HomeMy WebLinkAbout4616 BERNARD ST - Building PermitsCosta Mesa Bnilding Department
P. O. Box 3!7 ,
COSTA MESA, CALIFORNIA '
FOY� APPLICANT TO FILL IN
Building
Addross 4616 Bernard St.
Costa Mesa, California
Nearest
Cross SL Pa�solls.
Owner $.M.$arngtt
Mail
Address t,616'' Bernard St
citr Costa Meaa. Na�• LI 8-3:
Architect or Lic.
Metes and
No. of Bldgs
Now on Lot
No.of I No.of
Setback Line from Rear Vard L'
Center of Street �St. Side Vard
DESCRIPTION OF WORH
New I I Alteration I I Addition
Repair I i[ I Moving I I Demolish
Building No. of
Rooms Stories
I hereby acknowledge that I have read this Application
and state that the abwe is correct and agree to rnmply
with all City Ordinances and State Laws regulating
building construction.
Signatureof
Permittee CT'azIZC BTOs ROofin[ ('.o
Valuatlon
$ 5�.0�
FOFM 204 IO�M1S O. P. G 5.
Permit Fee $
AYPLICATION FOR PERIVIIT
BUiLDING '
FOR OFFICE USE ONLY
Received by Date Rec'd.
.�.� /O -.�CS�-J
Buildin
Address
Costa Mesa, Cali
Nearest
Cross St.
Zoneq No. of Typi
(�,.�%i Plans
Date Issued
oa5-
Date
CORRECTIONS
Foundation Location
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracinp. Bolts
Plaster. Ext
MasonrY Rei
FINAL
l -ti
�V�.s
°Inspector
�1
Date
N
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