HomeMy WebLinkAbout792 CENTER ST - Building Permitss�61�.
JOB ADDRESS
nnTc D-19-b2
BUILDING PIsRMIT
GENERAL CONTRACTOR • pi.mer-Builder VnLUE S 101.00
AY No.11b-OI11-18 LOT TRACT FIRE ZONE DESCRIPTION OF WOAK wyl�
IN5PECTIONS ISignuturel DATE GROUP TYPE ZONE A
° PLRMITS
r SUBCONTRACTOR ���mr. ,
�
OWNER RTMC � KFTTN DATE ;za�5� —.
los ADDxEss �92 Center Street BUILDQVG PERMIT NO. �(i� �_
A�o 4�-lo LOT 792 TRACNpt M.F�iE ZONE DPSCRIPTION OP WORIt Carport and porch
GROLIP F9 TYPE p ZONE RI� PLAN N0. aG� [
1, �ECTION8 I DATE I SUBCONTRACTOR I DATE PERMITSNUMBER
Gas Test
' ` ����.s
G:OSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
"`��� c�N�r��Z 5
COSTA MESA. CALIFORNIA
C•1.I:�i:1
LEWL
oEscAivTioN
A.P. NO. , ,�
\� l> V
TEL.
n NO.
IIC.
NO.
� ��.����-�-- CIYY LIC.
LCn�,r No.
TEL
�.-� �Cr o C�. <i\( i,C- NO
���J BLOCK �K
.— o4t�— \� �
NO.OF BLDGS.
; � U NOW ON LOT
SETB/�CN LINE FFOM ) � /
Cenrea or sine[* �j� �„ REAR YARD ��`
I � \
�,SIOEYARD RIGHT '� LEFT \�
DESCRIPTION OF WORK
INEW ALTERATION ADDITION
�
IREPAIH MOVING DEMOLISH
�BUILDING�� ��� X `G� NO.OF
SIZE � [ ROOMS STORIES
E%TERIOR WALL ' ROOF
COVERING ��+0'� COVERING C-�� �
BUELDINGEN C_ C� Q. `S V'Q � R+ � CZ(� �-'
�Ei �i���V�O
��
r1 M OMI �
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. PENMIT NO
BUIIOING �/� A /1 �
ADDRESS % L � G H f�
COSTA MESA. CALIFORNIA
FIRE �
ZONE
BY
aN6 4 �/
� �"� �
r O%7� •• DATE �
CORRECTIONS
�i�. � ll� �I' I� 1../ J/
C11Y p;. ( � :JTA SViESfi
��L�r�.��i6 B�T
:uRJECT TO BLDG. D'cPT. REG.
G] � � \C'�, �.� i
1 NEflEOY ♦CNNOWLEOGE TNRT I HPVE RE�tl THIS 4PPLICOTION PNO
$TiTE TM�T TME 4BOVE IS CORRECT /.NO �GflEE TO COMPLV WITH iLL �
CITY OFDININCE9 r�ND STATE L�WS REGUL�TING BUILOING CONSTXVC�
T�o�. VqLUATION
SIGNATURE OF�,J �� % !v�% -� PERM�T FEE $
PERMITTEE � �� ��!
� 'Y PLAN CHECK S
S
eurunwncn er.vmr TOTAL FEE 5
� v�ar
�.
�� �i€1t:�3
`CDSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPUCANT TO f/CC /N COMPLETELY
TYPE OR PRINT
BUILDING �
ADDRE55
��,,�ei COSTA MESA, CALIFORNIA
■ MAIL
� ADDRESS
TEL.
4'
BUILD
FEE RECEiVED
�� �,_,s-sr
APP��`�'I'CS��E R M IT
�'� u
foR offic� usE oNcy
I nece�rr Ho. I� 1yfiy�
lJ
I.VfiD BT I OATE REGEIVCO I OATE I8:
oEsewivriOH I NO. I BLOCK I TRACT ZOrv¢ I puNS
A.P.NO. � . O r � AP7ROVED / ,
B V (.+
SIZE I NO.OF BLOGB. � yqqDS
OF LOT O NOW Orv lOT REOUIRED
USE OF (CHNTER LINE 8T.1
EXISTING BLDG. FRONT
SETBACN LINE PNON
C[NTER OF STREET REAR YARD R. SIDE
SIOE VARD ILEFT IRIGHT �,SIDE
DESCRIPTION OF WORK
BUILDING NO.O
SIZE ROOM
EXTERIOR WALI, IROOF
COVEHING COVE
USE OF BUILOING AND WORK TO
� � L � �
I HEflEBY ACKNOWLE E THAT 1 H�
AND 6TATE THAT T •BOVE IB CO'.
PLY WITH ALl C�T, OFDIN�NCES �N
BUILOIHG CONBT CTIO(N. � �
SIGNATURE OF A/Ti�( l
AGENT
ING
IUBE OR N
BUIIDING
II:!
n.e
�D TNIS APPLICwTIOn THH �MOUNT 6HOWN �NOER VALUATION 18 FOR THE
/�ND AGREH TO COM� pUXPoBE OP ESTABLI6HING A PERMIT FEE ONLY.
'E lAW9 RE6lILATINp
VALUATION ` -
PERMIT FEE S y.
-( O
$.�C OO• e PLAN CHECK S �—
TOTAL FEE b �! • � d