HomeMy WebLinkAboutNo Permit Number (1680)rr'l
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITY
CITY Diamond Bar ZIP
C
NEAREST
CROSS ST.
ASSESSOR
NO, OF BLDGS.
S
SIZE OF LOT NOW ON LOT
MAP BOOK PAGE
PARCEL
DISTRICT
GROUP
TYPE
FIRE
I PROCESSED B
TRACT 31151
TRACT
IBLOCK
I LOT No. 59
CONST,
ZONE
TEL
PRESLEY OF SO. CALIFwo, "540-3611
STATISTICAL CLASSIFICATION
CLASS NO, 61?Z" OWELL,U Z
N ITS L
USE ZONE MAP
NO,
SPECIAL
SEWER MAP
BK PG
OWNER
AD
ADDRESS
DRESS P.O. Box 2200
CITY Newport Beach, CA zip 92663
A TEL.
ARCHITECT 'e
'T=8 6 NO.979-0451
q
CONDITIONS
ADDRESS 17915 Skypark Blvd.
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONTRACTOR Sameas owner TEL.
NO.'
BLDG. SETBACK FROM
LIC
FRONT PROP, LI NE OF
(STREET)
ADDRESS No. 289274
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF 1EXISTING
CITY LIC,
FRONT PROP, LINE
HIGHWAY WIDTH
CLASS B-1
—
CONSTRUCTION LENDER
+
NAME AND BRANCH
BLDG, SETBACK FROM
ADDRESS CITY
SIDE PROP, LINE OF
(STREET)
:. OF NO C
SQ. F NO. F CHECK
T2_5Z 2
'L5
TOTAL SE ING
HIGHWAY + YARD T SETBACK FROM TYPE OF EXISTING
s
S I Z E STORIES FAMILIES ONE
SIDE PROP. LINE
1 HIGHWAY WIDTH
.7-54,1 ' Car. 65,0- sq.tt-NEW
%"F
+
DESCRIPTION WORK /' r- ej
Single Family Dwelling ADD
CORNER CUTOFF YES ❑
NO ❑
ALTER D
Plan 41-3-A 3 car)
$EPAIRE1
IN OPEN SPACE YES El
No ❑
'
USE OF �L-5')*'DEMOL ❑
IN COASTAL PERMIT ZONE YES ❑
NO ❑
EXISTING BLDG.
APPLICANT TEL
(PRINT)
BY (SIGNATURE)
- _J0F
I HEREBY ACKN1dW`LLiO6E THAT I HAVE -6-EAD-THIS APPLICATION
S APPLICATION
AD THIS N
I 'C T' 0
AGR
A REE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
NO E r 4 To
-
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
I BUILDING
REGULATING I L D I N G CON-
'T
0 WORK
I K AUTHOR
E T H 0 R 'z ED
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
STRUCTION.
I N "1 0 LA T 1 0 N 0 , THE
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
CALIFORNIAA I N .ELATING
LABOR CODE OF THE STATE OF TO
ATIN G T 0
WORKMEN'S COMPENSATI N URAN E, f
SIGNATURE OF
FINAL BY
PERMITTE
46010 Campus Dri've
DATE
ADDRESS
TEL
T L
Newport')Bdach, CA
P.C.' Fee $
Permit Fee
CITY 0 .
NO. 540-361
0 1
Issuance Fee
VALUATION
(D
e,7
Total Fee
PLAN CHECK VALIDATION
CK. M.O. CASH
p
PERMIT VALIDATION CK. M.O. CASH
76A638A CE*8038 IZ/75