HomeMy WebLinkAbout268 21ST ST - Building Permits •
irl. costa.Mesa Building Department APPLICATION FOR PERMIT
COSTA
111TMEEASTS. ASTREET
( � • ,ALIFORNIA 2537 UILDlNG 1
k FOR OFFICE USE ONLY
FOR
�APPLICANT TO FILL IN Receipt No. Permit No.
BuildingAddress GfO �h7d . .iZ / I ay2-S%cP
Address
Received by Date Redd. Date Issued
Costa Mesa, California
Nearest _ ""� j 7,-S 3 —,..?/-j
Cross St. (1/ JC-I ALic , Building
;) Gig A-NIT Address
MailOwnb �� _ Costa Mesa, California
Mail
Address 2.62. t. 2 ) S�• Nearest
/� Tel. Cross St.
City CattA so.. No.L i%tbv zone ° No.of I Type v crop r
Architect or 1� Lie. /\ 5CI Plans
Engineer No. Approved �yt
by _<i It Date
•£(Idress CORRECTIONS
City Lic.[L�I t�
_ntractor 4SIS. OIV No. / ?R' ,J.111;4 .\1 li
Address 1t17 , OiLtb „,T_kn, lo2(i$f. ,/r i� Q
Legal Lot I ���"�` }t V *- bh p
Description I No. I Block1-� ;; p
n � J I Tract �• ` � ( nF �'��� CO :irisb(Attach Metes and Bounds)J�f'�J 'trO 3/ G\ i A f No.of Bldgs. ,/ C a�QySize of Lot Ls 0 k Z(S ,A I Now on Lot / O
Use of No.of No.of . .�N. � A
Existing Bldg. C/ I Families I Rooms
Setback Line from Rear Yard /4-t•••‘ B`1 PVP, 2
/ z
Center of Street Side Vard/S�'g, �l:s. D
DESC ON OF WORK ! r
;,
New I Alteration I • I Addition I ® N,.
Repair I I Moving I . I Demolish I h0
Building , / ' ° No.of , n \C
SVP 77.(0 1[ �j/ Rooms Stories �^ �. te
erior Wall I Roof \ q
eiN
tering St CC Covering Vetta(trifT APPROV ��\
Use of New
Building �,V p�12 I Foundation Location do Date
/ ��µ\�+p"�, Forms,Materials, 9
\�� QL.B 'fes 1 Under-Pinning V
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State laws regulating
building construction. Lath.Ext
Signature of / ' G �,,/7�/
Permittee .1.7f 1 :-- G Plaster, Int
Authorized Agt Plaster,Ext
Valuation Permit Fee $ 9 ft• o Masonry Reinforced
� / O•° Plan Check $ /7 00 Bond Beam
$ /51 b K Total -.
Fee $ f/ l . P 0 FINAL
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PLOT PLAN - • • . .
Show location and distances from , ..
property line and between buildings •
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