HomeMy WebLinkAbout825 17TH ST - Building Permits_._.____�..--_------ - --_� _ ___..._. --�--_
•;,,r..sm ,�mu s�m a�c n„��i oo-,,, .o., 1
6
NPR 1 � """'
OWNER LEON, REFUGIO M. DATE 12-
JOB ADDIiESS S25 Z'J. 17th St. BUILDING PERMI
ZONE
INSPECTIONS DATE I GROUP 1 TYPE
Underground Soil U.G. Water
„_�________� „__ ---I SUBCONTRACTOR I—
OCCUPANCY
Form 210—SM-11-59 S-B P , � � ���
�_1.2�2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 GOSTA MESA. CALIFORNIA
fOR APPL/CANT TO flL[ /N COMPIETEIY
� TYPE OR PRINT
BUILDING 't'' n �
ADDRESS V�+' /
COSTA MESA, CALIFORNIA
TEL. 't� , BUIL
CITY NO. J�/ pDDI
ARCHITECT LIC.
OR ENGINEER NO.
ADDRE55 FIRE
ZONI
STATE APPF
CONTRACTOR l LIC. NO. gy
ADDRESS a'�.'
LEGRL I LOT � a I I�YY��y.y� ZONE
DESCRIPTION NO. � BLOCK TRbC7 �
A.P. NO. S / � / APPF
BY
SIZE I 9� V^7 i1A � I NO. OF BLDGB. �. n veor
USEOF .�_ _ .�1
EXISTING BLOG, tiC�I/KT
SETBACN LINE FHOM
CENTER OF STREET REAR YA{
SIDE YAR� ILEFT IRIGHT
DESCRIPTION OF WORK
BUILDING � NO.OF
SIZE ��� � � ROOMS � STOF
E%TERIOR WAL��/J��" �/J IROOF
COVERING i,/p{,�m¢Q6.COVERING.�
USE OF B41LpING PJaD 11L9HK TO BE PERF R
I HENEBY ACKNOWLEOGE TH.�T 1 HAVE PEAD THIS APPLICATION
AND BTATE THAT TME ABOVE IS CORHER ANO AGHEE TO COM�
PLY WITH ALL CITY OpDINpNCES AND STATE LAWS HEGULATIN6
BULLDING CONSTRUCTI�OlN/�
SIGNATURE OF //f n ✓ _. �lii � _
Q AUTHORI2ED AGENT
�
FEE RECEI�ED
�� -a�-.s�
fINANCE DEPT. U �`
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING �
�oR officE usF oH�y
RECEIPT NO. /PEFM�T N,,i
� (7
IV�D QT- DATB R'{ECEIVBD OATE 168OEO
� l /uf' -a1 � �� ^�"��
s � � 5 �-!%, � /� `'�
COSTA MESA, CALIFORNIA
ZONING
NO. OF I lIBE OF
PLANB BUILDII
0
)
THE AMOUNT SHOWN 11NDER VALUATION I8 FOFl THE
PURPOSE OP E6TABLISHING A PENMIT FEE ONLY.
VALUATION
j PERMIT FEE $ � �'
/ �/ PLAN CHECK S �—
S �
TOTAL FEE $ a ��