HomeMy WebLinkAbout174 16TH ST - Building Permits Costa Mesa Building Department 34 APPLICATION FOR PERMIT
111 EAST 20th STREET BUILDING
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Address / 7 q .�/ (o n S r FEB 211955 I 4 / � ye a
. Costa Mesa California Received by Date Recd. Date Issued
Nearest // I ,2 -? 3 - 4`
Cross St ,4%E-wpai-i 73 UL 1) Building
Address
Owner . I iii A n 0./v tAl a a.. Costa Mesa, California
Mall
Address / i! 00 ll/FW b 0 rt A.&u Nearest
I Tel. Cross St.
City c0 Si-Pc Al FCA- No.1..,/-R-174.2 W 3 Zone .. . I No.of I Type /! Group/12--
Engineer
rou `
Architect or - Lie. G� Plans [/ I p/ 2
Engineer No. Approved
by Date
tss CORRECTIONS
City Lie.
Contractor , No.
Address
LeLot
Description l I No. I Block I Tract
(Attach Metes and Bounds)4F//,.07o, -
_ No.of Bldgs.
Size of Lot /66,/ GL0.44/ I Now on Lot , '�`j 0
Usei ofiNo. No.of P I , t E 7 z
Existing Bldg. I Families I Rooms --` r �j'ii�■ 5
Setback Line from Rear Yard lib
Z
Center of Street Side Yard y
DESCRIPTION OF WORK ITB B 2 3 1955 r
New I I Iteration I I Addition I - • l
Repair I 1/1 oving I I Demolish I CITY OF COSTA MFSA
Building No.of
SI « Rooms Stories
E Wall I Roof
Co-ei�9 gin/C.() Covering APPROVALS
Building Foundation Location Inspector Date
9
Forms,Materials,
,�„�- Under-Pinning
a) ft-e/ Frame: Fire Stops,
Y /� Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext
with all City Ordinances and State Laws regulating
building construdon.
Signature of Plaster, Int.
Permittee /t 01.44. Y'✓ZZY
Plaster,Ext
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $
q Plan Check $ cr- el a Bond Beam
$ inA FeeTotal $ o?. a0 FINAL
I
FORM 204 0-N 2M 5-34
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PLOT PLAN __-
Show location and distances from ,,.
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property line and between buildings; -
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