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COUKI'Y OF ORANGE
BUILDING DEPT.
636 No. Bloadway
�Sanw Ma, CaL'romio
Phone: KI 2•6211
.
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
\
OWNER'S NAME.......(_..1..3�.�.�__�....
MAILING ADDRESS....,11.'I.V.�.... FLI
Name
(Architect or Engineer)
Address
Permit No��L/.,,C...Q...
t Date---'I_�....��....� L �+ ., ---....
� �
i�.... . . .. .. ........... PHONE:....------........................
�% \
�� - ................... CITY...�{�.%.L_.�...�-.
Name
Addreu
(Contactor)
C'ty - - ... ... ---- - - - " ...._.. - -.._ ......................- - City --- - - - - --- �-- --- ` - - ----- ----...._....----� - - -- ------
S[ate $:ate
LicNo.. -- . . . .. . ......._... Phone-- - ................... Lic. No...........------- -...--- -- - ------- Phone...- - ----...--- - -......
PROPOSED
2. JOB LOCA
(Housc No.) (Namc of Scrcet) (Town or School Disnic[) ^
�i ' LEGAL DESCRIPTION: Loc...-------.�-�?-4' � '4f.^' �� B k-.-------.--....------- ....................... Tract�:?�:t!>.��.%YlLesei..In..
. ... ......... ............
(Meces and Bounds Deacnpeion—Use reverse eide o( (orm) ��
4. CORNER LOT ( ) INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) r
i. SIZE OF BLDG.:.��X.IfrL[......AREA:........T.�..--.--...SIZE OF LOT:...��.x.tii.�.......AREA:..�..�Zi.��...4,l.....l.J
G. HEIGHT OF BLDG .:..............................�...........CEILING HGIGHT:
OF STORI
7. NO. FAMILIES.--.--- .......................----...Size of Smallcst Eedroom:.......----.........--------..---... Size of Kitchen--•---.........---......------....
8. EXTERIOR WALL CONSTRUCTION :............................................INTERIOR WALL COVERING........................................._..
� (Frame. Stucco, Etc.) . . '�""'..........- (Plaucr=Dryuall, E[cJ
9. SETBACKS: Front Yard From.Y�i Strect._......��%� ---' .......................................................
Nearest Side Yard.....�..........Rcar Yard_��..........Di�tance in Feec Between Bldgs. on Same Lot ............................................
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
U��DINANCE P�O. 351, SEC. 22
I1
12.
13.
For T16� '.. De t�i�inP�u�.THIS..BU1.4D1[C6�dd�R1��4p1NG...---------------------
Accessory ��h� P�•' � ���rissuEd �� �������������� � �ORCHES OR ANY OTI
BIdgS. and 'n compliance with Ordinance ��JECTIONS,
�F�1,��ECAL'�mds:---------- ...............Spacing......SkIALL._.B.E."�ESS r'f�ktfl< < --�------
Similar i� °C1Tf2(Jh4'-'�11Q}/"-- ��--------
Scn,ccUres: There shall b� no fe.e for this EkSEMENT, RIGHT OF�WAY � PUBLIC
P�rkii�'i�o°�SF�P`t�1P.�'S`�Ui(�rig--�- ........... -F4r�&r'f�ttCi•t�€�Vt��AS�itiGh� b TO TWO
be required to conform with �� MORE PROPERTY GWNERS��
B�bir� e o� ft Spacing--- -� ---.....----- ----�• -------.. CC
� �� f€�itit'ertiEn{S� . . ... .......... -
unlsss its' use or o �� `
VALUATIQla1a(�1��1'����1�.0��'fOl�cluding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage dispq��;�-��i�iS•iSSUt�I: ...... -' ' .
The Bui������ha�T OF MY KNOV✓I.EDGE AND BELIE�` THE INFORMATION IN THIS
I HEREBY �'&� TH'E
APPLICATIC����$ ��D T'THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OP
THE COUNTY F ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
� � ' n � •-= n - - �
Plans
Bldg. Permit
Plan Check
Total • -
Rcceipt No.
Paid to �
Signcd: ...S...I.�.I_�. �.
� By :....:...........-�---.............
FOR DEPARTMENTAL USE ONLY
G R O U P.....��y .................. ....
TY PE.......w� ......................
DIST. J�/�
MAP........�.....�1..!..1. � I.....
SHEET NO.........�..� .............
DATE-- -- - - ..............��.. �d.� /
!M-DSI /
(�wner)
(Authorized Agent)
'n�IN(i BY
APPLICATIO .... HEALTH ............................
ZONING......._...---..✓_- FIRE
PLANS AND MARSHAL .....:............:......
SPEC'5 ...............-�-----....... STATE.------.....------..............
CORRECTIONS ENGINEER
COUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway
Santa Ma� Califamw
Phone: KI 2fi211
1. OWNER'S
MAILING
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
Vl'�
Permit No..,�_J..�.� 9
� Datc.----� �--- (�� ....�..�_�\'
�
`^rfZ„_.. - - -- -- - �-- PHONE:.---.....---�c- ---�---------- n
`� ..._.... CITY'1L�i..-Cf+�?�1-`..-r--�" _'1
Name... .------�------....--- ..........................----------..... Name ------------------..._........................----.....----------------...-----�-----
(Archi�ec� or Engincer) . (Concractor)
Address-------........._------ ..........................'--....-'-------------.._........ Address ..........................................'-'......_.....---.........-------------'----"-
City........ - "' ' --.....- - ... ' ' --" - - ---..... Ciry - - - -- - -- --...-- ............... . ...................... ' .....---....----..
