HomeMy Public PortalAbout9020 RANCHO REAL RD_Building_7/3/1975_carports APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING BUILDING
._
ADDRESS ADDRESS �Gy (2a 1261
CITY ` ZIP
LOCALITY
NO.OF BLDGS. �,o ' NEAREST
SIZE OF LOT NOW ON LOT ��v
/ CROSS ST.
,
TRACT3Z �� BLOCK LOT NO. J ASSESSOR
1 MAP BOOK PAGE PARCEL
E FIRE
OWNER L(.�.• �// ��N-� � DISTRICT GROUP CONST. ZONE ESSE Y
ADDRESS �" �l�YJ G71 &7/ �a
STATISTICAL CLASSIFICATIONjj ' SEWER M P
CITY eJyj �� ZIP CLASS NO. 12- BKPG
ARCHITECT /� TEL /
E-NGI.NE.ER ` i NO. -�- USE ZONE NOP V /
ADDRESS �3z-� QS Dr e.-e*� r SPECIAL
TEOL.j�`Z O/ CONDITIONS
CONTRACTOR r Eaa O
ROAD DEPARTMENT APPROVAL REQUIRED YES _] NO❑
LIC.
ADDRESS 2�--' NO. 4?0 BLDG.SETBACK FRO
CITY
LIC. FRONT PROP.LINED (STREET)
CLASS TOTAL SETBACK FROM TYPE OF I EXISTING
CONSTRUCT) N LENDER HIGHWAY + YARD = FRONT PROP. LINE HIGHWAY WIDTH
NAME AND BRANCH JJ
ADDRESS,-
e.t, CITY •File r +
SQ. FDr�o 1 NO. OF NO. OF CHECKJE
BL SETBACK FROM C)
SIZE 33 (i STORIES FAMILIES ONE E PROP.LINEOF (STREET) v
f _ TOTAL SETBACK FROM TYPE OF EXISTING CD
DESCRIPTION OF W K NEWHIGHWAif � + YARD
SIDE PROP. LINE HIGHWAY WIDTH C 1
ADD + _ aLTER Z_
EPAIR❑, CORNER CUTOFF YES ❑ NO .❑
'
USE.OF
EXISTING BLDG. DEMOL ❑, IN OREN.SPACE YES-0 NO ❑.
AP PRINT)PLICANT f Cl RCY, NOL 6 / IN COASTAL ZONE YES ❑ NO ❑
• CATEGORICAL EXEMPTION YES❑ NO ❑
BY (SIGNATURE) ENVIRONMENTAL ,
4 IMPACT EXEMPTION DECLARATION SIGNED (DATE)-
VALUATION•Y ./p vr® IMPACT REPORT PROCESSED (DATE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED ^�
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOL ION OF THE /
LABOR CODE OF THE STATE OF CALIFORNI IN ELATING TO
WORKMEN'S COMPENSATIO E. � ✓^
SIGNATURE OF FINAL g7f BY /
PERMITTEE - DATE
ADDRESS P. PMT.
Q� yq`Ly� FEE JJ �{/�-�/}, FEE
CITY �. fir/ NOL�(!(O�•O!O / G��� U
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, {�M.�O. CASH
-asInl'"z3— u
—�-�x�l . .,1 V v.v•V*
0:3 .. .
76AB38B CE#803A 5/73 I ����� 0 16 8.0 ona�w,