HomeMy WebLinkAbout1879 PARK AVE - Building Permits _41 AP
8439 r EE RECEIVED
COSTA MESA BUILDING DEPARTMENT I-- (pa - s- i
P.O.BOX 317FINANCE DEPT. '' U..COSTA MESA, CALIFORNIAL
FOR APPLICANT TO FILL IN APP!IICACTIt ONpF`OR PERMIT
BUILDINGif?? j%'x ,9 - BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
L 1 RECEIPT NO. PERMIT NO.
OWNER�E14zs4 kJkrea 13, s. , k`Y37
MAIL
RECEIVED BAY/ DATE RECEIVEEDDf /D E ISS D
ADDRESS JCs >ct FQ �I,
IA ' ,/n" I-��-° --C 713 .5-72 7
TNO.EL. ADIDRESNS / / ��� /7(�`
CITY(Ib'T lr Nir S A - BI
ARCHITECT LIC. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS .�{{ 2 ZONEIR
a4 3-U • 2ON NO.OF _ TYPE 'GROUP
CITY LIG./v /� PLANA
CONTRACTOR\lq.y0Lr .JAs6rr2 NO. r, .-- /j -^Tf I. ." ��
4 �e
TEL
I/ •� APPROVE Y / }}����(y; 11
ADDRESS d LS :f �V'r NO. 1-�-]_� /.� B' �l� {•�A' J ATEti�j f! ,yJ
LEGAL LOr 71- ORRgeriOlSS �' `�
DESCRIPTION NO. BLOCK it
jjj(��' �S) { ,1� ^
A.P.NO. //� O �/ �` �� n. / 4A u 0 )1� To"
NO.OF SLOGS. ��
OF LOT',NON/. I or NOW ON LOT • /T,l.,a-T' ,2(,..,'$7 CVd l
USE OF //�)
EXISTING BLOGt r-P-1C. r - IIa.T-
L-�
SETBACK LINE FROM SW
_ _�'- F'P,:�VED //�
CENTER OF STREET REAR YARD/Q^ I .[
II
Ur ^ I
SIDE YARD tlI+. RI GI A• / LEFT Va ,,,Zr.
DES///CRIPTION OF WORK rl� �� I�
NEW N4 ALTERATION I ADDITION CITY OI- COSTA MEfSA
PLANNING DEPT.
REPAIR MOVING DEMOLISH SUUBB�J'F7f/�TT/pg��� p�r7. NEG.
BUILDI ROOF _4
SIZE /y.j Y A i ROOMS STORIES /
EXTERIOMCOVERING I" L ROOF �A
j N ♦rcfl COVERING 73) .C„)C — ✓ BY PN TLC'''.
DATE/��teenb
USE OF NEW ��=`s='
BUILDING (F t Q C: - ---- .—,6-75
s
`' �¢ —i � cif. 'ITw, I'Iw J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE OVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES A STATE LAWS. UTATING UILOING CONSTRUC.
TION. � � VALUATION
,/
$IGNATOR�CJF_� � M/ PERMIT FEE $ /y�
PERMITTEE �� (r
PLAN CHECK $ 7
AUTHORIZED AGENT TOTAL FEE $ �/ l I VBMF