HomeMy WebLinkAbout176 MONTE VISTA AVE - Building Permitsr Costa Mesa Building Department APPLICATION FOR PERMIT
COSTAP, O. Box3!7 RNIA 472.3 BUILDING
MESA®W FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building N
Address / 7 6 Mb het 7 Az Vi, t V.aa
Costa Mesa, California Cirri- '/4//Received ' D eRfc d. Date Issued
Nearest 67 / a"2-S7
Cross St. 0 /HA, Iv 6 /� Building
�\ _ Address
Owner , .4. 7, t- ,7 E0 S' Costa Mesa, California
Mail
Address X76 PIONT,C- VI %A Nearest
Tel. Cross St. d / ,
City k - f FS d,
ti . / , 16 Zone„ I No.la s I Tygq� C
Archi ect or Lic. Plans IJV
Engin@er p 1N NkA No. Approve. ..[J r O a/)
by // Date J'
Address cD s.
Contractor _p City Lic. D
� VV NIi/j No. .,. ,. I? �1 V ..
Address �` -
Legal I Lot OU LILY Oi LI:S I A Iv;1.:SA
Description No. i,?.Q Block I Tapi,...:;:.:;;;G L.i..' I'.
(Attach Metes and Bounds)pfri,/ /y-07 b- yg' CUR�Frr 11) RIn, WEPT REG.
Size'of�ot k I Now on Lot f/U/y,C (76r dC• DATE i"t-,7l/ C
Use of - " �� t No.of No.of BY PLANTLC% / A
Existing Bldg„��-t Families/ I Rooms Gj - `'c'T w1
Setback Line from // ) 0 Rear Yard j ' % 2
Center of Street • (O� Side Yard A,S',a0 y
DESCR ON OF WOREJ,5 /02; 6 r
New I V I Alteration 1 I Addition
Repair I I Moving I I Demolish I Z
Building ..., No.of a
Size .20 A 7U Rooms 51 Stories I
Exterior Wall I Roof
Covering S j p cc itCovering4g&MA. T APPROVALS I
Use of New Foundation Location Inspector Date
Building �U[=s /A ,� N ,r (,{� ! T 4Forms,Materials,
A- TT AA At G to CA-if4 (j a Under-Pinning w
As I ..E/f b.4, ,a . Frame: Fire Stops,
rBracing,Bolts
I hereby acknowledge that I have read this Application o
and state that the above is correct and agree to comply Lath.int.
with all City Ordinances and State Laws regulating I►I
building construction. _ Lath.Ext.
Signature of /2/ D/ _ // `�%�//_ .
Permittee ` /.Y /D` //�jf 21 Plaster, Int t
Authorized Agt. Plaster, Ext. Pit
W.
Valuation Permit Fee $ ,.Z a , Masonry Reinforced VI
7 /fey f Plan Check $ ` 0 Bond Beim o
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PLOT PLAN
Show location and distances from
property line and between buildings
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