HomeMy WebLinkAbout203 19TH ST - Building Permits Costa Mesa Building Department APPLICATION FOR PERMIT
_ 111 EAST 20th STREET • - 88 BUILDING , ;_ Y'�.
COSTA MESA, CALIFORNIA -----FOR OFFICE USE ONLY ` ' 1 '
FOR APPLICANT TO FILL)IN � - -- Receipt No. Pe rmi No.
Building 9 O 3 ._.•o s 6 . i9�'L✓a' •• _ y7 -. i
Address ? C7
Costa Mesa, California eceive '.. Dat Qec' :Date Iss•ued '
• Nearest 1 O �. iC/ J�� /i O yJ�._d%.
Cross St. p R A.id ear /4 u L Building
Address a 03- D - -�
Owner MAR & 6 et Q ni /i /v 1 Costa Mesa, California
Mail
Address - Nearest "� •
Tel Cross St.B6e-q•,�/q•C 4(/ a
City No. 4�L/q > I ', Zone - >1 No.of/ I Type" I Group_ ' •
Architect or Lic. V Plans ji I ' J :k\
Engineer No. .. Approved
by Date
Address City Lic ! ! CORRECTIONS
tractor 4�A1-Tt8 4.0 Cant No. 76 3 ' U-
Address Chid Cao /4 5r' 4 '16.4/4.+-Al CI 47/l1 ' C4
Description r'Nth trgy-I y I Block V I Tract SI y ' 1 , "4-
(Attach Metes and Bounds) , ,, `f
o•05-X l _
S d's No.ofB ye _'
Size of Lot '1'7•'�'�`o I Now on Lot '•' _ _.._ ._. ____— __ ___ _ ._ . . I
Use of I No.of , No.of , s N
Existing Bldg. Do pi_ i=/� Families I Rooms .
Setback Line from Rear Yard -•- -- - — ---- --- -- < ... .2
Center of Street Side Yard - /= y
DESCRIPTION OF WORK ' 1 a
New (/ Alteration Addition —Si '
Repair I I Moving I I Demolish I •
* Building e L / No.of
_Size y- 5• ,\, -• Rooms t D Stories j _l_/
`erlor Wall I Roof ct 'IQ
P1
1 ering 6re•ac eiSd'OI' Covering ' sit to6Lv5 ' APPROVALS
use of New Foundation Location Inspector Date
Building Pc,' FL Forms,Materials, p
Under-Pinning .
Frame: Fire Stops,
•
Bracing,Bolts
f
Lath. Int.
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply 13• Lath. Ext.
.. with all City Ordinances and State Laws regulating •
building constructionn..l_ /
Signature of a/�,ecle ,/_ Z( ds..'— ,, Plaster, Int.
Permittee "�•/ ••,ttt�(U((www///( /�(:u-vet 'r Plaster, Ext.
•
Authorized Agt. t..„1,?‘ Masonry Reinforced
Valuation !/ Permit Fee $ -
i' Plan Check $ .ea D Bond Beam .
$ • Total
Fee $ • 00 FINAL
r• ;
•
C
.78
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0
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•
Street
PLOT PLAINT
ShOw location and distances from
property line and between buildings.
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