HomeMy WebLinkAbout206 SUSANNAH PL - Building Permits 17374 FE6RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT �� 6� JUn 1
P. 0, BOX 817 COSTA MESA. CALIFORNIA FINANCE DEPT
CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 0,611 54a4...,.,‘ ) e/IEL. .
ADDRESS
COSTA MESA. CALIFORNIA For Office Use Only
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�j I RECEIPT NO. I PE@A]jT NO.
OWNER ((y/�Ly�Sw%il iJl 7'Sc
MAIL 2 }moi �f RICEIV/4�p BYI OATH/REECCEEIVED DATE ISSUED
ADDRESS ✓33 (.- // (1 '/ YV ^� / /A / (U'a z--E�2�(
CITY ( ) NO J O�Uy Z ADDRESS .X Q(!' 'N'I-R�f✓ {E '
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NU. FIRE
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ADDRESS .. ZONE TYPE
GROUR 9 ?Li
I DATE‘7 721 -
y-
BPROVED
CONTRACTOR Y
ADDRESS Sa--rte ZONING
ZONE
NO.OF USE or NEW A-,'4.A-,'4.; -
-11....4`
CITY / - ^. Z IPLANS � BUILDING .a _ s ._
CN . 0 C %� r :HoLEGAL
DESCRIPTION /.-sr del 7. y G67
SIZE I NO, OF BLDGS.A
OF LOT NOW ON Lot 11 A.P.NO.
USE OF YARDS EVES
EXISTING BLDG, APPROVED ALLOWED
SETBACK LING FROM (CENTER LINE ST.)
CENTER OP STREET REAR YARD 3 Z _.
FRONT FT. IN.
7 SIDE YARD I LEFT I RIGHT R.SIDE FT. IN.
DESCRIPTION OF WORK Cl —
NEW I ��// L.SIDE FT. IN.
/X II ALTERATION I II ADDITION I REAR /`�'/ FT. / '/ IN.
REPAIR I II MOVING I II DEMOLISH I APPROVED /� 40
DATE `/l/�T V-
BUILDING ' p NO. OF / / �(
SIZE /, - 7 7U ROOMS (9 yI STORIES/
EXTERIOR WALL I ROOF ,y,,.(T
COVERING - COVERING C SNC
USE OF BUILDING AND WORK TO PERFORMEDBEE
Jf6(1.2 /es/ OAr
y-- Ve3err
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO co -
PURPOSE OP ESTABL SHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANC B AND STATE LAWS REGULATING
BUILDING CPNSTRU ON. / J/ VALUATION
SIGNATURE OF 4
- R..!/J�JA"PJ�V�! PERMIT FEE $ 4r-�-
PERMITTE ao
$ /�� ._- PLAN CHECK $ ,. F
AUTHORIZED AGENT p
TOTAL FEE $ /ry — LL 02