HomeMy WebLinkAbout819 16TH ST - Building PermitsCOUNTY OF ORANGE
BUILDING DEPT.
636 No. Bzoadway
Santa Ana� Califarnia �
Phone: KI 2-6211
�D�lo�
' 1 i_�.��
ApNiication for Building Permit
AND FOR A
Certif�cate of Use and Occupancy
Permi� No__-�_Q--9_�a--4_---
Date-'--�-- -1-�.._ .�_O ------
C.To �D06v I 0'rn3,�1 r}R��.6pooZ
OWNER'S LVAME.--------- -- - - -� ------------�--�--i�--------- -uv------ -------- ---- ---- . _--------- PHO[VE:------Zv-t-�"i�--- �
MAILING ADDRESS ----- �� �-�-----��IZIS.� � U.-�---- -- -----------.....----- ------- CITY _� r� GiE?Np}t_vJ--�'--�__L_..1��.
Name ------'---"-`-� � i`i �
-----•---"-----...--'---"'-_'----------'----------"'--
(Archicea or Enginee:)
Address-----'-----"-_"'-'.'---------"'-'------------------"'-'__----_'----'-
Ciry ---..
State
Lic. No.
Phone
S 6 L'F
Nam e-"-------------"-'-"---'--"„---'----------'----"_"
(Coaoracror)
Address."'-------'._`_'S..R r:i�_---------------'�-----
City .-----
S�ate
Lic No.
._ Phonc...
(� � S t�-F 4v �- --------� �D_w �I.� i_N (T )----- - ---- --
PROPOSED USE: ----_-__---15:._ --. ------------------
- --------
z. �os Loc.aTzorr..--�- ---�5_1q------�.1�-'----�-�°t-�1---�� -------------GoS'Fc`Me�----------- ------------- ---
(House No.) �y 1(Name of Stree[) (Town or S�hoof DIs«ia) I s.0 (�dK ,'Ep
3. LEGAL DESCRIPTION: Lot._-----_9.I�`_'3.'.--_----_--_---Block.---_----._ _.Traa -_'-_.--.N�y�.j._-�4C,g�
- ------- ----- - ---- -
(Meres nnd Bounda Descripoion—Use reserse side oE Eorm)
4. CORIVER LOT ( ) INTERIOR LOT (//f THROUGH LOT ( ) SLOPE OF LOT (�EVi�
� � � MiNuS c�2cr� 4l0' F��uT ,
5. SIZE OF BLDG.: �F_�K 3I__y__ __AREA:_______.___��.�___.___ SIZE OF LOT:._�(.$�}'.__.�GK_ AREA: .L'}DO (1i'_3�_I'} ,
/ 300' ,D� f
6. HEIGHT OF BLDG.:_._._.S 3�_.___._..___.__CEILI[VG HEIGHT:_����_..EiP�RE.K.•--.___NO. OF STORIES._____I.________.__
. � Q��
7. NO. FAMILIES ._--_----_�_--_---_--_--_-_--__.Sime oE Smal(est Bedroom:.--�_Q-x_1z---� {-_-- Size of Kitchen: _..�-'-K__��_i�_----
8. EX7'ERIOR WALL CONSTRUC'I'ION:.__5_tkGCP _INTERIOR WALL COVERING_����_ar�N!.ib���
(Frame, Stumo, E¢.) / / (Plmte Drywnll, Em.)
g. TB�4�K&r 1 F�c Y�� from Cencer Line of Street------ ,_�._-_ Ol..--"--��^�..'___-_--'-------------------- -- ------'-----
�" U:1'���t . ..!. , .
�I;'.5 D�j��cu�id��ai�11SSUp��_� Rear Yard.____��1______.Distance in Fcet Between Bldgs. ort Same Lot._N6.. b.���e:� ._��5��
�n c:�:,i�iisnce with Ordinance
�`+F'Gi=•.�'�O�IPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCCURES ALVD USE OF EACH.
Tnere sha!I be � o fee fcr this u�� �" �{ouse / ,
pa:am:xsfl: shall th(a)bpb�l�: Widch....__�..{._-----------_-----_.Depth in Ground--�1.'--��R�t.P.tq[F..Widchof Wall.--SO_�----------------
b;: r.:�j+seasoEs con'o�m with Z }� -.
