HomeMy WebLinkAbout2157 HARBOR BLVD - Building PermitsY
(714) 754-5273 • Fax(714) 754-4856 • wv+w.ci.costa-mesa.ca.us
ELECTRICAL PERMIT
JobAddress: 2157 HARBORBL
Suite No
Vicinity:
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03/15/2002
Issued: 03/15/2002
Parcel Nunmber: TPN00202 ' � � ' ` ' } '
. . , � . . . . . •- . /j� � �
Applicant: SANCHEZ,EDWARD - ISSUEDBY:• V�"`
Address: 1170 E PRUIT ST . -'�� �''� ����- � -- - - - � �
��.�., __ , t - ' , . _
�;,��-"%� �Phone: 714245.4300 -���
:/ .,- ,.i�_, / __. �
SANTA ANA:.CA- � �' , �-` . . Zip: 91720 / �" �
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Owner �PAGIFIC BEL'L POWER PEDESTAL� - `���-_ �����D
, , � _ _ :E
Address /i � '. . � / � , � . .
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/ ", � \ 'i' �_ Phone: - � � � - .
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Contrector. LAMBCO ENGINEERWG INC � � A � � �
;� '
Address: 177QE FRUIT ST �' " " -' � ' , " � ,
. , , `,�-- . .
- .,�Phone: 714.245.p4300,�� . ,
SANTA ANA. CA `, � ��� . � Zip:� �9Y720 ."1 a7O I"' � �'��
. . ._ �i,A ,,
' :. � � ' . .. " License: 605267 - __�-��"��� �,�
�
�ti . v-: r SCOPE OF PERMIT - - -� ', �
� �� � INSTALl200 AMP POWER�PEDESTAL-FOR PACIFIC BELL f .� ��� `.
.,. - '- � .. ......._r I...�._.. ._,
ISSUE FEE
Temp service tesl
;Res. a/c packa9e .
New Res (1-2 units)
New Res (3+unifs) , -
Pool / Spa
Lighting Fixis � �
Recept Outlets
Switches �, �
�,�
Non Res Appl ,-
Res Appl • � `
Service to 200a . � ,
Servicetot000a�� � � ,
Service over 7000a � - ,
Motors to 1 hp �
Motors to 10hp �
Motors to SOhp
Mators to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermetl Pole
a
�
.,PEE SUMMARY' , ,;,: � '
QuanlitY - � - ,- �• • . � ; � ' ; Quantity � � � --
� . �
$23.50 � � � - ! -TemQ Dist System hlighting � $Q0� � . .
$0.00 Busway /,700 ft. / $0.00 0 ' , � -
30.00 . Standing Section $0.00 0 ' , � -
� $0.00 0 Misc Electrical-Equipment $0.00 0� �. .- "� � .
$0.00 ' 0 Transformers up to 1 kva/kw $0.00 �0 .� ,
� $0.00 0 =.• `..i .:..:.........up to 10 kva/kw 50.00 � 0� � �� �- / . �
, ��. � , i
� $0.00 0 ::.: " . . .................up to 50 kvaBw 30.00,,'�. 0 ��� �� .
�'-��$0.00 p . :'�.: .� ." .............:::.upto�100kva/kw 50.00 �'; 0 �� ' .
� ��50.00 0 �..r ". � .....:............over 100 kva/kw.'... . $O.W'.' 0 -
$0.00 - � � 0. � " Low Voltage Equipment � � $0.00' 0 �� '
'� � $0.00�� � . 0 . - " Low Volt Wldng System / Ckt - .� $0.00 % ` 0 � �
�i, $30.50 1. " Misa Conduit - $0.00 `,' .,0, ' . �
� $0.00�, � 0 � , _ � . Misa Conductor " $0.00 ;�' 0 �
- $0.00�� �0 - - Circus ( gen or ride) "'- - � $0.00 � . 0 ' ' �
i
, $0.00, 0 Circus (mech ride or lighis) � � � $0.00� = 0 / .
� � $0.00 � � � 0 Christmas Tree Stand� . '50.00, ; 0-"
�.' $0:00 ' �,� 0 - , ,Fireworks Shand'� � - � $0.00 � %0
�$0.00. � ,,, 0 - , - Other Electrical Fee , , - $0.00-'
$0.00�' �,� ,0 � - .• - , � :
$0.00 ��` � � 0 -'� _ - � ' � �` lnvestigation Fee -� ', ��' ��� �30.00
$0.00 �0�,__'�- - - , ---- Plao-Check-Fee% =� �-� �" � $0.00
$0.00 0 - - � ,` �Reinspection�Fee $0.00
$0.00 0
$0.00 0 TOTAL CALCULATED FEES E54.00
$0.00 0
COMMENTS / SPECIAL CONDITIONS
- • • � _. .....
