HomeMy WebLinkAbout426 19TH ST - Building Permits' COUN7°Y�OF�'ORpNGE
BUILDING DEPT,
636 No. Broadway
Senta Ana, California
Phone: KI 2-6211
Application for Buildincj" �ermit
AND FOR A
Certificate Qf Use and Occupancy
Permit No..__o1�J_-b �'___
D ate....__. �O./ -..�/Y.Q..
/
1. OWNER'S NAME-------QDAS�I--ORAt�E--A�REB--------.--------��--------------------�-��---------- PHONE: H.OAQQA._.B�Z
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M.4ILI[VG ADDRESS-- - -1�...�•__Z�i�l..aL�9@E- ----------- -� -- -- - --- ..- CITY -- QO/L�. MQ.�A� - •----------''-.
I�ame . ...
Address
City ----....
Stacc
Lic. No..
_. _______'__..____..___._.._.
(Archirect or Enginee-)
Phone
PROPOSED USE:._.__.H9�BOi1Q@
Nam ����_t�s.._Holetain_c� 9one ��
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�Contraaor)
Address.__Z� _��_Z%tit}_,ig�e�L__.__.------'---__-'-"-""_'
.. Ciry ---aOsti� tie�4---------- ----------
-------------- - ------�-------
Scace
Lic. IV�9�..-""_' 8�_'-- --- PhoneB.QQQ0I1...��-_
Jos �oc.aTio�r-----`�d�--------- -E----�-'��----�-��------------�-----Ooe�a..Ile9tt--------------
(House No.) (Name of Screet) (Town or School Discrica)
LEGAL DESCRIPTION: Lot_------�Q----.-----------...------Block ----`-- -------'---...-----------Tract---..��-
(Meres and Bo�nds Description—Use reserse side of form) �
CORNER.LOT ( ) IIVTERIOR LOT (✓) THROUGH LOT ( ) SLOPE OF LOT (
5. SIZE OF BLDG.: _�Z4..k_--j�/._ AREA:------_�-�.�------_- ----.SIZE OF LOT:- _Y �.�.I2�AREA: _%-7J_.U.---_--- _--
6. HEIGHT OF BLDG.: -----_��._.-_----._.----_._.CEILING HEIGHT:--_.-.--_8�._--_.-.-------_... [VO. OF STORIES.------_l.-._-------
7. NO. tAMILIES _._...____.1 ................._........Sizc of Smallest Bedroom: ....9X. ../_.O_.�_. Size of Kicchen: ...8)G.../�_6.....
8. EXTERIOR WALL CONSTRUCTIOIV�A...etillOCO.__..._..I[VTERIOR WALL COVERING _......Pl$9i'i01!...._..._..
(Frame, Stucco, Etc.) � � (Plaerer-Drywall, E�c.)
9. SETBACKS: Front Yard from Ccntcr Line of Street.___�1_�r_"___'________'___"'__'_'________'___________"'___'_'.__._.______._'_ "__'____'.__
y / `� / � i
IVearest Side Yard_______..9.____._._.Rear Yard.___77___.____. Distance in Fcet Between Bldgs. on Same Lot _._.J.-O____._,_.....
IG. A COMPLETE PLOT PLAN IS REQUIRED, Si-IOWING ALL STRUCTURES AND USE OF EACH.
I1. For (a) Foocing: Width---'_l��'-'-"_-"-"-------Depth in Ground._-__'�,QA-_-'---_--Width of Wall__----.8w-_-"--
Accessory
Bldgs. and (b) Size of Si�ds:._..$_.�j.4._.__._._.S acin A._.._._._ " x
Similar - P 5--�-- '------'--. CC Matcrial oF Floor....QQA.___..---'-_.--..
$trucmres: �Q
(c) Size of Floor ]oists: _�-.�-.�. ..._..._..Spacing ._.._.�v�..'-__-.__---'-_' C�:
(d� Size of Rafcers: .'-'_ _Q_E--Q--.. Spacing ".--'Q�w--"'-----'_•_."CC
12. VALUATION OF PROPOS D WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint•
c�o
ing and sewagt disposal �._- '.?..7�.---�.�'-'-'_-_-----------_-
1;. I HEREBY CbRTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATIO[V IN
THIS APPLICATION IS CORRECT A[VD THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COIJNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
/�� �� a — - �
Signed:.__-___ . ._'_�lC__-_'_�I����-."'v'4"."'.__4_ _'_._ _ __'_"_'
/ �. )
• O er
Plans Filed:--_-�.-'-G --__- �
� -�---'_�-"_'__'----"------'-- gY;.------------' ':
'-"'__ . _'-_".. .. . _ _ ._"'-"'-'-""'-"""'_-
• '__'-'--"-'-
(Auchorized Ag n�)
FOR DEPARTMENTAL USE ONLY
Bldg. Permic
Plan Check
Total - -
Rcceipt No.
Paid ro
Date ---------.
DA
9M-).�O
FEES:
/�-oQ----
' �-------------
�------3--°=-'-------
$- 1�--�-r
--- �.��.
GROUP-------�----- ---..
TYPE ------- ---�------ -- ----
DIST.
