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HomeMy WebLinkAboutN/A (1206)BUILDING PERMIT., APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 1 FOR APPLICANT TO FILL IN ADDRRESS BUILDING ADDRESS LOCALITY Diamond Bar 91765 NEAREST CROSS ST. CITY ZIP NO. OF BLDGS. SIZE OF LOT NOW ON LOT none ASSESSOR MAP BOOK PAGE PARCEL DISTRICT GROUP YPE FIRE PROCESSED BY TRACT BLOCK LOT NO. [CONST. ZONE TEL. OWNEICITATIO HOME STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 177.11 Trvine Blvd I Suite CLASS NO. DWELL. UNITS BK PG CITY Tustin, CA ZIP 92680 USE ZONE MAP NO. ARCHIT CT OR TEL Gonzales Assoc NO 532 6878 SPECIAL ENGINf�Erank CONDITIONS ADDRE S ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ T . CONTRISITT T O BLDG. SETBACK FROM (STREET) LIC FRONT PROP. LINE OF ADDRE S HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGLIC. FRONT PROP. LINE HIG AY " WIDTH CITY Tustin CA 92680 CLASS B CONSTRUCTION LENDER + _ NAME AND BRANCH noneBLDG. SETBACK FROM Y SIDE PROP. LINE OF (STREET) ADDRESS CITY TOTAL SETBACK F OM TYPEOF EXISTING SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = SIDE PROP. -ONE HI HWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK PI AN.10JR NEW CUTOFF S❑ G 395 S F ADD CORNER f �FN J ALTER ❑ ❑ IN OPEN SPACE 4 YES NO ❑ REPAIR USE OF ❑ IN COASTAL FERMI ZO I YES d NO ❑ EXISTING BLDG. DEMOL APPLICAN PRNTbITATION BUILDERS 711.731 0141 BY(SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 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 STATE OF CALIFORNIA IN RELAFING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE OF FINAL BY PERMIT1TEE DATE ADDRF17 Tustin, Calif 92680 7�4 731 0141 CITY P.c. Fee $ Permit Fee Issuance Fee VALUATION $ 30,100 $ 148 80 Total . Fee PLAN CHECK VALIUAI[UN CK. M.O. CASH !i ©S �76A638A CE #803A 6/76