HomeMy WebLinkAbout1163 DORSET LN - Building Permits Lor 36 TRACT 4395 FEE RECEIVED
!6305 �f JAN 311982
COST. MESA BUILDING-SAFETY DEPARTMENT J' FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In CompletelyAPPLICATION FOR PERMIT
DD EIS ,/ 'JTYP%E�OR PRINT BUILDING
AS l/(#23 4cce/ 44,,f2COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. 1tmj 05
OWNER & K DEVELOPMENT CO., LNC. 66
MAIL 1555 RECEIYID BY ( DATEVEel
11962
ISSUED
ADDRESS PLA CENT IA AVENL,UE `/ /--.5/.1–
' � b)–IAAAN ..11
TE
CITY NEWPORT BEACH NOM 1 63227 ADBUDILDRESSING
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NONE NO.
—
FIRE �//I v f
ADDRESS ZONE TYPE GROUP �C Y
CONTRACTOR K. W. KOLL APPROVED
BY DATE
ADDRESS 1555 -PLA GED17',A A„EMI 1 E ZONING
ZONE I NO.OF- I USE OF NEW%tnq ?/.^�
CITY NEWPORT BEACH a --I PUNs Z. BUILDING c/A{_,er,s
STA
NO. 61195 TEL
M I . 6-3227LEGAL • L. 30 /—R /13 9 s
DESCRIPTION
SIZE //�� NO. OF SLOGS.
OF LOT O'%X 0 0 '
Imo/ NOW ON LOT O A.P.NO.
USE OF - - YARDS EVES
EXISTING BLDG. NONE qr APPROVED - ALLOWED
SETBACK LINE FROM �/? /6 // REAR YARD �/J / FRONT LINE ST.) S FT. `” IN.
CENTER OF STREET n
SIDE YARD I LEFT Si/ I RIGHT S. / R.SIDE -- F . IN.
DESCRIPTION OF WORK
L.SIDE S FT. IN.
NEW I X II ALTERATION I II ADDITION I REAR a 5_ FT. IN.
REPAIR I II MOVING I DEMOLISH I APPROVED
BUILDING /$e3 S FfBYOfeO DATE /�3a/6Tr
NO. OF
SIZE Csj 9P 7 5`✓! ROOMS a/ STORIES 1
EXTERIOR WALL / ROOF PC/q/- Q /
COVERING STIJ CEO I COVERING f/JN9!/'�Q /l/
USE OF BUILDING AND WORK TO BE PERFORMED -- -2 /c S�
I is _ RESIDENCE WITH .T P
ATTACHED QGARAGE. y/' l/V L'
PLAN # K S4 (///(/I'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION A�
SIGNATURE OF 5�� /1 /j. // �.J) PERMIT FEE $ ,3�-/y
PERMITTEE i J Ld-'C/lr $ / /, 1'45--
x
/� PLAN CHECK $
AUTHORIZED AGENT L�-/__ 2
TOTAL FEE $ IJ 4