HomeMy WebLinkAbout278 CAMELLIA LN - Building PermitsowxEx NIFS, IRE`1E i�i.
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INSPECTIONS
OCCUPANCY
Form 210—SM-11-59 5-B P
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DATE
ZONE
DATE 3-16-61
DESCRIPTION OF WORK nes.
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT �
p. O. BOX 9/7 C08TA MEBA. CALIPORNIA
For Applieani to Fiil In Complefely
,- �� COSTA MESA,, CALIFORNIA
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OWNER . �R[NE M� .NI�ES.
MAII. - "
ADDRESS 6� '� B'E G 0 N ��A -A V E• "
,.,,,,, GORONA DEL NIAR� �E�� UR �j%2 �
ADDRE56 ' � ' - ' ' � � ZONE
CONiRA�OR �� 0 M A R B U 1 C U E R S �' I N C r BYPROV
ADDRESS 2�32 ��El7POR�7 BLVD�'�
COSTA N�E�sA, CALIFORDIIA I�NE
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LIC.NO. ��JO6��}. No. LI �9�EB . �ece�
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oF �oT ' 67 91 x 1 2 5 I NO.OF BLD68. O
• NOW ON LAT
A. P. NO
USE OF I YARDS
EXIBTIN 'BLDG n 0 N E APPROV
�EE REL`�IUE�
�' � P�AR 9 13�t
� FINANCE DEPT.
CITY Of COSTA MESA
APPLICATION FOR PERMIT
eua�iN�
For Office Ose Only
RECEIPT NO. FLf
I -V �7�d( I `Y/�`�L'/
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COSTA MESA. CALIFORNIA
TYPE GROUP �*l "'
5���.''�AT� fG.�� � _
ZQ�IING '
INO.oF UBE OF NE �
�LAN9 � BUILDING 1 L
I v1Lw'tlo'i . �1 �, o I � %
86TpACK LIN6 FROM 611 lCBNTEP LINE BT.)
CEry}�p pP STqHlT 5� � REAR YARD 53, FRONi
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91DE YARD LEtT 1���91 RIGHT � R.6IDE
DESCRIPTION OF WOitK �
L. 81DE
� X �� __ � ��___ �
ILDING�2V�5�,x1�� Ho.oF 6 �--- -- �
EXT�itIOR WALIi U C C 0 ROOF R 0 C K ,
COVERING ' COVBRING ' ' �
USE OP 6UILDING AND WORK TO BE PERFORMED �
CONSTRUCTI�N OF NEM SGL. FAM1
OIJLG•� wITH ATTACHED GARAGE.
--/� 6 —3 � W/
EVES
ALLOWE
Y
/ FT. `
7 FT. �— 1
[ r FT. ��
� FT. (�
�AIV'Il DATE J'I ��%
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1 HCPQBY ACKNOWL6D06 THAT 1 HAVE READ TXIB MPLIWTION THQ AMOUNT BHOWN IINDER VALIIAT�ON I6 FOR THE
ANO BTATE TXAT TH6 ABOVe I8 CORRCCT AND AGRE6 ?O CON- pUIiP09E OP EBTABLIBHIN6 w PERMIT FEE ONLY,
PLY WITH ALL WTY ORDINANCC6 ANO 9TATH LAW6 RepULATINO
Bu1to1NP GONrrttucnoN. � VALUATION � �}�
61GNATURE � PERMIT FEE ^ $ ✓" � '
PERMITYE /�`�n(
� ' S / '�l ��� PLAN CHECK $d� �S�
AUTHORRED AGENT �`