HomeMy WebLinkAbout417 FORD RD - Building Permits:
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COSTA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BO% H77 COSTA MEBA. GLIPORNIA
For Applieant fo Fill In Complefely
TYPE OR PRINT
BUILDING �/ _ - O J
ADDRHSS U
COSTA MESA CALIFORNIA
■ SIZE
� BUILDINC
FE RECEIVED� ,
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INANCE DEPT.
APPLICATIUN FOR�PER1'v1fCE� �
BUILDING � t
For Offiee Use Only
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BUILDING
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BY
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No: MI-67731 �a�
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DESCRIPTION OF WORK
1 HepHBY ACKNOWLBDOE TXAT 1 HAVB qEAD THIB APPI�C
AND BTwiB THwT TX6 MOVE 18 COHP¢CT A!ID wGRHB M
PLY WITN ALL CIT' ORDINANCEB AND BTATE W8 RHOUL
BU�IdINO CONBiRyCTOlJ. /% �
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SIGNATURE OF/ /-% �
■ AUTHORIZED AGENT
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COSTA MESA CALIFORNIA
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TYPE ✓ GROUP �
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DATE a
ZONING � oa
w
I NO. OF �6 OP N6W L✓
PL�N9 BUILDIN6 � ' �
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G�PSA�E O eBTAlL19XIN0 A PE MIT PE¢ GNLY.
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VALUATION
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COSTA MESA BU�LDING-SAFETY DEPARTMENT
P. O. BOX 817 C09TA M88A. CALIPORNIA
For Applicanf fo Fill In Complefely
TYPE OR PRINT
eui�oiNc ,�� 7 .$ G �o�2.D �.�
ADDRH88
COSTA MESA CALIFORNIA
OWNER . . �. c� .
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OR L�T i�/\ /�(O NOW oN LOT
88THACN LlNB FROM /O ��T J'
CENTex OP efMaei . REAR YARD
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SIDE YARD ILEFf '�''</� RIGHT �/'�
DESCRIPTION OF WORK
%� 7�ROOMH � bTOR1Eb /
FE�� RECEIVED
�1 1q Y 2 61�1
'fiNI�VCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Off?ee Use Only
RECe1P� NO. � PCRMIT NO.
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ADORE'SS Y"I � B� �+ �/C D
COSTA MESA. CALIFORNIA
ZONING
�ZO NO. OP UBe OR N
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APPROVED
�cermn une eT.1
USH OR BUILDING AND WORK TO BE PHRFORMED '' �D p
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d�J-u fs[., E X Gl h/I � �,�—ti _.
£ d%f�dlCN �.D GA,Q PD .�2T �^"'^`�`
i H8R8GY ACKNOWLEDG4 TNAT 1 M�VB RBAD THIB APPLIGTION THH AMOUNT BNOW
AND BTAT6 THAT TH8 AOOVH 18 GOPPCCT ANO A6RE6 TO COM- pURP098 �OFriCBTA
PLY WITM I1LL CIT' OpDIHANCEe AND BiATB 1 9 RE6ULATINO
eu�LpINO CONBTRU ION VALUATION
IGNATURE OF
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AGENT
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IAWATION le POR TH[
A PERMIT PE¢ ONLY.
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FEE S 7 �
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i
FE@ � y
BUILDING PERMIT NO.
CT #371tl FIRE ZONE
DATE I GAOUP I
SUBCONTRACTOR
OCCUPANCY � I I �� I I
Form 210—SM-11�59 SB P UNIT A�ll% HOLD FOR SPECIAL REQUIREMENTS • 1�lS92
OWNER DATE
JOB ADDRESS lt17-B & C Ford Rd. y— _,�� BUILDING PERAfIT N0. �. 593 -
AP. No.
DATE
SU6CONTRAGTOR
TYPE
-6'�
OCCUPANCY � I i I I
Form210—SM-11-595-BPUNITS $��t�Cy HOLD FOR SPEGIAL REQUIREMENTS . - �)�Kqq