HomeMy Public PortalAbout10524 DAINES DR_Building_11/20/1950_40886 ADD TO RESIDENT AND BASEMENT WrIlENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
;COUNTY OF LOS ANGELES
-WM. J. FOX. CHIEFS OINEER
FOR APPLICANT TO FILL FOR OFFICE USE ONLY
yi DI9TRIC%NO. 12 PLAN
/CK.NO. PERMIT NO.
ADDREBUILDrBB •� �.�a .. �40 J �--�(4DDO CJ 1'i
LOCALITY ,/ Az j;4 RECEIVED BY DATE OFAPPL. DATE ISSUED
NEARE$B 9TST I a � t ,
'
CRO . ,��I � � T
BUILDING
OWNER ,�+, ,�ll OFf ADDRESS Al g S "`•iii///
MAIL ,gyp —LOCALITY Ty
ADDRESS IVy .J��i "•IP1��I ..di ,
NEAREST /
CITY �T�/ . NO CROSS ST. c1
FIRE NO.OF TYP —
GROUP
ARCHITECT OR ZONE / PLANS
ENGINEER NO.
BLDG. /
OR .NO
ADORER SETBACK LINE
APPROVED
TEL
CONTRACTOR ,/ NO..
BY DATE
' r•' - - e USE APPROVED
AD R6 �, ZONE A-1 BY DATE
DESCRIPTION LOT NO�' /A, I BLOCK r �„ GSC CORRECTIONS
TRACT
NO.Or SLOGS. /
SIZE OF LOT � X I NOW ON LOT
UBE OF �r "^ I NO OF 11 NO OF
G
EXISTING BLD , FAMILIES ROOMS
- DESCRIPTION OF WORK
NEW ALTERATION ADDITION � A •� O
I / U E
REPAIR MOVING DEMOLISH -per Q
9Q.FT. NO.OF /I ZD
SIZE �1 ROOMS STORIES /�6 >
CWALL ROF
OVERING Gp COVERING //117.ri' Q,r_
USE OF NEW
BILDING (/S /✓ "7
epi -� /
2 2.. O� e6 ar Y
r
1 HEREBY ACKNOWLEDGE THATrI HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIOW: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWSRREDATING.BUILDINS CONSTRUCTION f--
$ ` FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
PERMITTEE-- LATH, INT.
AUTHORIZED ADT LATH, EXT.
76AG38A-3 2-60 $ P.O.111 �,I' PLASTER,INT.
FEE f PLASTER,EXT.
VALUATION C/V FEE G/3 S FINAL