QCII(ji�@_s^@{nd re�.[y� Cg}�1(.� Studs: --_----_�... S acin (^
'.I ''� I ------------ P 8---------� "`---'-------'--` CC Marerial of Floor --A.-�_�.N'�----"------
4fC'_� ��S�TC£3 Oi OCCUpancy / �
Sh3il �;`�`�i�ri��d frPf�' �i�� �rFloo� Joiscs: ------_� K�P P B �-,-
_. _._'___.'.'__.$ atin .......'. _._.__'.'__..___._ C�.
wh'sch permit is iss:.;ed. /_ /� � �
TIIC E{��!C�I�� ItISPP�J �� �Rafcers: .'---.-"'----Z-�--i�------------.Spacing ...-----'----^---�'---'--'-----��CC
consulted prior to any such •
ChZlllg�'ALUATION OF PROPOSED WORK: Induding all laboq plumbing, electrical wiring, heating, fire sprinklers, paint-
in and sewa e dis osal a� '
— -
8 8 P �---- � - L�i- -'.�--'---- - -----
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AIVD BELIEF. THE INFORMATION I[V
PIip�A6P1�'Z�C�T�C����I���THAT THE CONSTRUCTION WpRK WILL CONFORM TO ALL
p(��l�j��D€j�TI��yC�U� ALVD THE STATE OF CALIFORIVIA APPLICABLE THERETO.
OJ CT ONS,
SHALL BE LcSS 7HqN ,&GC' ;=ROM ANY
EASEMcNT. R:GHT OF 4V.�:!'. ��R PUBLIC S�gned:------ ---------------- �_t.--�a��_'-�---�y�'-------------
F� D C, SERVES AS IiVu _'� ___ ___ (Owne�)
�a��ie� ----- - -�- - --- keaS TO I1NII - -- ---
OR MORE PROPeRTY OWNERS. Bv� ----- -- -- -- -------- -- ---- --- - -- -- - ------- - ---------- - ---- -- --
(Authorized Agent)
Bldg. Pennit
Plan Check
Total - -
Receipt No.
Pa;d ro
Daee ---...----'
DA
9M-9-la
----- _?'hti J-=---
_8_'_" /G -.S�
FOR DEPARTMENTAL USE ONLY
GROUP
DIST. /1�m�,/
MAP--- ----(/------------- --------
SHEET NO.___.__..__.�...._.__
CHE ING BY
APPLICATION _. . _... HEALTH.._..______..._._____.
FIRE
ZONING.--------- - - MARSHAL.----------------
PLANS AND
sPec�s_---------- ------------- . sra,Tc --- -- ---------------- --- -
CORRECTIONS EIVGINEER
VERIFIED---------..__... CAL. --�------------------------
COUNTY OF ORANGE
BUII.DING DEPT.
636 No. Bxoadway
Santa pna� California
Phone: KI 2-6211
' �pplication�for �uilding Pern. ��
AND FQR A
Certificate of Use and Occupancy
Permit No. �'_ Z-' 7-�P_/'-
/ -- Date -..1.��U-=--..I.._.!.�....._�...1..`7--'Z-....--
OWNER'S NAME - �_.��,S�..SiU........i�:....�OTOJI�------....---- ...............� -�-----........ PHONE:_Qe.--�O-?`�-72-.-(�C
MAILING ADDRESS.......� ��.....5!lJ..' ...� �Q--��l--�---��.--- --- .............._ ........ CITY--I�s STH-__�_..�..�._fl.....----------
Name
(Architecc or Engineer)
Address
Name- -..._J_.'L.s.L �.. -- ._...... - - --.......-- ---......._........
(Con[ractor)
Address-�------� ..... .... .... .. ----...-- -- -'------- ._...........- -.....
City- ' --........- � -` .........._...... -- --" -' ' --... City `--- - .._- -- ---�^- .. ..... ..... ........ .... . . . .- "--------
S[ate � State __.
Lic. No.-- -� ---- ----...---- Phone--�--- ----- .. .... ........... Lic. No........- -- --------- -- -- ...... .. Phone----..._ --�--�------- --
PROPOSED USE :............�.C..,1 V 4��...._�-0.Y` aL�,--o�.------ --------�--- ------...-%� �--- ---- -
I, `/ -� ------- -----'----'--- �---�--------------
2. JOB LOCATION..._-----v 4�----- ---....W..'----1-�- -F-�..... �---� .... `-�_� ST�- M L-.��
-----�- --- - - . ......... .......... .-_.... ... - - ----... ---.......
