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Home My WebLink About551 19TH ST - Building PermitsF z Q U J a a Q 0 i�' N Z O F U � � � N Z . • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely ADDRESS �,) 1 — J�3 �A�� (�1�1� �i-.V OWNEfi C�O� V�A \ • �.]LC/ �?i •� ADDRESS S J I 1.11 •`� � �-Y (y� TEL.� [/ CITV C� VI J� NO. J('IO•� CONSTRUCTION LENDEF BRANCH ADDRESS A�RCN�TE�cT � TEL. CLo�i�eCf9fi �a��--.'T''6�FC/6{�. o- ADDRESS TEL. CITV �, 4� — NO. STATE CITV LIC. NO. LIC. NO. SIZE ' NO.OF BLOGS. O F LOT I NOW ON LOT VSE OF EXISTING BLDG. SIZE OF NO. OF � WALL m TO BE PERFORMEO P1AR 20-69�N;�OO 493 ��**�*5.00 APPLICATION FOR BUILDING PERMIT EI BV DATE RECEIVED DATE ISSUI � � 3-zo-� 3-10-, ..�n II�, iI'1�,�—ii0.({� PERMITNC BUILDING ADDRESS LOT OWNER VALUE FIRE ZONE APPROVED BLOCK ZC E2 PLANS 'i— I BUIL�ING EW/� '�'`Vr VARDSAPPROVED VARDSAPPqOVED MAIN BUILDING ACCESSORV BUILOING V AR. # C.U.P. # APPROVED I hereby acknowletlBe thai I heve reatl this applicetion antl stata that the above information is correct and agree to comply wlth all laws reguletln8 builtlin8 consir�ction, entl I shall not employ any purson in violatfon of tha workman's compensation laws ot ffie State ot Calitomie. I �eroby certifv that I am proDerly licensed as a contractor untler SQ. FT. tho State of Californie Business end Profeuions Cotla, Divistcn 3, THE AMOUNT SI Chapter 9, antl that such licensas ara In full force and effact, or I THE PURPOSE OF am exempt from the provisiOns of th te of Californla Busineas VALUATION antl Professions Co , Division 3, Ch ter . S18^etura of ' /`�� n-- Permittee G $ � p Au[horizetl Agant DATE APPROVED FT � �� 0 W 0 IN UNDER VALUATION IS FOR ' ABLISHING A PERMIT FEE ONLV: ¢ PERMIT FEE $ �O G � 7 `— m PLAN CHECK $ E 0 LL TOTAL FEE $ / �'f% , ' ,; "COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX t200 � CO6TA MESA� CALIFONNIA 926T0 For Appl7cant fo Fill In Completaiy TYPE OR PRINT avao�Ho - !6 ADORE88 / � COSTA ME3A, CALIFORNIA � I n .nC ... 0 Y6TpACKLIN[l110Y DESCRIPTtON OF WORK �i!f�l I�� ,dU/� f/ �,1.� 1 H8F6BY ACKNOWL6O06 TNAT 1 XAVB ANO BTAT6 TXAT TN6 AGOV6 IY CORRI PLY WITX ALL CITY OHOINAMCtl ANO I 1� AVTHORIZ3GA0[NT �att t 5�„'� OA 5 APPLICA710N FOR PERMR BUILDINfi FOr Offlce Use Only R[G[II! HO. 11 G DAYPROV[D � DATB I—/j �(�Q ZONING 20N[ NO.OI YY[O�NtW l; �•� �uw su1LolNo �� i �°� Lat � D��' n t.� l, o�c�nimon A. P. NO. � NOTl: NOBAV60ViRHAN69HALLBBLl88TMAN 80' TO HIDH 0 RBAR P. L •�LDa�. I µ�py�lgp (U..B.C.RFOUIRHMENTI m YARDHMPROVHD VARDBMPROVfiD . MAIN BUILDINO AGCH880RY BUILDIN6 110 APP�ICATION AOR88 TO COM. WY R[OYLATINO VAR. �j eer. � wcce. DAT6 OMr••••• •• T6 .S '� a w � ec. Rr. � TNH I1MOIIM BMOWN UNDBR VALUATION 19 POR TH8 � �UPPOBH 01 �HTABLIBNINO A P6PM�T P88 ONLY. VALUATION � OD PERMITFEE ��OO � s �O .