HomeMy WebLinkAbout294 BROADWAY - Building PermitsOWNER PAYNE� J. W_ DATE (,_15-57 _
JOB ADDRESS Qq� Broadway BUILDING PERMIT NO. 532j
LOT � � TRACT KOL FIRE ZONE
1'YPE 1
PLAN NO.
INSPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER
Tut
: ;.
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COSTA MESA. BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
�BUILDING "i
�ADDRE55 s(� �
�I !. C/ OSTA MESA. CAL�FORNIA
�uG1L
ARCY^5CT
OR � VEER
LEG/.L
DESCRIPTION
A.P. NO.
SIZE i_
��p � � a a
�-�^��3� rRs7 �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
� TN�\�-�'�(J�J� ADD EI55
��C. COSTA MESA. CALIFORNIA
NO.
FIRE
ZONE
CITY LIC. ZONE P��NS TVPE
NO.
TEL. APPROVED
N(] BY OATE
�/ IBLOCK �•IT�
r�
�/ �� rvo. oF BLDGS.
SUBJECT TO �I.�G. DEPT. REG.
SETB4CN LINE FFOM �O` / /
CENTER OG STREET D`� REAR YPRD ��
�
SIDE YARD RIGHT �� LEFT `�
DESCRIPTION OF WORK
NEW ALTERATION AODITION
REPAIR MOVING DEMOLISFI
SIZIE DING /� `s � � �� qOOMS / STORIES
E%TERIOR WALL ROOF � T��/,
COVERING /I/�C • COVERING LN � •��
S
9UIL ING M1/ �
I MEREBV .�CNNOWLEDGE TMnT I�NAVE RE�U TNIS �VPUC�TION �NO
STwTE THAT THE �BOVE IS CORRECT I�NO AGXEE TO COMPLY WITN 1LL
CITY OflOIN�NCE9 .�N� $T1TE 1�W5 TING BVILOING CONSTRUC�
iiON. VALUATION
SIGNATURE OF PERMIT FEE $ �
PERMITTEE
f�' �� / / � PLAN CHEGK S �
g � �-
AUTHORIZED ENT T TOTAL FEE 3
��
. - ..' 53'78
COSTA MESA BUILDING DEPARTMENT
P.o.eox 3i�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
OWNER
MAIL
ADDRE55
ARC�" �4CT
OR' �lEER
LEGFL LOT
OESCFIPTION NO. � ( BL
APNo Jr�-��3—ii
CALIFORNIA
� TNOI Il��G
L�C.
NO.
QTY LIC.
No.or e�ocs.
USE OF Sv�l�VV W(N 1/LIi�W'J^ �I��
EXISTING BLD
j SETBACN IINE iROM
ceniEn ov stn[[r REAR YARD
SIOE YARD RIGMT LEFT
DESCRIPTION OF WORK
NEN ALTERATION ADDITION
REPAIR MOVING �DEMOLISH
BUILOING NO.OF
SRE '-J ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING
USE OF NEW /� l' 3 -
FEE RECEIVIE�D �� g�
' .r
� FI �, CE DEPT. � �� �
APP�I��T�HNAFOSR PERMIT
BUILDING
�( FOR OFFICE USE ONLY
FIRE
ZONE
zo ^
BV
--a7I�-
�iC- - '^ ✓✓'L�vcc ,CG
COSTA MESA. CALIFORNIA
DATE 6 '
ECTIONS
ST�TE TH�T THE �BOVE 15 CORREQ A GREE TO COMPLV WITX �LL
CITY Ofl�IN�NCEB ANp 5 TE ��WS GV TING BUILDING CON3TqUC-
T���' VALUATI ON
SIGNATURE OF
PERMIT FEE S � � �
PERMITTEE � A Q
PLAN CHECN S �p�.I'G.
$' �
AUTHORIZED A T ' TOTAL FEE S iL. n