HomeMy WebLinkAbout137 16TH ST - Building Permits 8701 = Ca r
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317
COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING I37ti6 5-T (ate. BUILDING
ADD
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
. �/• RECEIPT NO. PF /.ITON 00%
OWNER \(/JF/'J/J Cr I
/^� / y RECEIVED BY DATE RECEIVE_ DATED/ ISSUED
ADDRESS ivi-G --/V 8/ I < S- /f--s-7 7g-. v- I
CITY C.,A1 1 TNO. [(lira- A DDR EISS L 3 / Cr /i
ORARCNITE T TERj LE�rrl-I, NO. COSTA MESA, CALIFORNIA
FIRE
ADDRESS ZONE
-CITY LIC. ZONE /1 NO.NS TYPE GROUP�iT
CONTRACTOR 4...E •Stn..- NO. [ / / ►/�{J�''
TEL. APPROVED /L/Z V 't 4f
ADDRESS NO BY it 4(C . DATE
LEGAL LOT / CORRECTIONS
DESCRIPTION NO�.7 / / BLOCK T I
A.P.NO. JI / —o C' O' 5 / T'a D
SIZE Q NO.OF SLOGS. �'..// h1 Yt M P. 0V 4 B ■
OF LOT l-� 6 e J D _ NOW ON LOT r7•�J.p Y. YYY 11J
USE OF ) CITY OC-eeOSTA MESA
c
EXISTING BLDG. $ / / • MC -.-.,T-
SETBACK LINE FROM II / SUBJECT" TO E LDG.✓DEPT. REG.
CENTER OF STREET 4r. . REAR YARD Ar.""r
Are
`J
SIDE YARD RIG. —/ RDD'��/�
LEFT �i�' t% r�1
DESCRIPTION OF WORK BY •I•N TtCH. a'e--C
•
NEW } ALTERATION ADDITION P...
REPAIR 'K ) MOVING DEMOLISH • �� /; \•
BUILDING )) NO.OF !,�/
SIZEXJ ROOMS STORIES /900it' I
CXTERIOR WAL ROOF //// Y�// 0(��
COVERING (A /� �`COVERINGA/� /{'165Sj r !�'" �/
BUE�L+DFNGEWJh.21,/I Line / /l erFti/e, eta
_L /_ iS(P
f° o I A f es . p (Slrl f6 2
5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND The Am:cnt shown under ccical'a, is fcr the
SCITY TATE ORDITHAT NATHNCS EE ABOVEAND STISATE CORRECTLAWS ANDREGULATIAGREENG TOBUCOMPLY
„W INSTH IT UALLE. purpose of establishing a permit fee only.
TION. VALUATION
SIGNATURE OF y/A A/ PERMIT FEE Dr
PERMITTEE _ _`•` "t- . fair: �R.=.=> > /I / ,
09191 PLAN CHECK S
S
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AUTHORIZED AGENT TOTAL FEE S C.;