HomeMy WebLinkAbout194 23RD ST - Building Permits JAN 10 " 12 .0 0 a . ' 0-z 0 0
.. 4240 �.
COSTA MESA BUILDING DEPARTMENT
P.O.BOX 317
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING A DDR Z3 kb �— BUILDING
COSTA ME A. CALIFORNIA FOR OFFICE USE ONLY
(/� //` RECEIPT NO. PERMIT NO.
OWNER `' F� Wr V�/.\I tb1. P ♦ .HO ii-‘,C / G
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL
ADDRESS �Ov /_W0
/-/n - 7 /--2/---C7
TEL. ta'S30 $ BUILDING
CITY � T4i ESQ
NO. ADDRESS 7 /el - C". a 3 .
ARCHITECT LIC.
OR ENGINEER Oct.1 T Whop T NO. COSTA MESA. CALIFORNIA
ADD. _i 114. N C T ) FIRE
ZONE 1
ZONE NO.OF TYPE GROUP A. �\
'l CITY LIC '/ PLANS
OF /L
CONTRACTOR OW )f 1_tb p� R 7 AA �I 1 1 `>1
ADDRESS
TEL.
APPROVED ^11/I /DATE /� -�
. Q 1 "''1111 SSSS
LEGAL LOT
DESCRIPTION NO. I BLOCK TRACT30 L7 A y(5�p '
A.P.NO. //! "'- O .s'/—� 6 APPR E
SIZE NO.OF BLDGB. CITY OF COSTA MESA n,
OF LOT LO x ( rS 7 NOW ON LOT
L... , 1r• •� `1
USE OF PLAN
F C ; 1
EXISTING BLDG. •-•---. ' _ t _ SC/1mDL k SUBJECT TO G. DEPT. REG.
SETBACK LINE FROM0I , , -�1 - ,
CENTER OF STREET O� 'EAR YARD /ispy W•CL , / D-r
,
SIDE YARD RIGHT ) LEFTAglik141.-,)L-Q PLAN T.tCafrApid
DESCRIPTION OF WORK (
NEW ALTERATION ADDITION X v A R I A �� C �
REP^. MOVING DEMOLISH / 1 I
S ZIE DING n�,x //.. NO.OF ROOMS STORIES I
COVEREXTERIING--.•WALL
]n/Sr�uo COVERING.II �QG� - ' u ROOF , R I/E���D[///�/ , (,\I{\\
BUILDINGUSE OF EW •\ 1 rG I.!-t ry Sal�� / _ -� f�"IiV • - /�� ' V
�: g ..- DATES I /. 28
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC.
TION. VALUATION 1F`�
SIGNATURE OF PERMIT FEE S d
PERMITTEE
/ 7. O PLAN CHECK $
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AUTHORIZED AGENTIIJ(�/� a A TOTAL FEE S /a -- '9AE