HomeMy WebLinkAboutN/A (1363)Plan DIO Elevation B BUILDING PERMIT
I t
FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES
BUILDING Diamond ��� DEPARTMENT OF COUNTY ENGINEER
" ADDRESS BUILDING AND SAFETY DIVISION
CITY ZIP
NO. OF BLDGS. O
SIZE OF LOT NOW ON LOT
TRACT 31062
BLOCK
LOT NO.
-
OWNER DEN CORPORATION
TEL.
No. ��'^�� .
rr ADDRESS 629 Covina Blvd®
-CITY Dunes # CPS ZIP
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ARCHITE,j�T O
ENGINE fid30 Rose & ASSOC.
TEL.O.�2��J3�'
N
ADDRESS)®® S. Brea,Suite
230w $red.
TEL.
' CONTRACTOR Anden Co te° t'
' ADDRES629 Covina Blvd.
a;n 59-O4
Lll,.
NO 33.9420
CITY S n Dimasz, CA
CLASS$ —
CONSTRUCTION LENDE6�
ILL,INOIS
NAME AND BRANCH
ADDRES 31 «L SC-1lleITY Chi
BUILDING
ADDRESS
NEAREST
CROSS ST.
ASSESSOR PAGE PARCEL
MAPBOOK
DISTRICT GROUP TYPE FIRE PROCESSED BY
CONST. ZONE
SEWER MAP
STATISTICAL CLASSIFICATION
CLASS NO. DWELL. UNITS BK PG
USE ZONE MAP
CONDITIONS
ROAD DEPARTMENT APPROVAL REQUIRED
YES ❑ NO ❑
BLDG. SETBACK FROM (STREET)
FRONT PROP. LINE OF
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
CHECK FRONT PROP. LINE HIGHWAY WIDTH
SQEFT.
Z��6 STORIIES F MIL ES ONE
NEW 91 +
DESCRIPTION OF WORK BLDG, SETBACK FROM
ADD ❑ Angle family residenceALTER ❑ SIDE PROP. LINE OF
HIGHWAY + YARD =
REPAIR ❑
USE OF
EXISTING BLDG. N/A ❑
TEL CORNER CUTOFF
APPLICANT N0.599-849
(PRINT) nd CoIN OPEN SPACE
BY (SIGNAT E) IN COASTAL PERMIT ZONE
VALUATIO $ 26 28.00
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE 15 CORRECT AND AGREE TO COPLY ITH ALL
VE I C RTIFY THAT IN ORDINANCES
DOING HE
AND LAWSREOGULATING BUILDING CONSTRUCTION,
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
CALIFORNIA IN RELATING TO WORKMEN'S COM
THE LABOR CODE OF THE STATE OF
PENSATION IN ANCE.
SIGNATURE O
PERMITTEE
® 629 ���ina i
s
ADDRESS
FINAL
S Dimas, N0.599 849
CITY
DATE
P.C.
MAKE CHECKS PAYABLE TO:
FEE
HARVEY T. BRANDT, COUNTY ENGINEER
`t,AN CHECK VALIDATION CK. M.O. CASH
2"� 1_ 2.00.,
CE #803 3-75
t
TOTAL SETBACK FROM
SIDE PROP. LINE
YES
YES ❑
YES ❑
BY
PMT.
FEE
r
O
_ (STREET) O
TYPE OF
EXISTING
IIGHWAY
WIDTH N
Z
PERMIT VALIDATION CK. M.O. CASH