HomeMy WebLinkAbout754 WESLEYAN BAY - Building PermitsK:
FT IlnEi� G� r. g� 70J IC TION I , . � i
COSTA MESA BUILDING -SAFETY DEPA T T LIC TION FOR STRUCffURAL PERMIT`• TL
P..7. BOX 12110 COSTA MESA, CALIFORNIA 92626
R CBy P RMIT `•B '
For Applicant to Fill vl Completely -Use Ink Only PQ ry p
BUILDING A . NO�y —�/�Gip�O 11�' !v
ADDRESS Tract 10626
BUILDING r� �'
TENANT M.D. Janes Co., Inc. ADDRESS 6
UNIT OR
ADDRESMAILINS 2950 Airway Ave., D-9 SPACE NO.
TR.NO. LOT BLK.
CITY Costa Mesa rTio� 979-3376
EW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION Not selected
LENDER
BRANCH N/A
OWNER IQ -Vel ADDRESS N/A VALUE
ARCHITECT _ _ - TEL._ - - - -
USE f
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
me State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or 1
am exempt from the rovisione of the State of California Bysinets
and Pro I. ons Cotl Divis, Chapter 9.
Signature of / /
Permittee
or 8/17/79
Authorized Agent e
e
F/1 7 �/f
`�/�
ADDRESS 3848 Cam
ZONE TV PE
GROUP
APPFrOVED
O 7 SQ. FT.
CONTRACTOR Owner
BY
DATE
ADDRESS e
VALUATION PERMIT FEE f
TEL.
PLAN CHECK f S9/, 7
o
CITY a NO. e
LL
TAX
STATE CITY
APPROVED SETBACKS
LIC. NO. a LIC. NO. e
SIZE NO .OF BLOBS.
(FROM C/LST T
OF LOT 550 x 3341 NOW ON LOT e
USE OF
N/A
EXISTING BLDG.
F
Separate permits are required for
L SI E FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
DATE
APPROVED 2
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
me State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and effect, or 1
am exempt from the rovisione of the State of California Bysinets
and Pro I. ons Cotl Divis, Chapter 9.
Signature of / /
Permittee
or 8/17/79
Authorized Agent e
e
r (�
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m
h
1
'u L
O 7 SQ. FT.
L
THE AMOUNT SHOWN UNDER VALUATION IS FOR
In C�
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION PERMIT FEE f
.
PLAN CHECK f S9/, 7
o
O
LL
TAX
TOTAL PAID f
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