HomeMy WebLinkAbout769 GRAYLING BAY - Building Permitsa
i�
3
99V 74/, 414"61- f7,, V
LA$J4 a BsT3OZ6 zaszzsN/��P3LI0CA
TIONF8k*R&�OiPERMI1683a50 TL
COSTA ME2ABRDINEA
D�(aLAMESACALIFORNIA9
_
REC V P MIT
I AAS G2 -N2 +x %
For Applicant to Fill in Completely - Use Ink Only
BUILDINGADDRESS �`
A.P.o. _091-69 (a114411-12-1-25
Tract 10626
EOR
BUILDING
`�
&
TENATM.D. Janes CO. Inc
i
UNIT OR
MAILING
N
SPACE NO.
ADDRESS 2950 AirwayAve. D-9
Tfrj�0/ -7 / LOT BLK.
(JlOL�O
CITY Costa Mesa NO. _
%
NEW ADD LTER IREPAIR IMOVING DEMOLISH
CONSTRUCTION
LENDER Not selected
BRANCH N/A
OWNER
ADDRESS
VALUE
ARCHITECT
Danielian S Assoc. TEL'546-
USE E
OR ENGINEER
I
ZONE 3
ADDRESS 3848 Campus Dr. N.B.
TYPE `" GROUP
I
APPROVED
CONTRACTOR owner
BY DATE
ADDRESS e
TEL.
CITY B NO. e
STATE CITY
APPROVED SETBACKS
LIC. NO. A LIC. NO. e
SIZE NO. OF BLOCS.
(FROM C/L STREET)
OF LOT 550' x 334' NOW ON LOT B
FRONT FT.
USE OF
EXISTING BLDG. NIA
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 ACTION
�Op—
--1
77Z APPROVED � �
APPR '0p-
BY
G
I hereby acknowledge that I have read this application and state
.
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.
233SL
I hereby certify that I am property licensed as a contractor under
SQ. FT.
the Stere 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 rovisions of the State of California Business
VALUATION PERMIT FEE E
and Professions Cotl Divi 'Ott 3, Chapter 9.
�a
PLAN CHECK S& 115
Signature of
�[�
op
Permlttee
N/;/;
$ Sq/
1 TAX $
or
Authorized ABe ate B
TOTAL PAID S 6 3,