HomeMy WebLinkAbout1023 CHEYENNE ST - Building Permits4 17067
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
ADDRESS /023 C1iP ey..e sY. —
COSTA MESA. CALIFORNIA
FEE RECEIVED
F/mANCF DEPT.
CITY Or COSTA tAESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO.
I r
OWNER Occidental Loan
rUv,
MAIL
2901 Benedict
RECEI ED BY D iE EC VEO
I
DATE I63UEO
luw
ADDRESS Canyoniv
-�2
" 1 1962
CR'—�—
BUILDING 1023 heyenne Street
CITY NO.
ADDRESS
ARCHITECT TEL.
COSTA MESA. CALIFORNIA
--
OR ENGINEER NO.
ADDRESS --
FIRE
ZONE TYPE GROUP Jq
CONTRACTORhn
APPROVED
BY DATE
ADDRESS 2
ZONING n'
ZONED NO.OF 'J USE OF NEW X'-2
CITY
�'\ �! PLANS ` BUILDING L qL-
��^/
ATEt'r [ �OAI
141 R. 6-O
LEGAL
LTC. NO. NO.TEL-
DESCRIPTION T
'
SIZE NO. OF SLOGS.
OF LOT NOW ON LOT
A p NO ---
USE OF
YARDS EVES
EXISTING BLDG. --
APPROVED ALLOWED
SETBACK LINE FROM
1
(CENTER LINE .1.)CENTER
OF STREET REAR YARD
FRONT .�Q FT. - IN.
/
SIDE YARD I LEFT 61 I RIGHT 10 1
R. SIDE /45' FT. IN.
DESCRIPTION OF WORK
L SIDE V FT. IN.
NEW X II ALTERATION(
I ADDITION
REAR 3 L FT.'L__ IN.
REPAIR MOVING II
DEMOLISH
�U3
APPROVED /® DATE
BUILDING NO. OF
SIZE ROOMS O STORIES j
EXTERIOR W L
(ROOF
COVERING
COVERING
UILDING AND WORK TO BE PERFORMED
0
ACKNOWLEPGR THAT I HAVE READ THIS APPLICATION
FSTATE
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
ANDE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
ALL CITY ORDINANCES AND STATE
LUATIONE
CONSTRU ION.
OFPERMIT
FEE s19,�55�0oPLAN
CHECK SED
%—
AG T
TOTAL FEE �J �