HomeMy WebLinkAbout124 21ST ST - Building Permits =1--F •. 1333 �"' �' FEE REC l�Eu
COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 301U
P. O. BOX SIT COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY nr rOSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
'/TYPEOR PRINT /''` �I BUILDING
ci
COSTA MESA. CALIFORNIA For Office Use Only
/ !!�I // RECEIPT NO. PERMIT NO.
OWNER ? CCVlj { ��'/Q ✓ GL /' 33A
MAIL a n // Q 1 / ' • RECEIVED BYYDATE RECEIVED DATE ISSUED
ADDRESS s 0 a Ze.-V rev - PiAir ) --re-t--7° I//- is-6 O I j -/6 b 0
-
CITY 1 n S ] a- /t C/S 0. NO./ /grJJI BUILDING
ADDRESS •
ARCHITECT // � [ 7r.ck TEL. COSTA MESA,
OR ENGINEER We S T C✓yA/ l NO.M! 4-2 VYf CALIFORNIAA
ADDRESS Nei✓P!✓/ l� CQ Gk / ZONE TYPE
�/�{/ GROUP
//-7/.-
CONTRACTOR L9 CO V (�-e S, JI?R V(C.L'C APPROVED (t /�/ DATE V/6d
ADDRESS A074 R.yp'Y/: /✓r/ ZONING
ZONE/ •NO.OF USE OF NEW
n
CITY (� o 5#,c /4 e S (/971 PLANE 0.4B1./I WING a_l�./4.9.1.1:1,-
//__.n �kh
LIC NO. /.Cl 73 NO. LI' 6�Sl? 1 LEOAL 3 0917-11- ✓,11.'Re 2". �.L L•
DEBCRIPTtO �� , •
OF LOT IOU I X SIZEI NO. OF BLDG. / �f / -c
NOW ON LOT A.P.NO. /, !S — O 4 \
USE OF YARDS EVES ! r�
EXISTING BLDG, 9 APPROVED ALLOWEDL `w
SETBACK LINE FROM 4f 0 ! REAR YARD Q ' FRONT(CENTER LINE ST.) L, FT.'}"• IN.
CENTER OF STREET SLi
SIDE YARD I LEFT / !/G �! I RIGHT /0 ,6 I' R.SIDE I .. FT. IN.
DESCRIPTION OF WORK J FT. /r,� IN.
v L.SIDE �� � ��I� ' IQ ,
NEW ALTERATION I II ADDITION I REAR //J/ FT. <y�TIINN..L''•
REPAIR I II II MOVING I II DEMOLISH I APPROVED/ftP • y C DATE /-�C'�-'�n
$ZEDING Y 7WUF RNO. OF OOMS 3 � STORIES 2 /l f_/ /T
!F pp [1Cv G C tJ �O/n-J�! t{ /CGCG iIC'1
EXTERIOR
WALL l t.1 CO I COVF VERING P� 4 {F YAY e�- /o.r— T'Sb" a-hfI
USE OP BUILDING /AND WORK TO BE PERFORMED le'�l/S -
/�••//�� D Q'ew-- /
CoNS Vv dr vYL �T Ppt _/c - , „
td1 _ 16e `T 7 /2"-ta2S-may - 4-
H
l 09 fr 4' 2rr C9 S' � - /Y--
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 COM•
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRU ON. VALUATION v
SIGNATURE OF 5,.., 71 J ncilavQ PERMIT FEE S J rO. e“.,PERMITTEE 3cP SOS 6-0ri
' /6�,/ �. $ PLAN CHECK 5
AUTHORIZED AGENT --�"�jI'�� �— o s
— TOTAL FEE $ 2 �° y
t v
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AULb
13338 i KtU
NOV 3019601
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING /t ,y BUILDING
ADDRESS 12.41 E `1 /_f S4• Cos 4 /rSG
COSTA MESA. CALIFORNIA For Office Use Only
_ ` RECEIPT NO. t
OWNER e• '-C A GGA- 3ag
r9
RECEIVED BY I O /RF.0611 ♦` E2).4 DATE ISSUED
_�1--CO d
•• ./� TEL. BUILDING +a, - ...GCITY e05-/a- L I P S k NO.�j�sl.f7?I ADDRESS
ARCHITECT TEL.
OR ENGINEER NO. COSTA MESA. CALIFORNIA
ADDRESS FIRE
ZONEZONE TYPE ✓/ GROUPJ/^/
rt
CONTRACTOR CD ✓�j_( C. t�L(4 vk f C APBY DATE DATE
ADDRESS a O,Y /L�ti (/r°Yt •"�-SL ZONING•
. !
