HomeMy WebLinkAbout3106 VAN BUREN AVE - Building Permits 21525 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT an 31 19f4
P.O.BOX SIT COSTA MESA.CALIFORNIA FINANCE DEPT.
IT� 0 f�OSTA MESA
For Appli ant�o�,Fill 1p C. pletely APPLICA I N O PERMIT
7 /o4 //�TYP"o"R PR e'' A , BUILDING
For Office Use Only
BUILDING -
ADDRESS - - ---------
� , RECEIPT NO. PERMIT NO.
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COSTA MESA,' CALIFORNIA StG/. ,.,�. /S.2-
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' OWNER
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BUILDING
MAIL �T�' "\ ' tieADDRESS /`
ADDRESS cr„.4/n.., C,-^•' \ FIRE
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CITY . NO. I
APPROVED
ARCHITECT TEL BY DATE
OR ENGINEER p
ZONING S I
ADDRESS
EON- NO.OF UEE OF NEW .. J
Z&( • a /
I PLANS BUILDING (�R n
CONTRACTOR. v�l✓�(�/(/��l //��''��.,��/�p - Y�
ADDRESS .!'�" •^" •'cnn • �/ / �+! `. LEEORIPN• • l S- (Cl TR.1 s-
____.
A.P.NO.
CITY y/ !y' yy/ .
4 /r / 7/ NO. NOTE: OVERHANG L SHALL BE LESS THAN
STATE yTEL TO SIDE&REAR P.L.
LIC.NO. ///y.��� ���
EAVES .
SIZE ��/ I ry-I NO. BLOT ALLOWED (U.B.C.REQUIREMENT/
OF LOT 4'J� �(„ NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. -.
(FROM C/L STREET) i.
SETBACK LINE FROM FRONT FT.
CENTER OP STREET REAR YARD /
SIDE YARDI LEFT I RIGHT R.SIDE L" FT. I /q_ 'Fr.• 0-n
DESCRIPTION OF WORK L.SIDE ® FT. FT.
Pi
•
NEW X ALTERATION ADDITION REAR FT. FT. -
DISTANCE BET. BET.MAIN a
MAIN SLOGS. ACCESS.BLOGS.
REPAIR MOVING DEMOLISH
BUILDING NO.OF VAR.* DATE
_SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALLROOF APPRO tp i0I DATE /— 3 ��6
COVERING I /�V •
COVERING BY
USE OF BUILDING AND WORK TO BE PERFORMED ( yl
n
Air \ .0 -X 3
y,/ - . N
SO.FT. G
7.
I HEREBY ACKNOWLEDGE THAT 1 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. O
PLY WITH ALL CITY Offfff����- ANCEB A D STAT LAWS REGULATING VALUATION 4
BUILDINGTcons�U N ��G✓!F/1 FEE •
--
PERMIT H
SIGNATURE QF /f/ ' / /) B
PERMITTEP $ / /DU_____ , 61 B
o
AUTHORIZED AGENT
TOTAL FEE 3 6