HomeMy Public PortalAbout10538 DAINES DR_Building__ 16AC38A CE#803S BI APPLICATION: FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 7
ADDRESS
DIN
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST '
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST < A I< -
DISTRICT NO.' GROUP TYPE PROCESSED BY I
FOR APPLICANT TO FILL IN p CONST /
BUILDING O_ STATISTICAL CLASSIFICATION SEWER MAP
`ADDRESS BK PG
` t" ,T,r CLASS NO�2DWELL' UNITS
LOT NO BLOCK WATER
- ry[(� -CERTIFICATE
/69NOT REQUIRED RECEIVED
TRACT 0 MAP HIGHWAY
NO F BLDGS NO (CIRCLE) STATE MAJOR SECON , LO
O
SIZE OF LOT 72x267 - I NOW ON LOT USE ZONE 'SPECIAL
USE OF - &I— 1 CONDITIONS
EXISTING BLDG
OWNER 'G00Y`p'e G li TE 17-71 Q ^
jut YARD H `STREET NAME EXIST
SETBACK WIDTH
ADDRESS 4 ,* FRONT ol
ARCH ITECT OR TEL P L �(7 /y/N/ o/z G� ' >.
ENGINEER NO SIDE O
ADDRESS TEL INSPECTION RECORD,
CONTRACTOR
--1I--II-II O _ I O
ADDRESS 11_L.1 E Tas Twaas D U
W
DESCRIPTION OF WORK , H
z
NEW ADD ALTER ' REPAIR DEMOLISH 'NO OFNO OF
IZE STORIES I FAMILIES lro
USE OF
STRUCTURE '� - 2O_{� T)A'F,A('.T1P.(i ,
a 611
SIGNATURE OF
APPLICANT '
VALUATION$
' APPROVALS DATE 'INSPECTOR S SIGNATURE
P C PMTr� FOUNDATION LOCATION
FEE $ FEE $ �`' FORMS,MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT'l 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,HERESY I LL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT
TION OF THE LABOR OD OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S OMP NSATI INSUR NCE {
LATH,EXT
SIGNATURE OF HOUSE NUMBER COR- k
PERMITTEIE RECT AND POSTED 4 1
` /
ADDRESS FINAL G
�EIAA
CLY E N. DIRLAM, PRINCIPAL STRUC RAL ENGINEER'
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION- CK _U o.' CASH
Ujt.o 6_ . OCT 9 1 0 1 7.2 5 '�
7DA630A 055-3 3-06
APPLICATION FOR BUILDING PERMIT 1
DMSION OF BUILDING AND SAFETY BUILDING
Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, 9UP'T OF BUILDING CROSS ST.
DISTRICT NO. IR, (TYPE SEWER MAP
FOR APPLICANT TO FILL IN (j - KPe
7 CON9UILDT
ADDRESS �J�J MAP r7 STATE
p 7n [ NUMBER zoo HWY YES NO
_LOT NO. T5� /L /-7 (y LCL+ BLOCK US �NE SPECIAL
` CONDITIONS
TRACT C
L NO. OF BLDG9.
SIZE OF LOT L NOW ON LOT I BUILDING YARD HWY STREET NAME EXIST.
,SETBACK WIDTH _
O
USE F //'� j FRONT
ISTIUSE
_ BLDG. S/ P. L.
SIDE cA L /= scXT gp-:: L.
_LO Cf
MAIL '� O TRACT DWELL. I UNIT
ADDRE-S�S/G I 5 INDUSTRIAL
TELC®�/L IYII'L� G.� l P NO�CT�/7�G 7/� DWELL. I UNIT 8 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX I UNIT .7 ADDN.•ALT., ETC.
ENGINEER NO 3 APT. UNITS ,
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL
CONTRACTOR c v� tQ-'i) I��- S0
r, ' 3 INSPECTION RECORD
ADDRESS/0 X ✓/
DESCRIPTION OF WORK P �����/�,
NEW (//ADD ALTER REPAIR DEMOLISH / !/ ///
�s
SO. FT. �) NO. OF NO. OF
SIZE f.�li STORIES FAMILIES
USE OF STRUCTURE rAM)
SIGNATURE OF 0 �•
APPLICANT _ APPROVALS
ADDRESS ( DATE INSPECTOR'S SIGNATURE
' FOUNDATION: LOCATION I -.,
O • $L� FORMS. MATERIALS
FEEy i a•
- � FRAME. FIRE STOPS,
VALUATION $ Q D BRACING.BOLTS
FEE FURNACE- LOCATION.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT y
AND AGREE TO COMPLY WITH ALL'COUNTY ORDINANCES LATH, INT. 7r-7 X
AND STATE LAWS REGULATING BUILD}NUC;,
TION. (� gym!!//VV// LATH• E(T.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED
ADDRESS FINAL
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR
LACo 3 3 2 6'001 DEC 12 16 10 .00Am
LACO DEC 17 1 2 0.0 0