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HomeMy WebLinkAbout234 BROADWAY - Building Permits. . . ' .. �.- ... . " . �rv.m ..... , r. . 5 .:. ::: . .. • . ' ♦� PflOJE�TADDHESS � ' � UNIT: � OWNEfl'SNAME: %��4'`{RC�`A�l�IAY ' ' . . " ' . . + nooeess riliV:�:TCHS, ' JOHN G , 234 3R(aADw1�X • ' COSTA�Iti:"r:SA,GA - . 9267..7 � PflCN/ENGINEEH: � 4 ? - 3 5 5 6 � . � " pEG.NO: ,' � ' ; AOUPESS: . , , , ' � �' , UNIT: •. -PEflMITTEE. " 'r - � aooeess JOfiN G�i�ENRSCF:S ( 7.14 ) 64'2-3,556 234 HROADWAY :. � ' �v_ - ., ' ' CA 92627 r LICENSED CONTNRCTOH OECIAHptION:' 1 �ereby allirm I�al I am Iicen5e0 under pmvisions a� Chapier 9(commencing wit� Section, 7000� ol �rvision 3 0� Ihe Business antl Pm�essions Code, and my license is in �ull �orce and�el�ecL . . CITY LIC STATE lIC . ; . ClA$S: , ,' ' � � � . . „ : , � Daie: • '- - Signaluie: _ _ WOFKENS COMPENSATION OECLANATION I hereby a�firm IM1a� I have a cetlilica�e of consenl �o self-insure or a cetlifiw�e o� Worke�s' � ComDedsalion,lnsurance� or a cerlifieA copy thereoi (Section 300�, lab. C�. .� - ' ,� POIICY NO.i'. .: ' E%P. ORTE: - � �' ' �COMPpNY: : . - . - : ' i � . . ' � . ' . ' . . . � � ❑ Ceniliea copµis here�y Wrnishea. ❑' Cenilie0 copy is filed with Ihe ciiy BuilOing Uivision. � oate: ' ' Applicant: � �- � _ � �'E%EMPTIONFBOMWOPRENS'.COMPENSATIONUECIAMTION:'(Thi55ecvannee0nolbecompleteai�thepermiti5�oroneAunOred($100�orle5s�.• I certily Nal in Ihe pedormance o� the work lor which ��is permi� is issuetl. I 5hali nol employ any person in any manner so as �o hecome . - .sublec� lo )he Workers' Compensation Laws o� Califomia. ' , ; - ' , � i j�ate: . . . . , . , SignaWre' � . •' • . r . .: � � J. ; ' ± eNOTICE: II. xlier making IAis Ueclara�ion. you 5hould become suble�� to the Workers' Compensaiion O�ovisions of Ihe�La6or .. Cotle;you mus� forlhwil� compty.wit� such pmvisions or I�is permi� s�all be 4eeme0 revoketl. � . ' ; , CONSTPUCTION LENUING RGENCY:� �I hereby ailirm �ha�'.�here is a cons�mclion lentling ageocy��or Ihe pedorm5nce of the work�or� , which,this permilis.issuetl (Section 3097.. Civ. C). � . ' " � *� ` .. . . LENOEB: . ' . . . ' . . . . � . . . � . AUOBESS:- u . " . � ' ' . . � ' . . ; i . , _ � . . . . . . _ .. . , ..: ;. ,.; . , . . . , OWNEF 601LOEB OECLPflFTION: ' I hereby aifirmlha� I am exempt fmm (he Con�rac�ors' S�a�e License Law for t�e following reasoro (SeClion 7031.5 Business znd Pmtessionzl Code:. Any ciiy o� counry w�ich requires a De�mi� to construct, al�er, impmve. Aemalish; or ' ' repair any s�mc�ure �prior lo ils issuance. also iequires �he applicant•ior such permi� ta �ile a signe0 sta�ement Nat he/she is IicenseA' • 'pur5uani Io ihe provi4ion5 o6ihe Contractors' Sta�e License law (Chapter 9(commencing wiih $ec�ion 7000) o� Division 3 0l �he Business 'ana PmiesSions COde) m, ihal �e/She is exemp� �herefmm and Ihe basis tor ��e allegeA exemD�ion. My vi01a�i0n o� $ettion 7031.5 hy ' � any applican�,for a permit suble��s the applicanDto a civil,penaliy of noYmore Ihan live'hundre0�dollars ($500). . t__ . . . . . . � . _ .. ... . . : . �.. .