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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES � BUILDING AND SAFETY
FORAPPLICANTTO FILL IN ADD�RE55 21215 E. Chir 1t1 S arrow Rd.
BUILDING
ADDRE55 LOG4lITY
CITY Diamond Bar z�P 91765 c"aE°'osssT.
NO.OF BLDGS. ASSESSOR
SIZE Of l0T NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICi GROUP TYPE PIRE PROCESSE�BY
TP.ACT BLOCK LOT NO. J CONST. ZONE
�E`. 10 -3 et. wall IV -�
OWNER NO.
. STAi15TICAL CLASSIFiCATION SEW ER MAP
ADDRE55 Z O N. TU tin Ave. ZO� CLASSNO. Z� OWELL.UNITS BK PG -
c�rY Sa ta A a z�P 92705
ARCHITECT OR TE�. VALUA110N $ 350.00
ENGINEER N0.
ADDRE55 bl(J(�.SET6.4CK FkUM
TEL. FRONT PROP.LINEOF ISTREETI
CONTRACTOR O1 aI1�Orld R1 d E No. 953-0932 HIGHWAY + YARD = 10TAL SETBACK FROM TYPE OF EXISTING
ADDRESS ZOO N. Tusti n ND. 323640 FRONT PROP,IINE HIGHWAY WIDTH
U C.
CITY CLASS
CONSTRUCTION IENDER .t BIOG.SETBACK FROM
NAME ANO BRANCH HORIEE FeU S Ft L SIDE PROP.LINE OF ISTRFETI
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF XISTING a
ADDRESS . B x 9�� CITY Santa Ana SIDE PROP.IINE MIGHWAY WIDTH �
SQ.FT. NO.OF NO.OF CHECK t - V
512E STORIES iAMILIES ONE CS
DESCRIPTION OF WORK NEW � P.C.Fee$ Permit Fee � ` � V
Retainin wall around ADD O r� � �
O issuonce Fee /. CL� �
Edison transformer ALTER ,r-�� �
REPAIR ❑ Total Fee ��i G L1
USE OF DEMOL
EXISTING BLDG. _
APPLICANT TEL �
IPRINTI NO. t
G
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BY ISIGNATUREI < .
?
I HEREBY ACKNOWIEDGE iHAT 1 HAVE READ TN�S APPUCATION AND SiATE Y
THAT THE ABOVE IS CORRECT AND AGREE TO COMPIY WIiM ALl ORDINANCE$ W
AND tAWS REGULATING BUILOING CONSTRUCTION.I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMPIOY ANY PERSON IN VIOIATION OF V -
THE LABOR CODE THE$1ATE OF IIFORNIA IN RELATING TO WORKMEN SCOM� Z :
PENSATION INS Ah E. . � 0 1 J� 1 �
SIGNATURE �
PERMITTEE J �!��� ����� � �
ADDRESS 2�� N. TU tlll VEE. � O � ° ° � �a0
Santa Ana TE�� 953-0932
cirY No. o �.,• � 1 5�0 0�
USE ZONE OP �_ ; . D l.O �.`H O
SPECIAL r
CONDITIONS- • �
FINA r� BY I d
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