HomeMy WebLinkAbout3120 LINCOLN WAY - Building Permits. 18.
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
F E RECEIVED
FEB i s 1968
FINANCE DEPT.
APPLICATIONIF6119EPERM* MESA
BUILDING
COSTA MESA. CALIFORNIA I For Office Use Only
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RECEIPT NO. P T
WNER Cid[lKaZ Vm
AIL t 61v J
F
RECEIVE BY DATE RECEIVED DATE ISSUED
DATE
DDRES6 ?2221AA�1#a200R Q.•
�/ 1 o 196 'L� 1 S t9
`
460 O
BUILDING
CITY O.aia /I "a. NE
ADDRESS
ARCHITECT TEL.
OR ENGINEER NO.
COSTA MESA, CALIFORNIA
/
FIRE y
ADDRESS
ZONE TYPE GROUP
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AA deZdghn
APPROVED
CONTRACTOR n4 ZPd
BY DATE
J
ADDRESS2 O1 BIPIned-LC a OR Nive
ZONING
CITY GLU .G1.4. ate.
6ev-_ J j% ( (� /( oanca
ZONE
R- I
NO.OP
I PLANS Z
UBI OP NEW Slnq
`BUILDING
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141355'NO. RHOS �O
LEGAL 1
LIC.TNO.
DESCRIPTION L 17 U1 H CJ
SIZENO.
OP SLOSS.
OF LOT
NOW ON LOT
A. P. NO.
USE OF
EXISTING BLDG
YARDS EVES
APPROVED ALLOWED
SETBACK LINE FROM
55 O 1
(CENTER LINE ST.)
-^
CENTER OP STREET REAR YARD
FRONT SS FT. IN.
SIOE YARD LEFT )
T
I RIGHT S
R. SIDE FT. IN.
DESCRIPTION OF WORK
L. SIDE FT. IN.
NEW I XILLTERATION I 1111 ADDITION
REAR �� FT. 3 IN.
REPAIR I II MOVING I II DEMOLISH I
BYPRO
YL DATE
BUILDING NO. OF ` '
SIZE 52 X ROOMS O STORIES
EXTERIOR WALL
ROOF
CROCA
OVERING
COVERIN
USE OP BUILDING AN ORK TOB PE FORMED
a2 qgq r.
-3&17
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VAL/1
UATIO S FOR THE
AND STATS THAT THE ABOVE 15 CORRECT AND AGREE TO COM-
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
VALUATION
/ /
�/`
BUILDINO CONBTRU ON. _
SIGNATURETTOF
PERMIT FEE $ (rd
-/Ld"'
PERMIE
^/ �1
$
PLAN CHECK $ O70
AUTHORIZED AGENT
0./T p��,�
TOTAL FEE S