�.�' .. �__ - .:. � '� I as�owner,of Ihe Dmpe�y or my employees wilh wxges �as Iheir sole'comDensa�ion, wili tlo the woB;�antl Ihe� �� ❑ stmcWre is nol inlen0ed or ofleretl for sale (Semmn 70nd. Business antl Protessional Code: The Contractors Slate License Law . . 4�,'aoes�nol apply,to an"owner�of a D�oDehv `�'no �uilOs or imvmves thereon, an0 who does such.work himself/Aerself or througn, � �-0is oFher awn employees, pmvide0 �hai such:impmvements are nol in�en4e0 or oileretl lor sale.'I�; however �he �uilding or� • �'impmvemenf;s soltl within ane year of;com0le�ioq the owner will have Ihe'UurOen o� proving he/she did noi bui10 o� improve � • lor I�e pUrpOse oi 5ale). _ ' i. � - � : r r „ ., ,._ . ' t ..' i' ' .,c ' � 't ��' �.1: �as owne} oi �he Dmper�y�am exclusively con�racting�wilh licensed cOntracrors to cons�mc� ��e prole�t (Sec�ion 704d, Business� `❑ ana Pmlessions Code'. The Contractors. State License Law tloes not appty to an owner of pmpeny wAo buAas or impmves ihereon . � ` antl'who,conirac�s for such�projec�s wi�h'a conVactoqs) license pursuant�o Ihe Conlrac�ors' Slate License Law�.l am.aware� ' ��at pmol o� their Worker's Compe^sa�ion in5urance s�oultl be provitletl to me. . , ,rl I am e�em0� untler Section: � �j 7 �� 4 � �' B 8 P G � � ' / . - - . Y� ior �his r¢ason� :. ' . , q AI./L pWpORi� 3Y OWNER , ' � • '�Date �U(y�•., /X f [ / /� ' - Owner - � � '' I tlo neaby certify thai Pam awaie ol antl unaers�an0 the requireme Califomia Healih and Satery Code Sections 25505. 25533. and ' 25536 antl I�at I or any INure �uiltling occupan� willlwill nol (circle one) neetl to comply wi�h SaiA state cotles antl lhe requirements �or a permit �or,conslmction or motlilication imm Ihe Air �uahry Managemen� �istricl. flesiaen�ial consimc�ion applications are exempt from 1hp520�Ovi5i0n5. �. . ' ,-. � � � , � � � „ . . .. . � • �Date ' _ _ _ ' ' �AVPlican�:- � • . e. . . , . � � I here�y ceitify Ihal I have reatl I�is apDlica�mmand slale Ihal �he a0ove inlormaUon is correc�. I agree to comply witlr all ciry an0 counry . � oidinances nntl�slate laws relating to buAding constmc�ion antl hereby author¢e representatives o� �his c y to enier upon �he above-men�ionetl . pmpertY �or inspeclion purpdses. _ ti � � . �G�<�yL %�!�'e:!��/w� ' i �/ / • . " Oa1e �/.(�� -.L� 'Si9 t, ' � ` . . �. ' r Onver s License oi'Social Security a:� H ��`� � : .. 16a1�a6 Whiie—Building Green-Cotle En�o¢ement: Cinary—ApplicanC Pink �Revenue; Goltlenrotl—Assessof" ' � � SY .. . .. - ' . . - �� . � . , � ' ' . j ',-_ CTTY O: CQSTA ;�BSA..- BJ_,LDIh�� �"RM�T PERM NO;: P.. Ofi3SU9.