HomeMy WebLinkAbout2516 DAVIS PL - Building Permits18025
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT _
COSTA MESA CALIFORNIA
XOCT171 �_,
FEE RECLINED
o� FINANCE QEI'T.
PITvCCSiA MESA
APPLICATION FOR PERMIT��:
BUILDING
For Office Use Only
RECEIPT NO. PERj D
OWNER
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MAIL
RECEIVE BY Dq'A•9,�/ RE�q Egg DATE IHHUED
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_ADDRESS
COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
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TYPE GROUMJ
CONTRACTOR
APPROVED
BY
DATE
ZONING
ADDRESS
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CITY
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NO. OF
I PLANS z
USE OF NEWIS y>'dw /oil
I BUILDING 47f' -A
STATE �� G %
LEGAL
/ � 7f LJG
LIC. NO. . �. NO.
DESCRIPTION
Lei / 6 CO
SIZE 3. 8N X I +Z Oi X
NO. OF BLOSS' }�
OF LOT -5,
NOW ON LOT V
A. p, NO.
USE OF - .�__.-.--
YARDS
EVES
EXISTING BLDG-
APPROVED
ALLOWED
SETBACK LINE FROM/ •,// /
�^
(CENTER LINE
ST.) _
L
/
CENTER OF STREET REAR YARD /
FRONT
FT. IN.
r /
ILEFT
i
S
^_
SIDE YARD J
RIGHT
R. SIDE
FT. IN.
DESCRIPTION OF WORK
L. SIDE
S FT. — N.
NEW i " II ALTERATION IIADDITION
I
REAR
FT.
REPAIR I II MOVING I IIDEMOLISH
APPROVED
/IN.
DATE
BUILDING OG NO. OF
SIZE ROOM6 0 STORIES
EXTERIOR WALL (ROOF /..
COVERING COVERING IN
USE OF BUILDING AND WORK TO BE PERFORMED
LA LaALI-1"a
l3o a
i HEREBY ACKNOWLEDGE THAT I HAVE PEA IB APPLICATION
THE AMOUNT SHOWN UND VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT A D AGREE TO COM-
PURPOSE
OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORO NANCEB A TE LAWS REGULATIND
VALUATION
�/—
BUILDING CONBTRUCTI
SIGNATURE OF
PERMIT FEE S �(/(
O/��/
PLAN CHECK $ /
')
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AUTHORIZED AGENT
TOTAL FEE 5OC