HomeMy WebLinkAboutNo Permit Number (1678)APPLICATION FOR COUNTY OF LOS ANGELES I'` -I
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY T)TVTqTON
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITY
CITY Diamond Bar ZIP
NEARESTCROSS ST.
ASSESSOR
NO, OF BLOGs. NONE
SIZE OF LOT NOW ON LOT
MAP BOOK PAGE
PARCEL
DISTRICT GROUP TYPEFIRE
PROCESSED BY
TRACT311 5 1
BLOCK
LOT N.O. 46
CONST. 0
TEL40
OWNER Presley of S 0_ Cal,fj�05 _361,
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRER2200 .O.
Box
CLASS NO—OWELLU
.,NITS�
USE ZONE MAP
INO.
BK PG
Newport Beach, Ca. 92336
CITY ZIP
SPECIAL
ARCHITECTeIR 90-' TEL,
NO.
l0we*N6ff4:r- Jamec .1 Yucier
CONDITIONS
ADDRESS 17915 Skypark Blvd.
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NOn
CONTRACTOR same as owner TNEL-
BLDG, SETBACK FROM
LIC
FRONT PROP. LINE OF
(STREET)
ADDRESS NO.
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING
CITY LIC,
CLASS B-1
FRONT PROP, LINE
HIGHWAY WIDTH
CONSTRUCTION LENDER
+
I
NAME AND BRANCH
—
BLDG, SETBACK FROM
ADDRESS CITY
SIDE PROP. LINE OF
(STREET)
SO, F NO OF NO. OF CHECK
�2-1-24_
HIGHWAY 4- YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE STORIES 2 FAMILIES I ONE
SIDE PROP. LINE
HIGHWAY1 WIDTH
-7-Z-0 17 41, Gar. 461 sq.ftNEW
+
DESCRIPTION OF WORK
Single Family Dwelling ADD Fl
CORNER CUTOFF YES ❑
NO 0
ALTER ❑
PlAn 92—A CLT8—'( S_441 REPAIR❑
IN OPEN SPACE YESE)
N 0 ❑1]
USE OF
EXISTING BLDG, DEMOL ❑
IN COASTAL PERMIT ZONE YES ❑
NO ❑
APPLICANT TEL
(PRINT) NO.
BY (SIGNATURE),,
I HEREBY ACK"NOWLEDGE THAT I HAVg'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, ATING TO
WORKMEN'S COMPENSA 0 IfNSURAN
SIGNATURE OF
FINAL BY
PERMITTEE-
'nri�e
(DATE
ADDRESS 6 Campug
Newport BEach, Ca. TEL540-3611
P.C. Fee $ Permit Fee
CITY NO.
VALUATION $ a C-)
v 0
Issuance Fee
j (
j Total Fee
6
'f
PLAN CHECK VALIDATION CK, M.O. CASH
PERMIT VALIDATION CK.
M.O. CASH
76A638A CE*803B 12/75