HomeMy WebLinkAbout2188 BOSQUE SPRINGS - Building Permits'r�c� ;? �g 2��. g 6� S8, 96 5 i 6. 84 TL -
COSTA MESA BUILDING -SAFETY DEPARTMENT APPLICATION F�TlZyffyW PERNI'£31_6a 84 . TU
.// P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 _
RECEIVED BY PERMIT
For Applicant to Fill in Completely — Use Ink Only
s
M
M
BUILDING
A.P. NO.//Jr— �3—
ADDRESS
BDRESS
OWNER
M.D. Janes Co., Inc.
ADDRESS
TTENANTOR
UNIT OR
MAILING
2950 Airway Ave., D-9
SPACE NO.
Costa Mesa 92626 TEL
TR.NO. LOT BILK.
� /S— a;20
CITY
NEW, ADD ALTER REPAIR MOVI NGI DEMOLISH
CONSTRUCTION N/A
LENDER
BRANCH
OWNE .,D,
ADDRESS
US LUEsss �
ARCHITECT TEL
Sam ieri I1 549-252
OR ENGINEER N
Park, Irvine 92714
ADORE5517922 SkyZ
77
ZONE , TYPE GROUP
APPROVED
CONTRACTOR Owner
BY DATE
ADDRESS
TEL.
CITY NO.
STATE CITY
APPROVED SETBACKS
LIC. NO. LIC. NO.
SIZE NO. OF BLDGS. /�
I rreg
(FROM C/L STREET)
9n
OF LOT • NOW ON LOT Y'
PONT FT.
USE OF (7�
EXISTING BLDG.
R. SIDE 22 0 FT.
Separate permits are required for
L. SIDE 61 FT.
electric, plumbing and heating work.
PEAR /,q FT.
USE OF BUILDING AND WORK TO BE PERFORMED
PLANN INGAACTION
DATE
Unit nlUm g��//��
APPROVED
Attached Garages.
�i
DATEO eats_'%/
nOLD FOR SPECIAL REQU1RElv1ENTb
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.
I hereby certify that I am properly licensed as a contractor under
SO. FT,
the State of California Business and Professions Code, Division 3,
THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and the such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from a provisions of the State of California Business
'
VALUATION PERMIT FEE $
and Professions C a, DM 3, Chapter 9.
PLAN CHECK $ -301 &O
Signature of
Permittee /- -
l /
$ 2 �/ 7j 7^/�0 TAX $or
7 r 1Z Z'
Authorized Ag Da�
TOTAL PAID $� r
p