HomeMy WebLinkAboutNo Permit Number (1670)lavilmoligg";j Lim
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Id
0, E
BUILDING
FOFl APPLICANT TO FILL IN
ADDRESS
BUILDING
ADDRESS
LOCALITY
NEAREST
CITY Diamond Bar ZIP
CROSS ST.
ASSESSOR
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT NnNF
MAP BOOK PAGE
PARCEL
DISTRICT
GROUP
FIRE
PROCESSED BY
TRAC-31 151
IBLOCK
I LOT N0.2
I
ITYPE
CONST
ZO
NE ON
N
_zT1
/
TEL
OWNER Presley of*S. NO. 11
Calif.E
STATISTICAL CLASSIFICATION
SEWER MAP
P.O. Box 2200
ADDRESS
CLASS NO. _Z"o DWELL. UNITS _____�
USE ZONE MAP
INO.
BK PG
Newport Beach, Ca. 92663
CITY zip
SPECIAL
ARCHITECT 0114 TEL.
Eftawmw- James J. a(lWr NO. 979-0451
yp
ICONDITIONS
ADDRESS 17915 Sky ark Blvd.
ROAD DEPARTMENT APPROVAL REQUIRED YES NO E]
EL.
CONTRACTOR Same as owner NO
BLDG. SETBACK FROMFRONT
LIC '289274
PROP, LINE OF
.(STREET)
ADDRESS NO.
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF 1EXISTING
CITY LIC. B-
FRONT PROP. LINE
HIGHWAY WIDTH
CLASS
—
CONSTRUCTION LENDER
+
NAME AND BRANCH
BLDG. SETBACK FROM
ADDRESS CITY
SIDE PROP, LINE OF
(STREET)
SQ. FTq,24_INO.OF NO OF CHECK
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES 21 FAMILIES ONE
SIDE PROP. LINE
HIGHWAY1 WIDTH
S �W
DESCRIPTION OF WORK .3ar. Cj tr Rl
+
qlly TFz
Sine FamiDweiWnADD R
CORNER CUTOFF YES Ej
NO
Plan 92 BR 3 Car) j5uv,,ALTER Fj PAIR I R
❑
IN OPEN SPACE YES
NO
USE OF
OEMOL ❑
IN COASTAL PERMIT ZONE YES ❑
No
EXISTING BLDG.
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE 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 R LATING TO
WORKMEN'S COMPE��ANCE,
SIGNATURE OF
INAL BY
PERMITTEE-
DATE
ADDRESS 4660 CampusDri've
Newport Beach, Ca. TEL. 540-3611
? 0
CITY NO,
P.C. Fee$
Permit Fee
Issuance Fee
$
4-
VALUATION o
Total Fee
PLAN CHECK VALIDATION
CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
r-D
76A638A CE*8038 12/75