• . ' • 1 . .. . �. � , � , P�RMIT NO: F 053$09 Pt.AN �CH:CK i�'Oc _. N;,, • GfJVT':�iN Si3FP:. iV'�' , COhS'TRuCTSON.TYP�: � - PERNJT TYPE: PLU , �. PliRPUSE:. OTH S03 DESCRIPTION ,; REliQCATE WATER i-iTR TO SZD� Oc S:D': 3Q c'f: :' '� ' r . , � _ - � ' . - � . . n ' . CLAIM VAt,UE: ; QALC-VAT�CIE: `� ' GROUP�_ OCC � :;, .' / �. ; . �: � . � � � • - , . . , . • > . 5 ' . � CO;�!2�;nNTS; - RELO�ATE.,�4RTER HEATER TO SIDE OF � :OUSE � � ' '' " '� { :�� ��***�+��*��*xx*�-�u.��c.ix*�*�����**�*k*�rr-#��*�:�h �*�c�:�*ac�c�i�����*r:xx'x��a»��r�i*�+e�r*�x�-r * �c � 7..•O N I N.G R.�E Q U I R E N-E N T S � ". . � ' , . , .. . � J� .. T � h C i� J� . . . � 3 .. . . ' , . �.'. , � _ . .: ------ ' MAIN HUILDI,vG --------- --------. AGCESSORY BUIliDIh'G''------,---� , =RNT: PT ��Zht REAR: rT''' IN PRNT: FT iN R=kR;� FT• �•Ii� �'� LEFT: r'I' ' II� RGHT: rT ZN LEFT: ' rT .� IN :tCHT: :.T. IN� , . . :, . . . . � � � . , . . �.. FARKI�3G RE2• ' PROV: FAitCEL: 92540309 7.hE: tRl R�F �O; ' PI,ANIvINr, ��tST:S> LOCATE Ti3AT'Eft HEATER .['ROM TIvSIDE TO OUTS1Dn O: HOUS�;. , . .. ; : 'LOCATED 3,7" FRO� SIDE PY'i. - -- -, .- , . dE x� di; u� u. iF aF iF iF *#;:. 3r iE #'� x� i� i�-,� 3e x- 3f ii� �f �u;-H� 3E 1F �E i4,�P # x� a� 3i�f� �t�- �If iE�K- 34 �k �e'>. 3E x�:iE 3F 3i �t 1F �iF ip x� f if iE �:k �M� �f it ir #� 3rir � 3c ): iF �E 3'r i� # i'� .x.. tE ft. iE ^. . ' � D c. V.E L.Q P M t�)/ T' S•E R Vy�i C:E S;, k E' li I R E M�n iv .T, S.`' "• : ZOtiING �:PFROVED BY n .CG"� � . ' v" ' �� ' AATEc � QE3ZZ9J ' I . ,. _ . . . . " _ . .. - . .rt . r , . BUILDING AP.PRO�ED BY : " llPTr�; ? , , , _ �, , . _ APPLICAiION iSSUEil BY n - , .'c: :'��; _ '�r.i4%�lFii•if?f�lEic!C-a!'i!�iEaF�'�I:iE3f1E�k'.% �x x ..r�iF� ...r..e 1Fi-F'S7r�i3'�T�- X�x t �riEiF)E#E1F7Eif�1'r'iFi.• _�+r'�>itic+E � ._ ,i4?ffEfElf7F�%�};IF�1elF%?Eielrac3E�K3E#}.:..,"`'.••....,,�c�!-�lf}lE3F1fiF'k1fiF;if�c'lF1F''rr#�f'3'rii�i4'N�a:?:�JE�KujF;}iFieiF#E3fieie?eiE.3c?'ri:if#�3fi41't�i� � � LEGALI2ATIGN;N� ' � ` F' E'E � S U M � A R Y� .� �STRUCiliRAL SEG?7ENT�iV , - , r�. . ' - , � . - � i . . t � . BI,UC' PMT PI,'.?P,3ING ELECTRIC MECtIT�7IC � FTRE SNSP/RES GRADZNG PERMZT . 2 00 . • :, ; � • { • ' , 2S& r`,� ' '. • SMIP7NON-RnS � �. . ; ' , Pr.a�- • � _ - . _ ; ._. , s �,_ .,, -iSSJE' I�EE . -.��. �., ` :3:U0'' "' . " , • BUILDING-DIV-> '. ,PER;:iT ISSOE F?LAN-CHECK: . TOTAL . tAID . , llUE ' . T'UTALS---->' , ' 2 : 00" � 3..0 ; 0 , 00 _ � 5; 00. , 5.:00 � '. 00 . ' �. REV'r:NJE DTV1310N TOT'ALS=='>' ' , COTiLECT£D: < 5,�00 OVER/SHORT�; � +� .�00 � ' �; RLDG PMT• PLUM3SNG EL'.i:TR�SC l�7fiCHANiC � ?Z�& �'S,KIP/iOT "GRAD:IA3G PLAN-C:icCK �' ' . . i: 5.00 ' : ' ' � y � . . . . .. ` 7.>; ' . , . . . � , : . c . ii-if iE lE it Y'�.#'F�)c df � i= i'r �d ! lE � 3f iE #�E ii� 9E 1E ..'!f fE i%� u* 1!� if N� %��:±E \� i(� fE u�t's: �1f ie if� l%?F 3f'r. t' k 3E Y-'h f a"r� �lr iE is�'r: �k R iE lf�s�-ii� R a; 1F�# i2 #� jE ie�-k 1e i!� 3E: I�N D 3 V�`t.D U A°i.