HomeMy WebLinkAboutNo Permit Number (1674)APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION fl
BUILDING
FOR APPLICANT TO FILL IN
ADDRESS
BUILDING
ADDRESS
LOCALITY
CITY Di6mond Bar ZIP
NEAREST
CROSS ST.
NO, OF BLDGS,
ASSESSOR
SIZE OF LOT NOW ON LOT
MAP BOOK PAGE
1PARCEL
DISTRICT GROUP FIRE
PRq.CESSE0 BY
TRACT 31151 IBLOCK LOT No. 51
ITYPE
C 0 IN S T--.-T�_ r_
✓ _y
Presley of So. Cal jfTE540-361
OWNER NO.L.
STATISTICAL CLASSIFICATION✓
SEWER MAP
P.O. Box 2200
ADDRESS
CLASS NO. DWELL.UNITS;4Ll
BK PG
CITY Newport Beach, CA 92663
USE ZONE MAP
,,
No.
ARCHITECT OlIk IEL.
James.J. Ye er'N979-0451
9
S PEC�AL
O.
C ONO TIONS
yp ' ADDRESS 17915 Skypark Blvd.
ROAD DEPARTMENT APPROVAL REQUIRED
YES[] NO ❑
CONTRACTOR Same as owner No. TEL.540-361
BLDG. SETBACK FROM
LIC- 289274
FRONT PROP, LINE OF
(STREET)
ADDRESS NO.
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING
LIC.
CITY CLASS B-1
FRONT PROP. LINE
HIGHWAY WIDTH
CONSTRUCTION LENDER
+
NAME AND BRANCH
BLDG. SETBACK FROM
ADDRESS ] A CITY
SIDE PROP. LINE OF
(STREET)
SQ. FT, r-No. OF 11 NO. OF CHECK
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE 18281 STORIES 1 FAMILIES ONE
SIDE PROP. LINE
HIGHWAY1 WIDTH
DESCRIPTION OF WORKGar. 524 sq.ft.NEW
+
Single Family Dwelling —ADD
CORNER CUTOFF YES ❑
NO ❑
H 'qg"7, — ALTER E]
Pe P_ c 1
IN OPEN SPACE YES ❑
NO ❑
IDI
REPAIR F
USE OF
❑
IN COASTAL PERMIT ZONE YES ❑
NO ❑
EXISTING BLDG, DEMOL
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE)
I HEREBY AC9 WLEDGE THAT I HAVE 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 COMPENSATf(O INSU N
SIGNATURE OF
FINAL BY
PERMITTEE
DATE
ADDRESS 460O Campus -drive
TEL
P.C. Fee $ Permit Fee
CITY Newport Beach, CA NO.
VALUATION $ CC) 'Aa C"
6 issuance Fee
Total Fee
PLAN CHECK VALIDATION CK, M.O. CASH
PERMIT VALIDATION CK.
M.O. CASH
76A638A CE*803B 12/75
CD