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HomeMy WebLinkAboutNo Permit Number (1681)LICATION COUNTY OF LOS ANGELES APPFOR DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND SAFETY DIVISION fl moonsm� BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS LOCALITY NEAREST Diamond Bar CITY ZIP CROSS ST. ASSESSOR NO, OF BLDGS, SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL 31151 24 DISTRICT GROUP FIRE CONIT. P -CESSED BY TRACT BLOCK LOT No. ITYPE _/ ­jZONE g PRESLEY OF SO. CAL - 540-3611 OWNER 00.IFEL STATISTICAL CLASSIFICATION SEWER MAP ADDRESS P.O. Box 2200 -LL/ CLASS NO. DWELL,UNITS 8K PG CITY Newport Beach, CA,,,92663 USE ZONE MA NO. ARCHITECT OR, 'TEL --�ener '979�0451 SPECIAL E"GOMMOR James J. NO. CONDITIONS ADDRESS 17915 Sky ark Blvd. ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO E] TEL -.540-3611 CONTRACTOR Same as owner NO -BLDG. SETBACK FROM . LIC FRONT PROP, LINE OF (STREET) ADDRESS NO. 28 274 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC. B�l FRONT PROP. LINE HIGHWAY WIDTH_ CLASS CONSTRUCTION LENDER + NAME AND BRANCH BLDG, SETBACK FROM ADDRES4 CITY SIDE PROP. LINE OF (STREET) 4 NO OF --T- SO, FT, NO. OF CHECK 2525-1 T M TYPE OF HIGHWAY + YARD TOTAL SETBACK FROM EXISTING HIGHWAY WIDTH SIZE STORIES FAMILIES ONE SIDE PROP. LINE Gar. -440-sq.ftriw g] + DESCRIPTION OF WORK A 47^- Single Family Dwell'in-gADD El CORNER CUTOFF YES ❑ N 0 ❑ ALTER ❑ Pl an 41 —1—r REPAIRR IN OPEN SPACE YES ❑ NO ❑ USE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, DEMOL APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKW6WLEOGE THAT I HAVE -READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 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 ,ELATING TO WORKMEN'S COMP 4SU E. R ��RAN SIGNATURE FINAL BY PERMITTEE. DATE ADDRESS-4500 Campus D-r-lyp TEL Nepwort Beach, CA 540-3611 P.C. Fee $ J-Permit Fee CITY NO, VALUATION 6 4$ C/, Issuance Fee 01 Total Fee PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH n cl 76A638A CE#8038 IZ/75 CD CD 0--