HomeMy WebLinkAbout1642 SAMAR PL - Building Permits 10942 FEE REC ;VED
COSTA MESA BUILDING-SAFETY DEPARTMENT 6 //.--;27-3-7
P.O.BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT.
CITY OF COSTA MESA
1 FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 16142 Samar Place
ADDRESS
COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY
I RECEIPT NO. I 1 P,F3tpfyC�
OWNER Glenverde Homes, Inc. IIV'ILJ]
MAILBOXRECEIV BY DATE REC IVED DATE ISSUED
ADDRESS 65 I /i f g/1/457 INOV 2 3 1959
CITY Balboa Island,Calif. TNo.or3-14220 BUILDING
ADDRESS
ARCHITECT • • LIC. COSTA MESA, CALIFORNIA
OR ENGINEER NO. _ '
ADDRESS FIREZONE TYPE J Y/ GROUP.r
J`Y T
`Y
STATE CONTRACTOR R'1acco Corps LIC.NO. 98808 BYPROV ED DATE
ADDRESS Box 6 Ba boa I- . ,. - ZONING 4 91F, -t-
LEGAL LOTq EON NO.OF
DESCRIPTION I NO. 111 I BLOCK TRACT31481 - I I PLAN/SJ y1 - I BUILDINp i
P.NO. • BYPROVED / IJ
y/ DA J I - -. -c C
A.
SIZELOT 7000 NO.OOGLOT 0 YARDS
REQUIRED f-_ ALLOWED
OF NOW ON LOT
USE OF (CENTER LINE 6T.)
EXISTING BLDG. FRONT c? FT. IN.
SETBACK LINE FROM
CENTER OF STREET G REAR YARD 30 R.SIDE 1 0 FT. IN.
SIDE YARD I LEFT 10 I RIGHT 1G �
L.SIDE .5 FT. IN.
DESCRIPTION OF WORK REAR ,),L Fr. "f'� IN.
1
NEW I X {ALTERATION II ADDITION I -
REPAIR I V MOVING - DEMOLISH I
BUILDING 1525/440 NO.OF ROOMS 8 STORIES
EXTERIOR WALL ROOF rock
COVERING atm,. COVERING
USE OF BUILDINiCRFID WORK TO BE PERFORMED
residence Stitte- -
. .
at.°`r-. 00
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION. VALUATION. �-��
SIGNATURE OF r, PERMIT FEE ra)
PERMITTEE / Rm. MOWS, ING7571
11/ / _ $/1/45 /J/d11 PLAN CHECK $
• abr TOTAL FEE 5���