HomeMy WebLinkAbout883 CORTEZ ST - Building PermitsEE C RECEIVED
DEC 9 11—�16
COSTA MESA BUILDING -SAFETY DEPARTMENT MAKE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA .2 3/ , 3 41Tb kF,&0SIA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
COSTA MESA CALIFORNIA I For Office Use Only
RECEIPT NO, PERMIT• NO.
OWNER
'IrCid
R171VSD BY OA-TT-//yE RECEIV/EO DATE ISSUED
!�/ ^��7—�O IDE'i !1 'QS.°Pl
MAIL
ADDRESS
TEL.BUILDING
CITY NO.O
ADDRESSARHIT883 SOrtHZ Street
ORCENGE EERMaCCO Corporation CT Nom 34220
COSTA MESA.
CALIFORNIA
ADDRES6-
FIRE
ZONE TYPE ✓ GROUP
CONTRACTOR
APPROVED
BY
DATE
ADDRESS
ZONING
y�
CITY COrnna dal Mar-
ZONE
R-1
NO. OF
I PLANS 2
G
UBE OF NE
BUILDING W a t
STATE TEL.
LIC. NO. 0 - NO.
LEGAL `7p-/•
DESCRIPTION !.�
SIZE / / I No. oP BLDDe.
OF LOT Now ox Loi
A. P. NO. none
USE OF
EXISTING BLDG.
YARDS
APPROVED
EVES
ALLOWED
SETBACK LINH FROM / I/ /
CENTER OF STREET REAR YARD
ICHNTER LINE BT.)
FRONT tlj�rFT.
I N
/
I
I
SIDE YARD LEFT
RIGHT
R. SIDE
FT. IN.
DESCRIPTION OF WORK
L. SIDE
FT. IN.
NEW I ALTERATION I II ADDITION I
REAR
FT.
REPAIR I I MOVING I I DEMOLISH I
f�IN.
APPROVED W L D DATE 12-8-6o
BUILDING NO. OF
SIZE ROOMS STORIES
EXTERIOR WALL
COVERING
ROOF
COVERING
S
USE OF BUILDING AND WORK TO BE PER ORMED
!416 LE
EREBY NOW EDGE THAT i NAVE READ IB APPLICATION
N STATE MAT THE ABOVE IS CORRECT AN AGREE TO CON.
PLY WITH ALL CITY RDIN NCES AND BTA TH WB REGULATING
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
BUILDING CONBTRj ION
SIGNATURE OF
PERMIT FEE $
.PLAN CHECK S
PERMITS
u
S 14j, 1 i?O. OO
TOTAL FEE5--/.00
AUTHORIZED AGENT