HomeMy WebLinkAbout700 18TH ST - Building Permits7�1
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 317
COSTA MESA, CALIFORNIA
AE MUM
VC�v:tvlf5 �SIlU.
FOR APPLICANT TO IL N
APPLICATION FOVPERMIT
BUIL BUILDING
Af]l1FFSC L®(/ Q
COSTA MESA, CALI O NIA
FOR OFFICE USE ONLY
=
RECEIPT NO.
MAIL !L, 17 �//7 enc
ADDRESSS ✓ / / lgzllllvl
RECEIVED BY
DATE RECEIVED)
— —s
DATE 18BV¢D
/—
TEL.-//
�/ ��JJ
BUILDING�^�61/
CITY („O
ADDRESS
ARCHITECT LIG.
OR ENGINEER O,Y� NO. "�
COSTA MESA. CALIFORNIA
FIRE
ADDI—
ZONE
l
ZONE NL.
TYPE ORONP
TY LIC.
NS
CONTRACTOR NO. :�—
TEL.
APPROVED
ADDRESS NO. --
^-
BY DATE
LEGAL
L 'y!
LOT
CORRECTIONS
DESCRIPTION
OO/
BLOCK
TRACT
A. P. NO.
$12E A,a ����Q J�
`v
NO.OF BLDG..
APPROVED
OF LOT •L
Now oN LOT
USE OF
CITY Cfl COSTA
EXISTING BLDG.
MESA
SETBACK LINE FROM
PLA G DEPT.
CErviER of STREET REAR YARD
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
BY DAT =.
NEW
ALTERATION
ADDITION
- - --
REPA
MOVING
DEMOLISH
BUILDINGNO OF
S
SIZEiO 1 ROOMS STORIES
EXTERIOR WALL ll�ROOF
COVERING AztytLmVCOVERING
ol
USEL
DFN GEW
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CON5TRUC.
VALUATION
TION.
SIGNATURE OF
PERMIT FEE 5
PLAN CHECK S
PERMITTEE
TOTAL FEE S
AUTHORIZED AGENT
5 /(