HomeMy Public PortalAbout10017 LA ROSA DR_Building_3/17/1969_add wood paneling and acoustic 76A638A CER603 9-63
,�.. APPLICATION FOR BUILDING PERMIT ILJI
COUNTY OF LOS ANGELES BUILOIN001
DEPARTMENT OF COUNTY ENGINEER L A o S a
BUILDING AND SAFETY DIVISION LOCALITY 'T-
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST -
COLEMAN W. JENKINS, SUIT OF BUILDING CROSS ST. L _
FOR APPLICANT TO FILL IN DISTRICT NO. GR 4P TYPE P OCESSE. BY
(p,mt Or type .DIY) �.O - 1 CONST_T"
BUILDING ry (� } STATISTICAL CLASSIFICATION \� SEWER MAP.
ADDRESS /OQI / IA �rl DIC_ . pp�� CLASS NO. 14-k DW EK BK PG
LOT NO. G ^ BLOCK A USE ZONE MAP
OOaC./ NO. C L
TRACT y t S CON.IIT ONS
SIZE OF LOT /O 90 NOW ON LOTS
USE OF
EXISTING BLDG. O L �LT S� BLDG.SETBACK FROM
OWNER l
fl orbi(' EOL - FRONT PROP.LI NE OF -(STREET)
� yy TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS )001-7LIZ ` HIGHWAY WIDTH FROM C.L.
CITY Tem l
BLOG.SETBACK FRqIW-
TEL. SIDE PROP. LINE (S TR EETI
ENGINEER ti�O hJ G NO. TYPE OF EXIST SETBACK HIGHWAY } YARD- TOTAL
.ADDRESS HIGHWAY W H FROM L.TEL. L.
C
_ 6
CONTRACTOR W r NO. L
ADDRESS NO CORNER CUTOFF YES ❑ - NO ❑ C
CITY CLASS SEE REVERSE SIDE FOR`SPECIAL"APPROVALSt: 4
CONSTRUCTION LENDER p n
NAME AND BRANCH vk-o p,'e.-
ADDRESS
SQ. FT, NO. OF NO. OF NEW ❑ �- 1
SIZE STORIES FAMILIES
USE OF ADD
STRUCTURE pV _ ALTER E'OlG 4J �" 1 I�t-1J 1� REPAIR❑ 2
SIGNATURE OF _ �/ �f /J
APPLICANT J d-Z-('< oG'(O• (d ✓DEMOL ❑ 1�/
VALUATION S L QQ APPROVALS DATE INSPECTO ' SIGNATURE
P.C. PMT. p Z FOUNDATION: LOCATION
FEE S FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S CO PE ( INS URANC � ' LATH, EXT.
SIGNATURE OF �/ HOUSE NUMBER COR-
PERMITTEE � Kms- 3 RECT AND POSTED
A.DR ESS/�D/ / IT 4/ Qi "O�'C/
- FINAL 2¢co
'- JOHN F. LEWIS. P INCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION IN. M.D. CASH PERMIT VALIDATION cK. M.D. GASH
CP,�-L a�9-$788 . For Key , � � s a 2-5 WiR17 1 0 9.00 v
vrirs,
0'C6 n /