HomeMy WebLinkAbout756 WESLEYAN BAY - Building Permits�`7 ANL �P72/
COSTA MESA BUILDING -SAFETY DEPA T TLICriTION FOR STRUCfTUR.4L PERMIT"' I %-
PQ. BOX 1200 COSTA MESA, CALIFORNIA 92626
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For Applicant to Fill in Completely - Use Ink Only
BUILDING
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ADDRESS Tract 10626
BUILDING
OWNER N OR M.D. Janes CO. Inc.ADDRESS
a 6
,
UNIT OR
MAILING
ADDRESS 2950 Airway Ave., D-9
SPACE NO.
T R.NO. LOT BLK.
CITY Costa Mesa NO. 979-3376
-12
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION Not selected
LENDER
LENDER
BRANCH N/A
OWNER
ADDRESS N/A
VALUE
ARCHITECT TEL.
USE E
ORENGINE R Daniel N —
3 9,2 V ��
ADDRESS 3848 Cam
ZONE TYPE GROUP ✓
APPROVED
CONTRACTOR owner
BY DATE
ADDRESS e
TEL.
CITY 8 NO. e
STATE CITY
APPROVED SETBACKS
LIC. NO. B LIC. NO. A
SIZE NO. OF BLDGS.
(FROM C/L STP^T
OF LOT 5550' X 334' NOW ON LOT Q
FBCWT
USE OF
N/A
EXISTING BLDG.
Separate permits are required for
C7 V
L. SIDE FT.
electric, plumbing and heating work.
REAR IF FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING AC,TDATE
rIC�ON
-2� v �
/
(5
/
APPROVED 17
APPRRY
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.
PrItL 111`-
I hereby certify that I am properly licensed as a contractor under
O 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 I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the rovlslons of the State of California Bgslness
VALUATION PERMIT FEE E
andProfessions Cod Divi.. rp 3, Chapter 9.
PLAN CHECK E Sd
Signature of/
Permittee
Q '"7 mss.,,
S M
S ( -z)- TAX E
7
or
8/17/79
Author !zed Agent to
IIIIII
TOTAL PAID $L 4 81