� �F E E B.ic r. A K D O W N '' �' ', :; �. ` ' ' - . . . � I� � ` TYPE � QTY �, D�E',S C' R I P T I'� N , , uNTT COST '' �TOTAi, �COST ' . Fi;U • • 1 � WATER i3r,ATER •ANU/O� 11�hT � . 2.OU � ' ' • �2;.00 ' . ' " � _ ' N� OY' =bC$ . . � . .. ' . ' . . , . . . . ., . k` ' . � � . ' 1 ' '. . � � . , � - � - '6� ' . i. : . � I I . ' . � ' , ` . . �, : _ . k ' � .-� ; 1� � . . . �� 1i) � .. ' .� . . „ � . . ' SY. . ' ' � ' ' . . . � - . . . .L , i . • .' S � . . �L iQE?57u�� u�1�9��?� 4 1_!�' : � � : tF . ' � . . f?H�w: �EJ�.i.'41 ,TI1iE. 1':i7 .� r 1 ' ' � . .. _ � . � . . ! I / < 'CONSTRUCTION AND PL'ANNING ..��.. �: . � � .. . ,:. .��.. PL_�'&'$PA " � _ ' : . " .- ,"• . ` ' Date : Inspector � ������ � ' " �' �� Date -. Inspector{ �` � ,��„ APPROVALS ,.. Permit # " - � APPROVALS Permit # - � , :� p =.:1: Temporary Elect'rical Service or Pole. ''52:!Pool �& Equipment Location , ". , , 2. �Soil Pipe-Undrgmd. � . � - �. - ��53..Steel Reinforcemen[ ;. ' ' - �, � `� � '3. �Electrical Conduit Utility-Undrgcnd. , `� . .54.��Forms �.;: ' ., � �, - .'.4.` Electrical Conduit-Und�grnd. _ � � � ' �55. Electrical Bonding, � , � �, � »= � 5. �Steet Reinforcement � • � � ' -� . 56. Rough Plumbing & Pressu�e Test ' .6. Electrical UFER�Grnd. � �. � , � .. 57..APPROVALTO COVER.GUNITE � . •f =. 7,. Footings� � � _ . ` , .- �� � � .. 58. :Electrical Conduit-Undrgrnd. r� 8. Foundation ' - �, � ' , 59..Gas Pipe�, O Undrgrnd., Test - . � � , � 9. Watei Pipe�Undrgrnd. � • � � ' � � � 60. Backwash Lines, P-Trap,.O.Undrgmd. : � `� . • ; � R 10. Structural Floor System� ' ' . � . • � �61. -APPROVAL'TO-0ECK ', . - � ' ,;11.. Property Sewer Line & House Connection � • - . 62: ,Backwash & Receptor-Pinab ' ~ - , � 1�2. Sewer Cap � • , ' 63.-'Heater,& Venf-F,inal . . . ' _ � �t � 13. Roof Drains � . - ' . • ` - 64..Plumbing System'- Final : . • 14. Rough�Plumbing , � . ' . � - 65.��Electrical-Final ' � , • � 75. Rough Electrical-Conduit � . � - ' 66. �Solar SYstem=Final� � �. . � ; � ' 16. Rough Electric,Wiring � ' ' � 67.. Fencing & Access;ApProval ' �. � 17. flough Wirinq Sign " '� . 68. APPFOVED FOR PLASTERING ' - . 18. floughElectriral-TBarCeiling ; , , � 69. POOUSPA'SYST,EMS.FdNAL - ' � � ' " ' 19. Rough-Heating�& Air Gonditioning' - •- �� �� -- "' FIRE DEPT'REQUIREMENT� ' � . � - 20. Rough Factory Fireplace . APFROVALS Permit # r � 27. Ducts, in Structure � � , 70. Undergiound HYdro • � 22. Ducts, Ventilating = � 71. Product Piping OGas OOiI ' � 23.' Gas Pipe�Rough &�Test - . - � 7Z, Underground Flush . ' � 24. Roof Framing �. ' � � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing '. . " . � � jq, Overhead Hydro � . 26. T-8ar Ceiling (Structurell �& Monocoat 75. Dry Chemical � 27. Frame and Flashing' ' - 76. Dry Standpipe � � � 28. Lathing & Sidin9 � - ' 77. FIXED SYSTEM FINAL � � 29. Insulation �- • � � , � � ' 78. FIRE PREV. FINAL 30. Drywall Nailing . . ' � " ,� �HEALTH:DEPT. REQUIREMENT . .31�. Plaster Brown Coat . 79. FINAL INSPEGTION . 