HomeMy WebLinkAbout376 19TH ST - Building PermitsCosta Mesa Building Department
� "j� ' �-771'EAST20thSTREET 'A
• ;�� COSTA MESA� CALIFORNIA ' �
' FOR APPLICAN� TO FII.L IN
Building � � /q
Addresa /
Costa Mesa. California
� ractor
Attach
New
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APPLICATION FOR PERMIT
� BUIL-D�L�1G �
FOR O�'I'ICE USE ONLY
7/ ��ecdpt No. I Permit No.
1p,fj i611
eceived by Date Redd. I Date Issued
��� - WUG 2 �
B ilding � �/ J r !G .
Address L� � 7
Costa Mesa, California
Nearest
Cross St.
Zone /�`, No. of Type Group .
/C y' I Plans I i'
� / City Lic.
)�f/72R�/ No.
y
�t � , , �q
No. Block .� Tract�
3nd Bounds) fJ�ry � jf,(� ��/f �
—" - N�. of` I�dga —
'� Nowon Lot � '
- INo.of No.of
Families I Roo s
om Rear Yard
t i� Side Vard / D
�ca��ox oF wox,g
/1 I Alteration I I Addition I
I�Moving I I Demolish I
' No. of /� /
>x 3 % Ronms LP Stories
• APPROVALS
Foundatlon Location I Inspector
Forms, Materials,
I hemby acknowledge that I have read Uus ApplicaUon '
and state that the above is correM and agree to comply Lath. Int. '
with all CIty Ordinances and State Laws regulating
building constructi /J f� Lath. ExS. �
Signatureof � ��//J� �� � � � ���
Permittee -`"/ `� � �'��+^"' Plaster, Int
Authorized Agt Plaster, Ext
Valuatlon � Permit Fee $ �� Masonry ReinTorced
�� Plan Check $ �� Bond Beam
/ S ' f �� TOtal ��.
`� F6e �� FINAL
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Show locatlon and tlis4inces iram
. property Iina and between buildinga
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, COSTA MESA�G-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING c
ADDRESS � �J �
OWNER OR /
TENANT
MAILING �� L. ' SL'
ADDRESS G �—
CITV Qs� � NOL�IS`.7�
CANSTRUCTION
LENDEF
BRANCH
ADDRESS
.ARCHITECT TEL.
CONTRACTOR [f��/
AODRESS
TEL.
CITV NO.
STATE CITV
�IC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work:
USE OF BUIL,� ING AND WORK TO BE PEFFORMED
NGi/ /�a.,........ .i �>✓
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV P I. ' SO TL
-- _ N- - 51352 - -
A.P.NO. ��--� 3���' 1. I
l
BUILDING � / l.n ��
A�DRE55 C.�T�
UNIT OR
SPACE NO.
T�N .^y Lp�� , �- O� BLK.
NEW ADD ALTER R`EPAIR MOVING DEMOLISH
OWNER
USE
APPqOVED
APPROVEDSETBACKS
(FROM C/L STREET)
PLANNING ACTION
vALUE
S
I hereby acknowletl8e thet I have reatl this epplicatian and stata °i
ihat the ebove information is correct antl ag�ee to comply with C
all laws regulating building consiruccion, ontl I shall not empioy �
any person in violation of the workman's compensaiion laws of
tha State of Californla.
m
I hareby cerNfy thet I am proparly licansetl as a conbactor untler SQ. FT. �
the State of California Business antl Professlons Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, antl that such licensas are (n full torce antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: e
am ezempt from the provisiOns ot the Stata of California Business VALUATION PERMIT FEE $ q
antl Protassions Code, Division 3, Chapter 9. �^
m
' PLAN CHECK $ � LL
Sig^atura of'SC��
Pe�mittee - $ �D�, TAX $ X u
Authorizatl Agent Da[e ��� �� TOTAL PAI D $ e Cj7�
Costa Mesa Building Dep`aitment �;-�si�;,, APPLICATION FOR PERMIT �
�/ ' 111 EAST 20th STREET :��d� g� � � p_�, �� __, _
COSTA MESA, CALIFORNIA --" -"' ��, , �
, ; &'OR OFFICE US� ONLY '
FOR APPI.ICANT TO FILL IN � � Reteipt No. PermlY;No. ;
B�,�d,�s 37 /9— —� ' � �' � %�7a— �7�
Address � ' -
ec�ei�v �by,, gate Rec'd. Date Issued '�
Costa 1VEesa, California ����/"�� 6 — / -J � G �t =1-S�
Nearest � � �
Cross St., Buildin _ ' � ; '
Address � � � �
Owner �j�����d��� � Costa Mesa, C'ie�llf01'Il'1& �
Mail /1 � /���.,� �
Address%�0�,2�JLliyy/L� �//y(,Q� �G�! L Neares . . . _ �_� . / . r'� . !
Gty �G'S./Q //!i`I�G:G� No.
Architector Lic.�U n�
Englneer �� i� 'E. No.
Address � �'�
Address�!(j.� /7 �/-
Deu� ption I No. I Block I Treet
(Attach Metes and Bounda)� �. � � O���/�i
Size of Lot �j � �/ D��3p i p%_.N ow o B Lot �" � N
Use 6f / I No. of • I No. ot
Existing Bldg. /(/ D��t F.amilfes Rooms�
Setback Linefrom L Rear Vard '
CenterotStreet �,,,/ SideVard f'
DESCRIPTION OF WORH
New I' I qlteration I I Addition I
E-'•rior Walfl ,. I ! - I Roof �p
( •ing w O O Covering ��
lr,., of New
Building `<!_i��� �C
S,`111�
fi.1e-�.✓i.%/�� �J�� �'G'IA.�C-�.
2 hereby acknowledge that I have read this Application
end state that the above is mrrect nnd agree to comply
with all City Ordinances and State Laws regulating
building construction. �/)� �
Signature_Q��/,��r �i,..,� iJ/'��._
Permitteej /e/ O C%!l
Authorized Aqt.
Valuation � Permit Fee S„Z D�
Plan Cheek $ 3 . O
$ 7 ? Da Total �(
,`Fee $�L � 2�'O
v.,�m zna c- �m �z-Rs
� %S 71 Plans
Approved
by �
. 1 CiQ
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Forms, Materials
Under-Pinning
Frame: Fire Stops,
Brecinp. Bolts
FINAL
Int
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Show,Idcation�_and distanees trom ,
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proper y Itne and betweeri�buildinga�`�` \ "
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