HomeMy Public PortalAbout5325 ZADELL AVE_Building_1/8/1975_ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
ABUILDING DDRESS .� .r ,� ��
OWNER t NO. CROSS ST.
ADDRESS DD !°'(''-n SMAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY �.~ t ZIP 91 -7 ]ROAD
/ CONST. ZONE
ARCHITECT OR TEL. No g� . r =
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWELL,UNITS BK PG
CONTRACTOR NOL' USE Z NE MAP ss]] N
LIC. r O.
ADDRESS NO. SPECIAL
LIC. 0 CONDITIONS
CITY CLASS
DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD 'TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. -. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES •ONE
t -
DESCRIPTION OF WORK �/ NEW ❑ CD
BLDG.SETBACK FROM u
S% J ADD j-� SIDE PROP.L.INEOF (STREET)
LTERLJ HIGHWAY + YARD = TOTAL S ACK FROM TYPE OF EXISTING V
REPAIR❑ SIDE PRO LINE HIGHWAY WIDTH W
_ a
USE OF
EXISTING BLDG. QVro DEMOL ❑ + z
AP PRICANTr TEN01. •CORNER CUTOFF YES ElN
BY (SIGNATOR
IN OPEN SPACE YES ❑ NO ❑
�9 IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION:$ ..7
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY ERSOW IN VIOLATION OF THE I
LABOR CODE OF THE ST LIF NIA IN RELATING TO
WORKMEN'S COM N T I 5 ANC
SIGNATURE O
PERMITT=w
ADDRESS ��'S i
FINAL BY�/}J� �y
CITY NO.
E ,yr c] ,�"� /�I
STAKE CHECKS PA)'A ISLE TO: FEE'$ f+ /FEE✓✓��$/'��YY
HARVEY T. BRANDY, COUNTY ENGINEER
I
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
3 6 2 V"JAN S 1 U 6°0 0 h,'�b
76A65eA CS#609 5/74