HomeMy WebLinkAbout277 BRENTWOOD PL - Building Permits� 17962
,sTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9t7 C08TA MBBA. CAL�FORNIA
For Applicant to Fill In Compleiely
TYPE OR PRINT �
MAIL
��-277-.�83
COSTA MESA G
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APPLICATION FOR PERMIT
BUILDING
For Office Use Only
I R8ClIPT NO. jEMMiT N�
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COSTA MESA. CALIFORNIA .
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NO_
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WALL
ZONING
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.NO, OP BLDCS. _
RIGHT —��—.
OF WORK
— ICeMTIN LINB 6TJ
FRONT
R.SIDE
_ �.s�oe
REAR `�
APPfiOVED
— BY
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1 H6pE8V ACNNOWLEDGE THAT � XAVE REAO T5118 A��I�GTION THg AMOYNT 9HOWN UNDER VALUATION ls IOP TM8 m I
AND 9TATE THAT THE A00VE IS WRPBGT AND AG0.E¢ TO COM- pURP096 OP lBTABLI9XIN6 A PHRMIT P8H ONLY, b
VLY WITH �LL CITY O INANCEB 9T TE LAW9 ReOULATIN6 O I
mw�cwC cOnsTtu n. � VALUATION ^ '
SIGNATURE OF PERMIT FEE S��� o �
PERM1TfE � CU P�(I�/7 /�'V o ¢
$ � P4AN CHEGK $ �- �'
N i
AUTHORIZED AGENT p m I
- TOTAL FEH --� � E I
� TnTn� c�� � iI � .. e�
� LL
� � l728!
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O, gOX Si7 COBTA MEBA. CALIFORNIA
For Applieanf fo Fill In Complefely
� TYPE OR PRINY
BUILDING �'7 � � �
ADDRES6
COSTA MESA CALIFORNIA
MAIL
ADDRE55 /����/�
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APPLICATION FOR PERMITf ��STI; 1;4ESA
auaoiN�
For Office Use Only
RECEIPT NO. P 1 ��.
NECEIVEO OA7x Re� IVED �I OAYE IBBUED
I .7—.J�-(o�l JUi'�io tnc�
APPROVED
COSTA MESA. CALIFORNIA
AO�RE66 S`?� ZONING
ZON NO. OF U9E OF NEW J/hy 3 JA
Q�7y � �I PLAN6 � BOILDING LV �
STATE OD NQ: OESCR�PTION �� T� �O Z/
LIQ NO. ^
$:.=E,.� f/ nn [ f- I NO„OF-BLDG& C)
� SfiTB�CR LIN6 PPOM
DESCRIPTION OF WORK
BUILDING / f//D�,�� NO. OF
SIZE � ROOMS
EXTERIOR W.4LL ROOF
COVERING � COVERII
USE OF BUILDING AND WORK TO BH
q [� (CENTER LINE 8TJ � r
» FRONT � —i
` R. SIOE `5 1
L. SIDE � 1
IREAR 3'�_ !
IAPPROVED /�
BY �!/I
6 /
.�um� , d� w-l-f-1NGL6 LC6�/. lGo1 y! -/S� 5 � p�
1 HEPS ACIWOWLHOGE THAT I HAVB RBAD iH18 MPY �ON /
AND BTATC TIIAT TXE ABOVE �8 LORRBGT AND A6PEE TO COM- THE AMOUNT HOWN IINO¢H VALUATION �e iOq THC
PUPPOSE OP EBTABLIBMING A PEHMIT PH8 ONLY.
PLY WITN ALL CITY OFOINANG¢9 AND BTATH LAWB REGUL�TING
eui�olNo CONBTrsu 1o//N. ��� 6n VALUATION
SIGNATURE OF PERMIT FEE $ � �—
PERMITfE � � // �J
$ � 7�D�' PLANCHECK $ �(��
AUTHORIZED AGEN7
TOTAL FEE �