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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 • 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 4 '`d