HomeMy WebLinkAbout784 18TH ST - Building Permits10561
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
fOR APPL/CANT TO f/LL /N COMPLETELY
TYPE OR PRINT
BUILDING �j'no^ _ J �) /
ADDRESS ( (/��
COSTA MESA, CALIFORNIA
0 LEGAL ILOT
d V / .
TEL.
NO.
LIC.
NO.
{� STATE
E LIC. NO.
OF BLD...
/l NOW ON LOT
USF
E O
EXISTING BLDG.
SETBACK LINE FROMMIR / / = '1 i REAR YARD
SIDE YARD LEFT �%j RIGHT
DESCRI TION OF WORK
NEV I f ALTERATION I II ADDITION
�
NO. OF
BUILDING DING '1 9 / 3 � ROOMS / STORIES
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C z
DINANCES AND STATE LAWS REGULATING
FLY WITH ALL CJTBUIDIN. CONUCTI N.
SIGNATURE 0 ^,�(J
PERMITTEE �J
(
AUTHORIZED AGENMjN�L���
a,
FINANCE DEPS .Y"
C.ITy nF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
fOR Off/CE USE ONLY
RECEIPT NO. I PERMIT NO.
RECEIVED BY DATE RECBIVE DATE ISSUED
BUILDING
ADDRESS
COSTA MESA. CALIFORNIA
FIRE
ZONE TYPE GROUP
APPROVED //f/y�
BY DATE
ZONING
ZON PLA ^ �}16E
PLANSS r
OF W
I BUILDIN , ¢"
APPR( D %//�/
BY /�-y� 'DATE �J
YARDS EVES
REQUIRED ALLOWED
(CENTER LINE ST.)
FRONT. IFT. IN.
R. SIDE FT. IN.
L. SIDE FT. IN.
REAR FT. IN.
sa -
r
THE AMOUNT SHOWN DER VwLUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
VALUATION
,`'•l
PERMIT FEES b0
PLAN CHECK S / s D
TOTAL FEES 'r'�. S_0