HomeMy WebLinkAbout721 RANDOLPH AVE - Building PermitsNo 15,�3 c
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BNLDING SAFETY DEPAATMENT
P 8oa No. 317
G....a Mesa, Califorola
N° 1573
Gl_ 3 a-.� z
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY
Buildieg Permit No.F� / 7U Etectrical Permit No. �plambIng Permit No
Use ot Building ���t�-'(. L�it a� ��� C1�1 115�
Ttie b�ding located a �� �
s
I.egal Descriptio�
(Sce reverse side for Metes and Bounds)
has been inspected and found to wmply�w^ith the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group r- � Occupancy.
���-.�,�� �-G�
c;cY s�v re��at
L (Owne of B ' ding) �— ��.� �
CC: ❑ Original—Owner ❑ ist copy—Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy—File
Farm 2�8 S-B P 1M 1-60 '
J,
i � l6184
.� . -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA IdE6A. CALIPOiW1A
For Appliean+ fo Fill In Complefely
TYPE OR PRINT
BUILDING
ADDRESB I
COSTA MEGA. CALIFO NIA �
■ ARCHITEC7
■ SiATE
USE OF
EXI6TING LDG
6ETBACK LINB PROM
TEL
I NO. OI BLpHO.
S I I rY NOW ON L�T
DESCRIPTION OF WORK
OF
, USE OF BUILDING AND WORI� TO BE PERPORMED
F E RECEIVED
�aw i ; �ss2
FINANCE DEPT.
APPLICATIO���RfhLGA��P MESA
BUILDING
For Offtce Use Only
RRC8IPT NO. PytMl/ pW. /
�V� 78 �l% G �1
IItCBV V� I O/ ���� / A��B��
BUILDING
AD�RH86
COSTA MESA CALIFORNIA
BYPROV�d/� �% DATE ��(/ \
:�t�io
` ZONING c�
ZOM NO. OF U68 OP N6W
� -� � ( PLANB y BUILDING �/O'�
u� �� U! � 7 �!C 3 9
DHBCRIRION
A. P. NO. % �_._� � � S �
fT'
YARDS EVE6
APPROVED ALLOWI
ICiM[x un¢ eT.1/ /J /
FRONT (n7 'U�FT.
BYPROVHD I� // /, peTE I �
! i lr
1 HEREBY ACKNOWLHOOG THAT 1 HAV! R�� TXI6 APPIJGTION THB AMOUNT 6HOWN UNOeN VALUATION 1! PON THR
AND 8TAT6 THAT THE ABOVB IB COHR6CT AND AOR6G'TO COM• pURP09[ OP 88iABLIBHINO A PEPMIT FE8 ONLY.
PLY WITN ALL CIT' ORDINAN�B ANO 8TAT8 1.�W6 p6GULATNO
8u1LDiNo CONBTRUCTION. VALUATION /�
SIGNATURE OF ' �j PERMIT FEE $ o/O--
PERMITTL� �� $ �SL'O � pLAN CHECK $ � d i o
AUTHORIZED AGENT TOTAL FEE � �
n
_,
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIPOiWIA
For Applteanf fo Fill In Complefely
TypE OR PRINT
COSTA MESA. GALIFORNIA
' LIC.TNO. NO. //( /•(D 5 � 3 �
SIZE y<` Y I i 1%. I�+o. oP elDae.
■ BHTBACK LINH FROM
� LHFi .�5 � RIGHT
DESCRIPTION OF WORK
I n II qLTERATION I i� II ADD1710
i'T i n
EXTERIOR � ROOF ' L
COVERING S �B COVERING OC:�
USE OF BUIG.�,I(NG AND WORK TO�+BE PERFORMHD
�i!` C -i' SjC A- (s A �
�+n!d alte t� �oo�
sr�, � e.' S'so p.-oo F 3?S -
1 HERlBY ACKNOWLEDOE THAT I HAVE RBAD TXIB AP�LIWTION
ANO BTAT¢ THAT TH6 ABOVe 16 CORRBCT AND AOR86 TO.COM-
PLY WITH ALL CITY ORDINANCEB ANO TATE LAW9 R60ULATNO
BU�tDINO CONB'R�C�''bN�nf � _ � _
� � ����� V ��
JU� � 4 iyti2
�i�AN���B��fi;
�Ifiv a� e6sfi� �E§a
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
F!ClIPT NO. I , PlRMIT`N�
COSTA MESA.
ZONING
zons, � NO. OP '��fBC OP NEW L.�rSj7"VYI
•`� PLAN6 v IBUILDIN6 (��`p���
L6GAL ' 39 s- ��
DEBCPI VTION /, / r-1
A. P. NO. Y-I �� i� 1� S
cenuTp LIN6 BT.) /O
!
�� �;5�1a�—.���F2'.X�
AMOUM BHOWN UNDER VALUAT�ON IB FOp TXe
'09! OP 88TABL19NINp • pHRMIT PE8 ONLY.
PLAN CHECK $ �
AUTHORIZED AGENT � � (N�J
TOTAL F68 $ /