HomeMy WebLinkAbout3158 BARBADOS PL - Building Permits' ^ ,, ��14
COSTA NiESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
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ADDRE55 �1.58 tiar!�.�3os Avenus
COSTA MESA. CALIFORNIA
� OWNER
IARCHITECT
OR ENGINEER
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A.P. NO.
USE OF
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SETBl�CK LINE FPOM
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NO.
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NO.
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NO.
No.oF a�ocs.
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SI�E VARD � RIGHT � LEFT 1
DESCRIPTION OF WORK
NEW X ALTERATION ADOITION
REPAIR MOVING DEMOL�SH
BUILDING .Z / ' NO.OF /
SIZE Z 1!J ROOMS �J STORIES
EXTERIOR WALL ROOF
COVERING .�}�1 PRn COVERING }7nr1/�
BUELDFNG�W .�'171s'� f` F��AII'il �4 nPTf?� � 11
FEE RECEIVED "
� �� �-, � � s 1 `� ��.
fINANCE DEPT.
A P P LG�YA�I C�F�T�CMI�AP E R M I T
BUILDING
FOR OFFICE USE ONLY
BUILOING
ADDRE55
COSTA MESA. CALIFORNIA
PE
APPROVED
BY DATE
CORRECTIONS
1 MEREBY iCHNOWLEDGE THPT I i1AVE RER� TMIS APPLICATION AND
STPTE TMAT iXE ABOVE IS CORRECT ANO AGFEE TO CO LY WITH wLL
CITY ORDINANCE$ �1N0 STATE lA�NS E ULATING Il CONSTHUC�
riorv. //%��/j�/' VALUATION
SIGNATURE OF�s�/f' / � PERMIT FEE $ ��
PERMITTEE I
/� �� i% PIAN CHECK S 1LL�CO
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1
AUTHORIZEO AGENT TOTAL FEE S L�.2 � OO
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OWNER SUMMERLAND LAND CO. DATE S-j-S%
JOB ADDRESS 3158 Barbados Ave. BUILDING PERMIT NO. #Iy9(I1
GENERAL CONTRACTOR
VAL[IE
AP. No. LOT j�} TRACT Q353 FIRE ZONE DESCRIPTION OF WORK R25. W�8tb, gaz'.
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUMB R
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Final Gas Test