HomeMy WebLinkAbout790 WESLEYAN BAY - Building Permits1 � �L�»iiZsi B.s� s�xt oz o5f1 oG� og� i0 - �,�6���
- CASTA MESA BI' �ING- AFETY DEPART�ENT APP! \TION F6R�?'Rl3t'�7dI�L PERMIT�2�.97 Ti
1 P.O.BOX 1200 fA MESA,CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only a ev a��i�� No �� n o�
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ADDRESS
ARCNITECT
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NO.
BUILDING �P. S I�
AODRESS
UNIT 00.
SPACE NO.
iR.f�Oo / � LOT
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NEW ADD LTER
OWNER
USE
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ADDRESS �
TEL. �
CITV e NO.
F STAYE ��7y APPROVE�SETBACKS
LIC. NO. e LIC. NO. e
{s� 512E NO.OF BLDGS. (FFOM C/L STREET)^
�. OF l0T � X 334 � NOW ON LOT (j R NT yp. / 1
a USE OF
� EXISYING Bl.DG.
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FSeparate permits are required (or
� electric, plumbing and heating work.
� USE-0F�VIL'DING�AND WORK TO BE PERFORMED
F
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PLANNING ACTION
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VALUE
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Q I hereby acknowletlga tha[ I heve reatl thie epDlication entl stata \ `,
y� zhat tha above information is rorrec[ entl aprae to comply wlth �,�.
d all laws repulatinp builtlinp consttuction, and I shall not employ �
Z any person in violetion of tha workman's compensation laws of d \
= tha State of California `, ld> m
3 I hareby cartity ihet I am prope�ly licansetl es e tontrect0� untlet _
SQ. FT. �`+ �
tha $Late of California Businext entl P�oteulons Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cnapter 9, antl tnet svc� lic�nws era in (ull torca antl efiecx, or I THE GURPO6E OF ESTABLISHING A PERMIT FEE ONLV: '�
am ezempt from th� provisions of the State of California Business a
VALUATION GERMIT FEE E
antl Plofauions Co , Divjsio� 3, Cnaptar 9. m
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PLANCHECK 5 ��1� ��j ^
Sipnewra ot L —" / / o
Permittee • SC!'S� `��'� TAX E �, f�'��
or �.
AuthorizetlAg __Da��17l7Q TOTALPAID 5?.' U
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COSTA MESA B�'�.,;;�fNGSAFETY DEPARTME�APP�,,,ATION FOR STRUCTURAL PERM[T
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•.V•yV,••`VV VVV•^•••LV^,V^`••V••,••^+`V'V RECEIVEDBV PERMIT
For Applicant to Fill in Completely — Use Ink Only �
BUILDING��. 7 q,P, NO.
ADDRESS G+
BU�LOING
OWNER OR ' I ADDRE55
TENANT
UNIT OR
MA1 L� N SPACE NO.
ADDRE
TR.NO. LOT BLK.
TEL.
CITV NO.
ODNST ON NEW ADD LTER REPAIR MOVING DEMOLISH
LENDE
BRANCH
OWNER
ADDRE55 VALUE
ARCHITECT TEL. VSE E
OR ENGINEEF N
ADDRESS ZON TVPE GROUP
CONTRACTOR BYP DATE Z��Y J
ADDRESS
TEL.
CITV NO.
STATE CITV APPROVED SETBACKS '
UC. NO. IIC. NO.
SIZE NO.OF BLOGS. (FROM C/L STREET)
OF LOT NOW ON LOT ONT FT.
USE OF
EXISTING BLDG. 1 FT.
Separate permits are required for L SIDE vr.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED PLqNNING ACTION
DATE
APPROVED
APPPOVED
1 hereby acknowled8e that I have reatl this application antl state �
that the above information is correct and agree to comply with �
all laws regulatin8 buildin0 con5truction, antl 1 shall not emp�oy
any parson in violation of the workman's compensation laws of °
Me State of California.
m
I herebVi certity that I am properly licensetl as a contractor under SQ. FT. �
Me State of Califor ia Businass antl Professions Cotle, Division 3, THE AMOUNT SHOWN VNDER VALUATION IS FOR m
Chapter 9, antl th such licenses are in tull force antl effect, or I THE PURPOSE OF ESTABLISHING A PEFMIT FEE ONLV: �
m exempt trom e provi ons of t�e State of California Busine55 a
antl PrOfessions �on 3, Chapte� 9. VALVATION PERMIT FEE $ 6.Q(j N
m
SiB�aiure o PLAN CHECK E ^
0
Permittee $ TAX E LL
or Z �
Autho�izetl nt Date u
TOTALPAID S/b �