HomeMy WebLinkAbout479 16TH ST - Building PermitsCOUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway �
Santa Ma, Califomia
Phone: KI 2•6211
� Application For Building Permit
AND FOR A
CertiFicate of Use and �ccupancy
Yermit No._ J.�-_4..�-./..-'
llacc ..............._.Z-�.O...�•S-- �-.... -
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t. OWNER'S NAME....L�.C.�C -Y'.....�CZ..<<.�..�..��C -� - -� - --... PHONE: - �-��',� ---
MAILING ADDRESS......--�- `- � r�.....�..../[L.�. v/�(/c CITY .��.T../.-�...2���A ..............
>-- _...._..__..._...._ - -..
Name ���c.y...�....L.� �p.ti��l.,S.....- . .................. Namc ..�LK �- --� C�TL.C:....�� ..ti'CI vE_....- - -.......
(Architect or Engineer) / (Contractor)
AJdres� .............................. ....-------...-----...........__.---............_.. Address ....1��`��--/�---("�-"-�'-�`--���=�'r'---------............---------
2.
3
City
State
Lic 7
C;ry _.....L�.._.G."�5.� l.:l....�C.S...�.....-�--� -... ='--- .....--
Statc //
Phone..._-----...-�---.._---........ Lic No.------_.....__.-----------�------_... Phonel.7A�.�.".--�J..�-7L_�
PROPOSED USE:..._...--/�E S/_ L7E IL:C_L .._...._t::... C /1-� � �� - ....... -� - .....--- - � ..
-: - ..... --
�1 �J %/ � — — � � J
JOBLOCATION ..:/... 7 ! - � - - C?... --�� `-- -- -- - Q..�_Tl --�..�.-S.L�,- ._......_..-- -- -
(House No.) (Name of Street) (Town or School District)
LEGAL DESCRIPTION: Lot. ....._._......... - - - --' ' Block -' - - - - --- -- . Tracc-- - - - - - - ..
(Metes and Bounds Description—Use reverse side o( form)
4. CORNER LOT ( ) INTERIOR LOT (�)' THROUGH LOT ( ) SLOPE OF LOT ( ) �
i. SIZE OF BLDG.:_.��X_�.0---_AREA:�OOU .4 -----_SIZE OF LOT:�a.�.X.I�S:.�j_.AREA:.�/�O_Q---_-_--
G. HEIGHT OF BLDG.:...��../.._ ...................._.CEILING HEIGHT:V'42��-�_.._..._.NO. OF STORIES_..../_........_..._...__..
o � 6 G� a v
�� X O.-------- Size of Kitchen_._C....', �� 0-----...
7. NO. FAMIL]ES---_--_�-----__--..__._......_Size of Smallest Bedroom:----.-_---'---__--......_
/� �xT .d/2�/ liv i4 L L
8. EXTERIOR WALL CONSTRUCTION :!...�C' ��=...'..�X!^!!?..INTERIOR WALL COVERING ...................._...._...__......_..
(Frame, Smccq Eta) � (Plaster•Drywall, Etc.)
9. SETBACKS: Front Yard From Cencer Line of Street.---..-- `��..------------'----.._----.._--'---......---"--'----- ..............._.--`..............
r/ /
Nearest Side Yard.....:�...-�.��....Aear Yard......6..�..�.....Distance in Feet Bctween Bldgs. on Same Lot......' ............._....._....._....._...
10. A COMYLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. Foi
Accessory
Bldgs. and
Similar
Scructures:
(a) Footing: Width ............._.........---------'--.Depth in Ground.............------...........Width of Wall............
(b) Size of Smds :............._._-._._._._.Spacing.........................._"CC Matcrial of Floor----..---...-.---._........
(c) Size of Floor
_."CC
(d) Size ofiRafters: -- - ---- -- - --�-�- .........Spacing_............ ---- .:... --- -��CC
. �N� . .
12. VALUATION OF P OPOSED WORK: ]nduding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposa] $..._��- O�-''---'---------------
13. I HEREBY CERTIFY THAT TO THE BEST 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 APPLICABLE THEftETO.
Signed: ��J�.E �C �OL�E�oV/�
� --__- - - � -
__.-- - __-- - --�
�/ �aj� (Owner e �r �/
Plans Filed:.------.�..1>....-------------�-----......_ ...............' Ge-� o.�.�/ ��Y-
By:............-- -- ----- ----...--"--- -"- --'--'---`--------------....--'----"--'----------..�.
(Authorized Agent) �
FOR DEPARTMENTAL USE ONLY
FEES: '/ CHE � KING BY
Bldg. Permit - $.........�.T o GROUP-- L.��'....... ..�Z.
'f _.. APPLICATION._ HEALTH ............................
...�... - TYPE .............v....._............... '!� FIRE
Plan Check • $-------------3.. .
�.....-- ZONING...._....--- - �- --
Total . , . $......._1.7........._ _. DIST. r'�vfARSHAL.......... � - .
MAP......G...:........ YLANSAND
Recei t No. 9 C�JO �5...... � ............... � �
p � �..._.. ..� SPEC'S ................,...-- -l/ STATE....._... -._.........-----
Paid to • -Q ..�l.:!! ......... SHEET NO........�............ CORRECTIONS ENGINEER
Date ............. .�J.���!!I�I.L�.��.... .
..... - . .................................--.. VERIFIED - - --- CAI.
P����l��(j�`, ('�f,� (- COUiVTY GJILDING
•a � 1•1 L i:,�co
_ ��.... :_::TOR
DATE....--- z�/t - J �
' .,-___' .. . p.E};_y............
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