HomeMy Public PortalAbout10536 DAINES DR_Building__ 76A6384 CE4mi 3-68
-APPLICATION FOR BUILDING PERMIT
COLTNI'Y OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS-/l
O
BUILDING AND SAFETY DIVISION
LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OF BUILDING NEAREST ;
CROSS ST i, ��
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST ,
Print or type only) Q
BUILDINGt C STATISTICAL CLASSIFICATION SEWER MAP _
ADDRESS / 01S d J rN�J /L + CLASS NO !?3--WELL UNITS B PG
LOT NO Lf BLOCK USE ZONE MAP L `
_ NO
TRACT �.�w 9� SPEC AL' " ' -
NO OF BLDGS CONDITIONS
SIZE OF LOT 7 NOW ON LOT ,
USE OF :
EXISTING BLDG S /f��1✓i�+1 BLDG SETBACK FROM : +
/j� ! TEL�f FRONTPROP LINEOFr /�4!" ff-< i�. (STREET)
OWNER C/. I.IT� II� NO I�"E��'7� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 3C V14p4(f pJd 5'j, HIGHWAY WIDTH FROMCL
'fo". f
CITY
ABLDG SETBACK FROM
ARCHITECT OR TEL
SIDE PROP LINE OF � (STREET)
ENGINEER NO
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS - HIGHWAY WIDTH FROM C L
TEL
CONTRACTOR ��j' NO + a
Lc CD
,ADDRESSII L UT I} NO 7 12
CORNER CUTOFF YES ❑ NO t V
CITY��P+ - / V CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS oI.-
U
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
FT tr� NO OF NO OF
SIZE rj' STORIES FAMILIES
USE OF �Z lD
STRUCTURE G
' L
SIGNATURE OF
APPLICANT
VALUATION $ O
APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT Q� FOUNDATION, LOCATION
FEE S FEE $ K FORMS, MATERIALS
FRAME FIRE STOPS,.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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 I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR C OF THE STATE OF CALIFORNIA RELAT LATH, INT
ING TO WORKMEN S C MPE SATION URA CE J /
LATH, EXT / 6
SIGNATURE OF HOUSE NUMBER COR-,
PERMITTEE _ 11-C. AND POSTE
ADDRESSU /0
FINAL i . ( L
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION M O CASH
i�l.o 6 7 0� WT 1 0 1 7.2 5N V
76AO38A DBS-3 3.88
APPLICATION FOR BUILDING PERMIT 1
DMBU
SION OF ILDING AND SAFETY BUILDING
ADDRESS �(!�
Department of County Engineer
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST -
Pw�CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRILWTYPE SEWER MAP
F,OyR APPLICANT TO FILL IN `/r I corlST. MBKBU'LD / `PG
ADDRE �(nJ"'.t{_ J'/-J� �y`,�//!/ NUMBER STATE
YES PG
LOT NO.`�'� �`�/ p BLOCK US ZONE SPECIAL
yy�(j._�/► CONDITIONS
TRACT 4-6
t NO. OF BLDG9.` LDING EXIST.
SIZE OF LOT 2XX 2Z7USE OF r yI NOW ON LOT I SETBACK YARD HWY STREET NAME WIDTH
EXISTING BLDG. SI/VC L.G /"l`/M�L�I K�� FRONT 1 �O
'
OWNER �T SIDEP. L.
MAIL
ADDRESS/ OE O TRACT DWELL. 1 UNIT
DWELL. 1 UNIT
5 INDUSTRIAL
♦ '' TE . 1 `
CIS®e1 C L/ ry NOL' -&ZG - 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT7 ADDN..ALT., ETC.
ENGINEER NO. 3 APT. _UNITS
B MISCEL.
ADDRESS Z f;lY1p��C TEL. � . ,y 4 COMMERCIAL
CONTRACTOR 95WFF�_ I
NSPECTION RECORD
ADDRESS D r
DESCRIPTION OF WORK I �
NEW ADD ALTER REPAIR DEMOLISH I
SO. FT. NO.OFNO OF R
SIZE STORIES / FAMILIES / _
USE OF STRUCTURE �� ( , VL �1�`
` C yfi� 1 LL1�l�j
SIGNATURE OF
APPLICANTAPPROVALS
1'
ADDRESS � ^" /CL'.2GGd�CL- DATE -INSPECTORS SIGNATURE
FOUNDATION: LOCATION T "{
P. C. S Q FORMS, MATERIALS ,/rte 'Ireffl/141,1�N -
���®`"— -- FEE FRAME: FIRE STOPS.
VALUATION $' Q 0 BRACING.SOLT9 C� / ^t_quar.f•"
FEE —719 FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GA9 VENT, DUCTS
. f
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. Z
AND STATE LAWS REGULATING BUILDING NS UC '
TION.
9) LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
RECT AND POSTED 6'°/ J//may
IADDRESS FINAL
WM.J. FOX,COU TY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR'
3 3 2 5-L_ DEC 12 1 6 -1-0.0 D e m r
�3434'U-01 DEC 17 1 20.00 m