HomeMy WebLinkAbout3214 MONTANA AVE - Building PermitsF
�
�
a
Q
.N.
y
s
F
9194 4/13/7� 7050
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
A LI ATI N FOR STRUCTURAL PERMti
For Applicant to Fill in Completely — Ose Ink Only
RE EI B DATE RECEIVED TE I U
BUILDING ����
ADDFESS
OWNER �y
A.P.NO. �3��U91-O8 PEflMITN .
BUILDING
ADDRESS � ADORESS 3Z/Y �o�Ti¢N� '¢rF--
TEL. S�% TFACT3y�3 L0T3z BLOCK
CITV ,7 / NO.
CANSTRUClION W
LENDER
BRANCH
owNea N�t'P_ Mv�tG�/
ADDRESS VALUE
/ �j
ARCHITECT TEL. ��� Q'J $ .v/
OR EN INE R �
,/� FIRE r�
ADDRESS /v. ZONE T PE GROU
APPROVED
CONTRACTOR BV DATE
ADOFESS
TEL. ZONE NO.OP USE OF NEW �AT/O
CITV NO. �� P�� Z- BUILOING �yq �
STATE CITY YAROSAPPROVED VARDSAPGqOVEO
LIC. NO. LIC. NO. MAIN BUILDEIENG ACCESSORY BUILDING
S12E NO.OFBLDGS. (FROMC/LS�T,GµT�7e �Xlf7i.!/��
OF LOT NOW ON LOT OM �y FT. FT.
USE OF �
EXISTING BIDG. � s � F
Separate permi[s are required for � s /} i T�� �=KiS�,.iL
electric, plumbing and heating work. REAR Zi TFT. FT.
VS F BUILOING AND RK TO BE PERFOR ED DISTANCE BET. BET. MAIN &
Al MAIN BLOGS. ACCESS. BLDGS.
VAH. qW DATE
� C.U.P.�µ MPROVED
APPROVED Q� ���3 —'7�
I hereby ecknowletlpe thot I hevo raetl Nif epplicaHon entl smm �
thao tha above Intormatlon I� cornct enJ a0reo to comply wlffi �
�
ell lews ropuleUnp builtlinp conrtruction, entl I fhell not amploy ,
any porwn In violnilon of Ne workmon'� componmNon lew� ot � ,
tha Scero of Cnlilomie. ^ ,
1 �areby certify that I am properly Iicenfad af e connactor untlar �� S0. FT. i
the Steta ot Calltornia Bu�inesf ond Prafaniona Cotle, Oivision 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR [
Chapcer 9, antl Nat suc� liconwa aro in full forca entl affact, or I THE PURPO6E OF ESTABL6HING A PERMIT FEE ONIV:
em enempt from the provisionc o! the Stata of Celifornle Buslnew
VALUATION PERMIT FEE E �
on0 Professions Cotla, Dlvislon 3, Chepter 9. u
�� e
PLAN CHECK S �
SIO�atura of � � III'''��� �� �
Pormittoe L � 5 /� TAX S � �
Authorizatl ABent / �
TOTALPAID E
�or 3z - TR 3403
. � - i3'�ti�
COSTA MESA BUILDING-SAFETY DEPARTMENT
v. o. sox si� COBTA MEBA. CALIFORNIA
For Applieanf io Fill In Comple+ely
TYPE OR PRINT
BUILD�NG 3zi4 MONTANA AVENUE
ADORH88
COSTA MESA. CALIFORNIA
MAIL �555 PLACENTIA AVENUE
ADDRE86 /
��n, NEWPORT BEACH� CALIF Np:MI O-
ARCHITEGT TEL.
K.W, KOLL CONSTRUCTION CO.�
FEE RECEI�ED
' �qN 301961
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
BY
DATB
�EB 1 i�; �
COSTA MESA. CALIFORNIA
ADORE56 ZONING
NEWPORT BEACH� CAL IF019N 1 A �o I NO.OF I uea on
p�ry ruele auaou
e;�*No. 6ti95 NO. MI 6-3227 LBOAL
nescnirttox
BIZE NO. OP BLDO6. 0 p
OF LO7 6ox i o8. 28 I Now Orv Lor q, p, NO. 1�`
USE OF YARDS EVES
EXIBTING BLDG APPROVED ALLOwI
88TBACK LINB PROM 5o f REAR YAR� 2$ `�'r FRONTp L'NH eT.) FT.
CHNTlR OP BTRHeT
SIDE YARD ILEFT � IRIGMT t R.SIDE FT.
DESCRIPTION OF WORK _ �
WALL STUCCO I ROOFWOOD SFOM,LES
COVHR�NG
IILDING AND WORK TO 9E PHRFORMED
GARAGE PLAN 3-A
1 NBHHHY ACNNOWLeCOH TNAT 1 HAJB R6AO TXIB APPLIGTION
ANO 8TAT6 TXAT TX6 ABOV6 IB GOIiAB� AND �OII6¢ TO COM-
PLY WITH ALL CITY OPD�NA�ICH9 �ND 8TAT6 LAWp R80ULATIN6
6UILDINO CONBTIIUGTION.
81GNATUHE OFn D. �. . .._ . _
� Al1THORIZED AGENT
THE AMOUNT BHOWN UNDER VALUATION IB IOR TH[
PUHPOBe OP ¢BTABLIBHINO � PERNIT F68 ONLY.
VALUATION _ �j
n / PERMIT FEE $ �J � � N
S/�'j "'�r r PLAN CHECK S �O ' a
y�/ C
TOTAL FEE '�/ r LL