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\ <br />x <br />\ <br />x <br />x <br />{ <br />oLb <br />PPLICATION FOR C,)BUILDING PERMIT <br />$l/t (-- <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />188(TYPEWRTTE On PnrXT l'{ tNXl <br />Prrl o <br />cctailrlxt urot <br />cooE <br />ADORESS OF PFOPOSED WORI(4l7 NO. rvrfuN 5X, 5ktIZ *1lA LANO <br />US rcH <br />CUP PMILsson's No-,'oq,v !hutc rl <br />SDM 8LK CPNLEGAL D€scnrpno?{ (arrAcH MErEg I Sod Ds} <br />LIE7,9.Q . lO Etocx lB rRAcT <br />GPA CT <br />MECH.APPUHT. SCNN. <br />YES o no(LANOSCAPTNG BE9 <br />YES tr xoX <br />IMPB. REO, <br />YES O NOO <br />Exrsr[|c'BUILoTNGS oN Lor ANo usEyru4lr FUR.N ltoPa- a)ll2/H6 <br />FEEUNIT <br />NO. <br />NATUNE OF WORX <br />NEw o aooNo rlrtnX OEMOO <br />CONV O REPAIR O MOVE tr <br />RESIDENTIAL <br />OEVELOPMENT FEE <br />$roPROPOSEO USE OF IHIS AUILOINO <br />REs o coMM !{ rNous. tr <br />DESCFIBE PROPOSEO WORK <br />,*-(Lt6t+t l qe+,tuc To ttETt, aT*(E/ rtrr6 tH ,P i2t^* I <br />OTHEH O <br />Irr, <br />OESCRISE USE BOOM UNIT <br />1 <br />-/ftuafloN---\k2a.rco\,SIZE OF BLOG. <br />too x lod <br />HEIGHT14 n.fNO. STORIv t250iER ludol un <br />\srIldgBrner <br />lorOOS sa. Fl <br />2NO FLOOR AFEA64SO so.Fl <br />GABi CABPORT AR <br />so. <br />ETOPMflW ;GsreiIF DRIVEWAY REOUIFES. REMOVAL OF TR€E, COITECT CITTI <br />REC. e PARK OEPARTUENT 63,a{t.5 <br />&,IF EXISTING WELL I9 ABANOONED OR OESTROYEO, CONTACT <br />ORANGE COUNTY HEALTH OEPARTMENT f7&555I <br />AL BYPUBLIC WORKS A <br />TE <br />I <br />OWNER <br />llGToN But LotN6 &{rrp€*;Su,l? <br />PHONE65t-oqal APPROV o <br />FOR !UILOI}'G DEPARTIEX' USE <br />\---AODRESS <br />5l'Zo btPt-,*+ aT. .l.9l't4T W+ <br />I B-L ItrI. 5 P12.^.,,<. <br />PHONE <br />€C <br />ADOBES9 <br />I l,tL <br />R <br />oE <br />,,"",,, s24@PLANS oRAwit BY .c- 'o/' / 64' W, <br />RoLLY Put+tu Pd.Pc. <br />PHONE6rl-ot{rt .t!---/ <br />3/lg I (5t2.O btqc,u '-'T., New?ogr WeHADORESS <br />-3 40. <br />tc <br />52{qo <br />IH <br />z, <br />3o <br />I HEREBY ACKNOWLEDGE THAT I HAVE FEAO THIS APPLI. <br />CATION ANO STATE THAT THE ABOVE INFORMATION ANO <br />THE PLOT PLAN ARE CORRECT ANO AGREE TO COMPLY <br />WITH ALL ONOINANCES ANO STATE LAWS REGULATING <br />BUILOING CONSTBUCTION AND I SHALL NOT EMPLOY ANY <br />PERSON IN VIOLATION OF THE WORKMAN'S COMPENSA. <br />TION LAWS OF THE STATE <br />OF CALIFORNIA.I HEREBY CEFTIFY THAT IAM PROPERLY LICENSEO <br />AS A CONTRACTOR UNOER <br />THE STATE OF CALIFORNIA <br />BUSINESS ANO PROFES- <br />stoNs cooE, orvtsroN 3, <br />CHAPTER 9 ANO SECTION <br />IIO. 5I'I3, SANTA ANA MU. <br />I HEREBY CERTIFY THAT IAM EXEMPT FROM THE <br />PROVISIONS OF THE STATE <br />OF CALIFOBNIA BUSINESS <br />AND PROFESSIONS COOE, <br />DIVISION 3, CHAPTER 9. ON <br />THE BASIS OF SECTION <br />70ail A <br />,oaa I <br />45-t q'r <br />vJlc/ C{ <br />IN Ic P L Eo N o TTcocSUHLINEEssREN <br />FULL FOR AND <br />t 7 t^^B.I' <br />l-3o-a t I \zqqbq^81 <br />REy B-79-516-017 <br />I <br />'t,) <br />SINGLE FAMILY RES. <br />\rlr rE|{Irl I3mo <br />^toP.o.o.ro4, <br />"97*F) ff <br />( <br />CONSTRUCTION LENOER'S NAME ANO ADORESS <br />APPLrcAIT FILL II' AREA EELOW A O OX REVENSE SIOE