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: fn order tor the wadc eutM�zed under this permit to be considered Isgal, such work must comply with all applicable codes, end ati
required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5826
�.. o �aw,�
i
WORKERS'COMPENSATONDECLARAnON:
I hereDy eftirtn under penalry of perjury one of tha tWlowing deGarauons: � �" � •
❑ I heve enll will melRdin a ceNficate of consent to selt•Insure tw warkers' cwnpensation, es provided for by secUon 3700 0l Ne lebor Catle, for the pertormence ot the
�wwk for wnfch tnis pertnit is issue0. . • �
I heva arW wlll meintaUi vrorkers' cpnpensetion insurence. es repuiretl by secUm 3700 ot Ihe Lahor Cotle, la the peAortnance of the wwk for wNch this pertnit L5155ued.
My workers' compensation Insurance carrler antl pdicy number era: '
Carner: Poliry Number.
(Th/s secflon neo0 nof be comp/eteU il (he permil ls velueC et one hunOred dollars ($100) or less.)
❑ certify I�aI in erformance of t�e work lor whic hls permit is issuetl, I shall not employ eny person In eny manner so as to become subJect to the workers'
compen� Calitomia, antl egrae that If sh uld b wme sub�ect to the workers' compenselion provisions oi Section 3700 of Ihe Lebar Catle, I shall tort�wit�
�r ' ' s. /
A\pplicamSipneNre: �� ate: �—�s"Ov
4VAItliiNG:FNkHR O SELURE WORKERS' COMPENSA ON COVE L rWOSHALL SUBIECT rW EMPLOVER TO CRIMINAL PENN.TIES AND GVIL FINES UP TOONE MUNDRED
THOUSAN� DOLLARE (5100.000�, IN ADINTION TO THE COST OF S/�TIIXJ, DAAI4GES AS PROVIDED FOR IN SECiION 3108 OF THE UBOR WDE; IMEREST, AND ATTORNEV'S FEES.
eHirtn Ihat I en
�
�fs SignaWre:
DECLARATION:
�d�d�pr `slons ot Chepter 9(commencing with SecGon 7 0l Divislon 3 si �d Prolessions Coda, entl my Iicense is in tull
lass M
e'�er.a n e, g_ �S-o �/
CONSTRUCTION LENOING AGENCY:
❑ I hereby eHirtn thel there is e construction Ientling egency far the peAarmence at the work tor which thls permil is issued. (Sec. 3097, Civil CoEe).
Lentlels Neme: Lendels Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirtn Net wMei penelry,of,perjury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Buslness flnd Prafesslons
Code: Any ciry or counry wfiicfi requires e-.pertnit ta construct, elter, impmve, demolish, or repair eny sWCWre, prior to its issuance, also reqWres Iha epplicant for such permit
to 111e a signeC statement tliet he'or sfie is IlcenseE pursuant to 1he provisions ot the Contractore License Lew (Chapter 9(commencing with Sectlon 7000) of OMslan 3 oi [he
Busineu aiW Professions Code)br ihet he ar she'is exempl theretrom and Ne basis for the alleged exomp�ion. My Woletlon ot Section 7031.5 by eny applicent for e permit
sub�ects the eOPlicent to a civil penalry of no� more4han tNa hundred dollars ($500).):
❑ I, es owner ol Ihe properry, or my employees wllh wages es I�eir sde compensetion, WILL DO T/fE WORK, entl the sWcwre Is no1 imentled or aHered tor sele (Sec.
7044, Business and Protessions CoGe:�The ContreIXors License Lew does not apply to an owner ol properry who builds or Improves lhereon, end who does such work
�Imself or heroetl or through his or her own employees, proviCetl that such improvemems are not Intended or oHeretl for sale. tl, however, ihe building w impmvemeni is
sold wit�in one year of wmplation, the ownerbuilder will heve the burden ot Droving that he or aho did not build or imprwe tor puryose ot saleJ.
