HomeMy WebLinkAbout1124 CARSON ST - Building Permits21354 FEE RECEREU
COSTA MESA BUILDING -SAFETY DEPARTMENT JAN 17 1984
P.O. BOX 917 COSTA MESA. CALIFORNIA pCtt77FIINn�AF(NCr(E CC77OEPT �
711)/R
nt to Fill In Completely APk!i ATIOt08PPVQh
PE OR PRINT BUILDING
For Office Use Only
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RECEIPT NO. PHI�IIT�Irj"`
MESA, CALIFORNIA 11�VS'll'"'JJ11_ I 1 C+ RBCEIVBp HY DATEReC/81VED� JDIAyT; ISSUED
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U I . C
CONTRACTOR Q
LEGAL 1
DESCRIFIION CT
ADDRESS 5 3 Q
A. P. NO.
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
SO- TO SIDES REAR P. L.
ES
STATE L TEL.S31
LIG. NO. NO. 7
CHB AN STATE LAWS REGULATINGION
O'ZEFLOT O
I NO. OF BLDGH.`
NOW ON LOT
ALLOWED (U. B.C. REQUIREMENT
YARDS APPROVED
YARDS APPROVED
PLAN CHECK 5 ✓by'/
USE OF
MAIN BUILDING
ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET]
BETBACKLINEFROM CLQ
CENTER OF STREET �J REAR YARD
FRONT ' FT.
FT.
SIDE YARDI LEFT
I RIGHT J
R. SIDE
FT.
✓FT.
DESCRIPTION OF WORK
L.41oQ_.0 -
BUILDING 1 1—) ROOMS STORIES ' C. SIZE I U. P.iF n , r I APPROVED
EXTERIOR WALLA ROOeorun i 1 I APPROV D / ,-
1 y C-Lj
muco r_ n 1A. _ O C _ Pv G n.YP I 1r ///
SQ. FT.
N
D
I HEREBY ACKN
AND STATE T T THE A
V RECT AND AGREE TO COM.POSE
THAT 1 HAVE READ THIS APPLICATION[VALUAT
AMOUNT SHO
OF ESTABLISHING
UNDER VALUATION IS FOR THE
A PERMIT FEE ONLY.
PLY WITH A CITY OR
BUILDING C NSTRUCT N
SIGNATU OP
PERMITTE
CHB AN STATE LAWS REGULATINGION
� �)
PERMIT FEE �
PLAN CHECK 5 ✓by'/
AUTHORIZEDAGENT
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TOTAL FEE $ OJ / !`-Ti