HomeMy WebLinkAbout2429 Tustin Ave - Building Permits 18597 FEE RECH ED
COSTA MESA BUILDING-SAFETY DEPARTMENT . JAN 23
P. O. BOX 317 COSTA MESA. CALIFORNIA ��!!��TTFIINANCE DEPT.
For Applicant to Fill In Completely APPL'ICATI6N4ROTRL PER RIT
TYPE OR PRINT i ,( BUILDING,
BUILDING 'J C7 r
ADDRESS /C u57in At V4•
COSTA MESA. CALIFORNIA For Office Use Only
yy�1 �/ ! / J RECEIPT NO, 1 39'7
OWNER jay./.- Y' J/! LL )6 1 �+�+�JI
RECEIVED BY DATE RECEIVED DATE le MAIL
ADDRESS F...7/ I. /9/qCi/JTc✓ ` . FA /^07Ta /A / 63
2
TEL o BUILDING �J
CITY ' _An f /n l 64c. NO.PR',2-PO.td ADDRESS OC/9
ARCHITECT ...____-- TEL. COSTA MESA. CALIFORNIA
OR ENGINEERNO.
FIRE
ADDRESS ZONE TYPE
GROUP
(.I//l CY f�e�/L 1t' S /�L//- BYPROVED� �/ / DATE
CONTRACTOR /L 13 Q1
ADDRESS )T,7/ 5. sr IAS-LLas.Avo ZONING
CITY X t` / r- ZON7�J//��/ I NO.OF . 1 I USE OP Nfi f
QQ ).J w O /�• r .1 PLANS V BUILDING 1
/ 1
//// (( p LEGAL �,-Ifli'ir�1��� c (/
LIC.TNO. NO. V/S-- A-ro" DESCRIPTION /30 1`^\ ✓ �l LAT /(v.
SIZE Ino. OFNLOOS. /(J^/72� /0
OF LOT NOW ON LOT A.P.NO.
/7 /
USE OF
YARDSEVES
EXISTING BLDG.
APPROVED AL OWE
SETBACK LINE FROM �� ! (CENTER LINE ST.) /
CENTER OF STREET REAR YARD C FRONT F NT-'.
, ./�I N.
SIDE YARD I LEFT _J I RIGHT �"_._ R.SIDE ' '�J FT. �L/),J" )IN.
DESCRIPTION OF WORK
L.SIDE F . IN.
NEW I II ALTERATION I II ADDITION I REAR I-#13-(.1-
BUILDING
l IN.
REPAIR I I MOVING I DEMOLISH X APBYPROy i . . • L DATE I-I�3-( .
BUILDING NO. OF \�-/ '�•l�A.
SIZE ROOMS STORIES - t J
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
deeS i Clem e1, — Sv /vr 6c.
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 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. A7 /4. 7- s.!/`ACP VALUATION aa
SIGNATURE OF4J C ,-•l I.. v6 PERMIT FEE $ LV' P-4
a
PERMiTTEP ! D
$ /�Q PLAN CHECK $ /'-•" 'E
AUTHORIZED AGENT G
TOTAL FEE $ Q.� u