HomeMy WebLinkAbout448 19TH ST - Building Permits.r j .. -
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COSTA MESA BUILDING DEPARTMENT
. P. O. BO% 31'!
COSTA MESA, CALIFORNIA �
FOR APPLICANT TO FILL IN
BUILDING /� /4 /
ADDRE55 �� `/
COSTA MESA. CALIFORNIA
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��i�`-� REC�IVED
t��/�- �S �J J «
FIf�ANCE DEPT.
��rv �c r.OST� �AESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. �jt�IT C�
v '
RECENE� BY OATE RECENEO OPTE I�SSUF
��- 6 — —
ILDING
COSTA MESA. CALIFORNIA
`�T�• �'o: S38 / Z �
TEL. APPROVED
NO. BY
�EG�L LOT �J
oESCniPTiON NO. / BLOCK TRACTI� O
A.P. NO.
S�ZE b No.oF a�o�s. /
OF LOT � 0 � ��ow ov wr
USE OF
EXISTING BLDG. G�/� L '
SETBRCK IINE FFOM Q I S� /
ccNicn or srn[[i REAR VARD
SIOE YARD fi1GHT LEFT
DESCRIPTION OF WORK
NEW ALTERATION ADDITION �
REPAIR MOVING DEMOLISH
BUILDING NO.OF %
SIZE Y O ROOMS STORIES
EXTERIOR WA�L ROOF
r�nvro�n,r. �XbLdiJ COVERINGI�/✓//� U •
9TI.TE TH�T THE .�BOVE IS COpqECT aND I.GREE TO MPLV WITN .�LL
CITT OFO�NaNCES /�NO 5 1TE L�WS REGUL/.TING OINOCONSTNUC�
TiON. � J
SIGNATURE (�t� 'V�L2
PER TTE
�4�� �
l�UTNORIZED AGENT �
( �/�� < < p unTE
CORRECTIONS
PLA�:i<LnG DEPT.
PERMIT FEE $ �pl/'
i PLAN CHECK S V�
s 3, a'%�
TOTAL FEE S l�"� �srr
:COSTA`MESA BUILDING DEPARTMENT �TU �(, n C
111 East 20th Street Ir V Y
Coata Mesa, Callfornia • - �
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: Date ..................................e �._�:..............� f
CITV OF COSTA �MESA
CER CATE OF OCCUPANCY �
� .� r,�, �.... J/ . _
Buflding Permit No�.�.�.__.Eleetrical Permit o.;c�Cd.Plumhing Perrtllt Nol...l�" 4a.✓
� /i^ �e' e� <2 �� � �'t�' �. ,. J r` ":.��.�i^
useof 6uilaing...e ....................:...'--T--�-�---t.................................... ............ ... •_
�-� n'..-...._L'?...-.-..../..r _.-� �--�--�-- -r-�---.........--f --
The 6uilding located at ...............'..... . .. ..
(See reveree side tor Metes and Bounds) '
' been inspected and found to comply with the provisions of all City of Costa Mesa Oo- `
�_.nces aPPlicable thereto for a Group...__.....__...._......Occupancy. �
7 � •
IS E jY,V...,.+. !..:..:�.....�•'� A. J�VOL2- . .
. �.�`-. yc-.. -� � �.. .... Cit/y� Ein ffl 1 •
(Ow�lor e�imGe� ey:l..::... ��.....f,�:.. c:_�, .
/,!... �.�%'l,�cl
CC: ❑ Original—Owner ❑ lst copy—Gas Co. ❑ 2nd copy—E i�Co. fl.8fd copy—Flle
7
Form 206 GH 1M 12-6] /�
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� ' 3 I' O I ':OV 14-6 P��O 604 0*�***
cMsa 8.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
Fo�Applicant to Fil/in Comp/etely APPLICATION FOR BUILDING PERMIT
'�- �� � RECE E V Dl�S6 F��I�� D i�SS ED,�
BUILDING // � �
ADDPESS
/y� PERM T
OWNER ///%Q�[/ �N � A.P. NO. S � �
MAIL BUILDING � ]f//
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ADDRESS � �L J{/�Ouy ADORESS
' d U CITV �BS��i/,(`�'jj NO` TRACT D OT BLOCK
F- Z
Z Q CONSTRUCTION W P �
O � LENDER O �/
1 CI /l
J � BRANCH
rn
J OWNER �
Q ADDRESS VALVE /� QjJ
J Q ARCMITECT TEL. S � 5 OV
N OR ENGINEER r:IO U�
FIRE (./ / � rA
W Q ADDRESS ZONE TVPE / GROUP 'v V\
d w APPROVED �
W Z CONTRACTOR C � L LG �Q BV �ATE
J Q
m Z
J Q A�DRESS �/� j O.�/6r.S1 �'7 �
LL1 W �p ZON �7 NO.OF USE OF NEW
Z� CITV �� d�� � NO�. V�� ^.7�J �� p� PLANS O BUILDING —� �'
O STATE / � CITV �'ARDS APPROVED VARDS APPROVED �
y� LIC. NO. I�(J�� �_ LIC. NO. MAIN BUILDING ACCESSORV BUILDING ��
_� SIZE NO.OFBLDGS. (FROMC/ISTREET)
OF lOT NOW ON LOT ROfYT T. FT. •
VSE OF , I
EXI5TING BLDG. F. FT L
F� SIZE OF NO.OF
Z NEWBLOG. ROOMS STORIES L.SIDE FT. FT.
U EXTERIOR WALL ROOF
COVERING COVERING REAR T. FT.
USE OF BUIIDING AND WORK TO BE PERFORMED DISTANCE BET BET. MAIN &
MAIN BLDGS ACCE$$. BLDCv.
Q VAR.aW DATE
O ZQ,/pQ g.4j/7/G�v.S C.U.P.9W APPROVED
F APPROVED
y ' ,f tse.M .
Z
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UI haraby acknowlatlBa [he[ I have reetl thia appllcotion entl itata
� Mat the above information is cOrrect entl apree t0 cOmply with
� all Inwa r0gulat(ng builtline constr�c[Ion, entl I sholl not employ
F nny parsOn in violetlon of tho workmon's compensetlon laws of
y tha Smte ot Califomia. m
ZI heroby rertify Nat I nm properly Iicensetl os e eontractor untler SQ. FT. o
tha State ot Californie Buciness antl Professione Code, Dlvlslcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, antl thet such Iicenses ere in tull toree ond eifoct, or I THE PURP06E OF ESTABLISHING A PERM�T FEE ONLV: �
am oxempt from the provislons ot the Staxe of Cnlifornle Busineu VALUATION
nntl Protasslons Cotle, Dlvision 3, Chep r 9. m
O O PERMIT FEE $ , O j
Slpnetura ot �f� — m
Parmlttee / S J( a,� PLAN CHECK $ E
� U o
Au[horizetl Agent % ./� LL
TOTAL FEE 5 . O V