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OC_93626 - Permits
I BUILDING ADORERS e APPLICATION FOR 1, BUILDING SIZE 50. FT.S / 3 OWNER PROPOSED is/OF \ U -- Tit COUNTI ENVIRONMENTAL MANAGE! NO. OF CITY / ZIP REGULATION P.O. BOX 4048, SANTA AN/ REGIONAL OFf':CE �J ADDRESS 26052 GETTY DRIVE LAGUNA NIGUEL, CA. 9267,7�� 714-831-2610 HONE CONTRACTOR .. BUILDING SETBACK C/L ST. PROPERTY LINE BIDE YARD, RIGHT EAVE PROJECTIt SIDE YARD, LEFT SAVE PROJECTR REAR YARD (TO P/L) STREET WIDTH- PARKING SPACE REQUIRED PROVIDED- MISC. OF USE & OCCUPANCY II BUILDING ADORERS NEW �'� ❑ AREA SIZE 50. FT.S / 3 OWNER PROPOSED is/OF DESCRIPTION OF WORK MAILING PHONE ADDRESS STRUCTURE NO. OF CITY / ZIP CONSTRUCTION LENDER NAME ARCHITECTOR ( NE a ENGINEER BRANCH ADDRESS ADDRESS HONE CONTRACTOR GRADING PRE. INSP. FEE 5 ADDRESS VALUATIONS - CERTIFICATE FOR REGULATION PERMIT Contractors I Certify that the following Contr. LIC. No. and Classification is in full force and effect. Workman's Compensation Insurance Certificate on file verified by Expiration date: OCCUPANCY GROUP / KED BY ERMIT REO'D 4YENP O❑Other Applicants I hereby certify I am exempt from Sec. 7031.5 of the Business and ProfessionalAPROVALe Code, Div. 3, Chap. 9, Contractor's License Law under the following section: (Sect 7044), or El ❑ Minor Work u $ 00 (sect 7048 r ❑ Employee w (s� EI OTHER: Certification of Exempffon from ct38000ft eCaliforniaL bor Co 8,A(ticle3, Construction Permit: ❑ The permit is for One Hundred Dollars ($100) or less. ❑ 1 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 subject to the Workmen's Compensation provisions of the Labor Code, the applicant shall forthwith comply with the provisions of Sect 3700 or this permit shall be deemed revoked.INSULATION I hereby a wledge and state t at the information I have provided is correct both on a rm' nd his c i'cate and agree o com ly with all County Ordi d t r g buil in tr VLATH ( pliDel e: canTs Sign FOUNDATION: LOCATION REINFORCED ❑ SLAB: REINF. ❑ MEMBRANE Ll UNDERPINNING MASONRY: BOND BEAM ❑ FIREPLACE ROOF SHEATING ROOF FRAMING FRAMING (SOUND ENERGY) LATH EXTERIOR ❑ DRYWALL 01� INTERIOR PLASTER BROWN COAT NTNG REGULA ION LEGAL DESCRIPTION TR T BLOCK LOT / / FINAL BUILDING (PL ASE ATfAC14 METES AND BOUNDS) FINAL ZONING BUILDING SETBACK C/L ST. PROPERTY LINE BIDE YARD, RIGHT EAVE PROJECTIt SIDE YARD, LEFT SAVE PROJECTR REAR YARD (TO P/L) STREET WIDTH- PARKING SPACE REQUIRED PROVIDED- MISC. OF USE & OCCUPANCY II P.C. FEES B. PT. FEES TYPE OF CONSTRUCTION ROUGH INSPECTION RECO) DATE IN 1m I 1_ z9rz�_A. r) S r I A.P. /I/__ y_.99 H>nel DIST. NO. &_! I R/ I I ZONING DATE / '�� q•J � � r6 �+C F" Y rS • c`' i' r� / d `B © q r�13 57 d �" CASHIER DATE ;J PERMIT NO. PERMIT FEE CODE PLAN CHECK ZQ_ d ` F0250-28.2 (R 2/78) INSTRUCTIONS TO APPLICANT: Use indelible pencil or ball point pen and PRINT P^ l Otherwise, fill out form with typewriter. CENTRAL OFFICE 400 CIVIC CENTER DRIVE WEST SANTA ANA, CA. 714-834-2626 DESCRIPTION OF WORK ALTER ❑ REPAIR ❑ DEMOLISH ❑ NO. OF NO. OF STORIES FAMILIES P.C. FEES B. PT. FEES TYPE OF CONSTRUCTION ROUGH INSPECTION RECO) DATE IN 1m I 1_ z9rz�_A. r) S r I A.P. /I/__ y_.99 H>nel DIST. NO. &_! I R/ I I ZONING DATE / '�� q•J � � r6 �+C F" Y rS • c`' i' r� / d `B © q r�13 57 d �" CASHIER DATE ;J PERMIT NO. PERMIT FEE CODE PLAN CHECK ZQ_ d ` F0250-28.2 (R 2/78) INSTRUCTIONS TO APPLICANT: Use indelible pencil or ball point pen and PRINT P^ l Otherwise, fill out form with typewriter.