HomeMy WebLinkAbout758 WESLEYAN BAY - Building Permits? _7#0
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COSTA MESA BUILDING -SAFETY DEPA T T � � APl/LICfCT10N FORSTRUCTURAL PERM IT• I ! • I -1
P.!D. BOX 1200 COSTA MESA, CALIFORNIA 92626
TBY P RMIT
FARCH,TECT
pplicant to Fill in Completely — 51 No *p
NG NO�y �d91��9/� ���' !O �'��
SS Tract 10626
DING !� �'
OWNER OR
M.D. Janes CO., Inc.RESS 6
OR
MAILING 2950 Airway Ave., DOACEACE NO.
O. LOT BLK.
Costa Mesa
l/CnON ADD LTER REPAIR MOVING DEMOLISH
Not selected
H N/A.s���•�ER RNes-, t�-
SS N/A VALUE
ECT _ _ TEL. USE _ _ E
CONTRACTOR owner
ADDRESS B
TEL.
CITY
a NO.
STATE
CITY
LIC. NO.
B LIC. NO.
SI2E
NO. OF BLC
OF LOT
550' x 334'
NOW ON LC
USE OF
N/A
EXISTING
BLDG.
VALUATION
Separate permits are required for
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electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
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.
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 offoct, or I
am exempt from the rovisions of the State of California Byslness
antl Professions Cod Divisi r13, Chapter 9.
Signature of
Permittee
or 8/17/79
Author ized Agent e
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' ZON 3�✓ ITVPE V GROUP N�
APPROVED x
RY DATE
APPROVED SETBACKS
PLANNING ACTION
GATE
APPROVED,? • %'
APPROVU-0 1.0 •
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T-,7 i0 7 SQ. FT.
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THE AMOUNT SHOWN UNDER VALUATION IS FOR
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THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
PERMIT FEE S
v
PLAN CHECK $
TOTAL PAID S 61-7-:28617
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