HomeMy WebLinkAbout246 BROADWAY - Building PermitsCounty of Orange
Building Department
Room 322
Court House Annex
Santa Ana, California
Phone: KI 2-6211
1. OWNER'S NAME
MAILING ADDR
NAME
ADDRESS
CITY
State Lia N
APPLICATION FOR
(Street or P. O. B.. No.)
(Architect or Engineer)
►I ffl
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PERMIT NO.
CITY
PHONE:
0 A
(Contactor or Builder)e,-
ADDRESS
CITY—
State
ITY State Lic. No., Phone a S 3 3
2. JOB LOCATION
(House No.) (Nem. of Street) M (Town or School District)
3. LEGAL DESCRIPTION: Lot Block 11 Tract +7` 54
4. Meets and Bounds Description — Use Reverse Side of This Form.
5. CORNER LOT ( ) INTERIOR LOT (x) THROUGH LOT ( ) SLOPE OF LOT
THIS APPLICATION CANNOT BE PROCESSED UNLESS LEGAL DESCRIPTION
IS ACCURATE AND COMPLETE.
6. PROPOSED WORK: New Building (x)
Alterations ( )
7. PROPOSED USE:
New Structure ( ) Addition ( ) Repair ( )
Move ( ) Demolish ( ) Conversion ( )
8. SIZE OF BUILDING. ti iia AREA 4 C / SIZE OF LOT -Ca / 1m AREA % :Z S~O
i
9. CEILING HEIGHT TOTAL BUILDING HEIGHT J- NO. OF STORIES
10. NO. LIVING UNITS SIZE OF SMALLEST BEDROOM/19X SIZE OF KITCHEN ._Y
11. EXTERIOR WALL CONSTRUCTION: Brick ( ) Concrete Tile ( ) Monolithic Concrete ( )
Wood Frame (x) Steel Frame ( ) Concrete Frame ( )
12. WALL COVERING: Wood (X) Metal ,( ) Stucco ( w Other_
13. FRONT YARD SETBACK FROM CENTERLINE OF STREET S✓t�
14. DISTANCE TO PROPERTY LINE: Side Yard' Rear Yard 92 _
15. SHOW ON PLOT PLAN EXISTING BUILDINGS NOW ON LOT, STATE USE OF EACH.
16. DISTANCE IN FEET FROM PROPOSED BUILDING TO NEAREST EXISTING BLDG.:
17. VALUATION OF PROPOSED WORK: Including All Labor, Plumbing, Electrical Wiring, Heating, Fire Sprink-
lers, Painting, Sewage Disposal $ -` 2 B'0 0o
18. 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
THERETO.
Plan Filed. SIGNED:
O
// 1 wnrr, or Aurhorirod Agent
Date (0 - �i- �� BY
FOR DEPARTMENTAL USE ONLY
19. GROUP Z TYPE DISTRICT MAP NO.
PERMIT FEE $ �� fiN RECEIPT NO.� PAID TODATE
CHECKING FEE $—
PERMIT GRANTED—
PLANS CHECKED BY
APPROVED BY:
HEALTH DEPT.
STATE FIRE MARSHAL
STATE DIV. OF HOUSING
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