HomeMy WebLinkAbout192 FLOWER ST - Building Permits 618
•
SEE RECEfVE •
COSTA MESA BUILDING DEPARTMENT !a- .5-- 5-7 ✓c-E--
P.O.BOX 317 FINANCE DEPT.
COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS /9C pt. 7 p et" BUILDING •
COSTA.MESA. CALIFORNIA . FOR OFFICE USE ONLY
' 'Via Si
/ o� - RECEIPT NO. /PERMMITND.
OWNER )icfa2=it.I, 6 /V /
/ PEC VED BY DATE,,pp MAIL /E/`/v'EO PqT SSU D
ADDRESS 'jr2 \ i Z./
J7 �Z 7
//p Ott/A- .10.24...a...- TEL. (, [/ ,l q ADDRBUILESS,
9 +1
CITY (..� NO. o`-/ U I I` ADDRESS < `- ( Q We
ARCHITECT LIC. r 3y, f
OR ENGINEER NO. COSTA MESA. CA LIFO IA
FIRE 3
ADDRESS ZONE
ZONE' OANS N .OF h` TYPE✓/
/ GRODU/.'
�J L
CITY LIC.
CONTRACTOR 64,„/„...22_,6* _ NO. �T
i
Ft
/ !. _
ADDRESS G R ' TEL.NO. BPPROV S�CI'�Y DATE /Z S 1
LEGALLOT j CORRECTIONS
DESCRIPTION NO./C//�I ;LOCKC TRACT-77
A.P.NO. II7 / ,2 4- 67
R
�•j{-e
SIZE II U x /O O. NO.OF SLOGS. / APPF�t O MI
OF LOT NOW ON LOT APP!13 UVJ YY
USE OF /_ L I CITY CI= •ST>A MESA
EXISTING BLDG. EA/a.. _ .,
,,,,4 i
SETBACK LINE FROM
CENTER OF STREET 3 O. Hj'�/ REAR YARD- u I SUBJECT TO • DG. DEPT. REG.
/a Al
SIDE YARD RIGHT LEFT 1
DESCRIPTION. OF WORK gY AR DATE 2
• LL A in
NEW I ALTERATION X I ADDITION
REPAIR I MOVING I DEMOLISH
BUIL/DING / �/ NO.OF
SIZE' ()i K / ROOMS STORIES
EXTERIOR WALL qq -•O,
COVERING 4 Y'sr, RIN ' ia
USE OF NEW i�r I est /fins
BUILDING G,/{A
I HEREBY�ACKNOWLEDGEt - - THAT V VE READ THIS APPLICATION AND "//J���° /
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. nnn ''' // // VALUATION
SIGNATURE OF 1.j -�J y, - . ,/� // // _ PERMIT FEE S 0y
PERMITTEE tt / aa_iJyj�//7// "1 .
$
3 3 J(0 - PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE $ 0..1 — ‘re
10273
, Eh. RECEIVED
aky
DEPTS.
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT ,j BUILDING
BUILDING /p� /���1E1- s/reef<:M
ADDRESS 7 •
COSTA MESA, CALIFORNIA
,,{{ fOR OFFICE 1/SE ONLY
OWNER
7-A05 W. //Ib r Mc ii I RECEIPT NO. PERMIT NO.
MAIL ))/", q /}�. / e�T/ TI� RECEIVED BY DATE RECEIVED DATE ISSUED
ADDRESS / .�. / 1(�we.. h tl! rL'/?! !.� r-'i-- l �.--.7 -,. -i
/� TEL. Q �-��p/ BUILDING
CITY (, bct� eS(i. ,t� NO.L, -Jo/y ADDRESS
ARCHITECT 71W.Normto COSTA MESA. CALIFORNIA
OR ENGINEER O Vl/hp} NO.
ADDRESS sa n`o FIRE ZONE
ZONE TYPE y� GROUP
STATE APPROVED �-9I- JSP(,.
CONTRACTOR 61n/h E r LIC.NO. BY 1 / DATE ^��/ �' /
ADDRESS . Si jlp .� ZONING .
LEGAL LOT ^ ^{-p/^ ZONE NO.OF USE OF NEW ,/�
DESCRIPTION]I NO. /OL-'T I BLOCK yC I TRACT// ! /\(! I PLAAN/NNS •y I BUILDING -1//0 _
A.P.NO. 1�AA/ -- i a. �SIZE I' i/— E/ APPROVED/WO
VPROV ED��/� DATE ii477[/17
EVES '
OF LOT �/ 6 ^ /Q� / '' I NOW oN LOTB / REQUIRED ALLOWED !,
USE OF (D (CENTER LINE ST.)
EXISTING BLDG. /7'a US SC FRONT . ± *PFT. IN.
SETBACK LINE FROM /0 l, '
CENTER of STREET ..iO Ta G u4ti REAR YARD 3 9 R.SIDE �/'�/
`-1 FT. IN.
SIDE YARD I LEFT 3 RIGHT C / Ai'''.L.SIDE /,C Ff. IN.
DESCRIPTION OF WORK ' REAR FT. IN.
NEW II ALTERATION I I ADDITION I v/
REPAIR I It MOVING I/I DEMOLISH I
S ZBUIE JI DING +I ' k 3p/ROOMS �p STORIES
EXTERIOR WAL6.,4 ROOF ))
COVERING Sf CCQ COVERING 14/60(I�54;
USE OF BUILDING A WORK TO BE PERFORMED
Tatrh ; /y IVDn n -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
(2....(2..------
SIGNATURE
2
'
SIGNATURE OF e / PERMIT FEE $ #
PERMITTEE Du
PLAN CHECK $
AUTHORIZED AGENT $ TOTAL FEE $ i/( 0/