HomeMy WebLinkAbout849 17TH ST - Building Permits�
9
OWNER . T�$R,FS� HELEN DATE 3-9�9 __
JOB ADDRESS 849 w. Z.%til St. R22T BUILDING PER1l3IT NO. • A�qB
G NE AL CONTRACTOR �$ ' � VALIIE $� NOAE
o. LOT TRACT FIRE ZONE DESCRIPTION OF WORK Demolish One Res
�ECTIONS
Tccnch¢s Forms
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PERMITS ISSUED
DATE SUBCONTRACTOR DATE NUMBER
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OWNER NEXiRITE.
GROIIP
�ECTIONS
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TRACT FIRE ZONE
TYPE 4 ZONE
DATE � SUBCONTRACTOR
DATE j-yyj y
BllILDING PERMIT NO.
VALUE $ None �
oF wo[uc Demolish tWo 1
PLAN NO.
PERMITSISSUED
DATE NUMBER
'C � Uµ/ J'�d
�,
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'''�bSTA MESA BUILDING DEPARTMENT
P. O. BOX 31]
COSTA MESA. CALIFORNIA
FOR
_ys
w^.r.��:i
ARCHiTECT
OR! 'NEER
CONTRACTOR
ADORE55
LEGR�
OESCPIPTION
A.P. NO. /
SIZE S�
PLICANT TO FILL IN
. d�l/ � Lr/, / 7
COSTA MESA, CALIFORNIA
?'i��r-�ik� !�_ti' /�f�
h-� �/
NICi.'Jy /1:���F•�TNO. �
c j � !
� LIC.
� No.
�l
��uy���,J ��T� ���.
NO.
TEL.
NO.
O BLOCK {�/ TR�
� Ji'%C V"i„�
X/� `� NO; OF` BLOGS.
f(/
SET84CM LINE FROM �)
CENTER OF SiREET � REAR VAfj�f��
/J/�
SIDE YARD RIGHT LEFT �C/
DESCRIPTION OF WORK
NEW _ ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
BUILDING �a } +'L NO.OF
SIZE ROOMS STORIES
EXTERIOR WALL ROOF
COVERING � COVERING
0
���.� �ECEI�E�
�— I — S �1 �i ��
FINANCE DEPT.
CITY OF COSiA PAESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEFMIT NC
�~%�'j'
F�C� DATyRECEIVE� �i.T�55Uf
3 9�� s
BUILDING
ADORE55
COSTA MESA. CALIFORNIA
FIRE
ZOyyyNp��E •
/ /y�/ PL��NS D TVPE / ` GROl1P`
,,, i
APPROVED
BV
�y�
CORRECTIONS
CITY O� �:C��STA h+ESA
The Amount shown under a
1 MEREBY aCNNOWLEDGE TNnT I H�VE REI.D THIS 4PPLICwT10N �ND p��p�e of establishing a permit fee only.
ST�TE TN1T THE'4BOVE I$ CORRECT AND I.GXEE TO COMPLV WITH �Ll
CITT ONDIN�NCES FND STRTE LaWS NEGUL/�TING BUIL�ING CON6TRUC�
i10�+. VALUATION ' � aC(J
SIGNATUREOF ,�� j �J(% PERMiTFEE S �� —
PERMITTEE � � � / L " u i � �/�� �q �
• l --i�//Af'lX/ PLAN CHECK 9^ ^
. � �
AUTHORIZEO AGENT TOTAL FEE $�� �O �M�
�«
,. �"�:��
��'�OSTA MESA BUILDING DEPARTMENT
P. O. BO% 31] �
GOSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
MAIL �i /
ADORE55 V
CITV
A HITEC
LEGAL L�
DESCRIPTION N(
A.P. NO.
SiZE �'
OF LOT �
USE OF
EXISTING BLDG
$ETBtCK LINE FflOM
CENTEfl OF STNEET
MESA. CALIFORNIA
CITY LIC.
N O,
�-�� ��cEi�Eu
.:- 9-sy u�
FIf�ANCE OEPT.
CITY OF COSTA [t9ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PEPM1Lj�C
8' iaa•,.t
o v�a
IECE1VEp BY DATE RECEWEO OATE ISSVf
�L�^1� 3 — 9_ �—�1 3 — 9 —
COSTA MESA. CA�IFORNIA
� TEL. APPROVED
NU. BV DATE
� BLOCK rancr CORRECTIONS
�)�(� � '
� F ! f'IOW ON LOTS I *� ',
DESCRIPT N OF WORK/
NEW ALTERATION I ADDITION
REPAIR MOVING DEMOLISH
SIZ'EDING /� X � � ROOMS� STORIES
E%TERIOR WALL ROOF
COVERING COVERING
USE OF NEW ^
BUILDING /. / _ .
STSTE TH4T THE �BOVE IS C(
CITV OROIN4NCE5 LND ST4TE
TION.
SIGNATl1RE OF��i /
�'
.
SUBJLC.T l0 �G. DEFT.
ANDryAGflEE TO COMPLV WITH �LL purpose of establishing a permit fee onty.
iEGULRYING BU OING CONSTRVC�
VALUATION
,� _ PERMiT FEE $
/n/ /�/� ��.�// PLAN CHECK $
5'�_/`,��/ ' —
Y
TOTAL FEE S p'
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