HomeMy WebLinkAbout2176 HARBOR BLVD - Building Permits.��z=���
IIUILDING PERMIT
AP. No.115-123-09 LOT TFtACT FIRE ZONE DESCRIPTION OF WORK �.leC �
INSPECTIONS I DATE I GROUP T1'PE ZONE
SUBCONTRACTOR
OCCUPANCY
Form 21�SM-11-S9 5-B P . 11L152
GFARGE
GEN . ACTOR vroner-nui�.uer VALUE $ 50•00
AP. No. OT TRACT FIRE ZONE DESCRIPI'ION OF WORK Pn
GROUP TYPE ZONE PLAN NO. 308
1. ,PECTIONS I DA�E I SUBCONTRACTOR I DATE NUMBER
JOB ADDRESS
INSPECTIONS I DATE
SUBCONTRACTOR
OCCUPANCY I 2 — /G�GO
DATE
VALUE
Form 21�SM-11-59 SB P . 1� 1. 3Z
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applican+ fo Fill In Complefely
TYPE OR PRINT
AO�RES$ �'�� �� ///�R�lo1P /`�'+YQ
COSTA MESA. CALIFORNIA
OWNER / i !/.� � /� �
MAIL . I! i /'7/ i
ry TEL.
��CITY ( �•O S���B S .a4- NO.
A� R� ECT TEL.
�
SIZE ` / NO. OP BLDG9
OF LOT O�� K A�C � O NOW ON LOT
USE OF
EXIBTI G BL�G
6lTBACK LINE PROM �
CeMrea on srn¢ei � REAR YARD
r / /
SIDE VARD ILEFf d� RIGHT �
DESCRIPTION OF WORK
NO. OF
EXTER{OR WALL
GOVERING S
U8E OP�BUILDING
_ . -'� `
OC7 4 1
API�III�i(�N �' PERM IT
CIi������ESA
For Office Use Only
RECEIPT NO. PlRI
�� t
IVED Y UATE NEC8IVCD �ATE
� 1. I ,�_�-�, I ��-
COSTA MESA. CALIFORNIA
FIRE
ZONING
IONE/� .� `HO.OF �U8£ OR NEWCj
` /� PLANB BYILOIN
i' I
�eo�� �-%1 ' i�� -�C�
DfiBCHIPTION
A.P.N� I �� ���
YAROS EVES
APPROVED ALLO ED
� lC6NTeR LINe BT.1 /�� L
L
-G
1 XEHiBY ACNNOWLPD68 THAT 1 NAVB ReAO iH18 APVLIGTION TN6 AMOUNT BHOWN UNO6P VALUATION t8 POp THH
ANO 8TAT6 TNAT THH AOOVE I6 CORREGT I1ND AORHC TO COM- pUPPOBC OP EBTABLI6HINa w pERNIi FE8 ONLY.
PLV WITN ALL CIiY OIW�NANCE9 AND BTAT¢ LAWB 1i¢OULATINO
Hu1tDtNa CONBTAUCT N. VALUATION �
816NATURE OF � � PERMIT FEE $
PERMITTE � � =�� I 7� ry a
D� � S PV.N CHECK $ � �J
AUTNORIZED AGEN7 � Jj�C�q � � � p
TOTAL FEE 4
e _,,_ �L���,`�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA M68A. CALIRORNIA
For Applieant fo Fill In Compleiely
TYPE OR PRINT
BUILDING
ADDRESS
CO$TA MESA. CALIFORNIA �
A MAIL
Y��I�11
FEE � �C�i oED
fINANCE DEPT.
CiTY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. �jMl�
7
RECEIVEp�BV I DAT6 PEC �E�e I OA�1/
w <�!� l
ADDRE55 s�/ry�( /%�Q�'/DA .l7I
CQSTA MESA, CALIFORNIA
FIRE �
vnuc rvac c,woue
�� � , APPROVED
'SIZE ��I '�/ �� I NO. OP BlDGB.
OF LOT /J� /\ NOW ON LOT
88TBACK LINE PHOM � `" '
ceMen OR eiqEEr / REAR YARI
�
BIDE YAftD ILEFT IRIGHT
DESCRIPTION OF WORK
X �'� " No. oF
ROOMS
AND WORK
� XEPH6Y ACKNOW�-E�OE THAT 1 HAVB REAO THI6 APPLIGTION
AND BTqTE THAT THE ABOVE I6 GORR¢CT AND ACREB TO COM-
PLY WITH ALL CITY OIt�INANCE6 AN� HTATE LAWe qEpULATIN6
BUILDINO CONBTNUGTION. / � /�
�% i i M i
AGENT
�
ZONEn ��Pu BF� I011ILUING�Af
� u,
��a�� � J�- 1.� 3- o
UEBCRIPTI�N
YAROS � �
APPROVED
Ce.w..Ta urae er.�% � �
S�
THe AMOUNT BXOWN UNDER VALUATION 1� FOR THE
PURPOB6 OR E9TqBL18HINO q PERMIT EE ONLY.
VALUATION
� PERMIT FEE $ '��
S ��a / PLAN CHECK $ �-
TOTAL FEE