32. Electrical Pdwer MeterFinal . � � �'� . 80. FOOD CERTIFICATE ISSUED � . 33. Final Electric �' � � Nofes: jQ,..t��c(� ��- �Q,p ���..��� L� � 34: Final Heating & F.ir Conditioning � � `�I, � � rj �35.'Final Gas.Pipe-Test � , , „ � : � � , - � 36. HoodocCanoPY- . . , . , t .� �.. �,' . . � 37.� Final Factory Fireplace � .'. ' "'"' %' ' - .- r .�;: . � � 38. Final Plumbing � ' ! Q ` i � . • ' ' � . 39. Water Service�Finzl � � - � . � � i � ��.40. Gas Service�Final . ' '{ � . � � - � ^; i '�41. Solar pomesfio-Final ' � � � - � � � 42..Backflow Preventer ' f � � ' + " - ' � 43. Backflow,lrrigation � � * . �1 . � � . �.44. �Landscape Irrigation System� ;. � . � ) . � � _ -45.-Sound Attenuation � -_ - � � � � .. " � . � � . � -'46. Handicap Regulations - . ' " �„ . � �" . � . , �47. FINALSTRUCTURE&BUILDING � � � • , . . " , � . ' � � • 48.'FINALPLANNING_ ' - " 49. .Electric Release to Edison � _ � � � , . '� , : 50. Gas Release to Southern California Gas Co ' ' , � { - '! � '� � '� . _ � ' � � . ' � ' � � � �J 1 . 'S1. CERTIFICA'fE OF OCCUPANCY - � . `, � � ' � � . . • . No. . � Date`� � � . . - . � , � . � � .3�*,..!' r i COUNTY OF OAANGE - • � ' � / � � - BUILDING DEPT. � � - - - .. . . . � � S?.Q_..J.�....��J Permi[ No... ..._ 636 No.�Broadway . � . APPIICFI�IOfl for Building Permit , . � . Sadt� Ana� California � Phone:KI2-6zt1 AND FOR A Certificate of Use anci �ccupancy � [�i .P�/�I�l;ii.��l MAILING (� �/� ���� ` j/LZ'✓v'to'P'ui0 Date...-CY�:f-v//.: � �--�.--� ----...... ---- �� F- /-/ - - - --- ..... .. .... ......._ - - -� - - --------- PHONE:.. /�'"`-'`. -- � f" � - - - - - .. . ..._ ::..... - --- ---...._ CITY..�'Y...C7L���--- ---...... , Name C_ ��� .......... .... -- ..- - --�.. Name . ��... - �--�� �'f'--s-� _ '- �(Architect o E�gincer) / (Co�tra r) l- � Address -F �ttYy! - ..�f%o'��_- - ------ --...... Address --��...�lf�---G%��! --� -'�--'- =--- - -------- - �,� � " City---------------------------------------------------�--...(------------------------. City ---------------��.�.G-----'-c�f�.-7!SG--.. State � ' �(! u 2� � / State � Lic. No.--------'--'-------------_._-- Phonc..CL----------------------_... Lic. No.--"`---------------"---------- Phone-------'-------------------------- A, /Il% i PROPOSED USE: -p�� V - - - - �: - _- -/ ,-� '-, 2. JOB LOCATION --L � - - �B-G�/✓v!' � (House No.) � (Name of Strcet) � 3. LEGAL DESCRIPTION: Lct_....� ..........:.............__-___....__.Block (Me:es and Bounds Description—Use reverse cide of (orm) ar School District) � p � L • /��l --------"'- Tract.. rr----------------- --.../_; ..... I 4. CORNER LOT`( ) _ IN ERIOR LOT (� ) THROUGH LOT ( ) SLOPE OF LOT ( ) 3dX�Fv--,--= �� C / 5. SIZE OF BLDG.:: � L---- --�--- -----_ -.AREA:__1L.�?.�_ �,.....-SIZE OF LOT:-----`---- �On.U--'--AREA:_.l... �-� ..............� G. HEIGHT OF BLDG .:.......... .� CEILING HEIGHT:_ ___.NO. OF STORIES....__�__._ _^....