HomeMy WebLinkAboutOC_83506 - PermitsAPPCICATIGN FORA BUILDING PERMIT AND A CERTIFICATE OF USE & OCCUPAIN-� Y
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COUNTY OF ORANGE
ENVIRONMENTAL MANAGEMENT AGENCY r7 L
REGULATION'
P.O. BOX 4048, SANTA ANA, CA 92702 CENTRAL OFFI(�EL J
42# ' 400 CIVIC CENTER RI E- STA.92677 SANTA ANA, CA.
714-834-2626
UILDING 60 t
nBEss`e p (lU r / J l •. �,A:y'Oi°..�
NEW ,%d—, ADD
DESCRIPTION OF WORK ' ✓f
ALTER 11REPAIR ❑ DEMOLISH El
AREA /
SIZENO.
SOFT. J
NO. OF
OF FAMILIES
STORIES
OWNER II//..,!l�s/�fA� iy{y/Ay�, !, y�j ripi
Cl?'fJLrHONE'I/�ry�l
`''S
USE OF
STRUCTURE
,r(L e�
``Jy Lam+.'
MAILING ,.C'�
ADDRESS
CITY . ZIP
CONSTRUCTION
LENDER NAMEW ❑ UNKNOWN
ARCHITECTOR PHONEfte,
ENGINEER
BRANCH
//({�(��.y�,�//!!'��l%�jp��_
ADDRESS / TIviIVJ •� ZAJ iI'�e
ADDRESS
PHONE
CONTRACTOR
GRADING PRE.P.G.
INSP. FEE 5
-
0
FEE S
ADDRESS -
VALUATION ap
,a o•
OHO
B. PT. OP 47
FEE' /0
CERTIFICATE FOR REGULATION PERMIT
Contractors
ICertifythat the following Contr. Lic. No. and
Classification is in full force and effect.
Workman's Compensation Insurance Certifica n,f.i�e verified�,b,IG
Expiratibn date: %'-X .
OC PA Y
GROUP 2•
I /
TYPE OF
CONSTR If ([/J
UGTION JT/r�
P
rceo a
PE NCE
AP
GRADING PERMIT REQ -0
res ❑ No
ROUGH GRA INC O. K.
Other Applicants
I hereby certify I am exempt from Sec.,7031.5 of the Business and Professional
Code, Div. 3, Chap. 9. Contractor's License Law u er the II Ing section:
Or
❑ OwnerrWork under
❑ Minor Work under $106 (sect only i or
1 Employee working for wages only (sect 7053, or
� OTHER:
Certification of Exemption from Sect 3800 of the California Labor Code, Article 31
Construction Permit: -
❑ The permit is for One Hundred Dollars ($100) or less.
I certify that in the performance of the work for which the permit is issued
- I shall not employ any person in any manner so as to become subject to
the Workmen's Compensation laws of California.
If, after making such certification the applicant for this permit should become
Workmen's Compensation provisions of the Labor Code, the
forthwith comply with the provisions of Sect 3700 or this permit
ed revlked
owled and state thatthe information I have provided is correct
, rIn nd thiscertificate and agree to comply with all County
to laws reguating building ccc sir Cflon.
Date. r
A(AIcanta Slgoatara)
INSPECTION RECORD
APPROVALS
DATE INSPECTOR'S SIG.
FOUNDATION: LOC TIGN
REINFORCED ❑ �� r
%Z "
SLAB: REINF. ❑
MEMBRANE ❑ C I
/A ^J �ggqT
f' wD `� F
UNDERPINNING
MASONRY:
BOND BEAM ❑
FIREPLACE
ROOF SHEATING s„
ROOF FRAMING D V •^ _ r. - ,
FRAMING r - •_.. -`
wsULATION
(BOUND ENERGY)
LATHd
EXTERIOR
LATH ❑ DRYWALL
INTERIOR
PLASTER'
BROWN COAT ]{
ZONING REGULATIONS
LEGAL __
DESCRIPTION
ACT
JO/�/!11'
13&0 K�
LOT
FINAL BUILDING
FINAL ZONING ..
(PLEASE ATTACH METES AND BOUNDS)
ZONE VA//R,II�ANC //qqNO. ^ J a
'BUILDING ETB KC/LST. PI;4OTYLINE Gs
BIDC VARJJ� I T EAVE PROJECTION
5IV1JAR 1,L � EAVE PROJECTION
R ARD P/U i STREET WIDTH
PARKING SPACE REQUIRED PROVIDED
MISC.
REMARKS
v��JY•V'�I►l(O r^ /V/�Gr
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A.P.J --6O DIRT. NO. .1 /'y" ,
!;,
ZONING APPROVE DATE a
3 DEC 27"733'
CASHIER DATE
50-28.2 (R 2/78)
VALIDATION
83,506 1,060.00+ 1 148.50+ 11,208.50*
PERMIT NO. PERMIT FEE CODE PLAN CHECK TOTAL
.INSTRUCTIONS TO APPLICANT: Use Indelible pencil or ball point pen and PRINT
Otherwise, fill out form with typewriter. DEC 15 1983
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