HomeMy WebLinkAboutNo Permit Number (1675)APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BU I LO IN G3
* U I LO I NG SS
ADDRESS
* 0
LOCALITY
7DRE
CITYpiamc)pd Bar ZIP
NEAREST
CROSS ST.
ASSESSOR
NO. OF BLDGS.
NONE
SIZE OF LOT NOW ON LOT
MAP BOOK 1PAGE
1PARCEL
DISTRICT
UP
GROUP
TYPE
IC
FIRE
PROCESSED B
T C
RA
IBLOCK
I LOT NO. 50
,
_7_
DNS T,
I
.N E
:2�
OWNER Presley of So. Not40-3611
CalifE
STATISTICAL CLASSIFICATION
SEWER MAP
P*O. Box 2200
ADDRESS
CLASS NO_L_1�2 OWELL, LIN ITS-Z"I�
BK PG
CITYNewport Beach, Ca. zip 9
USE ZONE MAP
SPECIAL
ARCHITECT aq,�r T E L
ijmes J . yq� NO.
D TIONS
ADOREss17915 '�ky_p_ark Blvd'.
ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO ❑
EL.
CONTRACTOR Same as owner T0.
BLDG. SETBACK FROM
LIC,
FRONT PROP, LINE OF
(STREET)
ADDRESS NO.289274
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
CITY LIC. B-T
CLASS
FRONT PROP. LINE
HIGHWAY � WIDTH
CONSTRUCTION LENDER
+
NAME AND BRANCH
BLDG, SETBACK FROM
ADDRESS CITY
SIDE PROP. LINE OF
(STREET)
SQ. FT NO OF NO OF CHECK
1 1
TYPE OF EXISTING
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE
STORIES
FAMILIESSIZE 2016
FAMILIES 1 ONE
SIDE PROP. LINE
HIGHWAY WIDTH
Gar. 437 sq.ftNEW
+
DESCRIPTION OF WORK
Single Family Dwelling ADD
CORNER CUTOFF YES ❑
NO ❑
I
ALTER 0
P1 qn 33-1—ER 61",r"L
RE PA I R F1
IN OPEN SPACE YES ❑
NO E:]
USE OF
❑
IN COASTAL PERMIT ZONE YES ❑
NO
EXISTING BLDG, DEMOL
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE)`
I HEREBY ACKeOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS 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 PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFO F
IA IN ReLATING TO
WORKMEN'S COMPENSA N = sURAN
SIGNATURE OF -7
FINAL BY
PERMITTEE-
DATE
ADDRESS-1600 Campus Dr`live
Newport Beach, Ca. TEL.540-3611
P.C. Fee $ Permit Fee
1f
CITY NO.
Issuance Fee
(I
VALUATION $ �SO ""
oo I -
,
—;��
/
m�
�
� G S� o Total Fee
", i_j
PLAN CHECK VALIDATION CK. M.O. CASH
PERMIT VALIDATION CK.
M.O. CASH
76A638A CE#803B 12/75
