HomeMy WebLinkAbout169 FLOWER ST - Building Permits - Cesta Mesa Building Department APPLICATION FOR PERMIT
P. O. Box 317 ;1411 BUILDING 1
le STA MESA, CALIFORNIA '
MliiieFOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN 1 Receipt No. I Permit No.
Building / fir, C C
Address /� t t • /t4Q(/e t• Q D / S
Costa Mesa,� California Received by Date Rec'd. / Date Issued
• Nearest /'���/UC�� �� /d a 3:I (O I/6 ." ,a-7-,S1.,
Cross St. Building
. Lae.ohr Address
MailOwnCosta Mesa, California
Mail
Address X17 4". IC‘el*/C7ft... Nearest
�A Tel. Qa �yi Cross St. i
City C2. /��• No.b/, '� Zone,/ I No.of I Type �/ Group /^
Architect or ` Lic. y Plans �/ `SLI
Engineer • \ No. Approved
111 _ _ bY —�---��e
Address - - ` Ip,k7�Ts
Contracto��j�yc.� �,�= �
Address 2149 469*V /Q ,CITY OF GC T.; t"'`-�A
Legal
6 �7 J� PLP,NNW(' uErT. afr,
Description I No. /` I
Brock--0 I1Traci?? SuBJLCf TO ELEC. UC -
(Attach Metes and Bounds)pre/( 7"'/ —1 &2 ,n D-13`+—s---r..
rr No.of Bldgs BY �-. •LO DATE/
Size of Lot 49 x ��� I Now on Lot PL la r Gin/ • 0
Use of /J ( No.of No.of •i` 77
Existing Bldg. /[1+'✓ . I Families if Rooms t 5
Setback Line from , e p ',tear Yard 45s x fr1,0Q1 enla' 2
Center of Street 4/ A44.VW!$rde Yard 'cam y
DESC ON OF WORK r
New I VI-Alteration I I Addition I
Repair I I Moving I Demolish I c
BuildingNo.of _ c
Size 2/lCSi7 Rooms .3 Stories
Exterior Wall Roof e-
Covering Jlket'o Covering A�OC/C, APpROVALS
Use of New J' _
Buildingq A$N4j' G ,P4/4"7/e4/4'. Foundation Location Inspector - Date
/A Uorms,nder- Materials,
�i4 Under-Pinning z
Frame: Fire Stops, 4
Bracing,Bolts t
I hereby acknowledge that I have read this Application c
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating .{
building construe 'on. Lath.Ext.
Signature of n ,�,///7/, 40122 de''
Permittee ��'ddd���l��C�' ' ( vL✓� ��L. Plaster, int
Ext
Authorized Agt. LF//1Y..9i Plaster,Ext. C
valuation Permit Fee $ /6 — Masonry Reinforced - - . t
C1 e) Plan Check $ Bond Beam C
X71 Total C/
$
Fee $ 0.2, % — FINAL C
FORM 209 10.55 O.P.A S.