HomeMy WebLinkAbout125 FLOWER ST - Building Permits Costa Mesa Building Department 4.- j APPLICATION FOR PERMIT 1
111 EAST 20th COSTA MESA, CALIFORNIA T f •
i 030 _.-,BUILDING_ _1,
w FOR OFFICE USE ONLY
• FOR APPLICANT TO FILL IN R ceipt No. Permit-No. !
Building 1_s g �6 / y. '•- '
Address / •' ! �/- ¢/ / `S.
Costa Mesa, California Received iby Date Rec' Date led i
Nearest {� J j i k— Kr...
KS-
Cross St. np , A h� Qi J--IA Building ; I
Address 1 I
Mailer r -� " ; Costa Mesa, California 1 i
-- Address / . . J ,3 Nearest I t
tVVV! Tel. Cross St. ( • (
City No. Zone...m,, No.of Type _�I Group �'?-'
Architect or Lic. �X ' I I Plans t ( 'i
Engineer No. Approved 1 ( I
by ' - Date ( i
Address 1 COR F.CTIONS i
//�J
City pc.
:ntraetor i.L.t. ��i� uAA No.,/ea �� • j i
Address /%4 e fA./b- J 1AttL i j !
Legal' I Lot -.--j
Description ! No. i Block I Tract _ : 4 I
i i
(Attach Metes and Bounds) /I1 // t
•
•
No,of Bldgs.
• Size of Lot I Now on Lot ---- Al -
Use of I No.of 'I No.of - 4 .' s� S
• Existing Bldg. /� ����� Families Rooms _��,.{ 6
Setback Line fro Rear Yard -- -"-" q.�-t-"—�'!- �` ,-� _
Center of Street Side Yard A 0,. _ z.
z
DESCRIPTION OF WORK r+ 5` ��`� r
•
New I I Alteration I I Addition I Car /10^r Aryl/ ' __
Repair I I Moving I Demolish I y J ••z�{�
Bui
Building No.of
Size Rooms Stories /•
•
erior Wall I Covering i Roof
Bring_ over . APPROVALS
„a of New Foundation Location Inspector Date
Building Forms,Materials,
' ' Under-Pinning
/r r Frame: Fire Stops,
��� � Bracing,Bolts
I hereby acknowled; have read this Application Lath. Int.
and state that the a:.Sr-e is correct and agree to comply Lath. Ext.
with all City Ordinances and State Laws regulating
e building construction.
�� /� Plaster, Int.
Signature oy/// //'�
Permittee �./�/�/ , 'C� Plaster, Ext
Authorized Agt. Masonry Reinforced
Valuation [7"0 Permit Fee $ 2re-
`/ Plan Check $ Bond Beam
$ / D '/ Total v� . -
yaiiiiii
$ FINAL
Form 204 GRIM 12-53 <... /