HomeMy WebLinkAbout1012 19TH ST - Building Permits4x9096
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR ARNICANT M f/ll /N WAINFAELY
TYPE OR PRINT
BUILDING �T
ADDRESS Q
COSTA MESA. CALIFORNIA
,c R�Ci�i�l -U
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
FOR ONCE USE My
-`1 `(l�lei•
I RECEIPT NO. I P(R�1{9t
OWNER \iJ�IC`l
RECEIVED BY DATE DATE j17UED
�,
�/� D �` V�
AMAILDDRESS "'
_RECEIVED
S APR � 7195.9
CITY //il 7-�7%
BUILDING
ADDRESS
ARCHITECT LIC.
OR _1
cINEER NO.
COSTA MESA. CALIFORNIA
cSS
FIRE
ZONE ti V
APPROVED
�//'' / /� c STATE // Ty
Z i_�.b
T C V�S `//C✓ LIC. NO/ �
BY DATE
ZONING
A1,ess���/�ST/b7/il/STC��
LEGAL
LOT % G
//
7/
[ /I
I'I
ZONE NO.OF USE OF NEW
DESCRIPTION
J^
NO.
BLOCK MAGI
PLANS BUILDING
T C..S��fCII
ABYPROVED/Z/.,/ DATE –�
YARDS $
A. P. NO. —37
SIZE �; / �/ // /
NO. OF SLOGS.
OF LOT G' ^ C/-4
NOW ON LOT
REOUIRED ALLOWED
(CENTER LINE ST.)
USE OF
EXISTING BLDG.
FRONT FT. IN.
SETBACK LINE FROM
"WO
CENTER OF STREET REAR YARD
R. SIDE FT. IN.
/
ILEFT
/
IRIGHT �s •C
-+(1
SIDE YARD
L.SIDE '5 FT. IN.
DESCRIPTION OF WORK
REAR � � FT. IN.
' I
ALTERATION I I ADDITION I
1
d
AIK I I
[EXTERIOR
MOVING II DEMOLISH I
LDING F OF
/
J�CNO.
E .�(�G' /TKROOMS " STORIES
WAICC.� e
ROOF (_PQCERING
))
COVERIN /T
UOF BUILD AND WORK TO BE PERFORCED
S3
! C I l
. 6�a
1 HER EDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UN R VALUATION IB FOR THE
AND ATE THA T AB VE IS CORRECT AND AGREE TO COM.
PLY WI H qLL ITY OROI ANCES 8 TE LAWS PEGULATINO
mu., <O
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
✓
SIGNATUR CSL
J
PERMIT FEE S
PERMITTE
PLAN CHECK S / �
5 /
/-
TOTAL FEE S 7�
AUTHORIZED AGENT -
24324
COSTA MESA BUILDING -SAFETY DEPARTMENT
P O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA.
A..RIb9 110147 LI)
L loevt
�J
.N..WD.. DG /
B LTBACK LINE FROM
CENTER OF STREET REAR YARD
81D8YARDI LE" I RIGHT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
RE... A MOVING DEMOLISH
BUILDIN ( �I/ NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING I COVERING
US80P BUI LAND WORK TO BE PHRF RM8 �
9f a
1HEREBY ACKNOWLEDGE THAT 1 Al.NRBA. T.I. APPLICATION
AND STAT. THAT THE ABOVE 18 CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STAT[ LAWS R[GUTATIHO
BUILDING CONBTfl ION.
SIGNATURE O
PERMITTH
AUTHORIZEVAGUNT
CITY OF C34STA MESA
UN 23 1965
APP (CATION FOR PERM
UI
Fr my
RECEIPT NO.
P{$MI'fiNL4
R
AFFI✓
DATJJ�VV<lU'RDD
M
_
—45
BUILDING
ADORES9
FIRE
ZONE P GROUP
APPROVE
BY DATE �Y
ZONING
ZON[
NO. OF
USE OF NKVI
PLANE
BUILDING
LROAL )� n
DBSCR 'PT'O
A. P.NO
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SO' TO SIDE B REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET)
II
FR NT FT.
FT.
11
R. SIDE
,�/T./FT.
"m
1
L. SID L'
FT.
REAR /(FT. 1(
FT.
DISTANCE BET.
BET. MAIN B
MAIN BLOGS.
ACCESS. BLDGS.
VAR.#
DATE
C. U. P.
APPROVED
P
D
O'I
B W 1
DATE
THH AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
-
PERMIT FEE S 15
s �9�
TOTAL FEE