HomeMy WebLinkAbout499 16TH ST - Building Permits�- "COUNTY�OFORANGE
BUILDING DEPT.
636 No. Broadway
Santa Ma, CaGlamia
Phone: KT 2•6211
" __ �
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
�
Permit NoJ.�/.../....[..._...._
Dace--------./....._— - �=--�--- - J... Z"..----..
OWNER'S NAME.__�i�I.L.E.._...�..7�:.�.�°� -�C7.V.G......... - ..._ -- PHONE:rO.!-� - ��3.�� 3_
MAILINGADDRESS--C.2.��--.�.....�..1..iLTE � -�`I-(/� _ CITY �`''.'y!._��--T�-�`-��--
Name ....-/��.i°. - ----�--4.. �-!:i�n....r.c�..=ee�2�l....._._ Namc LJ� ..�.'. .2...�..---.f`---_.�.�.�.G.�4i_(JC.--------------
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/(Archicect or En ' eer p��7 ! (Con[ractor) �
Addre«......���.-.��.�-``.� _�'�.. ...�J.�--`� Address iS�—' -['..�lZ.1//.(/_�
� � D� --._..........- ........
Cit �/��'�L.�.C.�.......... - ...--_- Cit �?'. .�..-��5.�} - -... ---- -........
y............_.__. . _ .., y �___.... .'_ .. �.
State _ C — '�7 u� Stace p�� � ,l
Lic No..---.C...- -?_�-�-----.. Phone..U�'..-.,�l.�C.3., Lic. No.-----._ .............._.__........._--'Phone/..?F.9.f1N/..7.�:.zs�
PROPOSED USE:
2. JOB LOCATION - --- -- � Y`�--- �-�--.....�._C� -`
(House No.) (Name of Street)
(Town or School
��
3. LEGAL DESCRIPTION: Lot -- -..._.. - - ..Block _..._...___...... - - Tract - -" - -- --
(Metes and Bounds Description—Use reverse side of form)
4. CORNER LOT (��INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
i. SIZE OF BLDG.:..(.�X__Z�U.-.AREA:.... ��..f?..-......SIZE OF LOT:..�gQ.X. �i..;� AREA:._....�(O v
G. HEIGHT OF BLDG.:._--.-__--.--_9_� ..............CEILING HEIGHT:_-__.__.._._.--.:---...---.NO. OF STORIES--_----_^ .—"---_--_---__
7. NO. FAMILIES----._------------------------_--.---.Sizc of Smallest Bedroom:--._--.---_..�:::_.............. Size of Kitchen.--.---.-_� .�--.---._-._----..
8. EXTERIOR WALL CONSTRUCTION:�.(�1 ��. � n INTERIOR WALL COVERING ..................................__...__..
(Framc, Sacco, E[c.) � �� (Plaster•Drywa1L Eta)
9. SETBACKS: Front Yard From Center Line of Strec[--`-...----�----------------- ...................------"---...---------------------......------------
. .._. .. . - -- -
_ � �
'`Nearest Sidc Yard......10____Rear Yard.....%�.�..........._Dista�ce in Feet Between Bldgs. on Same Lot__..__l_.v ......................
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AA'D USE OF EACH.
�i -. ��
11. For (a) Footmg: Width---.-_-_..�.Ci---_-...--'--.....Depth m Ground---.-----1-v_-_._..Width of Wall---.---__ �-------.....
Accessory �
Bldgs. and b Size of Stud�:.��:. L�........S acin "CC Material of F1oor..��L
Similar � � ` - P . 5........- � � ._. ... . -...... - - -
Structures: . �
(c) Size of Floor Joists:_.
(d) Size of Rafters :...............................
�KR
"CC
12. VALUATION OF PROPOS�I�WORR: Including a]] labor, plumbing, elecvical wiring, heating, fire sprinklers, painting and
. sewage disposal $-----�-�--(�-------'---......--'--...__..
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION ]N 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 THERETO.
Plans Filcd :................
FEES:
00
Bldg. Permit ' $ �`o ---- ` -
Plan Check - $--,1 .��-------
v
Total . . , $.... . ._.... .. �--
Receipt No. - �����i���...Jy..-�%.--------
Paid to - - ....�'C[..,t..�.---------
Date - - ..... .....�..-a�...:..�.�._�y-�
. (
DATE....�'!...-o�"� - !r%'
5 M-8-51
Signed:_.._d��%L-�----�'`--...{-.�cr-L�.E.�T/.-LO �--�^'---.......---...
�'� (Owner) ^ �
FOR DEPARTMENTAL USE ONLY
GROUP......._�
TYPE......... ...
.....---
DIST. `I
�P--G � R ---- ---
SHEET NO....S ................---
(Authorized Agent)
CH�:CKINC; BY
APPLICATION.�_ HEALTH ............................
ZONING--..-_..'�..........._ FIRE
PLANS AND MARSHAL .........................
SPEC'S -.......!../...... - STATE . ............. ....
CORRECTIONS ENGINEER
VERIFIED.. -�--- -- -..... CAL ... . ............. - - ..........
�:
' COUNTY OF ORANGE'
� BUILDING DEPT.
636 No. Broadway
Santa Ma, CaGfomia
Phone: KI 2-6211
. .. � .
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
` qr c
Permit No._� �./.- �/�.-
1. OWNER'S NAME.-�.�`.C.�- L�""�........�.-1�-2�e^�- Gd^��...-_.. .._... PHONE:.��_N34 S-3
p� /� :,'?.�.e........._ - �� --- .. CITY._Y.Y..h.• rtt_�..�---------
MAILING ADDRESS...ii.�I..2c._ L.!'..t..../...GS. . . .Y /�T .
