HomeMy WebLinkAbout788 WESLEYAN BAY - Building Permits% •• . _ �L/h/R,��,�fBAfi 3�•'�C[ OZ O�
1� �P OT BOXE 200 `k� `�A M SAFCALIFORNFlIA 9�26
For Applicant to Fill in Completety — Use Ink Only
BUI�DING �p
ADDRESS / (I f-
OWNER OR
TENANT M.D. Janes Co. Inc.
MAI LI NG
aooaess 2g50 Airwa Ave. D-9
TE L.
cirv Coata Mesa No. 979-3
OD�6TRUCf10N
LENDEfl t elected
BRANCN N A
ADDRESS
ARCMITECT . TEL .. _
CONTRACTOR
ADDRESS 8
TEL. �
CITV e NO.
F STATE CITV
� UC. NO. e LIC. NO. A
(a.� SIZE NO.OF BLDGS
d OF LOT Q� x 334 � NOW ON LOT
a USE OF
� EXIS'fING BLDG.
y
FSeparate permits are required for
A electric, plumbing and heating work.
�.�. VSE-0:8ViCDfNGAND WORK TO BE PERFORMED
o'y� 06� �
o`� �I ,O ON F9R�?'Rl3�f��t PERMIT�25.97 /�
R BV PFj2pal��'*Q �
TCJ �`�
A. . NO. �"I�Q'I I�_I O� �'{ �� IZ� L
BUILDING le �LM�ra 8 :r�
ADDRE55
UNIT OR
SPACE NO.
NEW I ADD �P�LTER
OWNEF
USE
APPROVED
APPROVEOSETBACKS
PLliNNING ACTION
� �I -d9
OEMOLI
VALUE
S
—
VGPOUP
DATE
a DATE
APPROVED Z��
i
� � ,2-/�/- �
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�a I hareby acknowletlBe that I have reetl ffiis application entl stam P ��
t�at the ebove information is corract and eB�ae to comply wlth �.
a all laws reguleting builtlinp conrtruction, antl I zhell not employ �
Z any parson in violation of tha warkmen's compensation lews of d \
_, t�e State af Califomia. Z �016� m
3 I �ereby certify that I am ptoPerly licensetl as a contractor untler S�. FT. rv �
the State of California Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, antl thet such lieen»s are In full force entl effect, o: I THE PURPO6E OF ES"fABLISHING A PERMIT FEE ONLV: � �`n
am exampi frOm thf plovlsiOn50f th¢ $tate of CelifOlnia Busine65 yA�UATION PERMIT FEE E q'�
antl Protessions Coq , Divjsio� 3, Cnapwr 9. m
/ � _ PLANCMECI( b �%� f�/� O
Signatwe ot L / o !
Permittee ; � SCLSr' 2�,�� TAX E �, f�'�.
or � '
Authorized Ag �_ te R� 1 7 r7Q TOTAL PAIO S�� V
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� COSTA MESA Bl"f+��WGSAfETV DEPARTME � 2 APPLiiATION FOR STRUCTURAL PERNIT
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RECEIVEDB�' PERMIT
For Applicant to Fill in Completely — Use [nk Onty �
BUILDINGr� 7 A.P. NO.
ADORE55 G.
BUIIDING
�WNER OR ' ` ADORE55
TENANT �
MAILIN UNIT OR
ADORE SPACE NO.
TR.NO. LOT BLK.
TEI.
CITV NO.
CONS7 ON NEW ADD ALTER REPAIR MOVING DEMOLISH
IENDE
BRANCM
OWNER
ADDRESS VALUE
ARCHITECT TEL. VSE E
OR ENGINEER
ADORESS ZON TYPE GROUP
APP � �/� �
CONTRACTOR BV DATE
ADDRE55
TEL.
CITV NO.
STATE CITV APFROVEDSETBACKS
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS. (FROM C/L 57REET)
OF LOT NOW ON LOT R01`fT FT.
USE OF
EXI5TING BLOG. � F ,
Separate permits are requued for �, si E FT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING .�+ND WORK TO BE PERFORMED P�ANNING ACTION
DATE
APPROVED
APPROVED
I heraby acknowladBa that I have reatl this appliwtion antl state °i
�
Mat the above inf0�mation is rorrect and agree to comply with
all laws repulating builtling constr�ttion, end 1 shall not employ
any perwn in violation of the workman's compensation laws ot m
the State ot Calitornla.
m
� hereby certity that I am ptoperly licensetl as a conttacxor under S�' FT' �
the 5[ate of Celifor la Businezs antl Proteszions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, eotl th such licensea ere in full farce and effact, or 1 THE PURPp$E Of ESTABLISHWG A PEftMIT FEE ONLY: �
am exem0� f�om e provi ans ot the State of Calitornia Business q
antl Protessi0ns ' ' n 3, Chapte� 9.
VALVATION PERMIT FEE 5 6.Qp m
Signature o PLAN CHECK E iO
0
Permlttee 5 TAX y �
or Z . f
Authorizetl nt Date V
TOTALPAID $/b �