HomeMy WebLinkAbout520 CENTER ST - Building PermitsJ260
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
FEE RECEIVED
JUL 251960
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
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RECEIPT NO.
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OWNER y,O
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BY OA REC ,1
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ADDRESS V
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CITY C No6A9
BUILDING
ARCHITECT TEL.
' COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS
ZONE TYP GROUP
CONTRACTOR
APPROVED
BY DATE
ZONING
ADDRESS
ZONENO.
OF
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BU11 LOIN
STATE
LEGAL P! i�
LIC. NO. NO
EBCRIPTION/
SIZE
OF LOT
NO. OF SLOGS. A
NOW ON LOT 6�
A. P. NO.UE
OF
ESIaE/YCE
YARDS EVES
EXISTING BL G.
APPROVED ALLOWED
SETBACK LINE FROM
(CENTER LINE ST. )
CENTER OF STREET REAR YARD
FRONT FT.
IN.
ILEFT (RIGHT
SIDE YARD
R.SIDE � —e T.
IN.
DESCRIPTION OF WORK
L. SIDE
IN.
IpI IpI
NEW I
II ALTERATION I II
ADDITION I
REAR
IN.
REPAIR
I MOVING II
DEMOLISH
ABYPFZ&?
LUQ//
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL (ROOF
COVERING COVERING
USE OF BUILDING AND WOR TO BE PERFORMED
I '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IB FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT
PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE 4W6 REGULATING
VALUATION
PERMIT FEE
6u
S
BUILDING CONSTRUCTION.
SIGNATURE OF
PERMITTE
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PLAN CHECK
S
AUTHORIZED AGENT
v
TOTAL FEE
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