HomeMy WebLinkAbout172 23RD ST - Building Permits 12922 FEE RECEIVED b
COSTA MESA BUILDING-SAFETY DEPARTMENT ,,, ,SEP SEP 301960
P.O.BOX 317 COSTA MESA. CALIFORNIA 4I E..DE?-T
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FOR APPLICANT TO FILL IN COMPLETELY APPLICATIQ iChoWtRthsP rk
TYPE OR PRINT BUILDING
ADD EISS I72 23RD STREET
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
I RECEIPT NO. PERMIT NO.
OWNER (;FNTRpI B( RI r CHI1RfM y
MAIL R,,E'G/gggl/VE�p BYI D TE RECEIVED DAT ISSUED
ADDRESS 72 23RD STREET _ '1N�1/ — 30 —/0� / c2,-,
P /10,--6---I
TEL BUILDING 7 a _ a S .
CITY COSTA MESA Not 195303 ADDRESS
ARCHITECT LIC.
OR? 'NEER NO. COSTA MESA, CALIFORNIA
ADDRESS FIRE
ZONE / GROUP //////
CONTRACTOR R O M A R BU I L D E RC.NO. •0 • APPROVED. '/ C
BY DATE 1STATE
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ZONING
ADDRESS 21�32 NEWPORT BLVD. _ tiL ���
LEGAL ZO ( NO.OF USE OF NEW dA ^^4-�((,+(J,�;
DESCRIPTION I NOT 99 I BLOCK I TRACT 300 r ` I PLANE BUILDING ✓i"-/� 'L,y
....
O APPROVE ' a /
A.P.NO. BY �/ DATE _ I
SIZE5o x 366 rvo.ow OFoN BLDcsLOT2 YARDS I "wigs
OF LOT ryREQUIRED ALLOWED
USE OF RES 1 D EN C E (CENTER LINE ST.)
EXISTING BLDG. FRONT l //��
(J FT. 10- IN.
SETBACK LINE FROM yy����
CENTER OF STREET 55 REAR YARD 25 R.SIDE 3/c* FT. -4 IN.
SIDE YARD I LEFT 1 0 1 611 I RIGHT 20 1 L.SIDE ` 6 FT. , -j IN.
DESCRIPTION OF WORK / / /'
REAR / L / FT. {� IN.
NEW I 7( II ALTERATION I II ADDITION I
REPAIR I II MOVING I II DEMOLISH I
BUILSIZEDII46 X/JU ROOMS STORIES 1 ,4;;?-/".3n ietQ/
EXTERIOR WALL ROOF p
I
COVERING STUCCO COVERING p(1 CE �./
USE OF BUILDING AND WORK TO BE PERFORMED
CON STRUCTI ON OF RI NGI F FAMII V
DWELL ING ,.-----"------
I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT TH ABOVE IS COR ECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY OINANCES AND ATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRU I N. VALUATION
SIGNATURE O PERMIT FEE $ _y;O
PERMITTEE ...go'
60
O() /-0 PLAN CHECK $/4.5-AUTHORIZED AGENT
SA?
/ � � AO
TOTAL FEE SSS
31398 •
FEB 18-70cr p00 536 0*****5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
- n RECEI E BY DAWRECCEEIVED DATE ISSUED
BUILDISNG S / / a 7-3 .-d s.r a7--fit-70
'J - E 0 -/f-7 0
ADDRE � �Jn �y PEERMI NO.(,1
OWNER ,�, pp ! 5Q.P.NO. I I re 5_/ - J O
`QI?/�✓ /Gttrl Cil en 5 S/+
MAIL c., �-a gg 1 BUILDING
ADDRESS /-7^C� _4 I ADDRESS /1 3- Zy}.=Q�j
IL in CITY Y / 1 NOL TRACT O O LOT / y BLOCK
zC CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMO'ISH
O N LENDER
am
J D BRANCH /� / �///I
J N OWNER arAAj .ef /
Q . . ADDRESSC VALUE
ARCHITECT TEL. USE $
OR ENGINEER NO. -
Z Q FIRE
w W ADDRESS ZONE TYPE GROUP
J O Q7 rc-yc-eh e— �J APPROVED �J s• M\
CONTRACTOR ACYORj_u�1/ _. BY j.� �-QATE �.'/�7D
mz
J ADD RESS�f��riff! //)/{J� /},
W W Z��/{� NO.OF USE OF NEW/�ci� �l
ZN CITY NO. V t` y PLANS 1/ BUILDING I
W STATE CITY YARDS APPROVED YARDS APPR VED �•
co D: LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING s
DO - (F ROM C/L STREET)
SIZENO.OF BLDGS. / j� A{
OF LOT I NOW ON LOT FRONT FT. /6 ). Ffri-
USE OF c,
EXISTING BLDG. _B.SIDE_ FT, 3d FT. 7 _
I- SIZE OF NO.OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. b 0 FT. ,�'{/-
VEXTERIOR WALL ROOF
COVERING COVERING REAR FT. /(9 FT.
-
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
r •
I MAIN BLDGS. ACCESS. BLDGS.
O E/ey pe>40 VAR.# DATE
C.U.P.# APPROVED
F APPROVED / ,� /A/ P -/(7/.
/�� `/^�
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I hereby acknowledge that I have read this application and state
CC
that the above information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
-
the State of California. m
O
Z
I hereby certify that I am properly licensed as a contractor under SQ. FT. O_
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
VALUATION
Chapter 9, and that such licenses are in full force and effect,or
am exempt from the provisions of the State of California Business ,s CC
and Professions Code, Divisio. 3, Chapter PERMIT FEE $ V v 0 o N
vo
co
Signature of I „ �� _
Permittee $ PLAN CHECK $ w E
Authorized Agent UO o
LL
TOTAL FEE $