HomeMy WebLinkAbout1771 NEWPORT BLVD - Building Permits Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST_/� COSTA MESA?B0th STREET BUILDING
1
CALIFORNIA - 814
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN
�{f/_ - ! 2Re/ceip_t No, Permit�f lei
Building �./2/ /i.0 � a-A 2 _ ._.—.lIG7� _ �/j a .�
Address
Costa Mesa, California Received by Date Reed. I Date
issued
gii 1955.
C
Nearest �E n9��1 `/ L
St.Crosss /��' ` R Building
--��"" tip L� Address
Owner �..j , .c.f.i ,;.-.2„..eIC va' r-is g r� Costa Mesa, California
Mail `
Address L./ ��-�!ic�-C�--.et-, Nearest
/ G D /' Cross St.
City "� J rq�� Not>/Y / C Zone , No.of Type -V J Group
Architect or Lic. Plans I V I -7—
Engineer
Engineer No. Approved
by Date
duress 4rAA - City Li . CORRECTIONS
Contractor No.
AddressLegal Lot
Description I No. 41 c9 I Block I Tract/ gi. - _
(Attach Metes and Bounds)
No.of Bldgs.
....5R--)/„,/Size of Lot ....5R--)/„,/ere I Now on Lot a
Use of I No.of I No .of - - - xi
Existing Bldg. Families Rooms
Setback Line from Rear Yard
Center of Street Side Yard - -
DESCRIPTION OF WORK - - r
New I I Alteration I I Addition I _ ,.
3
Repair I I Moving I I Demolish I " ' - - ,,,,\\ ' 1 i'
Building No.of ` -. i
Size Rooms Stories J
=xterior Wall I Roof .1
CoveringUseofNew /Covering APPROVALS O�
Building /70)C>e AFoundation Location Ir e Date
Forms,Materials,
Under-Pinning •
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
building conshon.
Signature of yN� � Plaster, Int.
Permittee .d Plaster, Ext.
A u t h o ri ze d;A gt. .Gsc---tnt.
-
Masonry Reinforced
Valuation "ThPermit Fee $ 2 O J
Plan Check $ ----- Bond Beam
$ Total
�
t� O
Fee $ L ___ FINAL
FORM 264 6-H 2M 5-54
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