HomeMy WebLinkAbout952 LANSING LN - Building Permits1. 239?
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING
ADDRESS J �.Lansin Lane
COSTA MESA, CALIFORNIA
CITY Fullerton
ARCHITECT Walt Boder
OR ENGINEER
ADDRESS 18368 E. 4th S
'SIZE/ v/ I NO. OF BLO,
OF LOT A� O ✓I NOW ON LOTT 0
USE OF
CENTER OP BTREETm So REAR YARD
SIDEYARDI LEFT RIGHT
DESCRIPTION OF WORK
CITY Ot C13STA MR
MAY 5 C if
'APPLICATION FOR
JD-
FjOligy e
RECEIPT NO.
FIRE
FtE] Z I I:1c]
DATE
OTE: NO SAVE OVERHANG SHALL BE LESS THAN
O' TO SIDE O REAR P. L.
AVES
LLOWED (U. S. C. REQUIREMENT:
YARDS APPROVED YARDSAPPROVED
MAIN BUILDING I ACCESSORY BUILDING
FROM C/L STREET
'DISTANCE BET. I BET. MAIN e
MAIN BLDGS. ACCESS. BLDGe.
VAR. # DATE
EXTERIOR COVERINGWALL'�tIICCOI C09ERING ShlIIgle
BYPROVi
DATE S' 7y�tJ
USE OF BUILDING AND WORK TO BE PERFORMED
Tract 5340 — Lot 15
Plan 612F
/Z-
EZ
R-1 Resi ence
sq. FT.
EREBY ACKNOWLEDGE THAT I HA`V3 READ IS APPLICATION
THE AMOUNT SHOWN
UNDER VALUATION IS FOR THE F
D STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PURPOSE OF ESTABLISHING
A PERMIT FEE ONLY. O
Y WITH ALL CITY ORDINANCHB AND BTATH/ W8 RBGULAT(NG
ILDING CONSTRUCTIO
[AUTHORIZED
VALUATION
O m
N
GNATURE OF
RMITTE
$ �J {
PERMITFEE D
PLAN CHECK 5 ¢
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OC/• (l/ IJ/yL
AGENT
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