HomeMy WebLinkAbout253 16TH PL - Building PermitsCOUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway
Sunta Ana� Califarnia
Phone: KI 2•6211
L OVUNER'S !
MAILING �
Name�
Addr�s� /__�
�,�Y.�
$tate
Lic. No. /I__i
PROPOSED
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
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Permit No.._�/ ���
Date----�Z-�/--.-----J- �------------------
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$[ate ' Q
Lic. No. --__- ---- Phon _-----O--,Cl.._ 2
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2. JOB LOCATION- � 5.-�- ---------- - ----- ------- - ---- - �- ------------------ -- -- -__- --- - ----- - ---- -- '�-' - ------ ---- - ----
(House No.) n (Name o Saeet) (Town or School Dis�ria) �I
3. LEGAL DESCRIPTION: Loc .- s�- ------ -- -------------- ----Block . ---- --- - - --- --- -- - Tract --� -•'- --1..- -- ------ -
(Metes and Bounds Description—Use reserse,side_of_form)��__�__
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT-(- __)_ SLOPE OF LOT ( )
_ ___
5. SIZE OF BLDG.:------._---------.AREA:.------------------------------SIZE OF LOT: ----------------------AREA: _._..
6. HEIGHT OF BLDG.:
.__.___CEILIIVG HEIGHT:
NO. OF STORIES________________________
7. NO. FAMILIES Size of Smallest Bedroom: ______________________ Size of Kitchen: .
8. EXTERIOR WALL CONSTRUCTIOIV:__..____ .............._._______....._.INTERIOR WALL COVERING ______
(Frame, Smcco, E[c.) , i (Plasrer-Drywall, Em.)
9. SETBP.CKS: Front Yard from Center Line of StreeL_-""_--'---_--'-----__-__---'_"---_---------------'-'-------_-_-'
- _ '. '— � — ' -- - - - ' � - - � - -' _ . - -
'Y
Nearest Side Yard_____.__._________Rear Yard.__._____.__.__.____..Distance in Feet Between Bldgs. on Same Lot_....
IG. A COMPLETE PLOT PLAN IS REQUIRED, SHOWIIVG ALL STRUCTURES AND USE OF EACH.
11. For
Aceessory
Bldgs. and
Similar
Struaures:
(a) Footing: Width .___.
(b) Size of Studs:._.______
(c) Size of. Floor Joiscs:
(d) Size of Rafters: ___.
__.__. Depth in Ground___________....
• ��
paang.'-----"'-'
..-'---------.Spacing -----------------
.."_."__"__. Spacing ._.__________________'__.
-------- Width of Wall -----....._----------
Material of Floor .-.--'--------'--__-_-_ ---..
---��CC.
----"CC
12. VALUATION OF PROPOSED WORK: Induding all labor, plumbing, electrical wlring, heating, fire sprinklers, paint-
�
ing and sewage disposal $.--- — ___-_�'G�"S '-_'---'_
1>. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATIO[V IN
THIS APPLICATION IS CORRECT AND THAT THE COIVSTRUCTION WORK WILL COLVFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
Signed:.._.
Bldg. Pennit
Plan Check
Tota( - -
Reteipt No. -
Paid ro -
Da[e --...--------
5M-].50 DA
FEES:
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FOR DEPARTMENTAL USE ONLY
GROUP----""-` ------ ---- ---
T Y P E . ----� -------------
DIST..� . .
MAP �---- --�'•--- ---�=-
--- --'
SHEET NO..-----r-------.....__
CHECKING BY
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APPLICATION__.____._.. HEALTH.._._
FIRE
ZO[VING... � � �G_ __.__._. MARSHAL..
PLANS AND
SPEC'5--- --------- ------ STATE -- --
CORRECTIONS ENGINEER
VERIFIED_---------------- CAL.----------
PERMIT I (�n' ��[
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