HomeMy WebLinkAbout257 21ST ST - Building PermitsCOSTA MESA BUILDING DEPARTMENT -NU 43 ' B S
111 East 20th Street
Costa Mesa, California
Date...........................:...................._._........
CITY OF COSTA -MESA
CERTIFICATE OF OCCiLPANCY
Building Permit No.. Y a7 ..Electrical Permit
Use of Buildina,
i. /!!.'..:!^.'.:....efe:.l..ix......... �..':.`.:iR::f./..._.............._.
The building located at......r. ........... .............
.............. ...... .............. ....... ................. ................ .�... ... . .. ..... ._.-..................
(See reverse side for Metes and Bounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Or-
dinances applicable thereto for a Group.......................Occupancy.
ISSUE 0: 21 A. J. VOLZ
r/ -- City Buil g
(Owner of Building) By ......... i:�.'.�..._........_.....v3rd
........... _.....
�
CC: ❑ Original—Owner ❑ 1st copy—Gas Co. ❑ 2nd copyn Co.opy—Flle
Fan. 206 GH IM 12-53
Costa Mesa.Building Department -APPLICATION FOR PERMIT
111 T 20th STREET BUILDING_ ,
_.':
. .
OOSTA�'vvb A, CALIFORNIA —' ""i
' FOR OFFICE IUSE_ ONLY 1 ,'
FOR APPLICANT TO FICLI IN — it'No.
Receipt No. Perr
^� I
Address 2 (�! ,lt
Costa Mesa, California Receivedlby DatORe 'd. Da a Issu
Lath. Int.
I hereby acknowledge that I have read this Application
Nearest
and state that the above is correct and agree to comply Lath. Ext.
c��
Cross St.� A119 VE Building '
with all City Ordinances and State Laws regulating
Address
Owner Wo 4 1YM G1j Nff Costa Mesa, California
building construction.
Mail l rrty << Ct ,L
Address //.E(2 JAFfO�ro ���` Nearest I
Cop Tel. Cross St. I
City brl�El'� GNO(/t No. Zone I No. of Type r/ I Group' -"-
GI I I
Architect or Lic. Pians j� .Y
Engineer No. Approved
Authorized Ag . /
— Masonry Reinforced
bX Date
Address CORRECTIONS `
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City Lic.,,
yERP 1j 'fiJ '
Contractor Aq. No.
y'4
p
Address ao 3 LV o
Legal Lot I '
Description I No. Block I Tract ( -
(Attach Metes and Bounds �• Q / %7 '
No. of Bldgs.
Size of Lot (g�n ���; I Now on Lot - ----- --- -`-"' `-- `
—use—of No.ofI No.of - A
Existing Bldg. Families Rooms
Setback Linefrom . Rear Yard - Z
��
Center of Street _
Side Yard- - -
DESCRIPTION OF WORK
_
New Alteration I Addition
Repair I Moving I I Demolish
Building��..y� (( /lNo. of
Levering__-.yueeo I Covering rl OCK APPROVALS
Use of New y-� Foundation Location Inspecto
Building D o�� 1( '% �y- moi!
Forms, Materials,
A G__,: Under -Pinning
Frame: Fire Stops,
Bracing, Bolts
Lath. Int.
I hereby acknowledge that I have read this Application
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.
Signatureo
Permittee Plaster, Ext.
X)�10Z>rV
Authorized Ag . /
— Masonry Reinforced
ValuationJJ, / i// Permit Fee $ ,—
Plan Check $ Bond Beam
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II
$ Feeal $� FINAL
PLOT PLA N
Show location and distances from
property line and between buildings.
te