HomeMy WebLinkAbout1767 Placentia Ave - Building PermitsAPPLICATION FOR BUILDING PERMIT
COUNTYOFeelAPPLICANTTOFILLINAREAWIT[HIN•HEAVY LINES ONLY.ORANGE
BUILDING
ADDRESS / - IY X L.j`.C,J
DESCRIPTION F WORK
TOWN OR SCHOOL
NE •gi ADD ALTER yJ REPAIR DEMOLISH
DISTRICT G/A / ! SIZ'NO.OF NO.OF
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SO.FT. S ,J STORIES FAMILIES
USE OF
OWNER , I d/ •
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STRUCTURE f A CC- Ai
ADDRESS
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LEGAL
DESCRIPTION
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SLIM FRACT ``
ARCHITECT OR
PLEASE ATTACH MET SAN OU--
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ENGINEER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
CATION AND STATE THAT THE INFORMATION I HAVE
ADDRESS
PRO-
VIDED IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY
ORDINANCES AND STATE LAWS REGULATING BUILDING CON-
STRUCTION.
CONTRACTOR p I'
SIGNATURE OF jJ ry
PERM ITTEE wC ,-1'
ADDRESS
1
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A ONING RE UL' IONS
ADDRESS 7 ‘ 7 Y / G-'C2_(.J '.
9 0 IT
3
CHECKED B -
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DATE CLEARS p C s
N FEE
PLOT PLAN FVL DIMENSIONED? S NO
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TALLBUILDINGSSHOWN (! FLAN IPER /.PP IC NTLI
j VALUATION S i V FEEB.PT. $
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MAIN USE ACC.
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E ONE} DIST. M.v_/ OCCUPANCY TYPE
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GROUP CONSTRUCTION
REQUIRED BUILDI G BITE FROIV' El YES NO
BUILDING NE T STOR AND FEET
INSPECTION RECORD
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1 APPROVALS DATE INSPECTOR SIGNATURE
REQUIRED LA AREAL
Y
NO
FOUNDATION: LOCATION
VARI NCE REQUIRED APPROVED NO FORMS AND MATERIALS.
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INT. LOT- REINFORCED I
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PROPERTY LINE
MASONRY OR CONCRETE
Si•ARD. RI H O EAVE PROJECTION BOND BEAM
SID YAR LEFTY• 1 EA PROJECTION
111 UNDERPINNING
REAR LTO P/LOTH OF ALLEY
SEP{.R ION e EN Bu1ygj GS ROOF SHEATHING
d/\
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e11M'EY IN pE UIRED
Butt
gOJECiS
ROOFING
4RCHINEOVIREDPROCTS
STAIRg IN QUI ARo P••JECiS FRAMING ICI 17 n
PAR AR A RIPE. CAPACITY. CARS LATH OR DRYWAL
V
S•
INTERIOR
LATH
EXTERIOR 1
PLASTER
FOR OFFICE USE ONLY BROWN COAT
RECEIVED BY PLAN CHECKED
BY( / // FINAL 11j(I1ISISPLANCHECKRECEIPTI. ROUTE IMMEDIATELY 2. OFFICE 3. STATISTICS FILE • 4. OWNER'S COPY
NO.
TO INSPECTOR WORK COPY FOR COUNTER USE OF PERMIT
IA//6 --/6 v agog 3
C. W. DONOHUE - SUPERINTENDENT ZO4VJ N. BROADWAY SANTA ANA. CALIF. KI 3-9341 HAROLD L. GOLDY
DEPARTMENT OF BUILDING AND SAFETY VALIDATION ASSISTANT SUPERINTENDENT OF
BUILDING AND SAFETY
A SEP 31'581 •85 54 6.00 1 3.00 7 9.00•
TELLER DATE PERMIT No. PERMIT FEE CODE PLAN CHECK TOTAL
14
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