HomeMy WebLinkAbout760 WESLEYAN BAY - Building Permits2
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COSTAgoMESA B IIX 1200 GLDIAN -SAF au oRNAa 9zszs T � API�LIC�TION FOR STRUCr'�URAL PERMIT= l i. 31 T'
For Applicant to Fill in Completely - Use Ink Only
BUILDING
'tract
ADDRESS 10626
BUILDING rp �"
TENANT M.D. Janes CO., Inc.
ADDRESS Q 6
UNIT OR
MAILING
ADDRESS 2950 Airway Ave., D-9
PACE NO.
TR.NO. LOT BLK.
TEL.
CITY Costa Mesa No. 979-3376
12
EW ADD ALTER REPAIR MOVING DEMOLISH
COINDERCTION Not selected
LENDER
BRANCH N/A
zt.,
OWNER �rJT�� C�-
ADDRESS N/A
VALUE
ARCHITECT TEL.
USE $
OR ENGINEER Dani N -
F {� 2 'jam
13rk �� ✓
ADDRESS 3848 Cam U
ZONE - TYPE GROUP
APPFfOV ED
CONTRACTOR owner
By DATE
ADDRESS A
TEL.
CITY a NO. e
STATE CITY
APPROVED SETBACKS
LIC. NO, B LIC. NO. A
SIZE No. OF BLDGS.
(FROM C/LST )
OF LOT 550' X 3341 NOW ON LOT Q
I
USE OF
N/A
4MDE
EXISTING BLDG.
FT.
Separate permits are required for
L. SIDEFT.
electric, plumbing and heating work.
REAR IF FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
DATE^^�� --
APPROVED f
APPR
1 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.
7TF T-Ew
I hereby certify that I am properly licensed as a contractor under
O 71 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 revisions of the State of California Business
VALUATION PERMIT FEE $
and Professions Cod Divisi 3, Chapter 9.
PLAN CHECK $ Sd
Signature of
Permittee
$ �� (O�'✓' TAX $
or
' 8/17/79
Authorized Agent e
/
TOTAL PAID E 61