HomeMy WebLinkAbout751 20TH ST - Building Permits, . ��i�� ���;ta��� �
963�; � - i� _ Sy
COSTA MESA BUILbING-SAFETY DEPARTMENT fINANCE DEPT.
P.O. 60X 317 GOSTA MESA, GALIFORNIA CITY Of COSTA MESA �
FOR APPUCANT TO F/[L /N COMPIfTEIY APPLICATION FOR PERMIT
�jr � TYPE OR PRINT BUILDING
,:, rf
BUILDING S �r
ADDRESS � i Ci
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
OWNER � /�
C. � l. C�� r0 %� I rseceirr rvo. ne�ir3 .�
MAIL / G�G� / I � ///J /f//� RE IVE� BY O/♦TE HEC/EIV�E�D DATE ISSl1EO
ADDRE55 V � ��ji �. Y /�if � I (C �/ 10�–+ / I � — _ f–c'
CIT / � T/ �L� "--NO���� pDD EI55
wRCHi7Ec7 ��c. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE �� {�
AD LE'55 � ZONE
ONTn CTO � Q�s �� � L C NTO �.0 " BYPROV �� � DATE �
ADDRES��"L� Gv�� ` �H /ry ST/�I� ZONING "
LEGFL I LOT�/y ]+ � /� I (� I�./ ZONE � NO.OF USE OF NEW �/] ' _ /
oESCRIP*ION NO.� '� ��f BLOGK L TRACT IPLwHs �� I am�oWc e�
A.P. NO. f/ V' �y�� APPROV '
BY OATE �
SIZE �� X �� � J I Now oH �oTg � YAROS �
OF LOT REpUIRED ALLOWED
USE OF � ICENTER LINE ST.)
EXISTING BLDG. FRONT IN.
SETB/�CN LINE FFOM f-� �),' /�
CENTEN OF 6TREET J O REAR YAR (J � jj.51DE • FT. IN.
/ �
SIDE YARD I LEFT L� I RIGHT � �, SIDE I� F'�'� IN.
DESCRIPTION OF WORK
r 'I_ REAR
NEW I_ 11 AL7ERATION I II ADDITION I ��, � j,,�/ U :�� � J��
REPAIR I II MOVING I II OEMOLISH I T� �� �� 1� ��' ��d `
r ,'O
S ZIE DING �2 �, ROOMS - STORIE�S j• : 4� Y` 1. v I: y � C.G' 1{i `� � �I(�
COVER'INGW�TUGf •� COVERING/ �^ r"`�-C� I ^„ ! � W
U� OF BUILDIr'G AND WpRK TO BE PERFORMED ��� r
S(�1/� / P �% / � �_""�.------ n4 F
L`'� fi T 2�i9/Z G'.9-/�. �I v^R. ',��o. —_ APFIZ ''=D _._. �
.
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I HENEBY ACKNO EDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNU R VALUATION I6 FON THE
ANO STATE T AT.T ABOVE 5 COqHECT ANO AGPEE TO COM�
PLY WITH ALL RDIryA E9 A D 9TA�•L WS REGULAT�NG PURP08E OF ESTABLISHIN('i A PEflMIT FE6 ONLY.
BUILUING CON R TIOO . VALUATION n l/
SIGNATURE � � y!/ PERMIT FEE S �u. �,
PERMITTE �� �V /_, �.
$ ��-O �� PLAN CHECK S l�
AUTHORIZEDAGENT / . �$OTAL FEE $ ,� -��
/
.G.
6-19-�9
JOB ADDAESS ��W• 1Utri Jt, BUILDING P$RMIT N0. -- - JE
GENERAL CONTRACTOR Hay Coast Bldrs. VALUE $ 9f1 .00
AP. Nn. - � LOT TRACT FIRE ZONE DESCRIPTION OF WORK R25.T9 8t,t. 3T'.
�NSPECTIONS i iv I DATE
SUBCON7RACTOR
Form 410-3M-J39