HomeMy WebLinkAbout752 WESLEYAN BAY - Building Permitss
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COSTA MESA BUILDING -SAFETY DEPA T T 7 /AP�LIC CTION FOR STRUCI URAL PERMIT= i ' • I T
PA. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
R CBV P RMIT '
$ NO *p
BUILDING
ADDRESS Tract 10626
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BUILDING
ADDRESS
TOENEROR M.D. lanes CO., Inc.
UNIT OR
SPACE NO.
MAILING
ADDRESS 2950 Airway Ave., D-9
TR,NO. LOT
-17
BILK.
CITY Costa Mesa NOL 979-3376
EW
ADDLTER
REPAIR
MOVING DEMOLISH
LENDER Not selected
LENDER
BRANCH N/A
OWNER�-
ADDRESS N/A
VALUE
USE $
ARCHITECT TEL.
OR ENGINEER Dan'
ZONE `�
TYPE i I, GROUP N `�
ADDRESS 3848 Cam
CONTRACTOR owner
APPROVED
BY DATE
ADDRESS e
TEL.
CITY a NO. e
STATE CITY
LIC. NO. B LIC. NO. 9
APPROVED SETBACKS
SIZE
OF LOT 5501 X 334'
NO. OF BLOCS
NOW ON LOT 8
(FROM C/LST T
FBCW
USE OF
EXISTING BLDG. NIA
DE FT.
Separate permits are required for
electric, plumbing and heating work.
L SIDE FT.
REAR r FT. rl
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING
)u
�yACTION
r /'a/ 4
DATE -2 /
APPROVED JO-
APPR
I hereby acknowledge that 1 have read this application and Rete
that the above information is correct and agree to comply with
all laws regulating building construction, and 1 shall not employ
any person In violation of the Workmen's compensation laws of
Me State of California.
I hereby certify that I am properly licensed as a contractor under
the State of Cellfornla Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
am exempt from the 'o Ions of the State of California Bysiness
antl Profassions Cod DivisI 3, Chapter 9.
Signature of
Permittee
of
LA u IhorIzad Agent a 8/17/79
ME --e AF
O SQ. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
—s
s Sa -
.1
PERMIT FEE E
PLAN CHECK S
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TAX $
TOTAL PAID $(,1
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