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Permit No. 1209200648 , . . • -5-10-' s-vi ( 7 i(A ) "3 3.-1 - 120 SAN SERNARDINO COUNTY-EPWA/LAND GEMENT DEPT a` -1-4-L L- ! OFFICE OF BUILDING AND SAFETY P E RMI T APPLICATION PERMIT NBR 120 92 00648 l01A 01 I STATUS: PAID THIS IS NOT A PERMIT UNTIL ISSUED APPL DATE 06/12/92 I ISSUE BATE 00/00/00 I PG 1 OF 1 PARCEL NUMBER 1031-061-11-0000 PROPOSED USE: RESIDbNCE H/GAAAGE PLAN REVIEW CURRENT USE: VACANT' - - , TRAC EC I 12945T I 000 1018( 5W30 I TNN 1008W I PRCL 0 P I PORCL ACTIVITY PLAN L864 ZONE/LAND USE DISTRICT GENERAL PLAN SUBDIVISION NAME . SUBDIVISION PARCEL NO CHINO HILLS . CH/PD,IL1,FR1 - ` ' GH/L-M LOT DIMENSION IRREd.JLAR CONST TYPE VN APPLICANT NAME, MAILING ADDRESS, AND PHONE NUMBER *BOGS ON LOT (GROUP R3 KHADEMI, AMIN 6685 ARTHUR CT $PLANS RECD 3• LANt USE PLAT 0 (INDEX NBR 20-157 CHINO CA 91710-0000 STD PLAN/ICBO FHA N (818) 335 - 9618 TYPE I SQ. FT. I FACTOR*S.F. I ADJSTED AREA/VALUATN OWNER NAME, MAILING ADDRESS, AND PHONE NUMBER - KHADEMI, AMIN 1 2988 1.00 2988.00 6685 ARTHUR CT 2 2192 1.00 2192.00 ' CHINO CA 91710-0000 GAR 756 .50 378.00 (818) 335 - 9618 PORCH 305 .20 61.00 JOB SITE ADDRESS CALC. VALU 272,b15.79 I ADJUSTED AREA 5619 2061 OAK CANYON RD - - CHINO HILLS CA 91709-0000 ITEM CNT DESCRIPTION DETAIL TOTALS CROSS STREET PROMONTORY RD RESIDENTIAL CONSTRU 2,176.00 INSPECTN ACCESS DEDUCT FOR '/R -1,414.40 TOTAL AMO(1 761.60 CONTRACTOR NAME, ADDRESS LICENSE NUMBER DIV. OF IND. SAFETY PERMIT: 11 MIN/MUM SETBACK DISTANCES , 15 FRNT SETBACK/PROP LINE ` 20 REAR SETBACK/PROP LINE 15 SIDE SETBACK/PROP LINE 15 SIDE SETBACK/PROP LINE MECHANICAL EQUIP NOT PERMITTED IN REQUIRED SIDE SETBACKS NO. STORIES I I�J . DWELLING I NO. BEDROOMS �DNC FLOOR TE EXT. HALLS I • INT. HALLS- I CEILING STUCCO SHEETROCK SHEETROCK r ROOFHEATING FIREPLACES 1 PILE I NATURAL GAS METAL 01 IMASRY ' WATER 'UB IC �PUBUCR I MIN 000DEPTH' b 00010010000 SIZEI NEWNEW /REPAIR COMMENTS • )6/12/92 MINOR VARIANCE IN PROCESS TO REDUCE ;IDEYARD SETBACK ON NORTHSIDE OF PROPERTYLINE "ROM 15' TO 9' TO CONSTRUCT RESIDENCE. FORMERLY .RACT 10379-1, LOT 44, FRONTYARD SETBACK, WITHIN IUILDING ENVELOPE PER TRACT MAP, C.ADAMS. • AMT WAIVED .00 AMT PAID 761.60 PAYOR NAME: AMIN KHADEMI PAID 06/12/92 RECEIPT l401 EMPL: ADAMS, C PAID BY : CHECK NBR : 1089 1