//1 ( / / 1' p"�'yI NO. Sr UBE OF NEW
CITY Co sip- AleS t nyy , PLANS .S ] BUILDING �� 1 ,� �
LIC. `/ LEGAL
NO. I S73 STAETEL.NG. GL a-J' /3/ DESCRIPTION 7,43 (--r t• 1.1J / iSia_,'' fT
SIZE `, . NO. OF BLOCS. (�J (/
OF LOT C A 1 3 r NOW ON LOT 2 A.P.NO. // •�S � o a/ .Lo 7'
EXISTING BLDG. AP E 12. i YARDS EVES
APPROVED ALLOWED
SETBACK LINE PROM , (CENTER LINE ST.)
CENTER Of STREET 'OREAR YARD l O FRONT C-.--'FFT. IN.
SIDE YARD ILEFT 7 I RIGHT I S ( R.SIDE t-----FT IN. it
DESCRIPTION OF WORK
1 L.SIDE LFT IN.
NEW I II ALTERATION I II ADDITION I REAR LF IN.
REPAIR I II MOVING I II DEMOLISH Ir.- ABYPROVEW, V . DATE`/ C !�
BUILDING NO. OF LLCL, may) "YJ
SIZE - 2 Cl K 2 S` ROOMS STORIES / C11/j- /
EXTERIOR WALL S ICI(~, I ROOF C OM j'0
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
'9C/YL a Liy1r # CZca ✓ La t
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 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING( CONSTRUCTION. VALUATION
T OT PERMIT FEE
SIGNATURE OF `� )�// 5
PERMITTEE - A. -a•7 T e ��. /�LGLL all(X) / }� oN
!V/// S �1 PLAN CHECK S
AUTHORIZED AGENT Et
TOTAL FEE CI -.- O
I.
13 41 gam'
1-11 RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 1
FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely CFOiry pG MITA MESA
ppP Y APPLICATION FOR PERMIT
TYPE OR PRINT
r * /1 /t� BUILDING
BUILDINGG
ADDRESS / 2y '� /n�J l05 � ( Ste(
COSTAE MESA. CALI✓FORNI(A/ For Office Use Only
-&n✓ 2 � J. l 1 AL 1,k L L I RECEIPT NO. I PERMITV/ •
OWNER ((/qq' /
MAIL p./, G/ `/ RBCSIVED BY I....,----).4„.-A-70
�- / DATE RECEIVED DATE ISSUED
ADDRESS r� DG T $�`Y�vV - /-�1 %V .30-60 /�'.-/6 ' 6a
/� tail / TEL. BUILDING
CITY ` 0544. f S a- NO.L/ Sunt ADDRESS
ARCHITECT 1 TEL. COSTA MESA. IEORNIA
OR ENGINEER 14,/e S 7 C,- NO.It af�f/ __
ADDRESS Al(y PWD 1 S 4- B<< 1/� FIRE r
/1 r 1n ZONE /'TYPETY - GROUP .` C/
CONTRACTOR [y C O V E -1 S. L/')/�' 1'�G-� L APPROVEDB (/J I ATE 2-,0 � D
ADDRESS
�)by// jBiy7/v7 11/4/ ZONE NO.OF ''ZONINGP NEW1C��•,� - N.
CITY e e S/ (.. bit$ �yi PLANS 7 IAUM AL-4 M. - cam_
LIC.NO. / S 3 4/73 NO.ATE TEL. L-/ LEGAL .�-L(�J.-..c-¢It������ DESCRIPTIO J,(;, I Q
SIZE NO. OF BLOCS. \\\\_\\\
OF LOT /O V K 13 V NOW ON LOT A.P.NO. // 8.,-...." /', • / -[%U
USE OF 9 YL y YARDS EVES / (0
EXISTING BLDG APPROVED ALLOWED
SETBACK LINE PROM ' WINTER LINE ST.)
CENTER OF STREET ! / REAR YARD O FRONT .2 7FT. RIN./'yl'!. ti
SIDE YARD I LEFT 0 I RIGHT /) R.SIDE - FT. / IN. •
DESCRIPTION OF WORK /
L.SIDE FT. /) IN.
NEW I V II ALTERATION I II ADDITION I REAR FT. / IN./ !^y
REPAIR II MOVING I I DEMOLISH BYPROVEP,1 ,O, DATE//-30 4(/
BUILDING NO. OF !/ EQi'ri
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE OFBUILDING AND WOfpK TO BEPERFORMED ' /� elf-AY
Y
�COn5fvuEI j /CAA-:/lsa7lpi
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION ISFOR THE
PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRU N. VALUATION '/
SIGNATURE OF
PERMIT FEE $ ,3T, ..-ePERMITTEE /� m
Lr $ / I/S eL/ _ PLAN CHECK $ / J 7. be.
i.
AUTHORIZED AGENTc[
'o-'-\ / TOTAL FEE $ S /1, #t7 G
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