HomeMy WebLinkAbout410 17TH ST - Building Permits.Costa 11�esa Bnilding Department
111 EAST 20th STREET
' � COSTA MESA. CALIFORNIA
FOR APPLICANT TO FII.L IN
Buliding �//O � / r{s C
Address / d
Costa Me9a, California
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�tractor D/,�/�/S/Q �
Address �j/Q �
Legal Lot Qr�J
Description I No. 7 (
(Attach Metesand Bound�
Size of Lot �� /T �°
"5BO' Nuas�
Exfsting Bldg.
Setback Line from
Centerof 8trcet J�1
Tel.
Lic.
�} Pii7-3a�-
No. of Bldga
) Nowon Lot �
, I No.of I No.M
Addition
[CATION FOR PERIIIIT
BUILDING �
C OF'FICE USE ONLY
� Reeelpt No. � Permit N
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Receiv d by Date Redd. Date Issued
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Bui ding
Address
Costa Mesa, California
Building � ! i No. of
Siza � XIo� Rooms SWries
EMerior Wall �LOG Roof —7
�erin9 LIC(o— s� Coverin9 Y Q APPROVATC
,�of New Foundatlon Lxation Inspector
Building L
Forms, Materiais, �
Under-Pinnfng
Frame: Fire Stops,
Bracing, Bolts
I hemby aclmowledge that I have read ihis Applicaffon
and state that the above 1s rnrreM and agree to comply Lath. Int
with all City Ordinan s and t s regulating
bullding construcUo �,� •.
Signature of
Permlttee
Authorized Agt
Valuation O � �• � Permft Fee $
Plan Check $
$ i 3, T,��
Fee
rRM 2U4 S-BP �R 8-55
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PLOT PI.AN
6how Iocation and dlsYances from
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Costa Mesa Building Departruent :�PPLYCATION FOR PERMIT
•, r. o. so. a�� •� �,�f3�' B U i L D 1 N G 1
COSTA MESA, CALIFORNIA � -
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. �ermit No.
Addre� /v /� `r.� I 33 3
Costa Mesa, California Received by Date Redd. Data issued
Nearest -/ � % -�i w I � ��l
CrossSt. / � Building
`/ / • �' " Address
Owner (�v«ws�r
Mail �y- Costa Mesa, California
Address �'� � � �%/-\ Nearest
��' M�� Tel. ,�/ vu cross st.
City No. ! a� 1� Zone Type Group��
Arohitector Lic. �'�
Engineer No. Approv d r
y M te
Address
itracto�'� ���fLn�ti Noy � S WING DEP7'
3 �/ M�+-�._ -w-ec-ot.. �Ear, REO.
Addreu �
Legal Lot �
Description I No. I Block - �
� Traet PLqN TE AT' ����!
(Attach Metes and Baunds) f lU �'L J, JZ l'�i�-� -
SizeofLot ��x�v1 NowonLot� / ..
l�seof Wi1�} o.of No.of ��l�Q�� � I+ ��+1 �
Existfng Bldg. � Vi_S�D� I Families I Rooma -.� � � , a �
Setback Line Tro�� �„�1�1/ ear Yard % _ l (r �-, � �•� '�� }; •i �' -
� ;��. i D
Center of Street ' e Vard � �/ � �, �tV'/n %�� � r
DES OF ORH �-- ,;; � r�. ;, „,
New I I Alteration I I Addition I ,
Bullding No.ot "'� � v� VVUIlY IY:.L�
Size '�� Rooms Stories
'�•terior Wall • I Roof
iering Covering �PR�VE��S
vse of New < � [
Building Foundation Location Inspecto
Forms, Materials,
Fa� Under•Pinning
Frame: Firo Stop9,
Bracing, Bolts
I hereby ac owledge th I have read this Application
and state that the abwe is correct and agrec to comply Lath. Int.
with all City Ordinancps and State Iaw�regulating
building construction.�,�,�H �„�(ya,,., Lath. Ext
Slgnature of ��1� /� •/'/ w�-rVi+-
Permittee Plaster,InL
Authorized Agt. " Plaster, Ext.
Valuatlon Permit Fee $ �i �- Masonry Reintorced
Plan Check $ Bond Beam
$ Q Q Total
Fee � FINAL
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PLOT PLAN
Show Ixa!!on and distanees from
propeRy Ilne antl between buildinpa
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9i7 C09TA MBBA. CALIFORNIA
For Applieanf fo Fill In Complefely
TYpE OR PRINT
COSTA MESA CALIFORNIA
FIRE
ZONE
APPRi
BY
ZONE
TEL. LEOAL
NO. DE6CR
I NO. OF BL�GB. 1
1 USE OF
' BETBACK LINE FROM �� �
�
DESCRIPTION OF WORK
'EXTERIOR WALL I ROOF
COVERING GOVERING •
� USE OF BUILDING AND WORK TO BE PERFORMED
�EE RECEiU�D �
AUG 161961- �
FINANCE DEPT, � �
CITY OF COSTA MESA � •
APPLICATION FOR PERMIT � ��
BUILDING � � �
��For Office Use Only 4. �
RECEIPT NO. P FMIT ! O �
V
lyjp BY ( O`� EC=1V4D,/ I �AT 88UlO ��
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COSTA MESA. CALIFORNIA
TYP GROUP' ! Z
ED /
DATE
ZONING
_ I NO. OF � I USE OP NEW �
PLANe eUILDING
f10N � � � K`
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�. �,�-3-�/- 3 �
EVES
�ED ALLOWED
! . (LENTCR LINB BT.1 ,� �
� HEPHBY ACKNOWL¢DG¢ THAT I HAVE Re/� THIB APPLIGTION
AND BTATB THAT THE I1B0`�e IB LORRECT AND A6REE TO COM-
PLY WITH ALL GITY Of1O1NANCEB AND BTATE LAWB RBOULATINa
OUILDINO CONBT^RUGiION,
SIGNATUR6 OF�' �' � �Q w`����
PERMITTE
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1tIZED
VALUATION
$/� V V V�
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S�P�FRTYJFT��—�—
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I6HING A PEPMIT FE8 NLY.
