HomeMy WebLinkAbout3264 NEBRASKA LN - Building PermitsLOT 16
TR 3722 .
13131
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDADDRESS 3264 NEBRASKA LANE
COSTA MESA. CALIFORNIA
rtt KtUtidtu
. OCT 2 41960
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO.R IT NO.
OWNER K & E DEVELOPMENT
CO. INC.
MAIL
AVE
RECEIVED BY I DATE10_CBIVED GATE 1860ED
�-
ADDRESS I PLACENTIA
f�(`Tn 7 �qql
TEL.
BUILDING
CITY Kirl.l.nOT RFA rHNO.
-
ADDRESS
ARCHITECT
TEL.
COSTA
MESA. CALIFORNIA
OR ENGINEER
NO.
ADDRESS
FIRE
ZONE
TYPEkl- GROUP
CONTRACTOR
APPROVED
BY
DATE
ZONING
ADDRESS
ZONE
NO. OF un OF NEW
CITY
1\ 1
PLANS BUILDING O
I I att ST.
1�
STATE TEL.
LIC. NO. NO.
-
LEGAL
DESCRIPTION
ll pp
Lot 1V Tract 3722
SIZE 6oX1oo
NO. OF BLD GS. 0
OF LOT
NOW ON LOT
A. P. NO.
none
USE OF
YARDS
EVES
EXISTING BLDG. NQwE
APPROVED
ALLOWED
SETBACK LINE FROM 501
CENTER OF STREET i
201
REAR YARD
(CENTER LINE
FRONT
ST.)
�� FT. IN.
I , I
/
'FT.
SIDE YARD LEFT
RIGHT
R. SIDE
IN.
DESCRIPTION OF WORK
L. SIDE
.%} FT. IN.
I I
I I
NEW ALTERATION
ADDITION
REAR
.�`-- FT. IN.
REPAIRII MOVING I
II DEMOLISH I
APPROVED
DATE
BUILDING NO. OF
SIZE ROOMS
STORIES
EXTERIOR WALL I ROOF WOOD SHAKES
COVERING b UCCO COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
GARAGE
6AcHED
LAN -
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.
PURPOSE
OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OROINANCEB AN
ATH WS REGULATING
VALUATION
�
BUILDING eoNernu ON. �
SIGNATURE OF
/J`2`
PERMIT FEE $
7�(J
PERMITTE
YX
j�
/✓
$
PLAN CHECK $
AUTHORIZED AGENT
TOTAL FEE 5V