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COUNTYOF LOS
DEPARTMENT OF •
BUILDING t SAFETY DIVISION
FOR APPLICANT TO FILL IN
aM
BUILDING
ADDRESS
LO
CITY Diamnd Bar ZIP
N
CNO.
OF BLDGS.
ASIZE
OF LOT NOW ON LOT None
M
PAGE
PARCEL
TRACT 31152-A I BLOCK LOT NO. 41
TYPE FIRE
DISTRICT GROUP CONST. ZONE
PROCESSED BY
OWNER PRE= OF SO. CALIF. No: 540-0500
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS P.Q. BOX 2200
CLASS NO. DWELL. UNITS
BK PG
CITY Newport Beach, CA. ZIP 92663
USE ZONE MAP
ARCENGIHITECT OR TEL. NEEIArchltectUral ConcernN0.979-0451
NO.
SPECIAL
CONDITIONS
ADDRESS 77 Brookhollow Dr. , Santa Ana,
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
TEL.
CONTRACTOR Same as Owner NO.
BLDG. SETBACK FROM
LIC.
FRONT PROP. LINE OF
(STREET)
ADDRESS No.289274
HIGHWAY + YARD = TOTAL SETBACK FROM
TYPEOF EXISTING
LIC.
FRONT PROP. LINE
HIGHWAY WIDTH
CITY CLASS B-�
CONSTRUCTION LENDER
Unknown
+
NAME AND BRANCH
BLDG. SETBACK FROM
SIDE PROP. LINE OF
(STREET)
ADDRESS CITY
SQ. FT NO OF NO OF CHECK
1 1
HIGHWAY + YARD = TOTAL SETBACK FROM
SIDE PROP. LINE
TYPE OF EXISTING
HIGHWAY WIDTH
SIZE 1270 STORIES FAMILIES ONE
DESCRIPTION OF WORK Plan 99-B NEW
+
Single Family Dwelling ADD ❑
CORNER CUTOFF YES ❑
NO ❑
Gar. - 451 SCE. ft. ALTER ❑
IN OPEN SPACE YES/❑
NO ❑
REPAIR ❑
USE OF
❑
IN COASTAL PERMIT ZONE � ❑
NO ❑
EXISTING BLDG. DEMOL
APPLICANT
Kenneth D. S k TEL 540-0500
(PRINT)
r
BY (SIGNATURE(
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
CONSTRUCTION. I CERTIFY THAT IN DOING THE
AND LAWS REGULATING BUILDING
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM.
PENSATION INSURANCE. .....
, t.
SIGNATURE OF � �� �"�-�. � :-'^'`
FINAL BY
PERMITTEE
DATE
ADDRESS aWUS DfiVe
%
Permit
0
TEL
Newport Beach, CA. 540-0500
P.C. Fee $
Fee
e,
CITY No:
Issuance Fee
VALUATION $ — -e> '
F
.,
Total Fee
t
PLAN CHECK VALIDATION
mg 8879 12?977 2 3
ns 76A638A CE #803A 6/76
CK. M.O. CASH
14 8.8 0 #
PtKMII VALIL%AIIUN CK. M.O. CASH