HomeMy WebLinkAbout254 BUCKNELL RD - Building Permitsi�J rJ
COSTA MESA BUILDING DEPARTMENT
P.O. BOX 317
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUI
ADDREISS 254 Bucknell Rd.
.r,- Gu I.
APPLICATION FOR PERMIT
BUILDING
COSTA MESA. CALIFORNIA
FOR OFFICE USE ONLY
RECEIPT NO.
PE�q
OWNER Mesa Highlands, Inc.
�`•=��``�
1555 Placentia:
RE VED Br
GATE RECEIVED
OATS ISSUED
MAIL
ADDRESS
_
"'001
n_'I
Newport Beach Cal. TNI 6
NG
CITY -
D. ML3227
ADD EISS
ARCHITECT Same LIC.
OR ENGINEER NO.
COSTA MESA. CALIFORNIA
ADDRESS same
FIRE
ZONE
E
/� �T,n
K. W. Roll Const. CO. 12
ZONE
FL04NF
TYPE GR UP
CITY LID. 17
CONTRACTOR NO.
EL
same TNO. same
PROVED DATE
BY
_ADDRESS
LEGAL
Lor 55
2029
CORRECTIONS
oEBCRIPnoN
NO.
BLOCK
TRACT
A.P. NO.
SIZE .l LX 100.48
C]( oo
NO. OF BLDGS. l
0
OF LOT •
f10W ON LOT
USE OF
EXISTING BLDG.
SETBACK LINE FROM7 r— R
50 25
CENTER OF STREET REAR YARD
L
6 6
SIDE YARD RIGHT LEFT
DESCRIPTION OF WORK
NEW
8
ALTERATION
ADDITION
REPAIR
'MOVING
DEMOLISH
GING Fye L
SIZE 1 ROOMS 6 STORIES 1
EXTERIORWALLI'1stuccO
hot -mop
COVUSE
ROOOFRING
OF NEW Residence & att. garage
BUILDING
Plan 2 -ER
The Amount shown under valuation is for C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL
purpose of establishing a permit fee only.
CITY ORDINANCES ND STATE LAWS REGULATING BUILDING CONSTRUC.
VALUATION
TION.
SIGNATURE O
PERMIT
FEE s 35.00
PERMITTEE
15,622.00
I
17.50
PLAN
CHECK $
AUTHORIZED AGENT
TOTAL
FEE s 52.50
9"F