❑ I, as owner ol the property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTOpS to construct lhe D�ol�� (Sec. 704d, Businass entl Professions
Code: The contreciors LJcense Lew tloes not eppty to en owner at pmperty who 6uiltls or Improves the�eon, entl who contracts lar suc� pro�eq with a tontraaor(s)
Iicense pursuent to the Comractors Licensa Lews.).
❑ I am e:empt under sec. Business end Pmlessions Coda for Ihis reason:
Signature: Date:
Owner ID verifled by tlrivels license. ❑ Vas ❑ No Dnvers Llcanso No. Expir89:
VerNlcation of Owners�ip by (type al tlocumem, I.e. - properry tex blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON:
❑ I hereby certtly ihat no excavetion five (5) or more teel In depih into whic� a person Is required to Gescend, will be mede in connection with work euthorizetl by Ihis
pertnll, antl Ihat no building structure, sceHoltling, talsework, or tlemolition or tlismantling Ihereoi, will Oe more than thirry-siz (36) leet high. (Chep. 3.2, Gry 2, Art 2, Sec.
347, Tille 8, Celitomia Adminisiretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a permit trom the DMsion of Industnel Safery, as noted abova, unless suc� pereon has a
pertnit to tlo such work from the division.
Signature: Date:
Division ol Intlustrial Sefery Pertnit Number:
ICERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I cenify untler penelty ol perjury Ihai I have read t�ls epplication and stete thet the Informatlon given is I
wrrecL I egree to compty with all s;ate laws and ciry adlnances relatlng to building consiructlon, and authodze representatives ot Ihe Ciry ot Coste Mesa to enter upon the
a6ove-descnbed pmperty for inspection pmposes. I egree not to occupy or ellow occupancy oi eny building euihwized by Ihis pertnit until final ins0ection.
COOE 1, INSPECTIONTYPE
1618 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel RaRoof
201 FIneI BIocWReWlning Well
202 Final Factory Fira Place
203 Final Slgn
204 Finel Demolition
�.�]11�I:111111�7
CODE I INSVEGTION ttPE
208 Final Mechanical
208 Final Plumbing
210 Final Electdcal
212 Finel Fire Preventlon
220 Final Planning Approval
m
250
Final Siie
Final Builtling/Occupancy
COUN'IY OF ORANGE
BUILDI[VG DEPT.
636 No. Broadway
Santa Ana, Califomia
Phone: KI 2-6211
OWNER'S
MAILING
Name .........
Address .._..
, - -
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
Permit No.. .'�.}...��pi�......
�- = ..1..../. -. S.l ..............�-----�
PHONE :............... �-..__..........
�u/ 7Y�ivnC,�.. �
.. . ..........................- ..........
- - _.........._........ -- - - .............. Name ...........ii_: ���dt�'�'.
...---' ..... " - ---- -•- ---�..........-- .............
(Architcct or Engincer) ��/ ��7 (Contracm)r
_ .................---.........-- __..... " Address .. �.` .� � - _(/ �'I�Q G�GlI '�"�.�...- -'------..
�� °Q'Ji..��rv <t:._.. �
Ci[y ..." ................................_....'...'."..._...'_..._......._.....'....."..._ City .........."....'.....'_."_........__........__:.....""_"'....'"."'..."_............"
St,te State r� � � y,ei�j
.
Lic. No........-'-------------.....------ Phone---------------_ .............-- Lic. No....��.1---�.�_ .......----- Phone......._...........-`O'-------
PROPOSED I
2. JOB LOCATI
(House NoJ (Name of S.ree[) (Town or School Di<trict) � •
3. LEGALDESCRIPTION: Lot....----------�.�...._...-------------.Block _._----------------..----.------....... Tract�Lz^�(/
. ........ -- �
(Me.es and Bounds Description—Use reverse:ide of form) � �
4. CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( )
i. SIZE UF BLDG.:._s�.�XP�L �AREA:.S_7�..._�--....SIZE OF LOT:---..,l....r_f.X �.7.J---AREA:--..-------_ .....................
i �
_ f/ / y /
6. HEIGHT OF BLDG.:......_�--.------�_----------------CEILING HEIGHT:-_...�-..---_�-....._-.---NO. OF STORIES-.----.......----__--_-....--
7. NO. FAMILIES----.--_-.--...__-------_-----_--_Size of Smallest B droom :............_—..------.-------._- Size of Kitchen--------_.._------....---.........
