HomeMy WebLinkAbout8875BUILDING
: APPLICATION DEPARTMENT OF COUNTY e
FOR APPLICANT TO FILL IN
ADDRESS
BUILDING
ADDRESS
LOCALITY
CITY Diamond Bar ZIP
NEAREST
CROSS ST.
NO. OF BLDGS.
ASSESSOR
SIZE OF LOT NOW ON LOT None
MAP BOOK
PAGE
I PARCEL
TRACT 31152-A BLOCK LOT NO. 40
DISTRICT GROUP
TYPE FIRE
CONST. ZONEL.
PROCESSED BY
OWNERPRESLEY OF SO. CALIF. No.540-0500
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS P.O. BOX 2200
CLASS NO.
DWELL. UNITS
BK PG
CITY Nev port Beach, CA. ZIP 92663
USE ZONE MAP
NO.
ARCHITECI OR TEL.
EN GINEE�rChiteCtural ConcernNO.979-0451
SPECIAL
CONDITIONS
ADDRESS77 Brookhollow Dr., Santa Ana CA.
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
TEL.
CONTRACTOR Same as Owner NO.
BLDG, SETBACK FROM
LIC.
FRONT PROP. LINE OF
(STREET)
ADDRESS NO. 289274
TOTAL SETBACK FROM
TYPE OF EXISTING
LIC.
HIGHWAY + YARD -
FRONT PROP. LINE
HIGHWAY WIDTH
CITY CLASS B-1
CONSTRUCTION LENDER
Unknown
_
+
NAME AND BRANCH
BLDG. SETBACK FROM
SIDE PROP, LINE OF
(STREET)
ADDRESS CITY
SQ. FT. NO OF NO OF CHECK
1351 2 l
HIGHWAY + YARD =
TOTAL SETBACK FROM
SIDE PROP. LINE
TYPE OF EXISTING
HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK Plan 96-C NEW
+
Sin le Family Dwelling ADD ❑
CORNER CUTOFF
YES ❑
NO ❑
❑
Gar. - -SOH S ALTER ft.
❑
IN OPEN SPACE
YES ❑
NO ❑
REPAIR
❑
IN COASTAL PERMIT ZONE
YES ❑
NO ❑
EUSE
X STOING BLDG. DEMOL
APPLICANT TEL
(PRINT) Kenneth D. Swk ENO. 540-0500
a
r
a
BY (SIGNATURE)'S "
I HEREBY ACKNO LEDGE THAT I HAVE READ THIS APPLICATION AND STATE
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THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS G IN DOING
I DIN
NOTEMPLOYANY PERSONTRUCTION. I CERTIFYFAT IN V OLATIONTHE OF
WORK UTHORIZEDTING HEREBY)
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATIONINSURANCE.
SIGNATURE OF
FINAL
BY
PERMITTEE
ADDRESS O Campus Drive
DATE
�a
TEL
P.C. Fee $
Permit Fee
CITY Newport Beach, Q. NO. -
Issuance Fee
jr, 7
VALUATION $,Ai,
Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH
cgs ' ��' E "ep�`�987? 2 3 15 6.8 0#
PERMIT VALIDATION CK. M.O. CASH
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