HomeMy WebLinkAbout2703 TIMOR DR - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 ,COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA.
FEE RECHRU
G MAY 1801
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
N
RECEIPT NO. PSR 'IT NO.
OWNER 1. �+ �B�
MAIL
RBCS BY I
DAT$ RE DATE ISSUED
ADDRESS
/' TEL.
BUILDING
CITY 1. NO.
ADDRESS
!/
ARCHITECT TEL.
COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS
ZONE
TYPE GROUP
C W.
APPROVED
CONTRACTOR 1 [iC/.
BY
DATE
ZONING
ADDRESS J
ZONE
I
NO. OF
NO,
USE OF NEW
CITY 1.
BUILDING
STATE TEL.
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NO. 1/ / !/
DEecRIPTI
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SIZE
NO. OF SLDGS.
'�� a 3 0
OF LOT
NOW ON LOT
A. P. NO.
USE OF
ygRDS
EVES
EXISTING BLDG
APPROVED
ALLOWED
SETBACK LINE FROM
(CENTER LINE ST.)
CENTER OF STREET REAR YARD
FRONT
•— FT. IN.
SIDE YARD ILEFT (RIGHT
R.SIDE
FT.
DESCRIPTION OF WORK
L. SIDE
FT.
NEW ALTERATION( IIADDITION I
REAR
FT. IN.
REPAIR I II MOVING II DEMOLISH I
BYPROVED
01 DATE
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
1
COVERING COVERING
I
/�(/—"LL�C_V (✓�:�77�L/
USE OF BUILDING ANO WORK TO BE P FORMED
Bj
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I MR BOY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THH
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF, ESTABLISHING
A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDIMANCHG AND STATE LAWS REGULATING
VALUATION
BUILDING CONSTRUCTION. ,
SIGNATURE OF
PERMITTE
PERMIT FEE $
PLAN CHECK $
AUTHORIZED AGENT
TOTAL FEE �
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