HomeMy WebLinkAbout2126 VALLEY RD - Building Permits 28540 Tar-3 206J*****3.00
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COSTA MESA BU COSTA ACALIFORNIADEPARTMENT
P.P.O.. BOX 1200 COSTA MESA, C 92620
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
�/ - ' For Office Use Only
BUILDING mil
ADDRESS V-J-�\E_'L.�\ n/4a
RECEIPT NO. MIT XO.
COSTA MESA, CALIFORNIA 6Vo
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MAILER ��I EIA/ L /S !�L'I ADOCRj/CEBDq�,J, 0(54.1 7J�6(�Il p/!�f 3�( Vy
1 BUILDING
ADDRESS Q St,U
CITY Co /� l ljy7 NO
a_14.„,17, FIRE ZONEAPPR $
TYPE „({L GROUP J
ARCHITECT TEL r BY D
/ ATE 6:70,.(� y �I
OR ENGINEER NO.
ZO G L(�
ADDRESS
ZOX,l�,/ NO.OP y[[OPNnY/ ?G.4-2/
/ ,c PLANS BUILDING
CONTRACTOR
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ADDRESS-. ✓0/ % (,JQe�( //1 DutRITON /— /1 1 R.l�TO
CITY(/ /�A[� 'age& NOTE: NO WAVE(A.
/ A.P.NO.
STATEC. 97/6 ( TO. 5ii-,0,f�// O TO EB SIDE 0 REAR P.L. SHALL BE LESS THAN
SIZE I NO.OP[LOOS. 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 FROMT" / PT
CENTER OP STREET REAR YARD
FRONT �'�,//(n��� L1�'' `y/`{
SIDE YARD! LEFT RIGHT R.SIDE pit 77_,,I([ FT.
DESCRIPTION OF WORK L.SIDE /Vj/PT. v FT.
4' .
NEW ALTERATION ADDITION I REAR PT. FT.
DISTANCE BET. BET.MAIN e
REPAIR ,ii7OVING PAMOL18N MAIN BLDOA ACCESS.BLDG'S.
BUILDING NO.OF VAR.* DATE
SIZE ROOMS STORIES C.U.P.# APPROVED �
EXTERIOR WALL I ROOF APPRgYED� ;
DATE S -3 `GI `l P.
COVERING COVERING BY /.�(I1
USE OF BUILDING AND WORK TO BE PERFORMED
Ol
. . i
l` // / • SO.IT. S
I HEREBY ACKNOWLEDGE THAT I HA • THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
AND STATE THAT THE ABOVE IS C.,:'-:Jr.AND AGREE TO COM- PURPOSE OP EETABUSHING A PERMIT FEE ONLY.
PLY DING ALL CITYRU TI OINAN .: T<LAWS REGULATING VALUATION - ��
BUILDING H COALL
CORDINAN
SIGNATU: - • Al G, y� PERMIT FEE S
PERMITTEr •, �/j� CG
f V O0 PLAN CHECK S I"
AUTHORIZED AGENT Q /}may
. , _ .. .. _.. TOTAL FEE S V • V C/