HomeMy WebLinkAbout1347A (13)is 76A838A
GE 1803 IRE V. 6/781
0
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN
BUILDING
ADDRESS 21115 E. Running
BUILDING
ADDRESS -211-15 E.
LOCALITY - Diamond
Bar
CITY Diamond Bar zip
91765
NEAREST
CROSS ST.
No. OF BLDGS.
ASSESSOR
SIZE OF LOT NOW ON
LOT
MAP BOOK
PAGE
PARCEL
DISTRICT
GROUPEPE
FIRE
PROCESSED BY
TRACT 2
BLOCK
LOT NO.
10
-3 t ST Wall
Z V
I
TEL.
OWNER Diamond Ride NO. 953-092
STATISTICAL CLASSIFICATION
SEWER MAP
ADDRESS
CLASS NO. 21 DWELL.
UNITS
BK PG
CITY Santa Ana ZIP
92705
VALUATION $ 350.00
ARCHIT OR
ER
ENGIADDRESS
NO.
BLDG. SETBACK FROM
PROP. LINE OF
STREET)
TELFRONT
CONTRACTOR Diamond R
NO. -
HIGHWAY + YARD __
TOTAL SETBACK FROM
FRONT PROP. LINE
TYPE OF
HIGHWAY
EXISTING
WIDTH
ZOO N. Tustin
ADDRESS Ave.
NO.
+ -
LIC.
CITYSanta Ana
CLASS
BLDG. SETBACK FROM
SIDE PROP: LINE OF
(STREET)
CONSTRUCTION LENDER
NAME AND BRANCH Home Fed S &
HIGHWAY + YARD _
TOTAL SETBACK FROM
TYPE OF
E TING
ADDRESS P.Qq BOX gaR CITY
Anta Ana
SIDE PROP. LINE
HIGHWAY
WIDTH
SO. FT.
NO. OF
NO. Of
CHECK
+ -
SIZE
STORIES
FAMILIES
ONE
DESCRIPTION OF WORK
NEW ®
ADD ❑
ALTER
REPAIR ❑
T
P.C. Fee $
Permit Fee
Retaining Wall around
Issuance Fee
PZ'
Edison transformer
Totol Fee
/
,S !
USE OF
DEMOL ❑
EXISTING BLDG.
Z
C
APPLICANT TEL
(PRINT)
NO.
~
D
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
yVj
AND LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY
THAT IN DOING THE
_
WORK AUTHORIZED H REBY I WILL NOT EMPLOY ANY
PERSON IN VIOLATION OF
U
THE LABOR CODE OF STATE OF ALIFORNIA IN RELATING
TO WORKMEN S COM-
Z
PENSATION 'UR
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SIGNATURE
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PERMITTEE
ADDRESS ust n v
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CITY Santa Ana
TEL.
No 953-0932
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