___'. . �� - -- -- . v ! `� --- �-- - - � 7. NO. FAMILIES.......��_..,._._.....Size of Smallest Bedroom:..,9.....1�-�_..../ ��Size of Kitchen�-�.� /`y ........ ... .. .........--.... 8. EXTERIOR WALL CONSTRUCTION� ' �(.w.�'_.�'�:......____INTERIOR WALL COVERING._.�_!"r__.�.__. � . (Frame, Sm¢o, Ecc.) �� (Plaster•Drywall Ett 9. SETBACKS: Front Yard From C,`enter Liae of Street.:...... � ................................. -- -----'-------- .................-'--�- -- --"..' ...- -' . . . _ _._- - - - --.- .. _ .,_ .. . ' ,. - � --- -- j --- --� Nearest Sidc Yard.. "�:'.� _.Rear Yard.���Distance in Feet Between Bldgs. on Same Lot_..._�. �.._ ' �� -p- �' y -----------------'-• , � U' ]0. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. Far ?' // � � � , /�✓ /r (a) Footing:` Width..:::�.- .. _ Depth m Ground___, __.,�^e�_____,Width of Wall_...�P..-�....�.___. Accessory - � --------- ------ -- ���1 �%� � Simglar nd '�b) Size of Smds;...�_1.-.'.�`%.__.__.:.._Spacing..../.'.�.��_^`.`.`.!"CC ' Material of Floor..::'�:V........����� ._ Structures: ' � � ' (c) Size of Floor Joists:....�_�.,.�.c.........._.Spacing ............../_� �.___"CC ----------- = (d) Size of Rafters;__�.r..�__p�...�-..x_Se,....S acin. / � ���."CC . � P g -------y .............. . ]2. VALUATION OF P�{p-p- SED W�K: Induding all labor, plumbing, electrical �viring, heating, fire sprinklers, painting and sewage disposal $......��..�lt.�.".�'�.9 �� � 13. I HEREBY CBRTIFY THAT TO THE BEST OF MY KIQOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANG�E AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ^ Si ned:.. - GT/YY✓frCr�� - - -�u�%'��/S� --...- - - - - ...... ��`�i � / , . � , : �Owner) Plans Filed:---......------�Q-�-�-5l....__'-------------- ' 4� By:....._.._. -- - .......... -�- - .._- - -_......-----�----�� --�� - --- --- -- --._ , i + - (Authorized Agent) FOR DEPARTMENTAL USE ONLY , FEES: Bldg. Pcrmit Plan Check Total - - Rcceipt No: Paid co • Date ....:..___. GROUP � - - - - TYPE -- �-..- - - DIST. r/ MAP-- - - �_:.. � i .. - SHEET NO..--...�..---...---- DATE--.'��....:..L�..Y...-� .�_......... SM-2 51 � APPLICA' ZONING �t .. PLANS AND SPEC'5...... ----� ---�� CORRECTIONS V ERI FIED__ ________ ____ __________ FIRE MARSHAL -- ....: ...... STATE.._-- - ----� - -� -- ENGINEER �N�P=CTOR , tMETES AND BOUNDS IJESCRIr.iON:- f � :� 0 �n C] 1 I ro 0 � 2. 3. 4. i. 6. COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ma, CaGfomia Phone: KI 2•6211 OWNER'S MAILING Name ...� Address _.__. C_[y ---------- State Lic. No.___... Application For Building Permit AND FOR A Certificate of Use and Occupancy -����-� ) r (Architect or Engineer) City State Lic. 1 ., Permit No..�.�..Q+.S..S �� --' �% ��-----�'_'_.._.....------'--------....--...------"------------�. PROPOSED USE: - _Q'�-G`���. .. - - - - --- -------- -- --- - . .....-- I - � /� �r/�� � �- - � --- -.._. OB LOCATION 2 � � !� �/"+�O" - - �,Q-� -... G36'urida'1..