HomeMy WebLinkAbout2546T6A63BA CE #803 1/7 APPLICATION UILI IT°
COUNTY OF LOS ANGELES
ASSESSOR
DEPARTMENT OF COUNTY ENGINEER
MAP BOOK PAGE PARCEL
BUILDING
BUILDING AND SAFETY DIVISION
ADDRESS
LOCALITY
COLEMAN W. JENKINS, SUP'T OF BUILDING
FOR APPLICANT TO FILL IN
NEAREST
Print or t eon)
CROSS ST.
DISTRICT NO. GRC P TYPE PROCESSED BY
BUILDING
CONST,
ADDRESS
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK
CLASS No. —DWELL, UNITS BK PG
TRACT 31139
USE ZONE MAP
NO. OF BLDGS. None
NO.
SIZE OF LOT NOW ON LOT
SPECIAL
USE OF
CONDITIONS
EXISTING BLDG.
TEL- 540OWNER
E®3611
PresleDe m
BLDG. SETBACK FROM
ADDRESS 4600 Campus
FRONT PROP. LINE OF (STREET)
-Dr.-
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
t,
CITY Newport Beach California 92660
HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL,
Tou s En r. NO. 832®0860
+ _
ENGINEER
BLDG, SETBACK FROM
ADDRESS 1 291 Irvine Blvd., Tustin, C
SIDE PROP, LINE OF (STREET)
TEL.
TYPE OF 1EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR Same as Owner NO.
HIGHWAYI WIDTH FROM C.L.
ADDRESS NO ' 253099
+
LIC.
CITY CLASS-®1
CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH Same as Owner
SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
/ �_ r Y °� p w 9 l r'' l_ as ' ?.2
SO. FT. NO OF NO OF NEW n
2330 2 1
SIZE STORIES FAMILIES
USE O ❑
STRUCTURE Single Family Residents IDD
STRU
/
ALTER ❑
Plan 102 H2 REPAIR❑
��
SIGNATURE -'
APPLICANT DEMOL ❑
VALUATION $ 35,000
APPROVALS DATE INSP TO SIGNATURE
FOUNDATION: LOCATION
y��°`
FEE $ 94.80 FEE $ V I
FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
GAS VENT, DUCTS
STRUCTION, 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LATH, INT,
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S P TION INSURANCE, _
LATH, EXT,
SIGNATURE r -
;�F,
HOUSE NUMBER COR-
PERMITTEE a-�'
RECT AND POSTED
ADDRESS 92 &
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK: M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
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