HomeMy WebLinkAbout2577a(ts 76A638A
CE #803 (REV. 6/78)
'APPLICATION FOR BLjiL:DING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
BUILDING
FOR APPLICANT TO FILL IN
ADDRESS
BUILDING B U I ' D I NG
LOCALITY Walnut
ADDRESS
CITY Walnut, CA ZIP 91789
F
NEAREST
CROSS ST. Glenbrook
NO. OF BLDGS.
ASSESSOR
IPAGE
SIZE OF LOT NOW ON LOT none
MAP BOOK
PARCEL
115
T
DISTRICT (GROUP TYPE
CON ST.
FIRE
ZONE
?50tESSED BY
TRACT 33257 BLOCK LOT NO.
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1 EL
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OWNER Shea Homes No 598-1841
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS 655 Brea Canyon Road
CLASS NO. DWELL.
UNITS
BK PG
CITY Walnut, CA zip 91789
ARCHITECT OR L.
Lind & Hilleryd TEL.
VALUATION $
ENGINEER 449-311 fil -
ADDRESs2065 Huntington Dr. San Marino
BLDG. SETBACK FROM
TEL.
Calif.
FRONT PROP. LINE OF
(STREET)
NO.
CONTRACTOR out to bid
TOTAL
HIGHWAY + YARD
SETBACK FROM
TYPE OF EXISTING
LIC.
FRONT
PROP. LINE HIGHWAY
WIDTH
I
ADDRESS NO.
LIC.
CITY CLASS
BLDG. SETBACK FROM
CONSTRUCTION LENDER
BRANCH Self
SIDE PROP. LINE OF
(STREET)
NAME AND
HIGHWAY + YARD TOTAL
SETBACK FROM
TYPE OF EXISTING
ADDRESS CITY
SIDE PROP. LINE HIGHWAY WIDTH
SQ. FT. NO OF NO. OF CHECK
+
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑
P.C. Fee $
Permit Fee
Retaining Wall ADD ❑
Issuance Fee
ALTER El
REPAIR ❑
TptalFee
USE OF DEMOL Li
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
UA
x
AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE
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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 COM-
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PENSATION INSURANCE,
SIGNATURE 0(l
PERMITTEE
ADDRESS
z
0
TEL.
CITY NO.
USE ZONE MAP P
NO.
SPECIAL
C(NDITIONS,,
FINALI By 1p
DATE
X,
PLANS TO APPLICANT TO: RETURNED -o•
APPROVCD
NO DATE P O- DATE
1
I I
REQUIRED DATE
�
T CEIVED
APPROVALS 9 YES P O 0, p . PppC; ;
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WATER. CERTIFFICATF_
HEALTH DEPARTMENT
i
FIRE DEPARTMENT
a
GRADING_
GEOLOGICAL
1
PEDESTRIAN PROTECTION
IFENCEI (CANOPY)
T )
SPECIAL INSPECTION
iCONC) (&AASNRY,l (WELDG-1
LOT DRAINAGE
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t
PARKING
APPROVALS Ery ., II'd5 lv;< ,=�Iir L
;
LOCATION I
ISE T BACK & YARDS)
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:.
FOUNDATIONS
FRAME
LATH/DRYWALL
INTERIOR
LATH -EXTERIOR
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HOUSE NUMBER-
CORRECT & POSTF_i9 ; $
ENERGY INSULATION
ESTER ON FRONT � 1
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