HomeMy Public PortalAbout10258 DAINES DR_Building__ ?GAdl6A GB#4303 4-118 APP LICATION FOR BUILDING- PERMIT -
,1,2COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRES '7
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST iL
CASSATT D.GRIFFIN SUP•T,OF BUILDING CROSS ST. /i
FOR APPLICANT TO DISTR NO. GP I 45 CONST. P
BUILDING -'` SEWER MAP
ADDRESS STATISTICAL C SSIFICATION / I 'B PG -
CLASS. NO. DWELL UNITS r
LOT NO. BLOCK NUMAP MBER Q D STATE YES NO
HWY.
TRACT' �`( 6 f USE ZONE SPECIAL
NO. BLDGS. CONDITIONS
SIZE OF LOT I NOW OF
LOT A-1
USE OF -
EXISTINgALDG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL /^ P.L.
ADDRESS Y SIDE !
CITY NO Q - P.L. D
ARCHITECTOR TEL, INSPECTION RECORD
ENGINEER NO. - - -
Gsi &Hca.
ADDRESS No
TEL.
CONTRACTOR NO. n
ADDRESS '
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT.,, NO OF N OF
SIZE 10' ' STORIES F M LIES ,
USE O_F STRUCTURE
GNATURE,OF APPROVALS
APPLICAN
' T DATE) INSPECT R'S SIGNATURE
ADDRESS FOGNDATION' LOCATION N -
$ FORMS,MATERIALS
P.C. S FRAME FIRE STOPS.
po�J� FEE BRACING. BOLTS
VALUATION O - S tZ/ Q d FURNACE LOCATION,
FEE 0 r. GAS VENT. DUCTS '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO CO LY WITH ALL COUNTY ORDINANCES AND. , i - -
STATE LAWS LAYING B ILDIN O CTION. 'LATH, EXT. -
SIGNATURE OF HOUSE NUMBER COR-
PERMIT EE
OR-PERMITTEE 7 / RECT AND POSTED /
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION• CK. M O. cASH
s - - :21'3.O FEB 3 -1 n 6.6,.Q 0 '.