HomeMy WebLinkAboutNo Permit Number (1615)COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN
ADDRESS
BUILDING
ADDRESS
LOCALITY
NEARESTCROSS ST.
ASSESSOR
CITY Diamond Bar ZIP
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT
MAP BOOK PAGE
1PARCEL
DISTRICT GROUP 'TYPE
ypE FIRE
PROCESSED BY
TRACT 31151
BLOCK
TOT NO. 36
T,
IONS - 7-ON E
TEL
PRESLEY OF SO, CALIFNO.-540-3611
OWNER
STATISTICAL CLASSIFICATION
Z�)6111
SEWER MAP
Box 2200
ADDRESS P.O.
CLASS NO. DWELL.UNITS
USE ZONE MAPP
BK PG
Nepwort Beach CA92663
CITY ,
NO.
SPEC�AL
ARCHITECT TE a% amen J. Yea 9 L.. 979-045
erNO.
IJ
COND TIONS
ADDRESS 1i9157 SCypark Blvd,
ROAD DEPARTMENT APPROVAL REQUIRED
YES E] NO F]
T
CONTRACTOR Same as owner NEL540-3611
BLDG. SETBACK FROM
LI1
FRONT PROP, LINE OF
(STREET)
ADDRESS 0. '289274
HIGHWAY I YARD TOTAL SETBACK FROM TYPE OF 1EXISTING
CITY LIC.
B,71
FRONT PROP, LINE
HIGHWAY WIDTH
CLASS
CONSTRUCTION LENDER
+
AND BRANCH
-NAME
BLDG, SETBACK FROM
ADDRESS CITY
SIDE PROP, LINE OF
(STREET)
SQ. FT J_L'3e_1 NO. OF NO OF CHECK
TOTAL SETBACK FROM TYPE OF 1EXISTING
HIGHWAY + YARD =
I
SIZE Qa-I ISTORIES 2 1 FAMILIES ONE
SIDE PROP. LINE
I HIGHWAY WIDTH
DESCRIPTION OF WORK Gar 570 sry
+
Single Family DwellIng — ADD
CORNER CUTOFF YES ❑
NO ❑
ALTER ❑
-)3
Plan 22-C car
REPAIR F-I
IN OPEN SPACE YES ❑
NO
USE OF
DEMOL ❑
IN COASTAL PERMIT ZONE YES ❑
NO ❑
EXISTING BLDG.
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE4�
I HEREBY ACKNOWLEOGE THAT I +116E READ THIS APPLICATION
AND S TATE 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 RELATING TO
WORKMEN'S COMPENSAT"� URA E. '
SIGNATURE OF
FINAL BY
PERMITTEE.
DATE
41600 Cam
ADDRESS pu's-DOve
Newport Beach, CA T E L-540-361 I
P.C. Fee $
Permit Fee
CITY NO I
Issuance Fee
VALUATION $ L
F
Total Fee
�S- t
PLAN CHECK VALIDATION
CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
ra!z
76A638A CE:*B03B 12/75