State State
Lic. No.._...--........-�--- ............... Phonc.....---.....--------�--------_. Lic. No.-----------------...----------�----- Phone---.............._.............-----
PROPOSED USE:.......�-^....-..`�:"'..'"' ` �
..._... .. � - ..... - - � . ...................................'�---......... ......--�.--
�] � ` /'� � �
-- - ... ......... ..... ........ .
2. JOB LOCATION.._._�....11. !.�.. � ................. �..........---........... - � -- - -...--- - .....--C�.- ____....1/�Xia-��� /
(House No.) (Name of S:reet)
3. LEGAL DESCRIPTION: Lot..._.....�._b.....U`..--.�......-.--_......---Block ...--__ .............
(Me;es and Bounds Descrip[ion—Uae rwerse aidc of iorm)
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT (
(Town or School District�)��� � ��p ��, ,�y
....................... Tract..'._.`^..:.-�.�.�..".'."�(
) SLOPE
P{�A7R�I � � ' � �y
i. SIZE OF BLDG.:-�--Q-j�-�..G---AREA:-----.. ..�,fl....---..---SIZE NtS- -�+• b�`�E Q...O.. 1-+
. ... ...--'- -
6. HEIGHT OF BLDG .:..........................................CEILING HEIGHTSHALL BE _LESS bHApN .1�9��FROM AfdY
� EASEMENT, RIG� OFF���QR�---Pl3BLIC--------.....
ORDINANCE N0. 351 S �q'',� r ESS TO TWO
7. NO. FAMILTF� �..�.�� �'e,� Smallest Eedroom:----�C�_VilHI.�N.SERV�e' 23f �i"c en----'-"---_----------------_----•
This building permit is issued ��ipRE PROPERTY OWNER�
s. EXTERIOR UY,6llm{�i�ifi�PRUI��Ad3nGe ....................................I rOR WALL COVERING..._".....------------...------------..
�f35bFg�,, s��cm, Ecc.) � (PlasterDrywall, Etc.)
9. SETBACKS: TicWt� 1'hLdl ���d�� Stree[.......�.Q._.�.---� -- ........... --� ---------- --..........-�----- -........-� -- --
permit {�`hall thi; �ilditi� , ^
Nearest Side b'ar¢:��{g�..�.j..�Far�� rGtq4n.� ..............Distance in Feet Between Bldgs. on Same Lot._....................._..................
t0. A COMPLE'���b'�'tsl�,���t� a��p��, SHOWING ALL STRUCTURES AND USE OF EACH.
shall be ciisnged from that for
1 L For �td �ly i'�! y�----�-...DePth in Gr und----'-------'---...-------...Width of Wall.--'------------------------•
Accessory W�l�F� Rfit i I,, d:... - -...
Bldgs. and The Quildin I sp`�e`ctorshall be
Similar C6�kt7��F1 q�ri�4�'Ti3-..anq. suc -
..
Scruccures: change.
(c) Size of Floor Joists:....... ....
(d) Size of Rafters::--_---------------------------------------------Spacing
"CC
"CC
12. VALUATION OF PROPOSE WORK: 'Including all labor, plumbing, electrical wving, heating, fire sprinklers, painting and
sewage disposal 5 .................../% : ---�----..... ..../> .
.� �� �
13. I HEREBY CERTIFY TH - T OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE ,AND THE STATE OF CALIFORNIA APPLICABI.E THERETO.
Plans Filed:
Bldg. Permit
Plan Check
Total - •
Receipt No.
Paid to •
By°--------------------------- _..---.....--'--'-----....................
� (Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: �/
�...�///�ea GROUP ................ - ---
1%V . . TYPE - -
._
�� . . ......... . . . . ...
$............ - --- ----- DIST. .�y�
- .............. ...........`-
MAP--...----! �C— - --
_ - - -- - SHEET NO..-- _ - .
DATE- --.......�~.. .�CQ. .�5�/..
SM-2 11
�
(:tl�; 'K1N ' t3Y
APPLICATI ...... . EALTH---------------------_.....
ZONING ....... .. ....... FIRE
PLANS AND MARSHAL .........................
SPEC'5........--------�---....... STATE.......... - ----�---_._._..
CORRECTIONS ENGINEER
OWNER CARTER�
JOB ADDRE55 925
�GFNERAL CONTRACTOF
_ 0.116-i5i-o8
INSPECTIONS
soi�
GAS
WATER
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE
SPftINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON
TEMPORARV SERVICE OR POL
UNOERGROUNO � POWEP
ROUGH WIRING
TRENCHES ORMS
FLOOR SYSTEM
John D.
West 18th 5treet
TIONING
STEEL REINF,
BON� BEAM � � STEEL REINFORCE
SHEATHING
FRAME ANO FLASHING
LA7HING - IN n OUT n
P "ER, BROWN COAT
S :TURAL, FINAL
TRACT
DATE
SUBCONTRACTOR
OWNER CARTER� JOHN D.
JOB ADDRE55 925 West
! o.
IN�PE(
ROUGH PLUMBING
PROP. $WR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROIIGH HEATING AND AIR CON�ITIONING
TEMPORARV SERVICE OR POLE
UNDERGROUNO � POWER [
ROUGH WIRING
FLOOR SYSTEM
BOND BEAM ❑ STEEL REI
SHEATHING
FRAME AN� FLASHING
LATHING - IN ❑ OUT n
P�" �TER, 6ROWN COAT
5 .TURAL, FINAL
HEATING. VENT.. REFRIG. ANO
C, F
r
DATE �_7_71
BUILDING PERMIT N0.
DESCRIPTION oF WORK Fire Sprinkle
FIRE ZONE VALUE $ 2 600.00
la�e GROUP J TYPE 7
SUBCONTRACTOR PER