HomeMy WebLinkAbout112 21ST ST - Building PermitsCosta Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREETq
COSTA MESA, CALIFORNIA �((���7U- ----- �-
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FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
i � Receipt No.
!
Building
/Peprmlb.No.
Address 112 E. 218t St.
/
Costa Mesa, California
Received bt Date Reed.
Date Issued
APR 19`1964
Nearest
Cross St.
Building I
Address I
Owner Sarah Cha s
' Costa Mesa, California
Mail
Address 112 E.21 St.
Nearest
i
Tel.
city Costa Mesa No. Be 5119V
Type
Zon5c
Group.
Architect or Lic.
lltL Plans
I
Engineer No.
Approved
by i
Date I
•cress
CORRECTIONS
I
city Lie.
wntractorShayne Constr Cd!o. 831
,Address 1075 Cloverdale
Legal Lot
I No. Block I Tract 183
_ escription &2&31
I
` Attach Metes and Bounds)
I
No. of Bldgs.
I
Size of Lot Now on Lot
Use of No. of No. of
I
: ,-
Existing Bldg. Reeld noel Familiesl Rooms C�
—�,
Setback Line from Rear Yard
Z
Center of Street Side Yard
D
DESCRIPTION OF WORN
t' "' - -
1a
r
� l
New I Alteration I I Addition I
-Yj
� V
Repair I X Moving I I Demolish
e Building No. of
40x3O Rooms Stories
_Si'a
I •lor Wall Roof
(. -ring asbestos S Lovering
APPROVALS
UseNew
Building
Foundation Location Inspector
p
Date
_
Forms, Materials,
Under -Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge 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.��"/`� Plaster, Int.
Signature of n�7,J,/
Permittee � � ,
Plaster, Ext.
Authorized Agt. J
Mas Reinforced
Valuation Permit Fee $
D O
Plan Check $ eQ
am
$ 790.00 i
Feeal $
FINAL
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Show location and distances from
property line and between'buildings.
• 1 if •
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LC C
f EE K EU I V ED---
`' ' 23359 ���QQ
COSTA MESA BUILDING -SAFETY DEPARTMENT
FINANCE DEP 4 1965
P.O. BOX ]IT COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
'D
UDI NO For Office Use Only
[ADI'ILRE"
.� RBCEII!T NO. PFIIMFIj M9F�/1
COSTA MESA, CALIFORNIA ` -
n R[C[IV / [Y D�T[ 11A�-`IVfD/ DA 15)V
MAIL
RESS Z V o v -3 L v
ADDRESS '
AND STATE THAT THE ABOVE IS
TEL. C/ yL -
FIRE
G, e.Sa- NO.ITECT
ZONE TYPE GROUP
BET. MAIN &
,D
TEL.
NO.
APPROVED '`IGINEER
BY DATE
ZONING
-SSZONUBHOF
I
MAIN BLDG9.
ACCESS.BLD
NM(kVIVVI Pt///-
BUILDING
RACTOR (�C.OY /' I1�� G
LBOALRESS
D88CRA.
G
2ZOS r.1/ // V
DATE
P. IE
FAR
A FEC
NOTE: NO EAVE OVERHANG SHALL BE LE69 THAN
C.U.P.
) TE4
S
90' TO SIDE S REAR P. L.
)
APPROVED I 1 �t iI
NO. ! NO.
EAVES
NO. OF BLDGB.
ALLOWED (U. B.C. REQUIREMENT)OT
Z
NOW ON Loi
YARDS APPROVED
YARDSAPPROVED
USEOF
MAIN BUILDING
ACCESSORY BUILDINGf
TING BLDG. G C
FROMC/LSTREET)CK
LINE FROM
OF STREET REAR YARD
RRONT FT.
FT•R
YARDI LEFT
RIGHT
R. SIDE FT.
FT.
DESCRIPTION OF WORK
L. SIDE FT.
FT.
` 1
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS
CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT
FEE ONLY.
DISTANCE BET.
BET. MAIN &
VALUATION
I I
I
MAIN BLDG9.
ACCESS.BLD
REPAIR
MOVING
DEMOLISH
VAR.#
DATE
L
BUILDING NO.OF
A FEC
SIZE ROOMS ORIES
C.U.P.
APPROVED
EXTERIORWALL ROOF
)
APPROVED I 1 �t iI
/ d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS
CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT
FEE ONLY.
PLY WITH ALL CITY ORDINANCES
AND STATE LAWS RE% LATINO
VALUATION
BUILDING CONSTRUCTI
PERNIC
SIGNATURE OF
PERMITTE
AUTHORIZED AGENT
L
-
/
A FEC