HomeMy WebLinkAboutOC_93495 - PermitsAPPLICATION FOR A BUILDING PERMIT AND A CERTIFICATE OF USE & OCCUPANCY 0
COUNTY OF ORANGE PI
ENVIRONMENTAL MANAGEMENT AGENCY
i
PEGULATION l
r'REGILt9ALOR ICE iir P.O. BOX 4048, SANTA ANA, CA 92702 CENTRALOFFICE
I. 26052,GETTY DRIVE / 400 CIVIC CENTER DRIVE WEST
LAGUNA
7 2 NIGUEL, CA. 9267 \ /q,�P`y-�. �_� s6�/� � SANTA ANA, CA.
!A'lr / ! .714-834-2626
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98�,,�7
DESCRIPTION OF WORK
ADORES= �i%/�L J/i-/�i-�
NEW ADD ❑
ALTER ❑ REPAIR ❑ DEMOLISH ❑
INSTRUCTIONS TO
AREA
SIZEL-<970&`9NO.
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OF FAMILIWLI
STORIES ES
OWNER
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PROPOSED USE OF
STRUCTURE
MAILING PHONE
ADDRESS
CITY ZIP
CONSTRUCTION
LENDER NAME
U NKNOWN
ARCHITECT :OR �/PIjOf1E
ENGINEER (�E�
BRANCH
ADDRESS
ADDRESS
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CONTRACTOR (�/4�%✓�ip/�.. -
GRADING PRE.p.C:
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INSP. FEE S
FEES
ADDRESS
VALUATION S�'7 `� I J�
F8 PT
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CERTIFICATE FOR REGULATION PERMIT
Contractors
OCCUPANCY
GROUP A
TYPEOF eiT
CONSTRUCTION —2z/—t/
I certify that the following Contr. Lic. No. and
Classification is in full force and effect.
PLAN CHECKED BY
PERMIT ISSUA
APFROV z
We
Workman's Compensation Insurance Certificate on file verified by
Expiration date: ',/� 8�'
GRADINwPERMIT REO'D
YES t7 No❑ -
—
Ro�[GH GRAPING O. H7
A6�jIJ3ry(!rofi
Other Applicants
INSPECTION RECORD
I hereby certify I amexempt from Sec. 7031.5 of the Business and Professional
Cod& Div. 3, Chap. 9, Contractor's License Law under the following section:
Owner 'Soot 7 ), Or
❑ Minor Work a 100 (sect 704 , o
Employee SO
OTHER:
APPROVALS DATE n„ INSPECTORS SIG.
FOUNDATION: LOCATION 4 .,
REINFORCED 11('
SLAB: REINF. ❑
MEMBRANE El
f
UNDERPINNING
Certification of emption ro ect380 ofihe Californa Labor CAB, Article3,
Construction Permit:
13 The permit is for One Hundred Dollars ($100) or less.
MASONRY.
eorvD BEAM ❑
'41i.
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60
❑ I certify that in the performance of the work for which the permit is issued
1. 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 rkmen's Compensation provisions of the Labor Code, the
FIREPLACE
u„
ROOF SHEATING
ROOF FRAMING
n
a
FRAMING
`applicant sh fo hwith comply .with the provisions of Sect 3700 or this permit
INSULATION
ISourvo ENERGn
shall bed me revoked.
s hereb ck wled an state t t the information have provided is correct
LATH
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both ti r n 's ce I to and agree t com with all County
Or ' ano t r u buildin r >
Date:
pylic is Ig
EXTERIOR
LATH ❑ DRYWALL ❑'��
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PLASTER
BROWN COAT
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�. Z INC REGULA ONS �'��
LEGAL
- DESCRIPTION
TR
BLOCK
LOT
FINAL BUILDING
FINAL ZONING
-
(PLEASE ATTAC METES AND BOUNDS)
:ZONE R�J�� VARIANCE NO,
REMARKS
•-n"' r-
r 9 A :£
BUILDING. SETBACK C/L ST. PROPERTY LINE
SIDE YARD, RIGHT EAVE PROJECTION
SIDE YARD, LEFT EAVE PROJECTION
'' ✓ '� -' .a'° �/ %� r
REAR YARD (TO P/L)STREET WIDTH
PARKING SPACE REQUIRED PROVIDED
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A.P. �/, ..7 'i/ DIST. No.
A 09
ZONING APPROVED III (j— DATE .J
CASHIER DATE
F0250-28.2 (R2/78)
VALIDATION
93�
98�,,�7
JAS •?Y'
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.