HomeMy WebLinkAbout2955 PEPPERTREE LN - Building Permits9624-
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
FOR APPLICANT TO F/LL /N COMPLETELY
TYPE OR PRINT
= III PIIII ]I RH
COSTA MESA.,CALIF.ORNIA
(OWNER Mavlene. Inc.
=LE KC��:�i�/ED
I,Rd D ��I.
itt!'lo,L.� itl•
APPLICATION FOR PERMIT
BUILDING
FOR OFF/CE USE ONLY
I RECEIPT NO. . I PE
r�
MAIL 1 ,
419 E. 17th St,
RECEIVED BY /DATE RE`CEIVED /DATE ISSUED
I
I
ADDRESS
i CO. �J �S !Ci
_6
iICITY
TEL./
Costa Mesa TNO.. L18115
BUIL
CITY
ADD EISS
-
ARC 'CT Carlson & LID.NO.
COSTA MESA, CALIFORNIA
OR NEER
ADDRESS Garden Grave
FIRE
ZONE
t�
DikeCOlegra%e., Inc 167293
EC.
APPROVED
C.
LIST
OR& NO.
BY DATE
ADDRESS 419E. 17th Si.,Costa Mesa.
- ZONING,.
2Qe[q
2
ZONE
NO. OF
USE OF NEW
DESCRIPTION
q(�
NOT 207. BLOCK .I
TRALI
)
PLANS I
BUILDING
APPROVED
A.P. NO.BY
GATE
SIZE NO. OF BLOGB.
I
Y RDS EVES
.OF LOT 60 S. 105 Now ON LOT non
REQUIRED ALLOWED
USE OF
(CENTER LINE ST.)
EXISTING BLDG.
T
FRONT �—L/ FT.
IN.
SETBACK LINE FROM
CENTER OF STREET 551 REAR YARD 271
R. SIDE FT.
IN.
SIDE YARD ILEFT 5t (RIGHT 1
L. SIDEFT.
IN.
DESCRIPTION OF WORK
-�
REAR FT.
IN.
NE\ X I ALTERATION ADDITION
REPAIR I MOVING I DEMOLISH
l 1.
IE DING 50 6
SIZE ROOMS STORIES 1
EXTERIOR WALL
ROOF
(COVERING
COVERING 4t1U`CO
_
PE�p0„
USE OF BUILDING AND WORK TO BE RNIVS
Single family reSidence with
attached garage.
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.
BU ILDING. CONSTRUCTION.
VALUATION
SIGNATURE OF
PERMIT FEE S
3 .00
PERMITTEE
PLAN CHECK S
$
17.00
14., 552
AUTHORIZED AGENT
- TOTAL FEE S
51.00