HomeMy WebLinkAboutN/A (1337)APPLICATION R COUNTY OF •
DEPARTMENT OF COUNTY
BUILDING PERMIT BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS
BUILDING
ADDRESS
LOCALITY
NEAREST
CITY Diamond Bar ZIP 91765
CROSS ST.
NO. OF BLDGS.
ASSESSOR
SIZE OF LOT NOW ON LOT none
MAP BOOK
PAGE
PARCEL
DISTRICT GROUP
TYPE FIRE PROCESSED BY
TRACT BLOCK LOT NO.
CONTT. ZONE
OWNECITATION HOMES 714 �M1 0141
STATISTICAL CLASSIFICATION
SEWER MAP
ADDREls7731 Irvine Blvd., Suite 201
CLASS NO.
DWELL. UNITS BK PG
CITY Tustin CA ZIP 92680
USE ZONE MAP
ARCHITECT OR TEL.
NO.
SPECIAL
EN NO
CONDITIONS
ADDR
ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
TEL.
CONTR
BLDG. SETBACK FROM
FRONT PROP. LINE OF
ISTREE it
LIC.
ADDRE S 3 I r i ne B 1 vd 201 NO. 330001
=
TOTAL SETBACK FROM TYPE OF X NG
.
LIC,
HIGHWAY + YARD
FRONT PROP. LINE HIGHW IDTH
CITY Tustin, CA 92680 CLASS B
_
f
CONSTRUCTION LENDER
+
NAME AND BRANCH none
BLDG. SETBACK FROM
SIDE PROP. LINE OF
(STREET)
ADDRESS CITY
TOTAL SETBAC R M TYPE -F EXISTING
SQ. FT. NO OF NO OF CHECK
1 I 1
HIGHWAY + YARD
SIDE PR P. LINE HIGHWAY[ WIDTH
I
SIZE 1344 STORIES 1 FAMILIES ONE
+
DESCRIPTION OF WORK PLAN 101A NEW
Gara e 395 SF ADD ❑
CORNER CUT
YES NO
Entry 30 SF ALTER ❑
IN OPEN SPACE
YES NO
REPAIR
REPA❑
USE OF RE AIR ❑
IN COASTAL PER IT ZO E
YES El NO ❑
EXISTING BLDG. OL
APPLICANT
BUILDERS 714 TEL 014
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
AND LAWS REGULATING BUILDING CONSTRUCTION. 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 RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF
FINAL
BY
PERMIT�TE7E Z ' �'
DATE
ADDRESS/ B d i to 201
CITY Tustin, CA 92680 714 T%J 1 0141
P.C. Fee $
Permit Fee
Issuance Fee
VALUATION $ 30,100
$148.80
Total Fee
UTTH ItalI:L%\ I1►L1� 1 Lei zI
CK. M.O. CASH
YCKMII VALIUAIIVIM CK. M.O. CASH
'P)S 76A638A CE #803A 6/76