HomeMy WebLinkAbout123 WILSON ST - Building Permits Costa Mesa Building Department A 1y APPLICATION FOR PERMIT
111 EAST 20th STREET j.4:`j BUILDING 'I
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN _1 _Receipt No.. Per �/
Building njIP ek-Wi .1,.11�‘ `Nktfiol'i •
Address + \
Costa Mesa, Orma Receive by ' Date RRec'd. Date Issued
Nearest —4.140-4-711‘.- o�G —�S
Cross St. Building
Address
Owner S.U . k 0 t,S A-Kt-IL. Costa Mesa, California
Mall
Address TeMPLL CAT...4 CA-LAC- • Nearest
Tel. Cross St.
City No. Zone,/ No.of Type I Group
Architect or Lic. C.:-- a., Plans I J
Engineer No. Approved
by Date
Address ��////����` e,.� eAw CORRECTIONS
tractor ki:t;V\ �W Ug o. 1.14 11 •
Address ‘130 C M t*tt1o1A &\ Lt.lek aaN. -
LeLot
Description l I No. I Block I Tract jClo _
(Attach Metes and Bounds) 0 11S.--vgI-14is
No.of Bldgs.
Size of Lot I Now on Lot 0
Use ofNo.oi I No.of -1 z
Existing Bldg. I Families I Rooms 6
Setback Line from Rear Yard Z
Center of Street Side Yard . - . y
DESCRIPTION OF WORK - r
New I ye I Alteration I I Addition I - _
Repair I I Moving I I Demolish I
Building No.of
Size Rooms Stories
F-terior Wall I Roof APPROVALS
:ring /� Covering (�
_a oT gew 2 I C a� • 10� )( 'vie Df r
Buildin Foundation Location Inspector Date
Forms,Materials, `- e`
Under-Pinning �
Frame: Fire Stops, ' '° •
Bracing,Bolts m m
in in
I hereby acknowledge that I have read this Application Lath. Int. -o
-a
and state that the above is correct and agree to comply o 91
with all Cl ..• • .inances and State Laws regulating Lath.Ext 0 0 1 `41• 1!).,
building con tion. • ' I> ��
Plaster, Int.
Signature of en
Permittee ' CLbp.Q"_._ 'Si, - it . NR NR
U1/4-(1-(1-4..-. "414
Plaster,Ext.
Authorized Agt. 111F � s? r�
Masonry Reinforced ��
Valuation Permit Fee $ S. o 0 \I * '+
.�,,[' Plan Check $ Bond Beam -1. '`
T
$ ( 't .� Total o a• ry N
Fee $ .2- • FINAL %� 2
,..-J
FORM 204 G-H 2M 5-54
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PLOT PLAN • -
Show location and distances from - - - • 1t
property line and between buildings. i, ,, .
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