HomeMy WebLinkAbout976 TRABUCO CIR - Building PermitsX3623
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only A
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LIAR -8.77't",°00 511* *220.00
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BY I DATE RECEIVED 92To ic<Ucn
OWNER J.H. Gregory A. P. NO. I J'UG"C�_ - MAIL
ori BUILDING p�
ADDRESS 3187 nGrr Airway Ave. p ADDRESS— L,(J
CITY Costa Mesa N51-3850 TRACT(VA LOT t BLOCK
LENSTRUCTIOreat Western Svgs & Loan RREPAIR
LENDER lS XX
BRANCH 8484 Wilshire Blvd
OWNERp
ADDRESS BeVerl Hills Ca. VALUE
ARCHITECT Jack Hester TEL.759-021 SE Fam Res $ 00
OR ENGINEER N
SO Circ. r.n Su.FIRE
ADDRESS ewDO t Beach Ca. ZONE TYPE V GROUP I&J
APPROVED
CONTRACTOR J.H. Gregory Constructio BY DATE
ADDRESS 187 nGn Airwa AVE ZON No.OF USE OF NEW
Costa Mesa
TEL.751-384 PLANS BUILDING
CITY NO. V
ARDS
LIC. NO. 285-981 LICVNO. 008179 STATE CTYMAIIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS. (FROM LST T)
OF LOT 3500sq. ft • averag NOW ON LOT RONr / F FT.
USE OF
EXISTING BLDG. SIDE FT- 0 F n
Separate permits are required for L. SIDE FT. `v FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED OISTANC RET. BET. MAIN &
MAIN SLOGS. ACCESS. SLOGS.
Single Family Res. C ARP 69'6 / DATE , — /
LY
APPROVED
APPROVED _
009 HOLD FOR SPECIAL REQUIR7f44FtNT
I hereby acknowledge that I have read this potion and state
Met the above Information is correct and afire to comply with
all laws regulating building construction, entl I all not employ
any person In violation of rho workman's comp tion laws of
the State of California.
I hereby certify that I am properly Ilcen s a con ctor under
SQ. FT.
THE AMOUNT SHOWN UNDER VALU
the State of California Business and Pro s ons Cotle, IvisIon 3,
Chapter tl that such I(can s ar i f I force entl effect, or I
THE PURPOSE OF ESTABLISHING A PERF
am ex mgt fr the provisio sof S to of California Business
and P ofesslon Cod D slo 3, r 9.
VALUATION
PERMIT FEE E
PLAN CHECK $
Signature
Permittee
$ 35,700-00
TAX E
TOTAL PAID $
Auth riz ont
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