HomeMy WebLinkAbout3136 VAN BUREN AVE - Building Permits FEE RECEIVED
,, 20867 CU;l 1. 7 i963
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA.CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING �+j� {��/,4, p ..p For Office Use Only
ADDRESS 3/ / •��•1 O 4YG/7 �``.
RECEIPT NO. PERMIT NO.
AlOSTA fA,/�ALIF RNIA 2Q86`7
-/s�PPWY� Q/� RECg�VEp BY DATE RECEIVED DCAT IBeu D3
OWNER QAC r�,..�] //S �T/ �0-1747 /0-17 ��(.
ADD /�7 3 / AstiCO_2P< BUILDADDRESS (kg
(//Jf1,LCQ
FIRE
ADDRESS 2crre SW Z /7
NO. ZONE TYPE/ GROUP
APPROVED
ARCHITECT TEL. BY DATE
OR ENGINEER NO.
.. _J ZONING
morU/� HOOF
Lire:eIi.0
"lf Arwce el
_
CONTRACTOR , 7 r/ / J cc/C0LEGAL tlty /5— P 'Mr _
ADDRESS `/e �/ //• 40///SSA DESCRIPTION
CITY y9/f
/`
. A.P.NO.
NOSTATE /���i y� NEOL. �� �/�7�//Q 30?TO SIDE Q REARE: NO EAVE OVERHANG P SHALL BE LESS THAN
LIG.NO LJ (J
ALV
EB
SIZEF '��_ NO.OFBLDa��__ ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
.` YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET) -/^
SETBACK LINE FROM .i � ��
- ' FRONT FT. FT.
CENTER OF STREET REAR YARD
�- R.SIDE PT. PT. d
SIDE YARD I LEFT I RIGHT
DESCRIPTION� d
ESOF WORK L.SIDE PT. FT.
NEW /� ALTERATIQN ADDITION REAR FT. PT. Q
DISTANCE BUT. BET.MAIN&
R. .R MOVING I DEMOLISH MAIN BLOCS. ACCESS.BLDGS.
Bit .‘140 '� NO.OF VAR.# DATE
SM.--, ROOMS - '. STQRI ES ------ C.U.P. APPROVED
EXTERIOR WALLI ROOF COVERING—_ APPROVED I.ODATE a7/7/C3
COVERING , V
USE OF BUILDING AND WORK TO BE PERFORMED '
�(}// �'/" % /WU S Sec f/ut chnt {re
ewe/ 4'J e/l ,g// cc fe I.e.-1a\ mi ea �e -
SO Or -4745700 elt.Fr. Pr // � 'LL .o
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UND VALUATION IS FOR THE F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OP ESTABLISH O A PERMIT FEE ONLY.�I 0
C
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION p -f/ o
BUILDING CONSTRUCTI / N
SIGNATURE OF / _.-.Q �� PERMIT FEE $ .C. m
PERMITTEE VVV"^"'^"' I /���0 �' PLAN CHECK �$ �-+ �� O
AUTHORIZED AGENT r �J/ I'
TOTAL FEE 11 j OF/
.