HomeMy WebLinkAbout1923 CHURCH ST - Building Permits FE RECEIVED
16445 v FEB 191962
COSTA MESA BUILDING-SAFETY DEPARTMENT J FINANCE DEPT.
P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE
�jOR PRIN7T/�/J/,/�(//�j} BUILDING
BUILDIN j9Z7 / ��/I U .
aoDREss COSTA MESA. CALIFORNIA For Office Use Only
//,`��jj. ter
RECEIPT NO. /{y.RMIT NO.TOWNER�'I /�s//rt1 / - II/fQ� I �MAIL /� �J /� - RBC IVCD BY D TE RECEIVED DATE ! U!•
ADDRESSS G3 �.,D 4 ,Gn I a--l�j.nd. o?`�y- .
(N2.- _ %g_ TEL. BUILDING r / / ��
CITY �J NO. ADDRESSSI
iii
ARCHITECT '' TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
Vim" FIRE
�-
ADDRESS
,,_ / ZONE TYPE A/ ROUP
CONTRACTOR 2 L#.7(Att APPROVE• �r // // '
BY - X1/1 GLl l/DATE
ADDRESS
-"� /1//4575 , /Pnr A NING / ///fff
ZON!/ _ I NLA G2 I USEIOF NEW d
CITY - • ` O.o USDING
OF
STATE TEL. LEGAL f1
SIC. NO. DESCRIPTION Y I CYJ` /0 F4 c `. y7—
SIZE NOF SLDGB.
A P y
NO l/ O i!- _ /3
OF LOT IO.Now ON LOT �/I/ `
USE OF YARDS EVES
EXISTING %LOG APPROVED AL OWED
SETBACK UNE FROM (CENTER LINE ST.)
CENTER OP STREET REAR YARD FRONT IN.
Y
SIDE YARD I LEFT I RIGHT R.SIDE , FT \ IN.
DESCRIPTION OF WORK
L.SIDE V . IN.
NEW II ALTERATION I II ADDITION I REAR FT. ,r,//) --6‘IN.
REPAIR II MOVING I DEMOLI6H I BYPRO/%LS�K DATE V` /9 G---
OF
BUILDING NO. 1 yn •' IF
SIZEROOMSSTORIES �� L•/
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
I HERESY ACKNOWLEDG THAT 1 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 FEB ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING DON�RO�T ON. y(/� /' VALUATION e.(J
PERM ITTEP�t/P 'L/�vGQ PERMIT FEE $ J O
SIGNATURE O
W/�� PLAN CHECK $ w
AUTHORIZED AGENT �/ 01-C.1C
TOTAL.FEE $a A¢
OWNER BARRERT, PAT DATE 2-19-62
JOB ADDRESS 1923 Church St. BUILDING PERMIT NO. 16445
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 140.00
AP No1.18-011-13 LOT TRACT FIRE ZONE DESCRIPTION OF WORKEerOOf Res.
INSPECTIONS Signature DATE GROUP 1 TYPE V ZONEC2
Soil PERMITS ISSUED .
Gas SUBCONTRACTOR DATE NUMBEI
Water
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. 0 St.Swr. 0
Sprinkling System _
of tion Pole
Underground 0 Power G
Rough Wiring
Trenches 0 Forms 0 Steel Reinf. ❑ _
Floor System
Bond Beam 0 Steel Reinforce ❑ _
Sheathing
Frame and Flashing •
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. 0 Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final •_
Building, Final (j ' a 5 _ ( o - G 3
OCCUPANCY 1G+�tt
RIGM P114.5M _ ].Pt J