�{ Archirect or En ;�ee� � ---..'...;. � rN -� R pnr � � � � `� � � l/ �
p � � _ ` �� �� � .
Name..l.\..e..l_��.....�.(�.�V.1/-'h.g :2.)..... ..... '�Nan'� � ,'' (Conc�a , -.��e �_ .
` � �� iQ� , I,
Addres=_ ..�%�. y...l.....�.....�._.._!...........( ................�..�.X..� Addres .- � cor '� � �A
� COSTA � �R v- � c� l -�
c��Y .......�rV.!�._'. �'�-:.._P.. .Y.... _J..G.w. ��.:7� ....:.......:. c�tY ..: - - - - .....� - ... "�,z-��- -
State C �17' 0 � O�I � State .. �-�N �
n li .—� �. �'i
' -'-- -` --- - Phone-' � —„^��
Lic. No.-.G..-�--�i.%...... .... Phone.�......s... -- - - Lic.
�,'z ,� � 2� � 2 � %�� ; .
YROPOSEDUSE:- _.._....s�2............_ -..........- -...�. ..... -_-�---------- --...___....... - ......... - -� ....-- -- - _.
2. JOB LOCATION....�:.`'1..�'1... - -.... � ...L. ...'."1. ``�-/..`- -......--......... C � � �u-- �L-e-S-�--.:--..--:.
(House No.) . (�2i�ime of Street) (Town or Schoo] Districc) � �
3. LEGAL DESCRIPTION: Lot ...............�. .... -�t ...-' ........Block .._..........:_:......_ _- " - Tract. - ...... ..
(Meces and Bounds Deacription—Use �t ��form) � . .
CORNER LOT (!i� , INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) �
SIZE OF BLDG.a��..�'1.U..--..----AREA:-_�-D...9.U�/..;..:.._.SIZE OF LOT:-_��. _�.x--L3 S-_---AREA:....�.LV.�. L'...._....
) � ;
HEIGHT OF BLDG.:....I..Q ............................__CEILING HEIGHT:..Y�`j'%.�..�........NO. OF STORIES-_I-----.-------.---------
l� p ,�, �U 4 c� � V�d �
NO. FAMILIES..........�.� ..........................:Size of Smallett Bedroom:......_.......-.----- _---_.--.... Size of Kitchen../..... _..d..----_-_..._._.
� ; , . . � • . ; ; .
EXTERIOR WALL CONSTRUCTION:..L-.2!Lc..r.!2�...Zi ..............]NTERIORVJALLCOVERING._iJ.Y.�I...V�U��
(Frame, Smcco, Etc.) � ' � . , ' � �� � , (Plaster�Drywall, E[c.) l
SETBACKS: Front Yard From Center Line •of Streec..r�..� .........:...................... -_-..._'-----_.-.--..--------......----_"--_--
Neazest Side Yard....-L�-l-..--......Rear� Yard.�W....:....Distance in Feet Between Bldgs. on Same Lo[.._:�'�'-'--'--------'--"--_.--'-----
A COMPLETE PLOT PLAN IS REQUIRED,;SHOWING ALL STRUCTUKES AND USE OF EACH.
' ��U � ' i/
For (a) Footing: Width--------�------:.-'--........----...Depth in Ground---..._��.........-----Width of Wall--------�"-'....__..------
Accessory . . ,1 , , ��
Bldgs. and y ,_-__--Spacing .............��.............:'CC Material of Floor----Co_M � v e i f
Similar �b) Size of Studs:.�..l.)..7.: �
....... _........ _ ---`--.... ---
Swaures: /�'
(c) Size of Floor Joists:---1. V.Q_�.. � ................Spacing......---------------.......-----.. "CC �
(d) Size of Rafters:--.-.---_----�.� Q.'.F'!...� ...............5 acin CC
. P g --- -- - -- - .._.
.
12�. VALUATION OF.�(iOPOSEl� WORK: Induding �all labor, plumbing, electrical wi'rin'g, heating, fire sprinklers, painting and
sewage disposal $..... ..'�57.��. "�"' ... . . . ........
�3' � O
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION ]N THIS
APPLICATION ]S CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE'OF CY�LIFORNIA APPLICABLE THERETO.
� Signed :............... �-!.�i..�- �=........� ./�-lC L C N LO.C/G ,
........_........- ---- -- --
. (Owner) . .
Plans Filed :........ ..........................................:..................... �.�� / �� . /�J Y � /
Bldg. Permi[ -
Plan Chetk -
Totai - - -
Receipt No. -
Paid to - •
Dare ..............----
•u M-831
FEES:
$...r2:a.- ............ ....
$....... 3 ............:.........
$...a..�...... � =- -
�
DATE__....T..�...�6.'- s�%
. . . .. .. . .............
� (Authorized Agent) / /
FOR DEPARTMENTAL USE ONLY
GROUP... .Y//...---� -.._- ......
TYPE... -.+�'..........'...i - ........
llIST. 'L
MAP__ L.��.7... .........
SHEET NO:. j .................:
�C;tpi��:(;K1N(i BY
APPLICATION../�/l�. HEALTH ............................
ZONING.._.....��......... FIRE
PLANS AND //, � � MARSHAL .........................
SPEC'S- -- :...�/(..� _�. I , STATE.. --- ........... . . .-
CORRECTIONS ENGINEER
lh:�P.1C:TOR
V�'