HomeMy WebLinkAbout1577COUNTYDEPARTMENT OF
COUNTY OF LOS ANGELES
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
ADIDRESS
BUILDING
ADDRESS
LOCALITY
NEAREST
CITY Diamond Bar ZIP
CROSS ST.
NO. OF BLDGS.
ASSESSOR
SIZE OF LOT NOW ON LOT None
MAP BOOK
PAGE
PARCEL
I A0
DISTRICT GROUP
TYPE FIRE
PROCESSED BY
TRACT 31152-A BLOCK LOT NO.
CONST. ZONE
OWNER PRESLEY Off' SO. CALIF. No. 540-0500
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS P.O. BOX 2200
CLASS NO.
DWELL. UNITS
BK PG
CITY Newport Beach CA. ZIP 92663
USE ZONE MAP
ARCHITECT OR TEL.
ENGINEER Architectural Concern. 979-045
SPECIAL
CONDITIONS
ADDRESS 77 Brookhollow Dr. s Santa Ana. r CP
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
TEL.
CONTRACTOR Same as Owner NO.
BLDG. SETBACK FROM
LIC.
FRONT PROP. LINE OF
-ISTREET)
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
1343 2
HIGHWAY + YARD =
TOTAL SETBACK FROM
SIDE PROP. LINE
TYPE A EXISTING
HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK Plan 96-C NEW
+
Single Famil elling ADD ❑
CORNER CUTOFF
YES ❑
NO ❑
Gar. - 530 S . ft. ALTER ❑IN
❑
OPEN SPACE
YES ❑
NO ❑
REPAIR
REPAIR
USE OF ❑
IN COASTAL PERMIT ZONE
YES ❑
NOEXI❑
BLDG.
APPT TEL
(PRINT) eth D. S a NO 540-0500
1'
`t
BY ISIG A
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 CONSTRUCTION. I CERTIFY THAT IN DOING THE
"
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STA OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
A
I h
PENSATION
r`
FINAL I `
1
BY
DATE,
600 us Drive
TEL
Fee
Permit Fee
port Beach, CA. 540-0500
P.C. $
NO
Issuance Fee
.' x
Total Fee
aq
[211W94CM61i4L%141byA110]\I
1577 142478 23
CK. M.O. CASH
168.80#
FLRMII VALIVAI1UN CK. M.O. CASH
ii
'P S 76A638A CE Y803A 6/76