HomeMy WebLinkAboutNo Permit Number (1671)APPLICATION FO'35�
BUILDING PERMIT
COUNTY OF LOS ANGE 'I
LE� I
DEPARTMENT OF COUNTY ENGINEER
RTTTT.T)TNr. ANT) qAFFTV nt1fTQTr1?,T
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITY
CITY Diamond Bar
NEAREST
ZIP
CROSS ST,
ASSESSOR
NO, OF BLOGS.
SIZE OF LOT NOW ON LOT NONE
MAP BOOK PAGE
1PARCEL
DISTRICT GROUP
ROUPTYPE FIRE
PROCESSED BY
.TRAC31151
IBLOCK
I LOT NO. 60
CONST,
I--- d-1
STATISTICAL CLASSIFICATION
SEe"AP
TEL
OWNERPresley of So, Calif. No-540-3611
ADDRESS P.O. Box 2200
CLASS NO, &9411" DWELL, UNITS=4'7/7j
BK PG
CITY Newport Beach, Ca. zip 92663
USE ZONE
MAP
NO.
ARCHITECT i -'- <5 2TEL
SPECIAL
mommEagw- ames J * Yeager NO.'979-0451
CONDITIONS
ADDRESS 17915 Sky ark blvd.
ROAD DEPARTMENT APPROVAL REQUIRED
YES NO ❑
L.
CONTRACTOR TE0.
Same as Owner �i
i
BLDG. SETBACK FROM
LI
FRONT PROP, LINE OF
(STREET)
ADDRESS Noh9274
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF
CITY LIC, 'B-1
FRONT PROP, LINE
1EXISTING
HIGHWAY WIDTH_
CLASS
CONSTRUCTION LENDER
+
I
NAME AND BRANCH
-
-, 6
BLDG, SETBACK FROM
0
A DORESS ff,,)"D CITY
SIDE PROP. LINE OF
.(STREET)
SQ. FT NO OF NO OF CHECK
1828 [STORIES 1 1
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE FAMILIES ONE
SIDE PROP. LINE
HIGHWAY WIDTH
DE I SCRIPTION OF WORK Gar- 524 sq.ftWEW
+
Sinqle Eamily Dwel 1 i rig ADD ❑
CORNER CUTOFF YES ❑
NO ❑
ALTER
REPAIR❑ 121 Q1 —Q C"kCU '?
IN OPEN SPACE YES ❑
No
USE OF
EXISTING BLDG. DEMOL f
IN COASTAL PERMIT ZONE YES ❑
NO ❑
APPLICANT TEL
(PRINT) N 0
BY (SIGNATURE)
1 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
LABORCODE OF THE STATE OF CAL!fORNIA IN ReLATING TO
WORKMEN'S COMPENSA �1' E.
SIGNATURE OF
FINAL BY
PERMITTEE.
4600 Campus Drive
I
DATE
ADDRESS—
Newport Beach, Ca. T E L.,,540- 3611
xx
CITY NO.
P.C. Fee $
Permit Fee
Issuance Fee
C
VALUATION $140/ J�,_56
4 6 c'
6�, ey � P'
Total Fee
PLAN CHECK VALIDATION cK.
M.O. CASH
PERMIT VALIDATION CK. M.O.
CASH
76A638A CE*8038 12/75