HomeMy WebLinkAbout2000 ADAMS AVE - Building Permits 16805 yFEE RECEIVED
MAR P. 3 ictor,
COSTA MESA BUILDING-SAFETY DEPARTMENT -/ FINANCE p Pr
P. O. BOX 917 COSTA MESA. CALIFORNIA '
•
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING ��QQ¢¢AA�� ��
ADDRESS -tn7°o�B-�-o •
COSTA MESA. CALIFORNIA �/� For Office Use Only
OWNER a�'� Pj . ✓0 I RECEIPT NO. I /JBF7�O_
MAIL /9/j//i /]] �,yJ'4 RECE VED BY I +EOSIVED -DAA_T ISSUED
ADDRES /4.. 7 y ie•71 r 1 ,�//,��jj �- //y��
y / TEL. // ./ =DILD1 . Z.15-67.--
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CITY 2f/`C_a a- NO./I� o :UILDI5
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE 1
ADDRESS
ZONE TYPE GROUP" •
CONTRACTOR ik _ p . �i •• • • APPROV�{,•��/�j'/�'
6Y "- -I - DATE - GL
ADDRESS l/••/.��i.- - G.. 1J . ZONING y�,JS�///,[/ /A/
CITY �C/y`y(L(M 1�.�, �o/�///i ZONE✓/ ) I PLANS a I BUILDINGNO.OF USE OF S /A/�il /V
/ -317 Z LL•
LEGAL SCRIP 7 / �1 T-/yam L.L/�"'�
LICNO. .?n 6 97 NO. / LESCRIPRO1.T" "� /0 -43 1 U\ /a/JC,
SIZE �/O NO. OFSLOGS.
OF LO NOW ON LOT A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE STJ
CENTER OF STREET REAR YARD FRONT --FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK L.SIDE e—^ �FT�. _ _/ I
ALTERATION I ADDITION I REAR /L��Q, TV O I�
NEWI
REPAIR I II MOVING I , r
(DEMOLISH I APPROVEDOVCU-,, . 0 . DATE "3-�7J-6/"
BUILDING NO. OF /O 7 / (}/ 6,---.4-21SIZE ROOMS STORIES `r
EXTERIOR WALLROOF
COVERING I COVERING
USE OF BUILDING AND WORK TO BE PERF•RMED
r4. (c/eJ
4 X IX Jen -Lfor G " I6 ' '/ /07i/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. f. /`n /(/�) VALUATION /
SIGNATURE OF attar/ V 1 •lJ lM�•L_ PERMIT FEE $ ` a
N
PERMITTEE mi
$ ) clO PLAN CHECK S 7 mi
AUTHORIZED AGENT / K
TOTAL FEE . u