HomeMy WebLinkAbout128 18TH ST - Building Permits 18289 ••
FEE RECEIVED
P
A MESA BUILDING-SAFETY DEPARTMENT NOV 27 )
P. 0. BOX 317 COSTA MESA. CALIFORNIA CE DEEPTPT.
CITTY Y OOFF COSTA MESA•
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING /it A /I ri
ADDRESS ! Y)"
COSTA MESA. CALIFORNIA For Office Use Only
r )� ./` RECEIPT NO. PERMITRB4O..
OWNER ...1" ,/ ^L-Q " e yYYY/LZ,m,3. ,11a/F/r0 -re-or)
DATE RECEIVED //T U /
MAIL / 3�4 1/VI'/j}P�/RPL. RECEIVED'-✓!/// BY I/7 a77-h/ I/1 -,7-DATE I!/fOE_GIS�.
ADDRESS /J-/ /y �/ y^T/L'� y/3I/'
CITY lets ed i • NO. ADDRESS
TEL. BUILDING /0' !�- /U �.OY
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS •
FIRE
P ,�/ +\`J
ZONE TYPE --.16"-GROUP l:J -
CONTRACTOR efel/it.1,-- APPROVED DATE M
ADDRESS ZONING
\
• ZONE NO.OF USE OF N
CITY ' U / I PLANO '� BUILDIN .0.1,1
STATEIC.NO. TEL. DESCR /2n• y l/r// /�.EII- �/7�
LIC. NO. _ LEBGUPTION .i-'9 4 ��'2fff
SIZE / I --yy Ho. OR BLDOB, y y
OF LOT �CC `l 7 S ow ON LOT A.P.NO. i i 7—I O -/ - I_
USE OF YARDS EVES
EXISTING BLDG. .O c Kure K2_ APPROVEDALLOWED
SETBACK LINE PROM ‘m-7.-----‘m-7.----- -.-___..- (CENTER LINE ST.) ^
CENTER OF STREET REAR YARD FRONT FT. IN. -
SIDE YARD I LEFT I RIGHT R.SIDE `FT. IN. LL
DESCRIPTION OF WORK
L.SIDE (.1-----
T. IN.
•
NEW I II ALTERATION I II ADDITION II�y� REAR - L.-------
FT.
/-- IN. /
REPAIR I II MOVING I II DEMOLISH 4 B,�PROVED/.t/ 4) L DATE //.7724)------.
BUILDING NO. OF ` 0----2.--7-/
SIZE ROOMS STORIES
EXTERIOR WALL TROOP
COVERING LCOVERING
USE OF UILDINGAAND[WORK TE O PERSORMED
./,4,/- -4,9 alit -I- S /5 di/ Set' t '
-- Or /0 OP5sOoD /. LU edL Citorm.r�/y e (/
Gin yern+ If 10 till henf+Iwiled./-alai '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TIBE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TIS COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING et
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BUILDING CONSTRUCTION. VALUATION a/? G.y
SIGNATURE OF! i- lit `/I�/�SS,i. _�/ Ate) PERMIT FEE SOI q
PERMITTEE Jf l�L %KC�/LLA �R L�'t/
GQ �/I_ .� $/1 / PLAN CHECK $ - ;
AUTHORIZ '•�//- �rL/�-Lp O�D 1 � �J _
/ TOTAL FEE $ /�( 4