MAP-- ----------�`�_�r-- ----
SHEET NO.____._ �_.____
CH�CKINGBY
—�L��
APPLICATION�r�d _ I-IEAL1'H.--_-----__--------------
,,,,�,��( FIR E
ZONIIVG.-----�%�cX�' MARSHAL.-------------------
PLA[VS AND
SPEC'S - ------- ---- --- - STATE --- - - -- ----- - --- -
CORRECI'lONS ENGINEER
VERIFIED ------------------ CAL.._..----------- ------ ----
PERMI�I SSUED.B.Y_: ---- ,:�i�p�NG�
� (� !11 1,': .=_�iOR
I 1�
— --- --- ---------' ---� ------- ------------------- --------------------------- -
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n _ Pu'rv /�,'
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COUNTY OF ORpNGE '
BUILDIIVG DEPT. � � Y
636 No. Broadway p Perma No.___�.�sS.__ _._______
Santa Ana� Califorhia Application for Du�l��fl9' �Permit
Phone: KI 2-6211 AND FOR A
Certificate of Use and Occupancy
Date.---'-------'--
1. OWNER'S NAME-------�A$T._.._.�1�_.A�B----------�--------------- -------------......_._... PHONE�HOQOOA--B��--
MAILING ADDRESS--------��...�rR_.17i�1._�C±�BL----------------------�_------------CITY.:�JO�tik1—i�AtlA-------------------
2
3
I`Iaine ...
Address
c�Y ---
$tate
Lic. No.
II
"_'_""'___""""'._'____"."_"'._."_"_"."."_._ Name . . �. �,}� .
(Archi�ec� or Engineer) ��"�'�""�O�•�ConFr'Sctotl"�iiQ____'"""'__""_
------------- ---'-` - --- - ---- --- ---------- Address _��..k'i�...l?.LF2_.SSI'QQ$--------- -----------------------
Cit �
- ----- -- - - -- ----- ---�---- - �-- r --Coat.9--i,oe3---��----------------
' $tate
Phone -------------'-----"-_-'._ Lie. No�.lfl��..�---"--II1--__._._ Phon
PROPOSED USE: ---aARA�R------ ---- — ------------------- ---�- - ----- --- -- ------------ ---- - - --
JOB LOCATION -- - -7-.i.y---- --- - - —�---�- --�-
--• ---------- -
(House No.) (Name of vee�)
LEGAL DESCkIPTION: Lot.___..._ ________.___.______Block._._.__
(Meres and Bouhds Des<ripcion—Use reser e side oE form)
.`
4. CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT (
(Town or School Disrrict)
------'---'-------Tracc --_��
SLOPE OF LOT (
5. SIZE OF BLDG.: .�._a_�__._...AREA:__S�O__BQ...ti'i......SIZE OF LOT:..�P�Z x_l.e?•�AREA: _7%� ...............
6. HEIGHT OF BLDG.:._14�.-_------------- _-_-_.CEILING HEIGHT:---_-_--___--.____-------_-- NO. OF STORIES---1..---_---_.--_
7. NO. FAMILIES _--.-.-----_----------------------_ Size of Smallest Bedroom: -_-----_-_____--_----. Size of Kitthen: _._-_-_----------__----.-_-
8. EXTERIOR WALL CONSTRUCTION:.�g_..$L�[pQp___.INTERIOR WALL COVERI[VG_________________________________._,....
(Frame, Stucco, Etc.) � (Pln��er-Drywall, Eac.)
9. SETBACKS: Front Yard from Center Liae of Screet._._.._-_-l�_1-------_----_-_-_----_--_--------_-'----------------_---------_--'-_-----...---
p / �
IVearest Side Ydrd.__._�l�_,_____...Rear Yard..___�_.____._.Distance in Feet Between Bldgs. on Same Lot..__J�Q__'_.___.___.__._.._..
IG. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
1 L For a Footin Widch _lgp ______________.,... De th in Ground... A .. Width of Wall .. 11.___ ._... ,....
( ) B' - -�--- P .�•..--�--------- S
Accessory •/
Bldgs. and (b Size of Studs:...___2..k
Similar
) . -__�`----_..Spacing.---"-_----�-_.-__---_._"CC Material of Floor.aOnOI.OL@�--�`---
$trut[ures:
(c) Size of Floor ]oists: ..-"-----'-_.._........""-"".Spacing -"-'_____.'_.-_--"--'---_ CC
.. (d) Size of Rafters:."----y'-$—a--"-'-----'-"'-'-'.Spacing -_-----�IL---.._.."_'_'-. ��CC
12. VALUATION OF PROPOSED WOR �:_Induding all laboq plumbing, e�ettrita� wiring, hcating, fire sprinklers, paint-
ing and sewage disposal �$.-_��4'--'`-_----__.-_---'_------_
. � ' -
li. I HEREBY C$RTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION IS CORRECI' AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL
LAWS OF THE COU[VTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Filed:_____,_�� � � — `�v
-- -- - -------------------------------------_.
Bldg. Permit
Plan Check
Total - -
Reteipt No.
Paid to
Dace ._... .......
FEES:
d �G o
�p o
�-------
�._____"'_'_� a"_'_.y
---------���7 �-----
----- --- ---------
L0 -_�o_-.Iv
FOR DEPARTMENTAL USE ONLY
GROUP__..... J---- ---....----
TYPE.----- - --�---------------
DIST. �
MAP---------�--------- -------
SHEET NO.-----�---.--.----
CHEC ING BY
.4PPLICATIO �____ HEALTH ___________________________
,c`�+ v.� __. FIRE
ZOLVING._---- ---- MARSHAL-----------------------
PLANS AND
SPEC'5.–�----�------------- ------ STATE . – ------------------�-
CORRECTIONS ENGINEER
VERIFIED-------------------- CAL..----------------------------
PERMIT ISSUED
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CCUP:I'Y �'UILUI
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