HomeMy WebLinkAbout983 LANSING LN - Building Permits24006
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING 83 Lansin Lane
ADDRE53
COSTA MESA. CALIFORNIA
IL
MA
ADDRESS 1304 W. Commonwealth Ave.
CITY Fullerton TTr,%71-2710
OR ENGINEER IV41t Boder N0ARCHITECT T �44-6842
ADDRESS 18368 E. 4th St. Tustin
CONTRACTOR Brattain Contractors Inc.
ATHIRFCR 1304 W. Commonwealth Ave.
LIC. No. 190417 h`o` 871-2710
SIZEda'oe D I xnw0nu LDOB.D
OF LOT
SETBACK LINE FROM
CENTER OF STREET O REAR YARD
SIDEYARDI LEFT I RIGHT
DESCRIPTION OF WORK
BUILDING
SIZE
EXTERIOR
USE OF BU ILUING AND WORK TO BE PERFC
Tract 5340 — Lot 46
Plan 612D
R-1 Residence
1HEREBY ACKNOWLEDOt THAT 1 HAVE READ TI
AND STATE THAT THE ABOVE IB CORRECT AND
PLY WITH ALL CITY ORDINANCES AND STATE V
BUILDING CONSTRUOTION,
SIGNATURE OF
PERMITTER
V
AUTHORIZED AGENT
Shinele
CITY OF COSTA MESA
MAY 5 1965_ _,
RECEIPT NO.
ZONING
NO. OR UG[OR
�. PUNBrI aw Lou
NO.
NOTE: NO SAVE OVERHANG SHi}tCBE LESS THAN
30' TO SIDE a REAR P. L.
EAVES
ALLOWED (U. B.C. REQUIREMENT:
YARDS APPROVED YARDS APPROVED
MAIN BUILDING /1 ACCESSORY BUILDING
VAR.* I DATE
k o
THE AMOUNT SHOWN UNDER VALUATION 18 FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
VALUATION
Q
PERMITFEE $ (
5v j
$ OMANC E 0
Jai tt LL
/ � TOTAL FEE $ J