. VC