HomeMy WebLinkAboutNo Permit Number (1673)COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DTVTSTON w
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITYJ�% %, L
NEAREST
CROSS ST.
ASSESSOR
CITY Diamond Bar ZIP
NO. OF BLDGS.
SIZE OF LOT NOW ON LOT NONE
MAP BOOK PAGE
PARCEL
31
DISTRICT GROUP TYPE FIRE
PROCESSED BY
TRAC�l151
BLOCK
LOT NO.
y CONST. ZON
1 �,. ff
G
TEL
DD
OWNERresle Of So. Calif. NO. 540-3611
STATISTICAL CLASSIFICATION
SEWER MAP
BOX 2�00
ADDRESS .O.
CLASS NO. !/ e2 OWELL,UNITS
BK PG
New Ort Beach, Ca. 92663
USE ZONE MAP
CITY ZIP
NO,
ARCHITECT Q meS J. Yea er 979-0451
SPECIAL
L1Ci��� g NO.
CONDITIONS
ADDRESS
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
TEL,
CONTRACTOR Same aS OWnerNO,FRONT
K FROM
LIC.
PROP. LINE OF
(STREET)
ADDRESS NO. 9RQ97d
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
CITY LIC.
CLASS B-
FRONT PROP. LINE
HIGHWAY WIDTH
CONSTRUCTION LENDER
+ —
NAME AND BRANCH
BLDG. SETBACK FROM
ADDRESS CITY
SIDE PROP, LINE OF
(STREET)
SQ. FT, NO. OF NO. OF CHECK
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZE -2-l�4"- STORIES 2 1 FAMILIES ONE
SIDE PROP. LINE
HIGHWAY WIDTH
DESCR PION OF WORK Gar' 461 Sq.ft. NEW ®
+
Single Family Dwelling ADD El
CUTOFF YES ❑
NO ❑
ALTER ❑
�} REPAIR❑
IN OPEN SPACE YES ❑
NO ❑
USE OF
EXISTING BLDG. DEMOL ❑
IN COASTAL PERMIT ZONE YES ❑
NO ❑
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE)
I HEREBY ACK OWLEDGE 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 TAT OF CALIFORNIA IN RE TI NG TO
WORKMEN'S CO MPE NSA 0 NSURA E,
SIGNATURE OF - ,�
FINAL BY
PERMITTEE
DATE
ADDRESS 600 Campus D
Newport Bach, Ca. TEL. 540-3611
P.C. Fee $ f %"
CITY NO.
d'
Permit Fee
Issuance Fee
l
VALUATION � 0
Q
,r`
k "2
Total Fee
PLAN CHECK VALIDATION
CK. M.O. CASH
PERMIT VALIDATION CK. M.O. CASH
76A638A CE 0803B 12/75