HomeMy WebLinkAbout541 19TH ST - Building Permits•%� . 28189 �
%COSTA MESA BUILDING-SAFEfY DEPARTMEM
P.O. BO% 1200 � C09TA MESA� CALIFORNIA Y262E
For Applicanf fo Ftll In Wmplefaly
TYPE OR PRINT •
BVILDINO /H• ��',
ADORESD
COSTA ME3A. CALIFORNIA
Fl%
T6L
no. or n,00s.
DESCRIPTION OF WORK
euao�Na
512E
EXTERIOR WALL
1 N6RHSY ACKNOWL6DOQ TMI�i I XI�VI RfAD TNI� AIPLIGTION
I�HD BTI�TH THAT TX6 ASOV[ �� CORP6R�ANO /�ORB[ M COM-
PLY WITX ALL CITY OR�INAflGO AMO RAT{ LI1WY R[OUTATltlO
DUILDINO CONBiR1)Cf10N.
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wurHortiz¢o woenr
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APPUCATION FOR PERMR
BUILDINC3
fOr Offlca Use Only
e[eu'r no. �R
ZONINO
_u/-Y /1�/C �J 1�
'Ul�� —�!
;HANO BHALL 06 LE88 THAN
YARDDMPROVBO I YARDSMPROV6D
MAINBUILDINO ACGECSORYBUILCINO
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0
T16 AYOUIR OMOWM lIND6N V�LU�TON 19 IOR TN6 j
rYNV006 OI [OTAGll8XIN0 A P61iMlT I88 ONLY. i
VALUATION ' �
p b PERMIT PEH Z. O O �
s /Q� -- w
TOTAL FE8 $ `� � O
� -- `T ;; 2 � 993
'. CbSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO% 91] C08TA MBBA, CALIPORNIA
For Appllcant to Fill In Completaly
TYPE OR'PRINT
ADDRE89 syi ��� ���9 � syr--
• COSTA MESA. CALIFORNIA
■ MAIL
■ USE OF
BUILDINO
SIZE
EXTERIOR
TEL
FROM
DESCRIPTION OF WORK
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fi j"l•J �I' O oP:)
1 HEREBT ACKNOWLB�OB
ANO BTATH TXAT TH8 /�B
PLY WITH ALL CITY ORDI
BUILOINO CONBTqOCI'ION,
SIGNATURE OR
PERMITiE
AUTHORIZED AGENT
/
FEE RECEIVEU
1 6 1984
fINA�I�E OEPI. .
dddincWfid+QSd6RM�+nR
BUILDINCi
For Offica Use Only
qecelv/q'C e
l�G/
BUILDINO
NO.OF U8lOFNHW yN'�fYL
PLANB � pUILDINO i} tl.�,
i'��n
�r �f3 � l8
6 —a6� —.3s
'H OVERMAN6 BHALL BE LH89 THAN
YARDSAPPROVED
MAIN BUILDINO
!OM G/L 8TREET )
OIBTA�
MAIN 6
VAR. iC
YARDSAPPROVED
AGCESSORV BUILDIN6
/ BET.
ACCE
DATH
�
—,9«- v � c -wk. ..v
_ �
so. �. �
� 1 HAVB RGD TH�9 APPLIGATION TX6 11MOUNT eHOWN UNDep VALUATION IB FOP TX8 9
18 COpRBCT ANO AOqE! TO LOM• PUHP09C OP EBTABLI6HIN0 A PEHMIT I88 ONLY. �
',B9 AND 9TAT8 LAW9 ReOY INO yqLUAT10N
0
� PERMIT FEE $ � �
i
/5 0D _ , so �
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA, CALIFORNIA
FOR APPL/CANT TO F/LL /N COMPLETE[Y
TYPE OR PRINT
ADDRESS S � I��S� /� � �� �
COSTA MESA, CALIFORNIA
� MAIL
TEL.
s� ��
ADDRESS /�20 11�h� ��1 �� /7�///Plll� `- '
LEGAL I LOT� � I I/ I
�ESCRIPTION NO. � BLOCK Q� TRAC
� i i _ i
� SIZE I NO.OF BLDGS.
SEtBPLK LINE FROM
CENTER OF STREET REAR YAI
SIDE YARD (LEFT IRIGHT
. DESCRIPTION OF WORK
BUILDING NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL IROOF
COVERING COVEftING
USE OF BUILDING AND WORK TO BE PERFORMED
i� ,�,`�'e � Ta � �� �bW o �
0 o e .[�e .� • . � ' .' zr �
I HEREBV ACKNOWLEOGE THAT HAVE PEAD TNIS APPLIC/�TION
AND 6TRTE THAT THE ABOVE S CORRECT RNO AGHEE TO COM-
PLY WITH ALL CITY ONOINANCEH RND BTATE LM1WS FEGULATING
Bl11LDING CONSTRU(C''T'�IO�N. � /�
SIGNATURE OF 1 ��. � i Y�'C ���
AGENT
�
; �� RtCEivtiD
ia-is-S�
FINANCEnS�APMESA �
APPLIC.''�AyTION F'OR PERMIT
BUILDING
FOR OFf/Cf USE ONLY
I RECEIPiNO. I APEPWTII
BUILD
ADDflE
FIRE
ZONE
APPRC
BY
ZONE
f` _
YARDS
REpU1RED
(CENTER LINE
FRONT
R. SIDE
REAR
COSTA MESA. CALIFORNIA
type � � J �oup �
(�ZONING
NO. OF fISE OF NEW�
PLqN3 BIIILDING
DATE � S'
LL WED
f. )
.(i� FT. IN.
THE AMOUNT SXOWN UNUER VALUATION IS FOR THE
PUFPOSE OF ESTABLI6HINO A PERMIT FE6 ONIY.
VALUATION v U
PERMIT FEE $ .Zt ��
d � �_
$ �OD PLAN CHECK $
.../
TOTAL FEE $ ��