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HomeMy WebLinkAbout739©i 76A638A 4 CE Y;303 (REV. 6/78) APPLICATION COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADIDRESS BUILDING ADDRESS LOCALITY walnut CITY Walnut CA zip 91789 NEAREST CROSS ST. Glenbrook NO. OF BLDGS. ASSESSOR I SIZE OF LOT NOW ON LOT nonp MAP BOOK PAGE PARCEL TRACT BLOCK — LOT NO. DISTRICT GROUP I TYPE FIRE CONST. ZONE PR SSED BY OWNER Shea Homes No.598-1841 STATISTICALCLASSIF ANON SEWERKAP ADDRESS 655 Brea Canyon Rd. CLASS NO. DWELL, UNITS BK PG CITY Walnut CA ZIP 9UU ARCHITECT OR TEL. ENGINEER Lind 8 Hillerud No.449-3161 1177MM07 VALUATION $ j ✓�� ° 0� ADDRESS BLDG. SETBACK FROM no TELCali? a l if FRONT PROP. LINE OF (STREET) CONTRACTOR out to bid , NO. HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH ADDRESS NO. LIC, + _ CITY CLASS CONSTRUCTION LENDER BLDG. SETBACK FROM SIDE PROP. LINE OF (STREET) NAME AND BRANCH Self HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING ADDRESS CITY SIDE PROP. LINE HIGHWAY WIDTH SO. FT. NO. OF NO. OF CHECK + _ SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ElP.C. Fee $ o Permit Fee ' r' ,r Retaining Wall ADD Issuance Fee ,i ALTER' REPAIR ❑ ToV Fee USE OF EXISTING BLDG. DEMOL Arrul,h JN I I tL (PRINT) NO. Q BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES w AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE i WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF u THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSNCE. _ d'0 x'1 ?1 J d SI GNATURE OF P RM1 ADDRESS p Z Q, CITY TEL. NO. �� Q USE ZONE MAP° R-1 No. > SPECIAL fj•' r CONDITIONS FINAL Lu W DATE d i PLANS TO APPLICANT INSPECTOR'S -, � TO. RETURNED APPP.JVED JO DATE NO. t DATE Rj i REQUIRED DATE "El-FIVED APPROVALS <` YESNO P-. WATER CEP.TIFICATE' HEALTH DEPARTMENT 1_�_,_,..,�............._.._._.._:�...__�q.,�..�.._�.___.....—..�__._.-_..- i FIRE DEPARTMENT GRADING GEOLOGICAL PEDESTRIAN PROTECTION _ IFENCEI (CANOPY( SPECIAL INSPECTION- CONCJ (MASNRY.i IWELDG.) LOT DRAINAGE PARKING I a 3 APPROVALS DAT'E ; i�S Ec U L I LOCATION- (SETBACK & YARDS) FOUNDATIONS FRAME Y I Ii I LATH/DRYWALL 6 � INTERIOR LATH-E ;TERICR j HOUSE NUMBER - CORRECT & POSTE ( ENERGY INSULATION' €ON FINAL- i ENTER ONFRONT,,