HomeMy WebLinkAbout211676A638A CE 4803 4/72
I
APPLICATION FOBUILDING
I
COUNTY OF LOS ANGELES
ASSESSOR
DEPARTMENT OF COUNTY ENGINEER
MAP BOOK PAGE
BUILDING AND SAFETY DIVISION
BUILDING
MAKE CHECKS PAYABLE TO.,ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
Immmimmmomm
FOR APPLICANT TO FILL IN
NEAREST
Print or t e onl
CROSS ST.
DISTRICT NO,
GROUP
TYPE
BUILDING
ADDRESS
LOT NO. BLOCK
TRACT 3ZZ39 - Phase II
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT None
USE OF
EXISTING BLDG,
TEL.
OWNER PresZel Dye opment Co No• 540-36;
ADDRESS 4600 Campus Drive
CITY Newport Beach, CaZif. 92660
ARCHITECT OR TEL,
ENGINEER Toups Engineering No. 835-44,
ADDRESS Z010 N. Main St. , Santa Ana, CaZ2_j
TEL.
CONTRACTOR Same as Owner NO.
LICNO. 253099
ADDRESS NO.
LIC.
CITY CLASS B—Z
CONSTRUCTION LENDER Same as Owner
NAME AND BRANCH
ADDRESS
NO.OF NO
SIZE T 2268 STORIES 2 FAMIOLFIES Z NEW
USE OF �yyy '/ ADD
STRUCTURE Sin Ze .Fconil Residence ALTER
Plan 42 C-2 Car Garage REPAIR
SIGNATURE OF `
APPLICANT DEMOL
VALUATION $ 37, 000
P,C. PMT,
FEE $ 99. 60 FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS EGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT I OIR THE WORK AUTHORIZED
HEREBY I WILL NO PLO PER ON IN VIOLATION OF THE
LABOR CODE OF T TE F -CA ORNIA IN RELATING TO
WORKMEN'S COMP S I
SIGNATURE OF
PERMITTEE
ADDRESS 4 00 C us Drive
PLAN CHECK VALIDATION CK) M.O. CASH -
Xo
PARCEL
D BY
CONST,
STATISTICAL CLASSIFICATION SEWER MAP
CLASS NO. DWELL, UNITS BK PG
USE ZONEI MAP
DITIONS
BLDG, SETBACK FROM
FRONT PROP, LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
+ _
BLDG, SETBACK FROM
SIDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGHWAY +
HIGHWAY WIDTH FROM C.L.
CORNER CUTOFF YES ❑
SEE REVERSE SIDE F'y�`k JI EC14'.
(STREET)
YARD = TOTALS..--
'
=
Cm3 i
1�
N ❑
r
k$P OVALS
APPROVALS DATE INSPECTORS SIGNATUR
FOUNDATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS,
BRACING, BOLTS
FURNACE: LOCATION,
GAS VENT, DUCTS
LATH, INT.
LATH, EXT,
HOUSE NUMBER COR-
RECT AND POSTED
FINAL
PERMIT VALIDATION CK. M.O. CASH