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HomeMy WebLinkAbout274 21ST ST - Building Permits .. 12080 . COSTA MESA BUILDING-SAFETY DEPARTMENT lea 3'I ID-1c0 P. O. BOX 977 COSTA MESA. CALIFORNIA IIad III - ,F For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING Jt- BUILDING ADDRESS 75'r- ��-- COSTAOMESA. CALIFORNIA For Office Use Only OWNER fig\ tan t RECEIPT NO. /y/ /( i.EIiNIT`NO.^ MAILn / q /J RECHI ED G DA ECEI D }71,6 A••TTO IBSU O ADDRESS h t ,2. /+j�� / I LS�Q� B I 1/4-}7 IO 6/1 TEL. CITY Coo �e S$ NO. BADDRESS? <7' (e ?/ ARCH{{ ECCTEL. COSTA MESA. CALIFORNIA ?ft OR FEER — NO. FIRE ADORE Q',,//AA Y ZONE TYPE 1„-----r< GROUP N CONTRACTOR y-/3 e'en / �p.....///9ri('✓"-f APPROVED DATE �ADDRESS /1/ 2 :ea Jet:fit (�11 ZONING71.11/ aUSE OF/�GJ/.4 .I cIPNSI BUILD♦NGE , n� CITY V STATE 1 _int NO.��(>r'S/�O LEGAL /' 0 t /�S'/ LIG.NO. 7 /V DESCRIPTION Ij !� / Y // OF LOT SIZE I NNOW OON LOTS / A.P.NO. l f 7( -J ,S0 —1 7 USE OF e ,,�Y YARDS ` (/ EVES EXISTING BLDG. Q >i APPROVED ALLOWED SETBACK UNE FROM //// (CENTER LINE ST.) CENTER of STREET REAR YARD FRONT D -fi FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE eT. IN. DESCRIPTION OF WORK L.SIDE IN. I NEV XII ALTERATION I II ADDITION REAR _VO:...2.", T. / IN. REPAIR I/ \I MOVING I / II DEMOLISH I APPROVED II / 5-46 "�G6! ��8BZEDING - ' / !t ROOMS /lSTORIES / \\JI`//'V/ Y✓, EXTERIOR WALL L / ROOF COVERING )( CO COVERINGErrol, USE OF BUILDING AND WORK • BE PERFORMED ;gip 2 J' rG /'�y.- x '64 - .41 .i..), 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 CON- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION / tel SIGNATURE OF /,/ 7:44/44/1//45.--.,s- '�/ ( ,.p PERMIT FEE $ L PERMITTEE PA N/'CS- L �YMA///45.--..f_ �AEf'i o ,s /�/fip $ ��f/ PLAN CHECK $ re II: AUTHORIZED AGENT C.(L��(f .vL TOTAL FEE S D LL Costa Mesa Building Department APPLICATION FOR PERMIT < 111 EAST 20th STREET BUILD ' \IG 1 COSTA MESA, CALIFORNI. sr FOR OFFICCESUSE ONLY FORv274z E .2,OFILL /�vo I PetmI�N7 Building `L79(4 Address Costa Mesa, California ' Received by Date Re.' . QDate Issued Nearest 4// /J 7j�J� Cross St. Sq/74t ,9a f.}"t/ e- Building �t c„-� Address v 7 c2 /�� Owner /C (�. tA0:2/y7' Costa Mesa, California Mail Address 2(, z .E'Ia/ £t Nearest .� Ark Tel. a,./ Cross St. City Of57: Scai No. %..!/O p ZoneNo.of 1 Type I Group Architect or Lic. I Plans Engineer — No. Approved by Date — Address CORRECTIONS City Lie. C. ractor No. C Address _/ice Legal Lot n Boot( y M.so•— Dbri.tre)--- Description I No.<"�{�/Sld"Block P. Igract p (Attach tesill ta d Bounds), b /���/J�°-' I No.of Bldgs. / .. Size of Lot c.o.s., X 276-.3 Now on Lot / ' Useof !! �_ FNo.of �1/ _e,_ i _z Existing Bldg. [ .C,� I Families 1 I Rooms Setback Line from AS O • Rear Yard 4 O' IS O Center of Street Side Yard 2 O, - D DESCRIPTION OF WORK AUG 3-...1954 r New I I Alteration I I Addition I Repair I I Moving I I Demolish I " CITY OF COSTA MESA Building n `I No.of / Size 20 VG'8 Rooms Stories F -ior Wal _ a Roof G a Ve. - Jing . 