HomeMy WebLinkAbout755 GRAYLING BAY - Building Permitsz
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COSTAP.ESA BVILDING-SA
SAACALIFORNIA9 szeAPPIKATIONF���'IRI�Q�I�i PERMIT663e50 TL
REC V P MIT _ -
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Only49762-N2-
For Applicant to Fill in Completely — Use Ink Only
BUILDINGADDRESS
A.P. D. —� �21-2
Tract 10626 i
BUILDINOWNERG
TENANT M.D. Janes CO. Inc.ADDRESLz4—
(� Al
UNIT OR
MAILING
ADDRESS 2950 AirwayAve. D-
SPACE NO.
Tfitfx0/-t/ LOT BILK.
I(j(O(�(Ji
CITY Costa Mesa NOL %
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
OWNER
ADDRESS
VALUE
ARCHITECT Dani.elian � Assoc.
USE E
USE
OR ENGINEER
I
ZONE
ADDRESS 3848 Campus Dr. N.B.
TYPE GROUP
APPROVED
CONTRACTOR Owner
BY DATE
ADDRESS B
TEL.
CITY B NO. e
STATE CITY
APPROVED SETBACKS
LIC. NO. B LIC. NO. e
SIZE
(FROM C/L STREET)
OF LOT 550' x 334' NOW ON LONO.OFS B
FRONT FT.
USE OF�ff��
E%ISnNG BLDG. N/A
!il T
Separate permits are required for
L. SIDE
electric, plumbing and heating work:
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACTION
2
/�
ZF -71-0pdl A
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APPROVED / 1
APPR
&1
hereby acknowledge that I have read this application and stets
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.
V5,35L
I hereby certify that I am properly licensed as a contractor under
SQ. 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 I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the rovis ions of theStateof California Business
'drt
VALUATION PERMIT FEE E
and Professions Cotl Divi 3, Chapter 9.
PLAN CHECK $��(rs
Signature of -
Permittee
GQ
$ 5 l i TAX $
ar
8/17/79
1
Authorized Ape ate
TOTAL PAID $ 6 E53