�__... ...... e (House-?do.) (Nameof5treet ' c i` � -.._ .._._.__ ._. '_�"'_"""_"""'_"_'_" """ �"""'...._ �Town or School District) ] ""'_t__'..._'_"""""""""' LEGAL DE„CRTPTION: Lot.__ )Block �_.. __..... Tract._._�.�...� ............... (Me.es and 6ounds Dcsaiption—Use reverse sidc of for.m�)/ CORNER LOT (� INTERIOR LOT (/� ) THROUGH LOT (_..� SLOPE OF LOT (----. ) SIZE OF BLDG.:...:1i''/....�_v _'?AREA:__.y��_ _�_��..SIZE OF LOT:.._�p._��.......AREA:...�J�_�...�r.__ HEIGHT OF BLDG.:_.....�iT%_.__-___.________..CEILING HEIGHT:.....U..._.......,_._......NO. OF STORIES__..._�'?'?__� ,...... 7. NO. FAMILIES-----------.-'-.----_.----------.'-----Size of Smallest Bedroom:----.--�.^----------------- Size of Kitchen---------' .�..-.--_.--........ ,. ': �_ 8. EXTERIOR WALL CONSTRUCTION:___..._.. r.!!P.__P...LR_..._....._INTERIOR WALL COVERING....._.:' .................._..__......_... (Frame, Smcco, Ete.) /�/ �.� (Plaster•Drywall, Etc.) J. SETBACKS: Front Yard From Cente; Line of Strect.......:� ..;..__.___� ..... .._...._....' ........................_. ....._ - ------..._- -- - -' ' q . �f -_ _ Nearest Sidc Yard...;�..._�r.Rear Yard__...L-..,�.Distance in Feet Between Bldgs. on Same Lot......._v.�.. ...._�_........ . . � � � � �^ . . . ' � 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. ��, , m . , /�y 11. For . (a) Fwt:ng: Width...._.._�.__......Depth in Ground.....'7C'7. �.k�..Width of Wall.��..... Accessory , �� Bldgs. and b Si-e of Studs:._ .. _.S acin� ------------"CC Material of Floor .................-------------......._. Similar � � " '�'--�---- P e�--'/-� � Structures: ' ' , /�� �� . (c) Size of Floor Joists:.._.".�'�!`!:'��----.. p g .........:.........._-. :.S acin -_----------- ��CC (d) SizectfRafzers:..L��.'..J...`.'��---.Spaung-.r-----�%/--�....---"_,...��CG' 12. � VALUATION OF RO OS$ WORK: .Including all labor, plumbing, electrical wiring heating, fire sprinklers, painting and sewage disposal $---'�'--- - - -�� - -�.1 � - (��¢-- - -- . 13. I HEREBY CERTIFY�HA�'YC�T�HE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORREC,T AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. � q �/ ' Signed Plans Filed:--` - f-_-'_C._/�._�'_._-u�f - -- - - J- By Eldg. Permit Plan Check Total • � Receipt I�'o. Paid to - � FOR DEPARTMENTAL USE ONLY (Authorized Agenc) �HECKING BY GROUP....... ..__._ APPLICATION,���(j(iHEALTH ..............._........... TYPE - - - -- - -` - ZONING -------- - � ��-- FIRE DIST. � � MARSHAL_._...--------.....---_ MAP-----�----- - ---- :----- PLANS AND SPEC'S.- -- ---- - �t..... STATE ---- - - -__ ---- - SHEET NO ..... ... ...:............ CORRECTIONS ENGINEER � -- -- -�-- --_ .-....___ -yERIFIED----��- --- ----------- CAL.- -....--- - -- -- ------- - �. I " COUNTY 6UILDING I ISER2vfI�IS � � .-1_ I?:b'P�CTOR - C) DATE...�.:.:. � '<t�'--'��-..... SM-2.51 � _�\�• /, . ' f�� METES AND BOUNDS DESCRi_ _ �ON: I 10 � �� 3I0