HomeMy WebLinkAbout1344A (7) I �s �a�a3e� • '
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS �O�J E. C 11" 111 S rro Rd.
BUILDING
ADDRESS 21077 .E. Chir in S arrow� Rd. �ocA��rY Diamond Bar
NEARESi �� ----
CITY ZIP CRO55 ST.
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEI
DISiRICT GROUP TYPE fIRE PROGESSEDBY
1RACT BLOCK LOT NO. CONST. ZONE l/
OWNER Di amond Ri d e No.953-0932 - �``�`"`�`"
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASSNO. 2� DWELL.UNITS BK PG
c�rv Santa Ana z�P 1765
ARCHITECTOR TEL. VAIUAiION $ 350.00
ENGINEER NO.
ADDRESS BLDC�.SET6ACK FROM
' TEL. FRONTPROP.LINEOF � lSTREETI
CONTRACTOR D i amond Ri d e No.953-0932 HIGHWAY YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS ZOO N. Tustin N0.3Z3E^FO FRONTPROP.LINE. HIGHWAY WIDTN
UC. + -
GiY t1A55
CONSTRUCTION LENDER BIDG.SETBACK FROM
NAME AND BRANCH H RI2 Fed. S H! L' SiDE PROP.LINE OF iSTREETI
HIGHWAY + YARD = TOTA�SETBACK FROM TYPE O EXISTING 1
ADDRE55 P•O. BOX 9HH CITY Santa Ana SIDE PROP.LINE HIGHWAY WIDTH �
S(].FT. NO.OF NO.OF CHECK t . U
S�ZE STORIES FAMIUES ONE [�
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OESCRIPTION OF WORK NEW � P.C.Fee$ Permit Fee �
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ADD a Issuonce Fee � �V Z
AITER
REPAIR ❑ iotol Fee , � r
USEOF DEMOI ❑ z
EXISTING BIDG.
APPLICANT TEL � . 0
IPRINTI NO. "'
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BY ISIGNATUREI � - � �
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I HEREBV ACKNOWLEDGE iHAT I HAVE READ THIS APPUUTION AND STATE - ' Yu ' - -
THAT 7HE ABOVE IS CORRKT AND AGREE TO COMMV WiTH ALL ORDINANCFS W .
AND LAWS REGULATING BVILDING CONSTRUCTION.I CERTIFY TMAi IN DOING THE 2
WORK AVTHORIZED HEREBY 1 Wttl NOT EMPLOY ANY PERSON IN VIOIATION OF V
THE LABOR CODE OF THE$TATE Of ULIFORNIA IN RELATING TO WORKMEN"5 COM� _
PENSATION INSU f. � � 1 3 4.4 A
SIGNATUREO a.. ' ' '
PERMITTEE � �:. . . • •��
ADDRESS 2 N. U Z �
ZO ��• • 1 ���
Santa Ana TE��953-0932 '
urv No. a • • • 1 �a 0 0�
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