,• �� /p�., ����%
3. EXTERIOR WALL CONSTRUCTION����...� ....................INTERIOR WALL COVERING....A.T..S.:;F ��"'-` '
(Frame, Stuc<o, EtcJ Plascer•Dr wall, E[e.) 0
- -...-�- - - --�-•-�--
� ( Y
9. SETBACKS: Front Yard From Center Line of Street__......�..�v.__
......................----`-..... ..--------� �------------------'--'--"---------'---`-'-'
i .. . / n / j� v
Ncarest Sidc YarJ....�.' 0_.....Rear Yard....7.'�......__Distance in Feet Between Bldgs. on Same Lot.........�_�� '"
........ -- -�-- .........
10. A COb4PLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
.i ��.r �� .
11. For (a) Footing: Width.......... ��L.�.._-----------------Depth in Ground.,��!. f..�!--.....Width of Wall............--.--------.•---....
Accessory ' -
Bldgs. and //`_
Similar �b) Size of Smds:....aX.. ---_-----Spacing.--_ �--..._------..._"CC Material of Floor----.._...��v.� ...............
S[ructures: �
(c) Size of Floor Joists:
.....�-...-"' '......._._•'CC
(d) Size of Rafters:. --�- -�-u -L ......... . ...Spacing-� ....----- /-G�-- ...----....:'CC
12. VALUATION OF P�Rj�9POSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $--.O.S.11l.��?..-v—'---------------- �
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWI,EDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OP
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. '
Plans �iled:.... - b....'�1.._-..:..�.�..� -- -.....-- -� -_...
Bldg. Pcrmit
Plan Chcck
Total - -
�eceipt No.
''aid to -
(�wner)
� (Authorited Ag�nt)
FOR DEPARTMENTAL USE ONLY
FEES: CHECKING BY
S..-�' �-�...---...__ GROUP- ...---- �.......- APPLICATIO�� HEALTH---.....-----------......
$r%.�D..- D - -- � TYPE � � -�._.. -��-- - ZONING...... - ........✓..._ FI2E
'
$../. . �.D D-- - DIST. MARSHAL .........................
. �p� . MAP.�......---�----.-Z _ PLANS AND
, ���%�j SPEC'5..._.....------- --�- STATE. ---- --�---... ------� �
SHEET NO.........�... ...
--��lrw -�---... CORRECTIONS ENGINEER
j�.,' .� �/i �. -r / . ..... ......._
DATE.....�...-1�... .��...-� .... ---...
i
�
� �� � �
;;STY BU;LC
I>_.:F_CTOR
,� - �.
��'�.�.��,:��� A; ���,r - : �� . �
�
.�
COUNTY OF ORANGE
BUILDING DEPT.
636 No. Bmadway
Santa Ma� CaG[omia
Phone: KI 2-6211
I . OWNER'S
Application for Building P¢rmit
AND FOR A
Certificate of Use and Occupancy
; �`
MAILING ADDRESS..._...._. ��.�rL.._L......_..� -��.��
Name--------" .................-.....---.....------...-------..........-------------
(A¢hiteet or Enginccr)
Address . - ....- -- ......... - - _.... -- - ....-- --
City_............ - ---- --- ........ - -..._....... `- --
Scace
Lic. No.-------"----........-------------. Phonc ....................---'----_......
Permit No.�..f..�-�7...I _
L --
Date ................�J.,.-// - �'�-'----------'-'--
i
?...1--- . ............. - -��- - ........ PHONE:........ -- ---�-- --------��--
��y t� �qJ�2Eo �c�.
- .... . .. ...... . -- CITY......... -...----� ---- -- -.......
Name .-------'--�......��GN!f/-�'�?_ .................:..--,.
,�/ �(Cfon[r�ac[or)
Address .___�T..� � r✓�"� c. �i�.�-J- -o."� ......-
��� T
City - - �� _._..?3/,LG.�c-�+..`_...-- ----'-- --- ....--
Staze (,�� L
^� � ,
Lic.No. �Q-� `y����F��- - Ph�..�..-��-v-�----�/l
PROPOSED USE: -1-- ��.........�-....-"��il.-s�p�-�^�`.-°ti"�' -'/� � -------------.... �-- -- --- - -----
2/S f'I�z..rr/!�-e ,� /r'j/�,� il' (�, ..of,v�(�ce�e w�.. .
