HomeMy WebLinkAbout686 CONGRESS ST - Building Permits� �uF.11��.
';o'sta Mesa Building Department
111 EAST 20th STREET
^ �� COSTA MESA� CALIFORNIA
FOR APPLICANT TO FII.I. IN
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Costa Mes alifornia
or
Size ot LM �y �
Use of
Existing Bldg:��
Setback Line trom
Cente� of Street
DESCR
New I�I
Repair I I
Building
Size �/ �
Exterior Wall —T
Cover�ng
Use of New /
I hereby ac}
and state th
with all Cil
building con
Sfanature of
No. of Bidgs
Now on Lot
No.of I
�S�b
APPLICATION FOR PERMIT
12'18 BUILD,�NG '
FOR OFFIGE USE ONLY
Receipt No. Permit N�
Received by Date Rec'd. �� yate�
i �L7-.
swiat�9
Address
Costa Mesa, California
Nearest
Cross St.
Zo �/ � No. of � Type ,/ I Group-
CORRECTIONS
' Rooms - Stories .
Roof
coveri� APPROVAI.S
� � Foundation Location Inspeeto
Forms, Materials,�
z� _ Under-Pinning �
, �( � Frame: Fire Stops, �n
--C� �/��— Bracing.Bolts .D
:r
that I have read tTils Appiication Lath. Int. �?�
ve is rnrreM and agree to rnmp]y '�-,
�ces and State I.ews regulating Lath. Ext. „�
��
\ // � _ Plaster. Int �
Vaiu,atfon �/ PpFmtt Fee $ 1 tf, o 0
d Plan Check $ D O B�
s o 6 0� Total
Fee $ � � FI
Ff1HM 204 �-M 2M 8-84
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YLVT YLAN
Shaw Iocation and distances irom
property line and between buildings.
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LEI�II�, RICHARD N.
JOB ADDAESS
GENERAL COI
LOT
OCCUPANCY
DATE
SUBCONTRACTOR
4-3-61
VALUE
Form 210--SM—il-59 S-B P ].�'Z].�
` F�E RECEIVED
� -. - - i�z�o
R FI�A�IG�E I�PT.
COSTA ME3"A BUILDING-SAFETY DEPARTMENT
P. o. Box s,� COSTA MPSA. CALIPOIiN1A CITY OF COSTA MESA
For Applieanf fo Fill In Complefely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRE6S SS
COSTA MESA C LIFORNIA For Office Use Only
aace�rr no. Q req T N.
OWNER 1 ,Jj_�� ��
MAIL ReCBlVeO BY I 3 L� I DA 3 e G I
ADORE68 �
CITY �5 CR I/ I' NO./'/l 3 pDDRE6r5 (O ��
ARCHITECT 7e�. COSTA MESA. CA IFORNIA
OR ENGINEER NO.
ADORESS PIRE
ZONE TYPE GROUP
CONTRACTOR � APPROVED � G
BY DATE
ADDRESS � ONING �
ZO I NO. OF/�� I U6H OP NE
QTY PlAN9 r BU�LDINO
STATE TEL. �p��
LIC. NO. NO. o88CRlrilo
SIZE I NO. OP llDQB.
OF LOT NOW ON LOT q, p, NO.
U6E OF YARD6 ' EVES
EXIBTING BLOG �Orn� pppROVED ALLOWED
6HTBACK LINB FROM p (CLNTBX IANe BTJ
cenTers op eTli6HT �-/ ` REAR YARD S, pRONT FT. IN.
)
SIDE YARO ILEFT S IRIGNT R.SIDE FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
NEW I IIALTERATION I�/IIADDITION I REAR FT. IN.
REPAIR I IIMOVING I IIDEMOLISN I �PROVED �/_/
BY DATE (0
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WAL 1- IROOF wOBd
COVHRING S'K Y COVERING
USE OR BUILDIN AND WORK TO BE PE ORMH J()
� ,z - , d � -,'Gd G % i'
,
I XGPEBY ACKNOWLHOOE THAT 1 HAVC NBAD TNIB AWLIGTION THe AMOUM BXOWN UNDHH VALUATION IG POR TH8
AND BT�Te THAT TX8 �BOVe IB CORPBCT AND AOIi[8 M CAY• pUliP086 OP 88TABlJBHINO A PBqMIT FHe ONLY.
PLY WITH ALL CIT! OHDINANCHB AND 8T�T8 LAWO RHOULATINO
Bu1LDINa CONBTwuCnoN. O VALUATION /`/� �
SIGNATURE OF � PERMIT FEE $ I i/�
PERMITTE < �` /�'
$ aJ � � PLAN CHECK $ J '
AUTHORIZED AGENT j
TOTAL FEE / �