HomeMy WebLinkAbout761 GRAYLING BAY - Building Permits(_''r& y S g9V 74/, 43 yd �Y7 �i 9 �s /�S� 6d S7 4-,9 61
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BUILDING
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ADDRESS Tract 10626
_
BUILDING /Ai
TENANT M.D. Janes CO. Inc.{
r
UNITADD
UNIT
ORMAILING
SPACE NO.
N
ADDRESS 2950 AirwayAve. D-
TRpIxO/ -t / LOT BLK.
II((�J(OGEJ
CITY Costa Mesa NO� _
%
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
OWNER
ADDRESS
VALUE
ARCHITECT Dani.elian & Assoc. TEL'S46-
USE E
OR ENGINEER
I
ZONE 3 ITYPE
ADDRESS 3848 Campus Dr. N.B.
GROUP
APPROVED
CONTRACTOR owner
BY DATE
ADDRESS Ej
TEL.
CITY ti NO. ID
STATE CITY
APPROVED SETBACKS
Ei
LIC. NO. Ej LIC. NO.SIZE
I
(FROM CIL STREET)
OF LOT 550' x 334' NOW ON LDOTOS A
FRONT FT.
USE OF
a4T.
EXISTING BLDG. N/A
R. SIDE
Separate permits are required for
L. SIDE
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANNING ACCTIONp
2
/�
Z� 1 �� (� l
7 �}�
APPROVED
APPR �IIVQ
1 hereby acknowledge that 1 have read this application and state
that the above Information is correct and spree 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.
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 fromgf the State of California Business
and Professions Chapter 9.
VALUATION PERMIT FEE E
PLAN CHECK fPermittee
Signature of
'�r�
op
S SRy1N'f
TAX Sor
Authorizatl Age
TOTAL PAID $ 6� 3