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HomeMy WebLinkAbout740©5 7,ZVA638A CE #803 (REV. 6/78) =g qq � '+''ry .i 'APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS 4 LOCALITY Inut CITY Walnut, CA ZIP 91789 NEAREST CROSS ST. Glenbrook NO. OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT none MAP BOOK PAGE PARCEL TRACT 33257 BLOCK LOT NO. $Q DISTRICT GROUP TYPE CONST. FIRE (' T ESSED BY" TEL. OWNER Shea 1-)011le$ NO.598'1841 Gr _ ZONE �- , t P ADDRESS 655 Brea Can on Rd. •�,� ��`✓`,y 'SEWER MAP STATISTICAL CS Fr( LA ATION clrY Walnut CA 91789 zip CLASS NO. DWELL. UNITS BK PG ARCHITECENGIN ERTOR Lind & Hillerud NO. -3161 VALUATION $ &100w ADDRESS2065 Huntington Dr." San Marino BLDG.SETBACKFROM T.RONT CONTRACTOR TEL Calif.C(STREET( NO PROP. LINEOF HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS No FRONT PROP. LINE HIGHWAY WIDTH CITY LIC. CLASS + _ CONSTRUCTION LENDER BLDG. SETBACK FROM NAME AND BRANCH Self SIDE PROP. LINE OF (STREET) ADDRESS CITY HIGHWAY + YARD _ - TOTAL SETBACK FROM TYPE OF EXISTING ,. SQ. FT. NO. OF NO. OF SIDE PROP. LINE HIGHWAY WIDTH a. 0 SIZE STORIES FAMILIES CHECK ONE H _ DESCRIPTION OF WORK NEW ❑ P.C. Fee $ , 60 Permit Fee Retaining Wall ADD ❑ ALTER ❑ Issuance Fee C='� y A Total Fee. Hl USE OF REPAIR ❑ EXISTING BLDG. APPLICANT DEMOL ❑ a 'i TEL (PRINT) NO. Q BY (SIGNATURE) HEREBY ACKNOWLEDGE THAT I HAVE RE/>\6THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Y COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE U W WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING = (.1 PENSATION INSURA E. TO WORKMEN"S COM- Z Q SIGNATURE OF O PERMITTEE ADDRESS . 9 CITY TEL.. � NO. �_ USE ZONE MAP G R-1 NO.1 Q SPECIAL CONDITIONS > a - FINAL! DATE BY o:e L r 1 i P P.EOUIRED APPROVALS I DATE E RECEIVED YES NO li OR APPROVED WATER CERTIFICATE HEALTH DEPART,"AENT FIRE DEPARV%4ENT GRADING GEOLOGICAL � PEDESTRIAN PROTECTION IFENCEI (CANOPY) SPECIAL INSPECTION iCONC.I'.(MASNRY.I (WELDG.) LOT DRAINAGE P,6PI;ING� APPROVALS � DATE IN-- i O-A;aJ1 y LOCATION- - ti (SETBACK a YARDS) FOUNDATIONS - - —---_-__. f FRAME � { LATH/DRYWALL RYV4/ALL INTERIOR I %T LATH -EXTERIOR HOUSE NUMBER - CORRECT & POSTED gg ,r ENERGY INSULATION g FINAL- j ENTER ON FRONT � 1