HomeMy WebLinkAbout3002 HARBOR BLVD - Building Permits 12433 FEE -nem
•
COSTA MESA BUILDING-SAFETY DEPARTMENT A JUN 2�t 1960
P. O. BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT.
Fpr A licanf to Fill In Completely 6N OF CORIA MESA
-tD P� P Y APPLICATI N FOR PERMIT
O TYPE OR PRINT
BUILDINGADDRESS � 02 ✓� BUILDING
/-COSTA MESA. CALIFORNIALI` For Office Use Only
r/— V Tier , I RECEIPT NO. Ili0433.
OWNERn n uJ
MAIL 401/71W•
�_ //{J' �(/ RECEIVED BY /QATE RECEIVED /DATE ISSUED
ADDRESAna 401/7 ec - . n- O I!J -t -f�a I (_J54-1 r
TEL. BUILDING
CITY NO. ADDRESS
AR TELT ^ y/") TEL. COSTA MESA. CALIFORNIA
OF .INEER //, /,�/, /2, /NNO..
ADDRESS V2/79f/� FIRE
ZONE TYPE f/GROUP JF'
CONTRACTOR �G //' APPROVED
'�FI1 I����/ �yjj/��� BY DATE
ADDRESS .26� ( �il//� ZONING
//'y ZONE NO.OF USE OF NEW
CITY .�•L� PLANS BUILDING
STATE TEL /
LIC.NO. NO.. LEGAL �(
�k4 - DESCRIPTION /t*- /OC O -/ 3
SIZE
OF LOT i��n _ I NO.NOWON OP BLOLOTCS.
A.P.NO.
USE OF //AYARDS ES
EXISTING BLDG./' y-C a4- APPROVED ALLOWED
SETBACK LINE FROM Zr
/ (CENTER LINE ST.)
CENTER OF STREET V REAR YARD FRONT FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE T. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NE I IIALTERATIONI II ADDITION I REAR I, - FT. IN.
REPBuiLAyIDR�/y�fCy/� yI (II MOVINGNO. OF
II DEMOLISH I BY
PROVED/ /_7 / Y
SIZE V 7)-Q 4 ODMS STORIES �r�'� f1--e-2// DAY (O U, -
EXTERIOR WALL
��T�(g'ROOF / ��
•
COVERING '/T COVERING 'Ai _ • • a /
USE UI D NG D WORK OR'ED ry
.Ibe _ ,_ d / - /4:2d
g-C/:O .0iy', I'/ " /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONS N. VALUATION
01-Q
SIGNATURE OFVi // • PERMIT FEE .s/a7• N
PERM ITTEF A ^ ..� / a
s 449 PLAN CHECK $ c{/I dam- 4
AUTHORIZED AGENT `"`����VVVV TOTAL FEE 5 //L+ �� O
LL
I /ice }
9\ -. .A"'
12369JA flwr✓ Y1 i
COSTA MESA BUILDING-SAFETY DEPARTMENT J E E
RECEIVED
P. O. BOX 917 COSTA MESA. CALIFORNIA 6NN•-��co.o -Coo J La.
For Applicant to Fill In Completely. APPLICA4YOC�L"F6R A JA
`r a TYPE /OAR PRINT d BUILDING
ADILDINDRES .!/An /_� t'1,4:
•
ADDRESS +�i�'7/LOQ •
COSTA MESA. CALIFORNIA41'c-if/Pain
� For Office Use Only
,qg{y — 1 I/POin I RECEIPT No. I g i} NO.
OWNER e ��]-( -cri,1y' 4-7.-1(o P
MAIL �],,� /J RECEIVE BY DA,T, RECO/IV D A E I6/BU D
ADORES - Oy�g ✓e •2-- C-( 13eJlf . I as ^!-0-' CJ2 i/
TEL. BUILDING
CITY NO. ADDRESS
ARC 'ECT ATEL. COSTA MESA. CALIFORNIA
OR INEER /Cr NO.
CC 0' FIRE
r•N 1.5^ �/�__�� ZONE TY=/
N�'7T�7•T-' ^• 1/� �/ � r--:."
_ ���(_, Lim DATE � lir 6O
ADDRESS rot)t- CG/e7"Y j(oir ✓/• e' (. !'I D. ZONING I ,•
`�
Wt. NO.OP USE OF NEW/'LLt' r
CITY V/ I PLANS Y I BUILDING llV"' I
STATE TEL. LEGAL
LIC.NO. NO. DESCRIPTION
SIZE NO. OF (SLOGS. I/ 3- D-0 - /
OF LOT /49‘161-1-4- yI NOW ON LOT I A,P,NO
JX� - . _
USE OF ^^ e - P�-'T/OY YARDS EVES ^ .0.J-
EXISTING
L
EXISTING BLDG 4-c '- - / APPROVED ALLOWED i/ -.
SETBACK
OF STREET FROM 2r' REAR YARD (CENTER LINE ST.) J r
FRONT / FT. C A...- IN.
SIDE YARD I LEFT I RIGHT R.SIDE 5-6 FT. i IN.
• DESCRIPTION OF WORK L.BIDE /2 .c FT. 1/�. I�Ii- lL.
NEN I II ALTERATION I ADDITION I REAR ) r'- FT. J \\AAIN.
REPAIR I II MOVING I II DEMOLISH I APPROVED // DATE O • /✓ -4J
a9DEf
/r, itNO. OF lL +�
SIZE Q ROOMS STORIES •
EXTERIOR WALL I ROOF sr
� / raw �i I'
COVERING COVERING I
US4F BUILDINGANO OW TO BE PE
fl 'Efree-r•-r•n s `Jr yam ,MED
wrira5-_ ,
7" i /i1
: i
CU),, RL,A-l�-�
I HEREBY ACKNOWLEDGE
THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONS : IONh. VALUATION
49
SIGNATURE O' I I. • c,Cet PERMIT FEE S ^� N
PERMITTE • n m
'to.-_,•0 a v,4,_f4 4 $ v / PLAN CHECK $ .---- '--
AUTHORIZED AGENT .+/....-
Q
TOTAL FEE a
I