HomeMy WebLinkAbout254876A638A CE #803 1/7APPLICATION
LI TI FOR
BU I I PERMIT
COUNTY OF LOS ANGELES
ASSESSOR
DEPARTMENT OF COUNTY ENGINEER
MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION
BU
ADILDING
DRESS
COLEMAN W. JENKINS, SUP'T OF BUILDING
LOCALITY
wmBBSBm
FOR APPLICANT TO FILL IN
NEAREST
Print or t e onl
CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
DING
fAO
�r i CONST,
RESS
STATISTICAL CLASSIFICATION SEWER MAP
NO, BLOCK
CLASS NO. -DWELL. UNITS BK PG
TRACT 31139
USE ZONE MAP
NO. OF BLOGS.
None
NO.
SIZE OF LOT NOW ON LOT
SPECIAL
USE OF
CONDITIONS
EXISTING BLDG.
OWNER PresleyDev. Co. NO. 540-3611
BLDG. SETBACK FROM
ADDRESS 4600 Campus Dr.
FRONT PROP. LINE OF
-(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
Newport Beach, California 92660
HIGHWAY WIDTH FROM C.L.
CITY
ARCHITECT OR TEL.
Toups En r. NO. 832-0860
+ _
ENGINEER
BLDG, SETBACK FROM
ADDRESS
SIDE PROP. LINEOF (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 B®1'
CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER Same as Owner
NAME AND BRANCH
SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. NO OF NO. OF NEW �ti
SIZE 2330 STORIES 2 FAMILIES 1USE
A
STRUO TURE Single Family Resident aiD ❑
ALTER ❑
Plan 102 G2 REPAIR❑
SIGNATURE
APPLICANT' I DEMOL ❑
VALUATION $ 35,000
N. PECTO S SIGNATURE
APPROVA DATE i s J-
P.C. PMT.
FEE $ 94. 80 FEE $ J 7 } 0
FOUNDATION: LOCATION -'
FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I 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
STRUC TION. I 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 COMPENSATION INSURANCE.
LATH, EXT,
SIGNATURE O q _
"'
HOUSE NUMBER COR-
PERMITTEE �W $
RECTA D POSTED
ADDRESS P
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _
PERMIT VALIDATION CK. MO. CASH
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