JOBLOCATION -........--..Z -- ............. -. .....L..�.-.` -�.. ---- ........_ - - ._:.........--�- ........... - -- - ....-- •
(House No.) p� (Name o( Stteet) (Town or School District ` . ,
LEGAL DESCRIPTION: Lot.....__._ ��..CQ ..............................Block � ......... Tra��'u'��C'!"'' �
(Meces and Bounds Dacription—Use reversc :ide of form) '
CORNER LOT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( )
SIZE OF BLDG.: �-`-s x� - AREA:..�V....�.......SIZE OF LOT:..�,7.�,.. /--�.�Z.. AREA:....--�---...--------- ��---•
P �i �f � �i
HEIGHT OF BLDG.:._.......�...�� ...............CEILING HEIGHT:...../_....��...........NO. OF STORIES..._.._..._�...............__.
/ -
NO. FAMILIES....---.--._--_^---.........._._-Size of Smallest Bgdroom :..................r....�_----_.---. Size of Kitchen.......�..._---_-.
EXTERIOR WALL CONSTRUGTION7."!�'t.^.!��._ry:C`!K!�w.INTERIOR WALL COVERING...(/".���y"�Y.........
(Prame, Stuceb, Etc.) (Plaster•Drywall, Etc)
SETBACKS: Front Yazd From Center Line of Street---...-------------------------------------------.--------------._........-----------.._....---_-------------.._.
�� ' � .�
v
Nearest Side Yard......_.-.C%._.,..Rear Yard.._...___.....______Distance in Feet Bchveen Bldgs. on Same Lot......... ..._ i� ......................
]0. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
��r � �� / �
-........._ ---.De th in Ground ....-- �- Wid[h of WaIL...........__--............
1]. For (a) Footing: Width____..._�`.� p �
Accessory
Bldgs. and " / �i �i(�-y��
Similaz �b) Si;e of Studs:-'-� x' �--....Spacing-'-' ..............._-_-..:'CC Material of Floor--_..------'---.-'-,-------"--------'.....---
Structures: �
(c) Size of Floor Joists:-� -__—.......--� - - - Spacing. --��--- ....'—:..-- -�---�--.:'CC
(d) Size of Raftcrs:---.-----_�"_�-.�--.y--_--------------Spacing----_-___�� . :'CC
I 12. VALUATION OF PROPOSED WORK: Induding all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and
sewage disposal $-----�.._...�L7Q �.�--------'
..
,_- �a —i_HEaaax_CaRTiFY THA'I` TO THE BEST OF MY.'.:NOWLEDGE 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 OP CALIFORNIA APPLICABLE TH.ERETO.
.__ ----.......... Signed:
Plans Filed:........b....:/1.. .�1
FEES:
Eldg. Pcrmit
Plan Check
Total - -
Rcceipt No.
Paid to •
DATE......v... .. �/.
SI
�
FOR DEPARTT4ENTAL USE ONLY
GROUP......L�`2-- - - -.... --
TYPE--�--�`� --...... --- -
DIST. � r L
MAP---.....-- - - (� -
SHEET NO........�........._
(Owner)
(Aut6brized
l;tl 'K NU t3Y
APPLICATION�_ .. HEALTH ............................
ZOA,'ING......._..._._'� FIRE
PLANS AND MARSHAL___..______...__.......
SPEC'5---�-- - -...........✓......
CORRECTIONS
V ERIFIED ........................
STATE........
ENGINEEA
PERMITISS $]� $,'�: �r '�;,^;t:'—'- CCUi•ITY EU:LDI�'�
. � V. Yti. ii:��:lil��_��.... .
. ._....�_ IXE;P_'�TOR
s -
-......:1_ :-.-:-.-:- , ..........:.......:_� - � � - � - . .. .._. . ......... -... -
........ .... . �- -..
� � � . , � __.__"" ._.......... � DEPUiY
COUN1'Y OF ORpNGE
BUII.DING DEpT.
636 No. B�oadway
$anta Ana, Calilomia
Phone: KI 2-6211
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
. / / 'J
Permit No.. ..���..[P....l �
Date.-�crt.*.+',.-�. ".---//--�.. � ..................�
7. OWNER'S NAME . .. .......... �...��................---..................... -._....................--- PHONE:B:�..'...li...I..07......
MAILINGADDR SS........--�--.7_--!J-.-`�`�.G�-.�.----.-...... CITY��_.�.. �
I � �
Name...................�... .. � � -� ......._......._...................... tI Name .. - -= -•� .- -• ----......_........................---........--
' ' thitect or Engineer) (I ' � � (Contractor)
Address -------....._.....---.._ ............... ..... Addrecs ,-----........................----'-----.......................'--'---............-'---'
--......... — ................— � ----....
