HomeMy WebLinkAbout1716 Whittier Ave - Building Permits FEE RECEIVED
155,0 OCT Yg�
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COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. ow—
P •O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT ,I BUILDING
BUILDING I f•/ / / co Lel/CY 444.
ADDRESS ( ! f7 rI '/
COSTA MESA CALIFORNIA For Office Use Only
OWNER /� - _8_ n/ / ee.-3'' I RECEIPT NO. I PER
//f� a�v
0
MAIL / /, ♦ /� /er RECEIVED BY I DATE RECEIVED •TE ISSUED
ADDRESS `V/! N /0^ z-L/C II C1,1-,-)-G/
TEL. BUILDIN • / % ,(J -i=��
CITY /L. a NO. ADDRESS I X411 /.IJ Vn.11/e i (7-1/tARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE ,,/�4�• GROUP ��
CONTRACTOR� T et• APPROVED /.y,. 1L( DATE /O�/�
ADDRESS/� � -/- r/t° ` !✓' NING
}� 1��� - /_� 20NE NO.OF USE OP NEW s'�`
CIT.y_��l r��.c:-'��'/P✓fC / I PLANE I BUILDING /OY 4�
STATE _/ rzt" -C_._ TEyL
LIC.NO. Q-c."/ 11--W0:-In_ LEGAL
DESCRIPTION Cr �f //°j /]JI� 4 7;f.
SIZE }(f/
Os NO. OF BLDOS. / /// ` Z 30 — /�
F LOT" X /•-f NOW ON LOT A.P.NO. ` J
USE OF ,� / YARDS EVES
EXISTIN(_BLID Kpf{JdCwre APPROVED ALLOWED
SETBACK LINE PROM (CENTER LINE ST.) {q O-
CENTER OP STREET REAR YARD FRONT / 7 FT. - geCt.t. IN.
SIDE YARD I LEFT I RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK 33 FT. C N.
NEW I •,' 1y L.SIDE 7
N ALTERATION I 111 ADDITION I REAR a FT. IINN.
REPAIR 1`1 ,l/ II MOVING I II DEMOLISH I APPROVED /i0 DATE47/2/6 c
1 ` h (/
SIZE
/ n ZZ•ROOMS ! STORIES ! 1�B
EXTERIOR WALL I ROOF
COVERING COVERING S • II II C • _ . • [F.,F.
USE OF[WILDING AND WORK 0 BE PERFORMED n J • / '
S' .ra " - c!- aeat_/ , . Rio-4;T _ay, �I .... L
migimhan ,3g • .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CAM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDINO CONSTRUCTION. VALUATION 412 CIO
SIGNATURE OF 00 PERMIT FEE $ ]CO
PERMITTE $ , D L%L�rS7 I�'
PLAN CHECK $ 7// Q•� ,e
_E
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AUTHORIZE A
TOTAL FEE $ 1 � • L- 2