HomeMy WebLinkAbout3191 HAITI CIR - Building Permits10022
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 3I7
COSTA MESA, CALIFORNIA
FOR,APPLICANT TO FILL IN
BUILDING 3191 Haiti Circle
ADDRESS
AUG 4 1959
._•Arc r'nC 12r
APPLICATION FOR PERMIT
BUILDING
COSTA MESA.. CALIFORNIA
FOR OFFICE USE ONLY
Newport Homesl Inc.
RECEIPT NO
PERMIT NO.
OWNER -
RECEIVE'. BY
DATE RECEIVED
DATE I5SUED
MAIL
ADpR ESS 1555 Placentia
nn�r'E
Newport Beach TNL 1a 6-3227nrr
IN
CITY
ADDRESS
HIrE LIC.
HEER NO.
P HEER
COSTA MESA, CALIFORNIA
rCADDR—S
ZONE
A. Koll Constr. CITY LIC. -
20NEI�
NO. OF
PL
TYPE
GROUP
CONTRACTOR NO.
1[
�+ I
�*,1� r� rT
Newport Beach TEL K 6-3227
APPRIO`VED
ADDRESS- NO.
BY DATE
DESCRIPTIory
NO. �pll
BLOCK
TRACT 3363
CORRECTIONS
A.P. NO.
'
SIZE
I•- Iy
NO. OF SLOGS. O
OF OT �k $`
Now oN LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM _ 1yy she' Ul$n
`�
CENTER of STREET I. REAR YARD G
10'
SIDE YARD RIGHT /10I LEFT
DESCRIPTION OF WORK
'
X
NEW
ALTERATION
ADDITION
REPAIR
MOVING
�YDEMOLISH
.221- 1
f't NO OF
�
SIZIEDING
ROOMS ! STORIES
1sq�
EXTERIOR WALL Gy,
ROOF
COVERING
COVERING .S _
USE OF NEW dwelling
BUILDING
cJ J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CON5TRUC-
VALUATION
TION,
SIGNATU F
PERMIT
/ ,r /•2'
-X
FEE S
/. ��
CHECK $
���I 'S —e,'
PERMIT E
I y
•x /" -K ��
PLAN
L 5
TOTAL FEE
'
AUTHORIZ AGENT �
J
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