HomeMy WebLinkAbout1789 Placentia Ave - Building Permits132'72
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
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P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely APPL
NTIgtiIC ppYl7oiE
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TYPE OR PRINT
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BUILDING j9
l BUILDING
ADDRESS /7Q / /jGC C: e,/L 4/ e.
COSTA MESA CALIFORNIA For Office Use Only
RECEIPT NO.
PERM
NO.
OWNER / /sae/ ,„_2 L-/ /
MAIL TE ISSUED
ADDRESS J .f _ I dr i 1 i- (i-- F'b
TEL./-(' BUILDING
CITY / L I-. . NEc L /S II/ ADDRESS
ARCHITECT L.
COSTA MESA. CALIFORNIAORENGINEERNO.
E.n2--
ADDRESS
FIRE f Z
ZONE TYPE GROUP
CONTRACTOR
659-1-en"--9-1 ` APPROVED
BY DATE
ADDRESS ZONING
n
BONEN
NO.OF USE OF NEW _ /
mµ0CITYJIPUNSIBUILDINO'4STATE
TEL.LEGAL LIC.
NO. NO.DESCRIPTION
J
f/J/SIZEFINO.
OP NOW
ON LOTS
A.
P.NO. // 4 '^ I L'7 (J - 7 A (OFLOTUSE
OF yA .
teaYARDS
EVES EXISTING
BLDG,APPROVED ALLOWED SETBACK
LING FROM CENTER LINE ST.)CENTER
OF STREET REAR YARD FRONT FT. SIDE
YARD LEFT I RIGHT R.SIDE Pp IN.DESCRIPTION
OF WORK NEW
I` II ALTERATION I II ADDITION I fr..' REAR
IN.REPAIR ..
I.1 II MOVING I II DEMOLISH I APPROVED ' J /`1]] DATE 7 BUILDING
g[I NO. SSIZEflROOMS / STORIE6 EXTERIOR
WALL//7 ROOF COVERING (
yL-r-A. (COVERING i USE
OF BUILDING AND WORK TO BE PERFORMED 7I L6niiiisbei
a_
eicePei
4/
r'Cflen ' as s-I
HEREBY ACKNOWLEDGE THAT I HAVE READ(TPITSU IOW' THE AMOUNT SHOWN UNDER VALUATION IS FOR THEANDSTATETHATTHEABOVEISCORRECTANDAGREETOCON.PLY
WITH ALL CITY ORDINANCES AN TE LAWS R80TING PURPOSE
OF ESTABLISHING A PERMIT FEE ONLY.BUILDING)
CONSTRUCTION. f``
VALUATION
SIGNATURE
PERM
OF /
L!/ 00
PERMIT
FEE $NAl/ '
PLAN
CHECK S I
AUTHORIZED
AGENT TOTAL
FEE $ a _ GNS.