HomeMy WebLinkAbout511 19TH ST - Building Permits5920
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 317
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDNG
ADDRESS 9b TVI STSLF-
COSTA MESA, CALIFORNIA
MAIL
ADDRESS
11 5
CITY lip
ARCHITECT
OR ENGINEER
LEGAL LOT
DESCRIPTION NO
SIZE
OF LOT
USE OF
E%ISTING BLDG.
$ET BACK LINE PROM `'
CENTER OF STREET ✓ - �I REAR YAR-�
RIGHT LEFT
DESC ITPIR ON OF WORK
i
ALTERATION KADDITION
MOVING I ii DEMOLISH
NO.OF
ROOMS STORIES
TEL,
NO.LI-
LIG.
—o c::,3-- 3 3
NO. OF BLOCS.
NI
REPAIR
EXTERIOR WALL ROOF
COVERING (COVERING
USE NEW n ;%"—
BUILDING ��MJ�
FEE REC IVED r,
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO.
PER
NO.
RECEIVED BY DATE RECEIVED I DATEISSUED
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE
20NE N�F TYPE
l/ � P B
APPROV D V
BY DATE /
CORRECTIONS
'1
L�t L•
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
APPROVED
CITY ORDINANCES AND S TE lAW6 REGULATING BVILOIN CONSTRUC.
CITY OF STA MESA
DEF I.
SUBJECT TO DG. DEPT. REG.
BYDAT '
VALUATION
'1
L�t L•
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND S TE lAW6 REGULATING BVILOIN CONSTRUC.
TION.
VALUATION
SIGNATURE OF
PERMIT FEE $
PERMITTE
PLAN CHECK $
AUTHOR ED AGENT
TOTAL FEE $
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