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HomeMy WebLinkAbout8870COUNTYOF • 1 DEPARTMENT OF • 1: BUILDING • SAFETY DIVISION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS LOCALITY NEAREST CITY Diawnd Bar ZIP CROSS ST. NO. OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT None MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY TRACT BLOCK I LOT NO. 15 CONST. ZONE OWNER PRES= OF SO. CALIF. No. 540-0500 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS P.O. BOX 2200 CLASS NO. DWELL. UNITS BK PG CITY Newport Beach, CA. ZIP 92663 USE ZONE I MAP ARCHITECT OR TEL. NO. SPECIAL ENGINEE�Tc NO. — CONDITIONS ADDRESS 77 Brookhollow Dr. Santa Ana ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRACTOR Same as Owner NO. BLDG. SETBACK FROM LIC. FRONT PROP. LINE OF (STREET) ADDRESS NO. 289274 = TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD FRONT PROP, LINE HIGHWAY WIDTH B-1 CITY CLASS CONSTRUCTION LENDER Unknown NAME AND BRANCH BLDG. SETBACK FROM SIDE PROP. LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPEOF EXISTING SQ. FT NO OF NO OF CHECK 1 HIGHWAY + YARD = SIDE PROP. LINE HIGHWAY WIDTH SIZE •1518 STORIES 1 FAMILIES ONE DESCRIPTION OF WORK Plan 17-B NEW + sin le Family Dwelling ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Gar. - 461 sq. ft. ALTER ❑ ❑ IN OPEN SPACE YES ❑ NO ❑ REPAIR USE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. EMOL APPLICANT TEL Kenneth D. stark (PRINT) NO. --40-0500 z s,G BY (SIGNATURE) wt J e 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE f/ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES '";? AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE OF Iu/` p�) / WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF �� - FINAL BY PERMITTEE ADDRESS 4600 Campus Drive DATE ` Newport Beach, CA. 540-0500 P.C. Fee $ Permit Fee CITY No t. I Issuance Fee s VALUATION Total Fee I T i 1. CK. M.O. CASH YCKMII VALIUAIIUN CK. M.O. CASH co 8<870 , 122977 2 1 ( 8.8 4 # ©3 76A638A CE #803A 6/76