HomeMy WebLinkAbout2496 HARBOR BLVD - Building Permits► T "osta Mesa Snilding Department •15,84 APPLICATION FOR PERMIT
P. O. Box3l7 BUILDING
COSTA MESA, CALIFORNIA _
Q FOR OFFICE USE ONLY
. FOR APPLICANT TO FILL IN Receipt No. per It
Building /' / SA/ / X�Q
Address r�� 5b g�/Yba/' N Deci - 13(/
Costa Mesa, California c�Receiv by ' nya R i... /Da ed
Nearest c)L V /,/,' d �I ,32
Cross St. Ayr- 2)/- / c> t Building t/ l J t 4Z. "Ica"/f
,•..,,;_, Ds Address fC( /!Y(,(jJL�
Mail OwneY r�/�/ ��// (� Sr
Costa Mesa, California
Address c5(oS(>i &9, 3 ? V Nearest �d �'� J I ) l
1 Tell i Cross St. l (J7 1!
City • �-3�, NoLLP3R57J Zone No.of Type Group'-�-
Architector Lid, Plans / S
Engineer No. Approved
by q,te
Address
Contractornad,02< inerZ yL1c. AP P
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S
Address +. C6 (z1
- wiPtcr. 4 _ A CITY OF COST A MLSA
Lot1-.o4R ,,/ PGAPoIv I1:G IILr • .
Legal
Description I No. I Block I;f°as!`s'/ ' - T To a r G DE pi REG.
(Attach Metes and Bounds) //3`9/ b 0 2 • - _ _—9
No.of Bldg - I
Size of Lot I s BY pyp�r
Now on Lot PLAN T"Clin
Use of No.of No.of �^�� y
Existing Bldg. 60I Families I Rooms
Setback Line from Rear Yard / q _ ) _
Center of Street a Side Vard/p/ / �� ; " ' y
DESCRIPTION OF WORK 3CC •
r
New I )cI Alteration I I Addition I •
Repair I Moving I Demolish I _ •
Building No.of ��
Size Rooms Stories
•a
Exterior Wall I Roof '
Covering Covering APPROVALS
Use of New
Buildings Foundation Location Inspector Date
Forms,Materials,
Under-Pinning _ -
Frame: Fire Stops,
Bracing,Bolts Ai
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int. - G
with all City Ordinances and State Laws regulating v
building construction. Lath.Ext. Al
Signature of
Permittee , 'f Wen, Plaster, Int
Authorized Agt. .65.6._.,e.0 / _n/ Plaster, Ext.
.. O. .
Valuation Permit Fee .i•-�/1r� Masonry Reinforced
�4 ,, Plan Check $ U r'& Bond Beam N
$ O`t-/� Total C a
Fee $ r� FINAL O
ArO
FORM 204 10.55 0.P.&S.
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Street
PLOT PLAN
Show location and distances from
property line and between buildings.
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