HomeMy Public PortalAbout10218 DAINES DR_Building__ IV''76A638A CE #803 1/71
APPLICATION FOR BUILDIN PERM ''
_ COUNTY OF,LOS ANGELES ASSESSOR
DEPARTMENT OF,COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION NJILDING �a �`
ADDRESS
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL°IN NEAREST
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/� DISTRICT NO. GROUP TYPE PROCE S BY
ADD ESSBUILDIS/a r S CONST
'STATISTICAL CLASSIFICATION SIE WE R MAP
LOT NO BLOCK
CLASS NO. DWELL,UNITS B PG'
TRACT USE ZONE MAP
NO.OF BLDGS p/� NO' d �.
SIZE OF LOT b NOW ON-LOT - W SPECIAL
USE OF _ /\ CONDITIONS
EXISTING-BLDG
OWNER r L �0 - ,
BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
{ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L -
ARCHITECT OR TEL. +
ENGINEER - NO. BLDG SETBAM
ADDRESS SIDEPROP LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWA YARD = TOTAL a
HIGHWAY WIDTH FROM C.L. O
CONTRACTOR NO V
LIC. C=ADDRESS NO + O
`LIC. U
CITY CLASS ' CORNER CUTOFF YES ❑ NO- ❑ 1y
CONSTRUCTION LENDER 0-
NAME
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ FT NO OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF - - ADD El
STRUCTURE
ALTER ❑
SIGNATURE OF REPAIR[] =
APPLICANT DEMOL
VALUATION $ APPROVALS - DATE INSPECTOR'S SIGNATURE
PC - - PMT. FOUNDATION: LOCATION .
FEE S FEE $ FORMS, MATERIALS .
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS '
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE, LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS -•-"�'�"""�'�� n
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON_IN-VIOLATION-OFFTHE,:. LATH, INT '
1 LABOR__CODE-OF--THE-STATE-OF' CALIFORNIAI� RELATING TO
WORKMEN'S COMk NSATI - II NSSUUURRA-NCE �f/'f_I LATH, EXT
SIGNATURE OF //////LF7/f�/ -i ✓ 'HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED
ADDRESS FINAL' G �j/
JOHN F LEWIS PRINCIPAL'STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION CK M o CASH
LACO 2 .7 0 6.0 ON. a
76A638A CE#8038-84 APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDINGDD�
DEPARTMENT OF COUNTY ENGINEER ADRESS / , rT
BUILDING AND SAFETY DIVISION LOC A LI T Y r
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W JENKINS,SUP'T OF BUILDING CROSS ST'
DIST.RI-CT NO' GRR TYPE PR C �S �B�(
FOR APPLICANT TO FILL IN v ��' } CONST �7
BUILDING STATISTICAL_C-�fASSIFICA TION SEWER MAP
ADDRESS • CLASS NO C7_/ DWELL UNITS PG
LOT NO - - BLOCK USE ZONE MAP
TRACT 6;L J SPECIAL
NO OF BLDGS ( CONDITIONS
SIZE OF LOT S(p/L � 91V NOW ON LOT
USE OF
I G BLDG SETBACK FROM
p� FRONT PROP LINE OF (STREET)
OWNER O "' TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS
HIGHWAY ID 'F OM C L
Z-�C.S� r �j / t r= r
CITY / BLDG SETBACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY -F YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L d
./ /� TEL - + = O
'C ON TRA CTO t /Zil NO V
LIC CORNER CUTOFF YES NO
ADDRESS_, NO Q
CITY LI` SEE REVERSE SIDE'FOR SPECIAL APPROVALS
DESCRIPTION OF WORK 7es� z
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NEW� ADD ALTER REPAIR DEMOLISH �► A,�'-��++ L
Sq.FT m .{{ NO OF NO OF f� ~ d6K.7. CJC' T I• UIICst
SIZE T/ aa-e STORIES / FAMILIES ,�((
-USE OF G �'aoj Is C�C� � wpm, � ,A T
STRUCTURE
SIGNATURE OF (,,,L �Q(�.e. .L I'v -
APPLICANT
VALUATION$ �� QQ APPROVALS , I
ZDATE IN PECTOR'S SIGNATURE
FEE$ FEE$ V FOUNDATION, LOCATION
FORMS, MATERIALS —�f-•� -41
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ;FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS.
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY_PERSO N-IN-VIOLA I-' LATH INT
TION OF THE_LABOR_C ODE--OF-THE-STATE OF CALIFORNIA RELAT-
ING'TO WORKMEN COMPENSATION INSURANCE ` LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE -RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M'O CABH
LAU6v 8 2 3 71 FEB 4 1 0 1 1.5 0''