Loading...
HomeMy WebLinkAbout0 i �� �APPLICATION FOR • �'� � - ., ..,__..... � , ��3�3ILDING PERMIT FOR APPLICANT TO FILL IN aooaess �ll` � -C.c 1�Lsc�r.CJ .G_t.�� BUIL�ING � " aooRess ds�f JjJ, f✓ /1��-- iocl,urv .�-.-.<.+�-r..�-V �. NEAREST /J CITY ' � ZIP CROSSST. iC-� -P. SIZEOFLOT 7 a NOW ONLL�OTS � MAP BOOK �!� PAGE PARCEL � �7 DiSTRICT � GROUP TYPE FIRE PR ESSED 8Y TRAQ ' BLOIX lOTNO. I�J . CONST.��`% / ,,1 7E1.. . �� �� f' ..�e.'-<-"�" OWNER � I G �� L�(�/f NO. STATISTICAI CLA551�FIC�A/TION SEW ER MAP ADDRE55 QASSNO..�DWELI..UNITS BK PG CITY ZIP U�SEL'ZONE NOP lI�'�.��-%�� ARGHITECTpR ,/� TE�� "� SPKIAL - ENGINEER rT/✓ L - NO. ��CO CONDITIONS AD�RE55 ' ROALI�EPARTMENT APPROVAL REflUIRED YES� NO� TE�. CONTRACTOR . ��/ GO NO. � Jf� BlDG.5ET8AIXPROM � � � -LIC. fRONTPROP.LINEOf ISTREEiI ADDRES$�-� �(�� G� N�' Z' HIGHW + YARD = TOTALSEiBACKFROM TYPEOF EXISTING CITY /�s/I/LLf/Q� ���5 I � FRONiPROP.IINE HIGHWAV WIDTM � CONSTRUCTION lENOER � � + a NAME ANO BRP.NCH ' � BLDG.SE?BACK FROM . � �V ADDRESS CITY SIOEPROP.LINEOF� ;STREETI p 54.FT. NO.Of NO.OF CHECK HIGHWAY� + YARD = TOTALSETBAC TYPEOF EXISTING SIZE STDRIES FAMILIES ONE SIDEPkOP.LINE HWAY WID1H � + = Z DESCRIPTION OF WORK NEW - � ��^ ��'�V - ADD � CORNERCUTOFF � YES � NO � . . � � AUER ❑ IN OPEN SPACE . � YES ❑ NO ❑ � USE OF REPAIR � IN COASTAL PERMIT ZONE . YES ❑ NO ❑ EXISTINGBLDG,.S/ U� ��/1�/.L OEMOI . APPPRNN?�j ' �L�L/d� ND.�� J��f/ � � . . � f BY iSIGNAiUREI (� ~ . , �-I MEREBY ACKNOWLEDGE THAT I HAVE REAO 1'H�5 APPIICATION AND STATE � THAT THE ABOVE IS COkRECi AND.AGREE TO COMPLY WITH ALL OROINANCES . . AN�lAWS REGULATING BUILDING WNSiRUCiION.I CERTIFV TMAi IN DOING iHE WORK AUTHORIZED MEREBY I WILI NOi EMPLOY ANY PEFSON IN VIOLATION OF THElA60RCODEOFTHESTATEOFCALIFOkNIAINRftATING70lMDRKMEN'SCAM� . , PENSATION INSURANCE. � f ' - � SIGNATUREOF FINAI ' 8Y PERMITTEE � ^^' DATE � - AD�RE55 � 'G '� CITV� � � NO. k'i fD,{�� P.C.Fee$ Permit Fee . C� - � Issuance Fee 7� � VALUAiION� OD �� � �/ �a? / + Toral Fee �-��� � ` PLAN CHECK VALIDATION cK M.o. �„sH PERMIT YALIDA110N CK. M.O. GASH r, I �t �QA8399 CE dl03B 6/l6 ' "' "� '� � � � _ _ _ _____ -- - Pi..aa:si0aaauCan�i INS,`�[CTOR'SRfOTES ' , a,�>,.,:.�.�.�..... . .� _ .---..�,�.w.,...,�,.,,.�,.�m....9,.,��: TO: . RE7URMED . . . ' ' . . AP4'ROVED NO - OATE NO. DF,TE - � . � � . � _`_�'_ '_'� __''_—`_—_`___ / r s I�'�_�_ . . . p . � . . ' . . I ^..P�-A LL . . . . I - � � , � f ` ��REGJ�RE�� DATERECEIVED���� �� APPRO4AL5 yE5 N� ORAPPROVED - .'--�^ rt . _._7y�.L�� ���� - � WATERCERTIFICATE y — - "�- --���--��� �6 /' HEAt7HDEPARTMENT . . �" �� r �P FIREDEPARTMENT � ��` `� ..CiRROITK . . .' . . ... . . . , . GFOLOOICAL .. . . PE�fSTRiAN PROTECTION . IFENCEI ICANOPYI ._ . . . . .. SPECUkIl0.50ERION '� - -� � . ICOIJC.IIMASWRV.IIWEL�G,i , � � lOT ORAINA6E . , � � - PARKING � � � .. . . - I � . � . .. . .. . � � . , _,�..:.�.v ...... . . . . . �� -�kPPR0VAt5�� - DA7E d�:SPECTOR�S SIGNATU3E . . .� . . . . � . . . �� . � WGAiIPN — -- --------- . . �SEfBACK&YARDSi � � ' FOUNDATIONS . . . .... . � .. . . fRAME IATH/DRYWALL - ' � WFERIOR LATH�EXTEFIOR , � . � HOUSE NUMB[R- . —' CORC�CT�POSTE9 � . . FlNM. . . . . . ENTEIFON fQ0a05 ' I