HomeMy WebLinkAbout991 17TH ST - Building Permits� � _ , •t
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. 41nST 17t:STP,�T� 991 �
Comp. 3-13-59 (8830) ":<. t;al,
Comp. 3-21-59 (8867) Blk. :dall
OWNER �ll�'Ti�'�'AP��l�it�`T DATE 3-12-59 _
)OB ADDRESS �n} ja�_}7.��_�� BUdDING PERMIT NO. 8830
GENERAL
AP. Nd:'"'
VALUE $
FIRE ZONE DESCRIPTION OF WORK
ZONE
`ECTIONS I DATE I gUBCONTRACTOR I DATE
P° ' Gas Test
Z uction (
30
OWNER Q/1�%STAD, OI,AL7 DATE 3-19-59
JOB ADDRESS 991 w. 1%th St, ' BUILDING PERMIT NO. 886%
�F�iE� C�(;NTRAC'fOR KBtZdOT'il Ti3SOtIIy ' VALIiE $ 536.00 '
INSPECT(ONS
Ninal Gas Test
TRACT FIRE ZONE DESCRIPTION OF WORK
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PLAN NO.
SUBCONTRACTOR I DATE I NUMBER
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COSTA MESA BUILDING DEPARTMENT
P.O.BOX 31�
COSTA MESA. GALIFORNIA
FOR APPLICANT TO FILL IN
/
MAIL
ADDRE55 (
ciTr �'
ARCHITECT
OR EN�INEER
LEG�1L LOT
DESCRIPTION N�, '/
A.P. NO. , I (v
SEtBACK LINE FFOM
•-.�, i . - —
A MESA. CALIFORNIA
TEL.
NO.
LIC.
NO.
arv LIC.
�n NO.
�� V TE�
� � � � C�
� ' NO.OF BLDGS.
NOW ON LOT
SIDE YARD RIGHT _.i � LEFT v�l
DESCRIPTION OF WORK'
NEW ALTERATION ADDITION
REPAIF MOVING DEMOLISH
BUILDING NO.OF
512E ROOMS STORIES
E%TERIOR WALL ROOF
COVERING COVERiNG
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FI�! ",�`!C ��DEPTE�,
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APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
m
COSTA MESA. CALIFORNIA
NO.OF TVPE
� / pLRNS
DATE
CORRECTIONS
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CITY O� :
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L18JECT TO (
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I NEflEBY KN WLEOGE TH MqVE RE T I$ A PLICiTION �NO ` " �� '
ST�TE TH THE FBOVE IS RRECT RNO A NEE TO COMPLY WITM eLl purpose of es,abiishi�g a pemiit fee cnly.
CITY ORDINANCES FNO $T4TE LAWS REGULATING BUIIDING CONSTPUC�
T�o�. VALUATION .n��
SIGNATURE OF , PERMIT FEE $ . ��/
PERMITTEE
1��� v\ PLAN CHECK S
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AUTHORIZED AGENT • TOTAL FEE S �� ���
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COSTA MESA B131LDIi�G DEPARTMEtdT
P. O. BOX 31T
COS7A MESA CAIIFORNIA
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C•L. OF STREET
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FEE RE E,IVED
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�/ PROP LINEI
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C.L. OF STREE
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOIID LINES
I �SQi'�
FOR AP'PLICANT TO FII.� IN
BUILDING ADDRESS �/ � GI�,� % � T�Z `� •
M.�li Owner � fJ � VAe.n S'L.e!��
iMail Address �,SJ4�+ � �
I ity C.° o S'Z lq a� t S � _---Ph. No. -----=
��p� L� M�AS o .�n
ON ContractorllJ+TZ cio/1�� v...� �h. No.
i�� Address��/ �,f�✓l �c... rd 1. ✓� c�.�i-.
I� City Lic._No. _ State Lic. NoI _��
I Size oE Lo p%G �/ �AP No. �I�' %��� �� .
Setbacks: C/L Street � O� � Rear l
�r
Side Yard - Right ✓ � Left '—
Type of Fence �o G/C C'D uC�, T w l�' 4' K� L
iL
� �.
�/ � ^ S�_ ��� � G � "3 � � -M-�.`c.Q
I hereby acknoivledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State,Laws regulating building construction.
Signature /� �
of Permitte�.c(�YL�j��� �i"�-.� _
FOR OFFICE USE ONLY
Date
00'Ur�
_�y-�� 3-�
VALUATION I � d-tJ
Permit Fee $_—�
3 6� I plan Check $ �
� °�.'
TOTAL FEE $
USE REVERSE SIDE FOR DETAILS