HomeMy WebLinkAbout130 22ND ST - Building Permits - 25622
COSTA MESA BUILDING-SAFETY DEPARTMENT CITY OF C v3 MESA
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92625
APR 26 1966
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT F BULD
BUILDING /3� _ ^ ry - '..‘t
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Q�� S h
ADDRESS eC .L Sit `�• /
RECEIPT NO. -Pj,B T NO.
COSTA MESA, CALIFORNIA 1L`I 7?
OWNER-AAA'
217,44-1-57412/0114.-C.. 4 R[CEI 1Tj2-'(Ca S /" 'C'
MAIL
,[
BUILDING
1
ADDRESS /6
IG " 2-2- --17
FIRE
TM- / A�-
CITY (U G(./ No.318-374( ZONA ,/-H �/I GROU-
ARCHITECT TEL BYPROVED / DATE /
OR ENGINEER NO. sip \-`
_ ZONING
ADDRESS C...2
a PUNS -e-I USt O1NS CC��//"`��44/1 \-
CONTRACTORf
L[OAL 1 // - 0 "i/- 2/
ADDRESS -
ofEC111moN / /� -Hai,*
CITY A.P.NO. J jt.14- 1 f - ft . //21
NOTE: NO SAVE OVERHANG SHALL BE LESS THANST •
LIC.NO.ATE TEL. EO'TO SIDE&REAR P.L
SIZE '// INO.OF ELDGE. ' ALLOWED (U.B.C.REQUIREMENT/
ES
OPLOT SO /1/ / y V Now ON IAT r
USE OF /(� /
YARDS APPROVED YARDS APPROVED
UTI
BLDG. 1� QQnn MAIN BUILDING ACCESSORY BUILDING
�r
d FROM C/L STR[lT)
SETBACK LINE FROtlt Q FRONT PT
CENTER OP STREET �� REAR YARD
SIDE YARD I LEFT 6 I RIGHT R.SIDE PT FT.
DESCRIPTION OF WORK — L.BIDE •
Ir .
NEW II ALTERATION _ ADDITION Ru PT.
II�III DISTANCE BR. BET.MAIN&
REPAIR MOVING DEMOLISH f� MAIN SLOGS, ACCESS.SLOGS.
VAR.# DATE
BUILDING NO.OF /�
SIZE ROOMS STORIES C.U.P.# ,ll , APPROVED /
EXTERIOR WALL ROOF APPROVE/Li /�/ '/ / /_
COVERING I COVERING er " DATE 'J` ,�,7!!! `w
USE OF DUI LOINS AND WORK TO BE PERFORMED D'
, / n PZ
2))714O/i‹it. / f S DLCi4e—H
•
SQ.FT.
HE 0
1 HEREBY THAT EDAB THAT I HAVE READ THIS TO COM. THE AMEU OT HOWN UNDER VALUATIONEMIIS FOR ONLY.AND THAT THE ORDINANCES
IS ANDCORRECTA AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY./yJ�
PLY WITH ALL CITY T' NANCRS ANO STATE I..A. REGULATING VALUATION M 3O 40
BUILDING CONSTRUCT' UV
SIGNATURE OF PERMIT FEE $
PERMITTEF ql� f4
/ S PLAN CHECK S
AUTHORIZED AGENT 3 00
`�•, TOTAL FEE $