� w TOTAL FEE � � D B � . �� COSTA MESA BUILDING-SAFEiY DEPARTMENT P. O. BOX 817 COBTA M88A. CAL�PORNIA For Appl?eanf fo Fill In Comple+ely TYPE OR PRINY BUILDING ti �/ � 7�� / � ADDRH6S L " CASTA MESA CALIFORNIA OWNER � I S � � � N'r� MAIL '.S.C'i I— L�l/� I% y� woowEss 'I. .41TEGT C., / � NQ� ur.�n�nca TEL. U6E OP EXISTING BLOfa ssTe�cx une PROM OP BLDOB. DESCRIPTION OF WORK BUILDIN i NO. OF SRE O ROOM6 EXTERIOR WALL Ii00F COVHRING ICOVEF USH OP BU�DING AND WORK TO 6 �EE R�C�IVED� � , � FINANCE �ApMESA Akh��YCR�IOR �OR PERMIT BUILDING For Office Use Only xecgwY/ er I c 7§�reeo�' F_I L /C"' �l BUILDING G-'s/� /� _ � / � � ADDRESS J "V COSTA MESA. CALIFORf FIRE ZO E TYPE GROI AP D '� BY DATE ZONING 20NE � I NO. OF I U9E OP NEW �J PLANB � BUILDIN6 � �e«�e��,�.,v � C+ R � of � ' tcentea une e�.� APPROVED 1 HCRBGY ACKNOWI.8008 TXAT 1 XAVB R6�� 'M�8 APPLIGTION AND 8TAT8 TNAT TX8 AGOVB 19 CORPBCT AN� A6qH6 TO COM- TM6 AMOUNT BXOWN UNOER VALUATION 19 POP THE PURPOBE OR EBTABLI9H�N0 A PERMIT FEE ONLY. PLY WITX ALL GITY OROINANGEB AND 8iAT6 LAW9 RBOULATING BUItD�No coNeTRi! � VALUATION �— 81CNATURE OP � PERMIT FEE $ PHRMITTE � S �� PLAN CHECK $ � AU7XORIZED AGENT ___.. ___ ,,, ,� � � � ' � �� CCSSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MHBA. CALIRORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING fS — Y J � ADDRESS J COSTA MESh CALIFORNIA LA c n� R RNt S OWNER MAIL 55'/— liti _ /�7 SX� nnnwcac STATE TEL. LIC. NO. NO. SIZE I NO. OP B1D06. OF LOT NOW ON LOT USE OF EXI6TING BLDG 8[TBACK LiHB FROM csrma oP s''neer REAR YARD SIDE YARD I LEFT I R16HT DESCRIPTION OF K NEV I II ALTERATION I ADDITION REPAIR I IIMOVING I IIDEMOLISH BUILDING NO. OF SIZH ROOMS STORIES EXTERIOR WALL IROOF COVERING COVERING U6 OF UILDING AND WORK TO BH PERFORMED a• � .. �__ � / / � . �EE REC�iVE(� �/�- 7/6 0 � �c FINAfVCE DEPT. CiTY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only ReCB�PT NO. VBRMIT NO. �� RHLB KD BY OA C RBCHIVHD � e IBB � /�-T .;27- u ADD E�68 .J � � � •- / � � ,CdSTA MESA. CALIFORNIA Zl1NING NO. OP /\ I U98 OP N PI.AN9 �� BUILOINO LBOAL ccsrrtea u�c st.� �u r I HEReBY ACKNOWLED68 THAT 1 HAVE P6AD THIO APpIJGT10N 7H8 AMOUNT BMOWN UND¢P VALUATION 1! pOR TX6 RN� 9TATH THAT TXE ABOV6 IB CORREGT AND AOR86 TO COM• pURPOBH OP BBTABLIBHINO ♦ v6HMIT PeH ONLY. PLV WITH ALL CITY OfiDINANCE9 AND HTATH IaWO ReOULATINO BUILDINO CONBiAUCi VALUATION �J SIGNATURE OF ' /� �J(�/ PERMIT FEE S �f � PERMITTE � �/� /�j �/ S \.% L� �^ PLAN CHECK $ AUTHORIZED AGENT � _ TOTAL PEE K 4