HomeMy WebLinkAbout346 16TH PL - Building PermitsOWNER
AP. No. 117-�
INSPECTIONS
OCCUPANCY
Form 210—SM—I1-59 5-8 P
LOT
(lihK .',�. .�.�. �9�n
`� j 'r7 a
CT FIRE ZONE I
DATE I GROUP I
---I SUBCONTRACTOR
/.� �irXe:'•-� �� ' ,"�'-3
DATE �_�_/,�
V
�� ����� FEE RECEiVED
COSTA MESA BUILDING-SAFETY DEPARTMENT `T����CEt��PT.
P. O. BOX 917 C08TA MHBA. CALIFORNIA
For Applieanf fo Fill In Complefely APPLICIATION FOSR P�F,ili'
TYPE OR PRINT gUILDING
AD�RE53 3�7b (�� �PP l- .
COSTA MESA. CALIFORNIA For Offiee Use Only
T/� � m 7, aece�rr Ho. >ja r Ho3
OWNER � �f
MAIL REGe1VEp , I OA R=CHIy'D D�TH IBBUeD
ADDRESS D S G 3 !9 � ((
CITY [� � �/�/�T� NOO '��j� BUILDING .�
ADDRE68
aRCHiiecr �/'u�� y r o� � 3��� COSTA MESA. CALIFORNIA �
OR ENGINEE �w• /
AD�RE66 FIRE
ZONE TYPE GROUP
CONTRACTOR '�'PPR�
BY DATE
ADDRESB ('�+vp • ZONING
ZO NO. OP U86 OF N8W
GITY I PLANe 1/I BUILDINO
BTATE TEL. � �eo�� ' / �/�/' ^
LIC. NO. ^ NO. DeeCx�PT1oN /—O L �'l L t
SIZE ,, ^ � I NO, OP B1D08.
OF LOT �'-�^ Now Ox LOT q, p, NO. �/
11SE OF JJA YARDS EVE6
EXIHTING BLOG PS GlcSl+_ �- APPROVED ALLOWED
BBTBACK lJNB FROM I G� (CeNTaP LIN6 6T.1
ceNTCR or ameer g- Z REAR YARD 7 0 FRONT FT. IN.
61�E YARD I�� 2 Z I RIGHT �' R. SIDE FT. IN.
DESCRIPTION OF WORK L. SIDE ' FT.�e� - ,„.
NEW I IIALTERATIONI IIADDITION IL� REAR FT. IN. �'
REPAIR I IIMOVING I IIOEMOLISM I BYPROVED � DATE '�0
BUILDING NO. OF ��
SIZE ROOM6 STORIES
EXTERIOR WALL ROOF ^ `
GOVERING COVERING .y�. •1
USE OP BUILDING AND WO K TQ BE RFOR/�7/ED
(oc� YOV �+ti v . 4CG ! �/ ^s�^ .
3�
I H¢HBBY �GKNOWLEDGE TXAT � HAVE RGD TXIB APPLIGTION TH¢ AMOUNT BXOWN UND¢R VALUATION IC POR TH8
AND 9TATE THAT TH8 ABOV6 �8 CORPHCT AND AGREE TO COM- pURP09E OR 68TABL18HING A PERMIT FEE ONLY.
PLY WITX ALL CIiY ORDINMICE9 AND 6TATH LAW9 REGULATINO .
Buu.ulNo coNernUCT�or+. VALUATION � .
SIGNATURE OF � n�� /� / / 'PERM17 FEE $
PHRMITTE $ L,••/ �ys 7 _ �
, PLAN CHECK $ F
AUTHORIZED AGENT �J � o
TOTAL FEE a.rt LL