3 a , / Covering _ APPROVALS Use of New Buildin / / \ Foundation Location Inspector Date �t/1/ Forms,Materials, Under-Pinning Frame: Fire Stops, \ Bracing,Bolts I hereby acknowl-.ge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext• with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee �� Plaster,ext. Authorized Att. Masonry Reinforced Valuation Permit Fee $ \\II Plan Check $ , I Bond Beam $ Total /� Fee $/" FINAL FORM 204 0-M 2M 5-54 • .;• ;� u c o J o • C a a t. - • s PEUT PIAN•r Show location and distances from • propertyline ands bftween"bulldicigsin Pi(, i 110 �.• - •• • ' u 1` A ""127 SEP —8-75011 287* ****7,5.5C COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only D� RECEI DATE RECEIVED / r .- ADDR BUILDING 9�� /r 0', A� 9 ADDRESS a h rriW_J p A.P. NO. lip T/5) - 07 PERMIT NO. OWNER /eefk,OWV) -C• 1T/-l/YeL, MAIL q r BUILDING ^ �/ ADDRESS OY)y 4--- - sr' ADDRESS .C.�/ Er 2�-' Ir _ / TEL NEP esti" CITY doS -� 4V sd," NQC]/� 5 TRACT NSG MS LOT Zsy BLOCK CONSTRUCTION (((""" 9'T v NEW ADD ALTER REPAIR MOVING DFMOLISH LENDER j y/r- I BRANCH /�//i •/,' _ //jJ{/�l�'/ OWNER (V( {/(if/Afi / �r ADDRESS '/'l/J��� VA UE ARCHITECT TEL. USE Wl�T $ OR ENGINEER NO. FIRE ADDRESS ZONE P GROUP ri `p- Aims) (^ APPROVED 9.4- CONTRACTOR U06d-'T CO/YIT UJd w BY DATE ADDRESS/., to `,su n•' C'TEL. ZONE / NO.OF USE OF NE W,f3toc,� Nq CITY A`iYf f�c7 r9 6124. NO<} fp`G- /Z/ PLANS a BUILDING ; staR `L * STATE CITY ///'��, / YARDS APPROVED YARDS APPROVED ��y+ LIC.NO.�O�5 sD LIC.N �9N MAIN BUILDING ACCESSORY BUILDING W SIZE I NO.OF BL (FROM C/L STREET) L /9 �.r• OF LOT NOW ON LOT FRONT FT. I T�-H FT. Q USE OF / c. EXISTING BLDG. R.SIDbE FT. 0 FT. un E-4 Separate permits are required for L,SIDE FT. 0 FT. electric,plumbing and heating work. REAR FT. /.27 FT. t1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QMAIN BLOCS. ACCESS.BLDGS. /���/ /J VAR.* DATE .d OAR Q Cr 4/#-LG A/Q l e2.lep6T6' C.U.P.# APPROVED )" U ,/z1 6,"Je / 'By flOVED/Y_d �L' DATE / -D - 7� IX W a. O I hereby acknowledge that I have read this application and state n O C that the above information Is correct and agree to comply with m B. all laws regulating building construction, end I shall not employ zi Z any person in violation of the workman's compensation laws of u the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. C+ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F ONLY: am exempt from the provisions of the State of California Business a VALUATION PERMIT FEE $ e Oa and Professions Code,Division 3,Chapter 9. in PLAN CHECK $ ,<� o �<La! .r Signature of / e'Sts � Permittee Ar al " e - $ TAX S ✓V - P Pir �f% ....••••-• r U Authorized Age " / t �I/ TOTAL PAID $ , 0