/ �
PERMIT FEE $
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PLAN CHECK S
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�� ' 25331
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COSTA MESA BUILDING-SAPETY DEPARTMENT
P.O. BO% /100 COSTA MESA, GALIFORNIA 07620
for Appl7cant to F711 In Complately
TYPE OR PRINT
BUILDINO //IQ � ,
ADDRE88 �7
GOSTA MESA, CALIFORNIA
owNen EL' ��N �t/ ( -
MAIL __ �f/^ r i-s 77i •
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e size
Y YCTBwCR LIX[
DESCRIPTION OF WORK
'SlY
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C�� �i� Cas lA �
FEB 24 1966
f01'
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Z-
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I[ NO. OI Y�i 01 HI
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A.P.NO. — �L! �/
NOTR: NOGV60V[RHAN68HALL08Ll88THAN
�O' TO 81O[ 0 RiAR P. L
ewvea
� ALLOWHD fU.B.C.NECUIRHMHNT.7
YARDOMPROVHD YARDBAPPftOVHD
MAIHBUILDINO ACCEY80RYBUILDINO
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1 H6RCBY ACKNOWL6D06 1XAT i XAV� RHAD TNIB AP�LIWTION
AND BTAT6 TNAT TNS AGOV[ 1� COpR6CT�AND AORB[ TO COY.
PLY WITH ALL CIA OPDIMANCV AND �TAT{ tAW/ R[YYIATlflO
Gl11LO1N0 CONeTRYGTON.
BIGNATURE OP
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DATB
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TH['/�MOYM GNOWN UNOBH VALU�TON 19 FOR T16 �
PYPPOG6 OP f8TI�0LI8XIN0 l� PBPtlIT P88 ONLY.
VALUATION QYJ OO �
PERMIT P88 p
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I 3 '�'
TOTAL FE8
. � . 3095�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92628
For Applicant to Fill in Completely
BUIIDING �. I�l{�, �Y,
ADDRESS �
OWNER ��T�/i. ll�n�)l�r?< l�ll/) _
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� � SI2E NO.OF BLOGS.
OF LOT O NOW ON LOT
VSE OF � /� � Y
EXISTIhG BLOG. G.� y-+•a � 1,
I F' SIZE OF NO. OF
Q NEWBLDG. ROOMS STOFIE:
EKfERIOR WALL ROOF
V COVERING GOVERING
J USE OF BUILDING AND WORK TO BE PERFORMED
OCT-1-6�00 025 0***¢*
cnsa
APPLICATION FOR BUILDING PERMIT
'�EJ. BV DA E FECEIVED DATE ISSUI
' �� �O-/- 69 �� _ i-,
A.P. NO.
BUILDING
ADDFiESS
OWNER �(f���yj �
USE
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FIqE
20NE T
APPROVEO
BV /
20NE NO.OF
�_ PL.Af�S �
5
VAROS APPROVED
DISTANCE BET
MAIN BLDGS.
VAR. qW
VALVE
USE OF NEW t�(,t S'r.
BUILDING ,�xTED. ALi
vARDSA7PROVED
ACCESSORY BUILDING
BET. MAIN &
ACC65. BLDGS.
Q4TE
O � � — APPROVED
APPROVE L /1
(A .� O �� V'�� �
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UI haraby ecknowlatlpe thot 1 heva raetl this appllcation antl `tnte
7 ihet the ebova Informetlon it corract end aprao to eomplV "+�th
� ell lewt ra9uletln0 bulltlinp con�vuetlon, entl I fMall not employ
�, any perwn In vloletlon of Ne workmen's compenutlon law� oi
y Ma Sten oi Ceillornle.
zI hareby certify t�ei l em proDarly Iican�etl es e eonttector under S�. FT.
Ma Steta of Cailtornla Bualnes� entl Protaulon� Cotle, Divizicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chepter 9, antl thet wch Iicen�ef are In full force antl affect, or I THE PURPC6fi OF ESTABLISNING A PEFMR FEE ONLV:
am axempt irom the provl�ion� of tha Stem of Cellfornie Buflness V AlUPT10N
antl Profeulon� D���slon 3, Cheptar 9. GG pERMR FEE $ � G G
Sipnaturr oi /�/
Parmlttu $ (/(/ PLAN CHECK
i
Au2horizetl Ap�n TOTAL FEE g /y GG