City - - - --
Stare
Lic. No .............
PROPOSED USE:
?. JOB LOCATION:..a�`�. . � '
..............................
(House No.) ' �
3. LEGAL DESCRII'TION: Lo�
(Mcces and Bounds Description—E�c reverse side o
....... Cicy
Stare
....... Lic. 1
o! Svicet
(Town ur Sch ol Distrit4)C' ' � �•
�. ...... Tr�ct:.l..-Gilt.`..�.�-..Nr..Y.�I...
td.�-tii�
4. CORNER LOT ( ) INTERIOR LOT (x ) THROUGH LOT (,) SLOPE OF LOT ( )
i. SIZE OF BLDG.y.1..C+...X...-��..�.....AREA:--���...60 ................SIZE OF LOT:J�.,.-....i.�,�...........AREA:_�o..rS.s/.1...............
6. HEIGHT OF BLDG.:..�.-d.. _--- _...CEILING HEIGHT:.._P... � ....................NO. OF STORIES......�__.__....._...__....
� - ./ .. . � . �
7. NO. FAMILIES---...../.-.----..._ ..............._Size, of Smallest .Bedroom:....J..-L..,..�".. ��....._..._ Sizc of Kiichen..:.�Q_.,.�--!�. �1.....%._..
R. EXTERIOR WALL CONS7RUG710N:..:��...:_..II�TERIOR WALL COVERING....(1bl/ fyY.osesL!G�....._..
. (Frame, Stuccq E[c.) � � � (PlastervDry�vall, Etc.) � �
eof � ct._Dis� .�........ -- - ---- --..._ ............... �- - � ' - . .....--
9. SETBACKS: Fr , I �� `
Nearest Side Yard`.. �rd From Re. r eYaLd� .�.-'-_--.. .._... - m Fcet Bctween Bldgs. on Same Lot..:...��.....,�_� ......... ..,/-. J
/
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND IJSE OF EACH. '
: /,/ �/ � , , i / v
91. For � (a) Footing: Width..........J�.T. ..---.---'--......Depth`in Ground...........J�...........Width of Wall---'--.._.C�:....
Accessory ' / .....-.---•
Bld s. and ��y f�
g (b) Size of Smds:..:..�:l..l_.�..Spacing.........��P_......:'CC Material of Floor....Q.��( :..........:.........._.
Similar """""
Structures: � � � n x/ � '�
(c) Size of F1oor Joists:....`!.`..YJ ..................Spacing..........._�� "CC
... ....... .............
ri
�.-- ...............5 acin ' � ..CC
. (d) SiZe of Rafterc:........�-`-" P 5........- ..... .........................
]2. VALUATIQN OF PRq�OPOSED WORh: Including all labor, plumbing, elecvical wiring, heating, fire sprinklers, painting and
sewage disposal $.-.---/...�....�---.-:---.- ' • '
13. I HEREBY CERTIFY THAT TO THE B�sT OP MY xiaOWLEDGE AND BELIEF THE INFOItMATION ]N THIS
APPLICATION IS CORRECT AND: THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OP
THE COUAITY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO.
• Signed: �..�...�. `-�o�� .... ............... - ---- --- -.............. --.......
� � (Owncr)
Plans Fi1ed :.............L� -.�./....5/.--.................. ......... - - .................... .
� � By :................__'_.-."_..........................---.._.....-"'------'- '
� , . . (Au[horized Agent)
; FOR DEPARTMENTAL USE ONLY ' � ' •
Bldg. Permit
Plan Check
Total • •
Receipt No.
Paid to •
FEES:
5;...... �D• � GROUP.......�
�� ..............
�-- - -......_�."......... 7 YPE----�� -,�.I` ................
��._..�.�.'�'O DIST. /p�
....�r�%r..�!i�0%. MAP.......:..S�.r..:...�.-�-
- -3'.�'l'�--.�..... SHEET NO..........� ...
DATE_-----....,/.--� /..........
5 M-B�SI �
CHECKING BY
APPLICATI HEALTH ............................
ZONIN FIRE
... .... ...........
PLANS ARSHAL .........................
SPEC'5 .............................. STATE.........................:......
CORRECTIONS ENGINEER
. v r