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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT, COUNTY ENGINEER
BUILDING
ADDRESS
LOT NO. BLOCK
TRACT 3ZZ39 -,Phase II
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
OWNER PresZe DeveZo ment Co: OL' 540-36ZZ
ADDRESS 4600 C us Drive
CITY New ort Beach CaZi . 92660
ARCHITECT OR rTEL' 835-444 ENGINEER 2
ADDRESS ZOZO N. Main St.,Santa Ana, CaZif.
TEL,
CONTRACTOR Scone. as Owner NO,
ADDRESS NO 253099
LIC,
rOR
CLASS _
TION LENDER
BRANCH Same as Owner
NO OF NO. OF NEW
, STORIES 2 FAMILIES
USE OFADD
STRUCTURESin Ze FcaniZy Residence
ALTER ❑
Plan 42 D-3 Car Garage REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ 37 000
P, C, PMT.
FEE $ 99 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 REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT O G THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY NY PE SON IN VIOLATION OF THE
LABOR CODE OW
OF FORNIA IN RELATING TO
WORKMEN'S COMNSUR
SIGNATURE OF
PERMITTEE
.ADDRESS 4600 Cam us mve
e or
ASSESSOR
MAP BOOK
PAGE
PARCEL
BUILDING
ADDRESS
LOCALITY
NEAREST
CROSS ST.
DISTRICT NO,
GROUP
TYPE
PROCESSED BY
CONST.
STATISTICAL CLASSIFICATION
SEWER MAP
CLASS NO.
DWELL. UNITS
BK PG
USE ZONEI
MAP
TIONS
BLDG, SETBACK FROM
FRONT PROP. LINE OF
(STREET)
TYPE OF
EXISTING
SETBACK
HIGHWAY + YARD
= TOTAL
HIGHWAYI
WIDTH
FROM C.L.
+
_
BLDG, SETBACK FROM
(STREET)
SIDE PROP. LINE OF
TYPE OF
EXISTING
SETBACK
HIGHWAY + YARD
= TOTAL
HIGHWAY
WIDTH
FROM C.L.
+
_
CORNER CUTOFF YES ❑
NO ❑
SEE REVERSE SIDE FOR SPECIAL APPROVALS
APPROVALS DATE INSPECTOR'S SIGNATURE
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
PLAN CHECK VALIDATION
i eI 1 1 12 DEC 1 9 2 3 9 9.6 0 P
PERMIT VALIDATION CK. M.O. CASH