(House NoJ (Name of Street) / ` (Town or School District) ,
NAME OF AND DIRECTION FROM NEAREST CROSS STREET._...�..1D�.2..�.....W_�...:�htik�.._P�c�.F_i�_��.��
3. LEGAL DESCRIP'tION: Lot.------ -�� a U ��--- -- -------B(ock ---- - - ---------- -- ------ - -----� - Tract...... --............._.....---.........
(Metes and Bounds Description—Use reverse aide of form)
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
ui � � � � �
i. SIZE OF BLDG.:.-�-..4-2---x-22c�.1�REA:----------- ...................SIZE OF LOT:..._�.�._2...RCRt�S...---AREA:.�_�-�..�.-----.......
/� �� NO C�IU�VF.
6. HEIGHT OP BLDG.:.....�L[.-�--�Q.- ..............._CEILING HEIGHT:..--------......----------.._----NO. OF STORIES.....-�---_---.-..--_-------.
7. NO. FAMILIES.__........- ..........................Size of Smallest Bedroom:.......... ...............__........ Size of Kitchen..._.... ..............._......
s. EXTERIOR WALL CONSTRUCTION:_STULCn______________________INTERIOR WALL COVERING.........fU.n .N.e....................
(Frame, Stucco, Etc.) � (PlastenD wall, Etc.
�Y )
ROOFING COVERING-------,--...---�4.J`:1p9......�...mLL-------......
-- ... ---��- ........ -- ... --..... - ...-- -
9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH.........1...... ..._���-5.1�1.11_N.r�............
U
10. SETBACKS: Front Yard From Center Line of Street----........"-......�..�..�...------.....--------.--------------------------------------.....--------
p , µ
Nearest Side Yard.._�..�.r�..'..____....Rear Yard._....4 � 12........_Distance in Feet Between Bldgs. on Same Lot...._�._.l._2.' .......................
(Property Line) (Yroper[y Line)
11. A COMPLLTE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
12. (a) Footing: Width...-------�.4.A�C---.....------Depth in GrounJ.--- .........................Width of Wall..---....-----.......---......
t�. i
(b) Size of Swds:...zx-_�-.-.---.....Spacing-_2-..1.'--..._---__ CC Material of Floor.....�OWGJi;G'j'E----_._......---
(c) Size of Floor Joists:.._._...�8_?�?_�.--..----.....Spacing..--------------;:---------------..."CC
- ----r' .,. - . �y 11
" (d) Size of Raftets:-.-2' X� �' --_....-' --- .-'__Spacing. --' 2 �- -......... - - -.......,,CC
13. VALUATION OF PROPO_y�ED WORK: Including all lab�r, plumbing, electrical wiring, heating, fire sprinklers, painting and
y, �_
sewage disposal $---f���-�- ...................---.....
14. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWI,EDGE AND BELIEF THE INFORMATION IN THIS
APPLICATTON IS CORRECT AND TiiAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Plans Filed: -�.�_..__�-..1.�5z-.---- -�---�--� . . ............
(Authorized Agen[)
FOR DEPARTMENTAL USE ONLY
FEES: � f G Bl'
� GROUP.... .:'...� ............... APPLICATION_ . ..'.. .
.� r -- I ��f-IEALTH------ .......-- --..
Bldg. Permit - $ ..........�...�`�........ �''"
Plan Check - $.�.....{..�.L!�---- TYPE.....---'t�----��-- --....... � FIRE
- ZONING .......... .....-...
Total . , , $---..... .t�(J....... DIST. MARSHAL. - �--.... � -
G — � PLANS AND �
.5' MAP-------------- - - - ---- •
Receipt No. • ----- .. .m -�`.�.. SPEC•5... -- .... --._.... � STATE -------� -��- -`� ...
Paid to • - ... .�...G..�i..I_% SHEETNO......��........... CORRECTIONS ' ENGINEER
. d. � ,
PE �T�6C��� pUC� INSPECTOR
DATE....I��/- ��L � �---��----:_EP..�J'�`!...
- - - ........ -� .... .............. �---- '--- e
- ---� -- --.. .. --
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