HomeMy WebLinkAbout297 ROCHESTER ST - Building Permits • slat a EE RECEIVED
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COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O.BOX 317 COSTA MESA,CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL /N COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT TT BUILDING �j
BUILDING
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`COSTA MESA.{ CALIFORNIA� FFOR OFFICE USE ONLY
OWNER , I�� N O�/ . I SIJ I RECEIPT NO. P�t�l Tj Q,
{ MAIL 3 L 7 - ; aL /P ^ Vr„ 1 y� 'VEO BY DATE �CEI�E.D� DATEJISSUED
ADDRESS I UY'YI�-CaGL` It.. `ll G� 1
5 7 (/,{C/. '7//
CITY T /K� II-/ A AA TN O.% BUIL ING
ADDRESS 2 / 11.Q C- el / re1 ,
ARCHITECT ��Q it LIC. c. COSTA MESA, CALIFORNIA
OR ENGINEER •1A„(�{O NO.
,j{ ,�, //�11__ C'�• /�. FIRE "3
(//J /,ILS
ADDRESS I IT 1 ��� •� 1 ZONE type ' IrOuP il 4 ll
CONTRACTOR OU I`! S1 L.bIZI L CT.NTO. BYPROVED DATE
ADDRESS OOP\ • ZONING
r I20NC NO.OF USE OF NEW
LEGAL LOT Y '//>Lr,/{y( PLANS BUILDING {�
DESCRIPTION NO./ /� BLGCKCI• I I,C�I �1 I- /,/ f
•
A.P.NO.Clop / ) ,/ I y I/") /G`�4? IIS r riy
CSIZE //'rG/p „dor /.pc: / e F, M /.�`/((;c. irRp,//E 6). 1 DA s' a-...
OF LOT (p/ ' C ' -I D I NOW.ON LOT NO.OF S N04t YREQUIRED u/ HALLOWED
USE OF (CENTER LINE ST.)
- EXISTING BLDG. UI'7� L. FRONT
f SETBACK LINE FROM J4g' 1/ /% TR�J ff
CENTER OF STREET j r0 REAR YARD I\-3'0 R.SIDE ^/ I/ FT. IN.
J
S / / 1/
SIDE YARD I LEFT RIGHT b O L.SIDE .-5---FT. IN.
DESCRIPTION OF WORK /
REAR .[ FT. IN.
• NEW hi II ALTERATION I II ADDITION I --/
REPAIR IIIMdVWG II DEMOLISH I HOLD FOR SPECIAL REQUIREMENTS
BUILD •G 1 5 7 3 NO.OF ,( tA. IjA:I j I
SIZE • - • - t ' ROOMS -T STORIES 1 �` / la./
EXTERIOR WAL6__ ROOF I/ J
COVERING S-T VC/-C ICOVERING /�VG/c = CS/ gilt , •f 7 - <-17
USE OF BUILDING AND W RK TO BE PERFORMED
bup y >( At r, C/a F2+ 57c'° ') IO'.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AND STATE LAW EGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING coo Nl�iUGTIo VALUATION• /
S IGNATURP OFy_ J,,z'
Ter) PERMIT FEE $ r� C -
PERMIE /� o /A1/��/�I Ih I; � $ 74 / // PLAN CHECK $ /E�/� ,/AUTHORIZED AGENT ,�(1IVII/ ��ii f/(�(/✓ TOTAL FEES S!'C - /nl"