HomeMy WebLinkAbout1579COUNTY OF LOS ANGELES
1 EPARTMENT OF COUNTY ENGINEER
1BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
ADDRESS
BUILDING
ADDRESS
LOCALITY
DiaMnd Bar
CITY ZIP
NEAREST
CROSS ST,
NO. OF BLDGS.
ASSESSOR
SIZE OF LOT NOW ON LOT None
MAP BOOK
PAGE
PARCEL
DISTRICT GROUP
TYPE F RE
PROCESSED BY
TRACT 31152-A BLOCK LOT NO. 38
CONST. ZONE
OWNER PRESLEY OF SO. CALIF. No. 540-0500
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS P.O. BOX 2200.
CLASS NO.
DWELL. UNITS
BK PG
CITY Newport Beach CA. ZIP 92663
USE ZONE MAP
ARCHITECT R TEL.
ENGINEER 9rchitectural Concerno. 979-0451
NO.
SPECIAL
CONDITIONS
ADDRESS 77 Brookhollow Dr. , Santa Alta
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
TEL.
CONTRACTOR Same as Owner NO.
BLDG. SETBACK FROM
LIC.
FRONT PROP. LINE OF
(STREET)
ADDRESS NO. 289274
t =
TOTAL SETBACK FROM
TYPE OF EXISTING
UC.
HIGHWAY YARD
FRONT PROP. LINE
HIGHWAY WIDTH
CITY CLASS B-1
CONSTRUCTION LENDER
Unknown
+
NAME AND BRANCH
BLDG, SETBACK FROM
SIDE PROP. LINE OF
(STREET)
ADDRESS CITY
SQ. FT. NO. OF NO OF CHECK
1343 2 1 1
HIGHWAY + YARD
TOTAL SETBACK FROM
SIDE PROP. LINE
TYPE OF EXISTING
HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK Plan 96-A NEW
Single Faraily D�gllinq ADD ElCORNER
CUTOFF
YES ❑
NO ❑
Gar. - 530 S . £t. ALTER ❑
❑
IN OPEN SPACE
YES ❑
NO ❑
REPAIR
USE OF
❑
IN COASTAL PERMIT ZONE
YES ❑
NOEXI❑
BLDG. EMOL
r'
APPLICANT TEL
(PRINT) Kenne£h b. Star NO. 540-0500
BY (SIGNATIQR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE
EMPLOY ANY PERSON IN VIOLATION OF
/ I'!
WORK AUTHORIZED HEREBY I WILL NOT
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
INSURANCE
PENSATION
�,�
SIGNATURE OF
FINAL
BY
PERMITTEE
DATE
ADDRESS 460
s
P.C. Fee E %
Permit Fee
Newport BeaCh� CA. 540-0500
$ e,' <=
CITY No.
Issuance Fee
VALUATION $ "V s .r
Total Fee
co 1579 /4 21178 23
CK. M.O. CASH
168.80#
PEKMIT VALIVATICUM CK. M.O. CASH
r)i 76A63BA CE N803A 6/76