HomeMy WebLinkAbout563 19TH ST - Building Permits.. •, �w;'rs c�
COSTA MESA BUILDINCrSAFE'fY DEPARTMENT
P.O. BOX 1tJ0 � COSTA MEBA, CALIFORNIA 92620
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For Applicanf }o Fill In Compleroly
TYPE OR PRINT
ADDRBHII w i9� � E
COSTA MESA, CALIFORNIA
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� i6TMCK LIX[ �11oY
DESLRIPTION OF WORK
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1 XER6BY AQ(NOWLm06 TfAT 1 XAV[ RBAD iN18 APPLIGTION
AMD BTAiB TNAT TX6 AGOV6 �{ CORR[R�ANO AOR![ TO COM•
PLY WITX ALL CITY OROIlUNCti AND RAT[ LI1W/ RiOUTA NO
em�oino coxsrnucno�
SIGNATUREO/ • �
PERMITT6
AUTHORIZiD AO[NT
1llL 17-��Pnto
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APPLICATION FOR PERMIT
BUILDIN(i
fo► Office Use Only
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ZONING
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�6 OV [RHANO SHALL 06 L688 THAN
YARO9 APPROVED
MAIN BIIILDINO
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ACGEIISORY BUILDIN6
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n�e �rourrt eHown uHoex v�w�noH ie �on n�s j
•UPPOoe OP �RAGLIBNINO A PlRMIT IB8 ONLY, q�
VALUATION �
PERMITFHH � p
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TOTALFE[ S ��
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COSTA MESA BUILDING-SAFETY DEPARTMENT . pI ��
P. O. BOX 31'/ COSTA MESA, CALIFORNIA �!'�7P IY�;L- DEr' �
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fOR APPL/CANT TO F/LL /N COMPLETELY ,aPa��ca,noN FOR PERMIT
� TYPE OR PRINT BUILDING �
BUILDING �J � � `,1 , i�
ADDRE55 d LV OYI
COSTA MESA, CALIFORNIA � FOR OFFICE USG ONLY
` !�` �r HECEIPT NO. P RMIT NO.
OWNER�J �/ QpJ � I I � �
MAIL _ o � ti�� RE IVED BY DATE RECEIVE� DATE ISSUED
AODRE55 O �(/ L( I i��i-J -{�
CITY �/ � . TN�� � BUILDING U\
ADDRE55 �
ARCHITECT ��C. COSTA MESA, CALIFORNIA
OR' �INEER NO.
ADDRE55 �� FIRE g+� Group � � \
ZONE l ^
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CONTRACTOR �Tw �G�"• LIC. NO. - BYPROVED �n DATE `
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nooaess ^O��sc-�2( . ZONING \
LEGRL LOT ✓ 0•'� �_/) I�NE I NO. OF I U8E OF� �
DESCFIPTION I NO. '�_ I BLOCK I TKA T PLANS BUILOIN '
A.P. NO. / f—U' � d (�/ � y � � BYPRO `/^ � � ATE � , '�J
OP LO� D � U y� I rvO.OF e�ocs. yqRDS EV . �
now ot+ �oi REQUIRED ALLOWED
USE OF (CENTEH 4NE ST.) ` `
EXISTING BLDG. � � FRONT FT. IN. L�
SETBRCK LINE FflOM � a
CENTER OF STREET C O REAR YA� R. SIDE IN.
/ / � r
SIDEYARD ILEFT IRIGHT �D O L.SIDE �/f�FT. IN.
DESCRIPTION OF WORK
REAR -FT. IN.
NEN" I IIALTERATION I II�+DDITION I
REPAIR I IIMOVING I IIOEMOLISH I �� "-�(
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF �� ��^ J/�� /J,
COVERING COVERING /A ('
`ibp'�� uve. . 3i�c
I HEREBY .�CKNOWLEOGE THFT 1 HAVE RERO THIS .�PPLICATION
qND STATE TXAT THE /�BOVE IS CORRECT �1ND RGflEE TO COM- THE AMOIINT 9HOWN VNOER VALUATION IS FOR THE
PLY WITH ALL CITY OPOINANCES AND STATE LRWS flEGULATING PURPOSE OF ESTABLISHING • PEflMIT FEE ONLY.
9WLOING CONSTRV N. VALUATION
P RMITTEE � � � /� Op PERMIT FEE $ �-
u R 3' X � / — g � / //D PLAN CHECK $ � —�
LI/
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AUTHORIZED AGENT TOTAL FEE $ � '�
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ORANG� COUNTY BUILDING DEPARTMENT APPLICATION POR PERMIY
.. . � r 636 North Broadway � ' . . � �
, SANTA ANA, CALIFORNIA _ .B U I_LD.I N��
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