HomeMy WebLinkAboutNo Permit Number (1672)momAgm-NA
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DTVTgTC)N
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITY Z')
Diamond Bar
NEAREST
CITY ZIP
CROSS ST.
ASSESSOR
NO,OF BLDGS,
SIZE OF LOT NOW ON LOT NONE
MAP BOOK IPAGE
IPARCEL
DISTRICT
GROUP
TYPE
FIRE
PROC SSED BY
TRAC-31151
IBLOCK
LOT No. 8
CONST,
ZONE
Presley of S. Cal ifTE 540-3611
STATISTICAL CLASSIFICATION
SEWER MAP
OWNER NO.
-
ADDRESS P.O. Box 2200
CLASS NO. DWELL, UNITS -_LL/
BK PG
CITY Newport Beach, Ca. zip 92336
USE ZONE MAP
NO.
SPECIAL
elT
ARCHITECT ames 'J E -979-0451
Yea�ge
,.T
E"04"Ilmm ,NO.L
CONDITIONS
ADDRESS 17915 Skypark Blvd.
ROAD DEPARTMENT APPROVAL REQUIRED YES n NOE]
EL.
CONTRACTOR Same a$ owner N 0.
BLDG. SETBACK FROM
LIC.
FRONT PROP. LINE OF
(STREET)
ADDRESS NO,
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
CITY LIC.
B-1
FRONT PROP, LINE
HIGHWAY :j WIDTH
CLASS
CONSTRUCTION LENDER
+
NAME AND BRANCH
BLDG. SETBACK FROM
ADDRESS CITY
SIDE PROP. LINE OF
(STREET)
NO.
SQ. FT, OF NO, OF CHECK
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
XWIDTHI S
SIZE ,11-24-4T FAMILIES ONE
2 1
SIDE PROP. LINE
HIGHWAY
-I Jr
sq.ft. NEW E@
+
DESCRIPTION OF W01KCar.K2
Single Family Dwelling ADD ❑
CORNER CUTOFF YES ❑
NOE]
PLAN 92�A (3 car) C'U.,r--', T4T ALTER ❑
IN OPEN SPACE YES ❑
NO ❑
REPAIR ❑
USE OF
❑
IN COASTAL PERMIT ZONE YES ❑
No ❑
EXISTING BLDG. DEMOL
APPLICANT TEL
(PRINT) NO. 04
BY (SIGNATURE)
1 HEREBY ACK14`60A�-LED;E THAT I HAVE MEAD THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I C ERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE S OF CALIFORNIA IN , LATING TO
"E
WORKMEN'S COMPENS 'S AN, .
SIGNATURE IF
"�T
FINAL BY
PERMITTEE...w
DATE
ADDRESS 46nn'Cam*— Drive
Beach, Ca. TEL. 540-361
P.C. Fee$
Permit Fee
CITYNewport
NO.
Issuance Fee
VALUATION $
J-)
I Total Fee
PLAN CHECK VALIDATION
CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
76A638A CE*803B 12/75