HomeMy WebLinkAbout222 ROCHESTER ST - Building Permits gq2.7199
PAID
COSTA MESA BUILDING-SAFETY DEPARTMENT JUN 21-67Es-40018414 -J
COSTA
P.O. BOX 1200 COSTA MESA,CALIFORNIA 02020 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
• ■uILOING for Office Use Only
ADDRESS Z z 2. /ZD fi� P S7'-P Q RECEIPT No. �BMIrSIQ�"
COSTA MESA, CALIFORNIA GG r C ,J
REC[Iys,DET ;AT-EXIT D7 TE ISSUED
OWNER r A 1.. U O/2- e-. +..aQ -
47
� BUILDING• 4Z2
�✓� �CADR - ADDRESS, DESS 1.Z ` o £ hPS7e/L
TEL FIRE
CITY • T•- .. J SLY NO. LI •• : y ZONE TYP GROUP
' APPROVED
•1 ARCHITECT TEL BY' ' DATE
r'ENGINEER N•.
ZONING 4OU
"_ AMEN ZOyyy[ NO.OF US[OF NEW/ AL�
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- 'y I PLAN[ BUILDING V'
• CONTRAPTOR #i�•' 1,`
LEGAL are
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ODESCRIPTIONADDRESS A.P.NO. //9 -J 3- o
g
CITY
' NOTE: NO SAVE OVERHANG SHALL OB LESS THAN
STATE TEL Sr TO SIDE a REAR P.L.
LIG.NO. NO.
• EAVES
• SIZE 1 NO.OF OLDOS. . ALLOWED (U.B.C.REQUIREMENT)
�
•, OF LOT 40 las--.0 S I NOW ON LOT
• USE OF YARDS APPROVED YARDS APPROVED
' UXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
•1 . (FROM C/L STREET) �j� / / .//.
SETBACK LINE PROM FRONT FT FT•. CA.
CENTER or STREET REAR YAR• 4 [// n ,�
'. SIDEYARPI LEFT RIGHT R.SIDE FT. 6 "if Lin. t.�A/(
DESCRIPTION OF WORK L.SIDE PT. PT. //
Y ALTERATION _ ADDITION REAR FT. 7FT.
Id
' DISTANCE BET. BET.MAIN a
REPAIR MOVING DEMOLISH ,, MAIN SLOGS. ACCESS.BLDG'S.
BUILDING NO.OF VAR•# DATE
SIZE ROOMS STORIES • C.U.P.# //p/ APPROVED/
,' EXTERIOR WALL I ROOF APPROVED Wad'
& /// 2
. COVERING COVERING G ,,e._ PT aBA•S[ /O
- USE/...
if --S �-5-0ND.WORK %/29.
,'2St PERFORMED/ 60! {�J/ Ya1�
(/ 3
Ry7t A(
elSQ.FT.
I HEREBY ACKNOWLEDGE TWAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE A
AND STATE THAT THE ABOVE.IS CORRECT AND EE TO CON- PURPOSE OF ESTABLISHING P. PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE MWS ECULATINS yALUATION
SYILDINO CONST1IYCTQ/N/. ,, /�/j • ,f(^J PERMIT FEEID• SIGNATURE OP ,(/// !/.Q //f" _ tail • �j'D✓'
PERMITTEE IIICCC...LLL/��TTT V �� "" ") G/// '/'
s .(. PLAN CHECK E a
AUTHORIZED AGENT .� / r
.. . '. .^7t-:• TOTAL PEE $ LJ