HomeMy Public PortalAbout10021 LA ROSA DR_Building_9/25/1961_house and att garage 1
,...,...,.o. ' APPLICATION FOR BUILDING PER IT LL'lll
COUNTY OF LOS ANADDRESS
DEPARTMENT OF COUNTY ENGELES GINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST !. y'
WILLIAM A. JENSEN SUP'TOFBu1LDIND CROSS ST. V" _
DISTg�CCT,Np GROUPTYPE SED BY
FOR APPLICANT TO FILL IN 7 i 0.7 CONST. j
:BUILDING /�O^ I � NQ STATISTICAL CLASSIFICATION S/ KR MAP
.APPG
DRESS li L,qT /� CLASS.NO.-C--DWELL. UNITS 4
LOT NOI ,`�AODH%f K' .40-0 BLO Ki_ WATER TENOT REQUIREDrz RECEIVED
' CERTIFICA :
TRACT
MAP" /� HIGHWAY
Na(CIRCLE)
STATE MAJOR SECOND, LOCAL
SIZE OF LOT_ IO.OF SLOGS. NO.OL(/ LL. INOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS. '
EXISTING B DG. /
erg
v p TEL.
NO. BUILDING' YARD HWY iREET NAME EXIST.
SETBACK - WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L.
_EN GINEER NO. SIDE —T+Y—
P.L. }
ADDRESSA •,' \ TEL �� INSPECTION'RECORD 0
CONTRACTOR fr5q DNS ^ 'NO. ZL V
ADDRESS PC( ' 7(.IL- y. �d y�� ' F.•..� O
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR. DEMOLISH ./ ♦ y� h
SQ.FT. NO.OF P NO.OF b1w �AAff/.n.r''Lra✓.e4 `!i Ce4�
SIZE ST RIE FAMILI /
USE OF D./9 G SGlOIfii'" �r.KA LQ✓/fes /-/�
STRUCTURE ✓t G �t 1.. - -
:
S IGNATUREOF e�. C'V r/ .� �.. two DI/I✓WSy'.b/P:/ 'Dye .
-APPLICANT
VALUATION:$
�i APPROVALS C.bf^ ATE / INSP/ECTOR'S SIGNATURE
FO
$ I�� FEE $l , FORMS. MATERIALS
LOCATION-
FEE
ALS
FRAME: FIRESTOPS.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLT$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NO EMPLOY ANY PERSON IN VIOLA- p
TION OF THE LABOR C E O_F TA E OF CAL RNIA RELAT. 'LATH,INT. f V iL.��f ! Li+`:•I �`rY
ING TO WORKMEN'S MP N- RANCE.
LATH,EXT,
SIGNATURE OF / � HOUSE NUMBER COR-
PERMITTEE REIT AND POSTED k .. f.O 12
ADDRESS
'CLYDE N. DIRLAM, PRINCIPAL STRYC7yRAL ENGINEER
PLAN CMCK.VALIDATION cK M.O. CASH PERMIT. VALIDATION CK. M.o. CASH
X28 IT—P ? 3D 25 .5 (
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J =F O"n SEP ?5 1 1 D 5 1 .0 0 �z/