HomeMy WebLinkAbout2973 CEYLON DR - Building PermitsCOSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 317 COSTA MESA. CALIFORNIA
FOR APPLICANT TO F/LL ✓N.COMPLETELY
TYPE OR PRINT
?3 Ceylon Drive
COSTA MESA, CALIFORNIA
OWNERKenprof Developm
MAIL
ADDRESS 1555 Placentia
CITY Newport Beach
ARCHITECT
OR ENGINEER
Co. .Inc.
LIC.
NO.
FEE RECEIVED
Oil) -:2-3-4e
FINP,I!!CE DEPT.
CITY OF COST( MESA
APPLICATION FOR PERMIT
BUILDING
FOR OFNCE USE ONLY
RECEIPT NO. ,y PER
1 RECEIVED I DA3RE/ V¢ . TE1950E0^^
COSTA MESA, CALIFORNIA
FIRE
./
aL.
ADDRESS
ZONE
TYPE V GROUP
K.W. Koll STATE 61195
APPROVED
CONTRACTOR LIC. NO.
BY
DATE
1555 Placentia
ZONING
ADDRESS
LEGAL LOT -
138
352
ZONE
IPI-AN8
NO.OF ^ JI
U9E OF NEW
DESCRIPTION NO. BLOCK
THACT
`f
BUILDING
A.P. NO.
BYPROVED'
_ DATE-��
SIZE75x11irreIiNNO. OF
5.35 O
YARDS
- VE
OF LOT OW ON LOTS
REQUIRED
ALLOWED
USE OF
None
(CENTER LINE ST.)
�--�•
EXISTING BLDG.
FRONT
O SFT.
IN.
SETBACK LINE FROM
t
CENTER OF STREET 501 REAR YARD
R. SIDE
FT.
IN.
8f '
I
SIDE YARD LEFT RIGHT
L. SIDE
FT.
IN.
DESCRIPTION OF WORK -
REAR
J FT.
IN.
XII I ADDITION
NEW ALTERATION
.
REPAIR II MOVING II DEMOLISH
DING 1800 sf NO OF
6 1
SIZE ROOMS STORIES
EXTERIOR WA.{..J/t� ROOF OC
(COVERING
COVERING JI�UCCO
USE OF BUI ING AND RK BE PERFORMED
ng e- III y Residence
and Attached Garage
A C3.4
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
FURPDEE OF ESTABLISHING PERMIT FEE ONLY.
PLY WITH ALL CITY INANCES D 8 ATE LAW REGULATING
-.A
BUILDING CONST CTI 1.
VALUATION
.( (�
SIGNATURE OF
PERMIT FEE S
-
3 JV -
PERMITTEE
PERMITTEE
j/��C•/'
/ /
�'S PLAN CHECK $
19— r
$
AUTHORIZED AGENT
TOTAL. FEE S
3-7—