Loading...
HomeMy WebLinkAbout110 19TH ST - Building Permits4975 *-STA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING /0 /—AFIFI .UILDIN FEE RECEIVED FINANCE DEPT. APPI-19MICIFORISPOWSPERM IT BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY l RECEIPT NO, PERMIT NO. OWNER . ' 4>O a:23 " MAIL / RECEIVED BY p TE RECEIV EO Y DATE IBBUEO ADDRESS O A •� -3O �- ZnU TEL. BUILDING CITY NO. ADDRESS ARCHITECT 1 LIC. OR H VEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS 07ZONE CITY C. ND C//'',, ZONE NO,OF twP, G U CONTRACTOR NO O. / < TEL /` �TO( PR ADDRES$ W" �l R• NO. i BY LEGAL LOT I DESCRIPTION NO. 7Z BLOCK T Y A.P. NO. SIZE c .(� I8 NO. OF SLOGS. OF LOT O C/�, Now DN LOT Q 'O USE OF SUBJECT TO L G. DEPT. REG. EXISTING BLDG. Q /4 SETBACK LINE FROM f '^ CENTER OF STREET !/ REAR YARD V _ SIDE YARD RIGHT Q LEFT PLAN TECH(j'�j►'1 DESCRIPTION OF WORK• --•--'--•-• j lN,. tt NEW ALTERATION ADDITION REPAIR MOVING I DEMOLISH n r rh TT TT ff*1�' Ii7 p BUILDING NO. OF SIZE ROOMS V�''1(�4�� T /OSTORIES �' COV ERINt:�+W / C COVOERING `© USE OF NEW T /� ) DRTL"". BUILDING G �i S / �/oL 1ApAp � OC 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 REG TING BUILDING CONSTRUC. VALUATION PERMIT FEE $ 77 TION' SIGNATO R ? PERMIT? / PLAN CHECK S t_ V AUTHORIZED AGENT TOTAL FEE S CQSTA MESA BUILDING DEPARTMENT 117 EagC 20th Street Crosta MCA, California CERT. Building Permit Nod: Use of Building—J.:: The building.19cated at. JF - J C IL J ............................................ Lot....................................... (See reverse side for N° 214 C i Date .......... ............. 47 CITY OF COSTA MESA �CATE OF OCCUPANCY .....Electrical Permit No,�.4 ...Plumbing Permit No1._ i5e, 1 /+ Z;—_ L Ute- ("l Block.............................1..........,4&r / ..... lfa-�//— ./t (1 tea and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Or- ,ances applicable thereto for a Group............................Ottvpancy. ISSUEDTO•J r A. J. VOLZ% ��• ' r� r* r ( C City Bull - g Q CISh a. , ....._...r. .... :..................................... // c �` ��...._� Wit:-✓ (Owner of Building) By................................ _.............- .. CCS : ❑ Original—Owner ❑ 1st copy—Gas Co. ❑ 2nd copy—Edison Co. 13, 8rd copy—File Form 206 GH 1M IMS 36886 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely - NG/ ADORES DOR ADDRESSS// LL,, L Icf OWNER MAIL ADDRESS CITY CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT OR ENGINEER ADDRESS CONTRACTOR K—,��/ "7� TE L. NO. TEL. 140, JUL-z-73PA1000 114*} ***** tKS, 5.50 A)P/Q/TION FOR BUILDING PERMIT REC IV BV r ADDRESS,,?'(,7 V A.P. NO. --o! 1-2 TEL. CITY �f�J't�y NO.YC�z STATE r LIC. NO. .! C/j- CITY LIC. NO. SIZE BLOCK NO. OF SLOGS. OF LOT NOW ON LOT JUL-z-73PA1000 114*} ***** tKS, 5.50 A)P/Q/TION FOR BUILDING PERMIT REC IV BV TE RECEIVED DATE ISSUED —/ A.P. NO. --o! 1-2 PEfifM �� �J BUILDING ADDRESS O _ '0 tiffT/"y�1 757 BLOCK NEW IADDIALTER11 REPA COVERING COVERING OWNER REAR �l VALUE 9-12 FIRE ZONE TYPE GROUP APPROVED RY DATE ZONE Z IPL OF I USE OF NEW _ PLANS BUILDING ' /V/i�.�wi�'i'l. YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZE OF NO. OF THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a VALUATION $ O i 5lO PERMIT FEE $ N NEW BLDG. ROOMS STORIES 41V% LL L SIDE T. FT. EXTERIOR WALL ROOF COVERING COVERING REAR USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS, SLOGS. VAR. aW DATE C.U.P.+ APPROVED I hereby acknowledge that I have read this application and state 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 Celifornla. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Dlvisicn 3, Chapter 9, and that such licenses are in full force and. effect, or I am exempt from the provisions of the State of California Business and Professions Codee. jpwision 3,, Chapter 9. Signature of Permittee Authorized Agent e APPROVED , i i, -4,6 \ _ — m u SO. FT. ?AX o THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a VALUATION $ O i 5lO PERMIT FEE $ N m PLAN CHECK $ E 41V% LL