HomeMy Public PortalAbout10539 DAINES DR_Building__ 78A838,A CE#803 5 6, APPLICATION", FOR' -BUILDING. PERM T- ,
COUNTY OF LOS' ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST - '
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST i
DIST IDN"' GRpE PRO SS� Y
FOR APPLICANT TO FILL IN CONST
ADDREISNG S QS� /� "STATISTICALC FIC ION' '; ER MAP
P
- CLASS NO DWELL UNITS^
f LOT NO BLOCK WATER NOT REQUIRED REC IVED '
CERTIFICA/TTE r- �.-
TRACT NO OF BLDGS' - NO (tel ,HIGHWAY c EI STATE MAJOR SE CON LOCAL
SIZE OF LOT /V' /� NOW ON LOT USE ZONE PECIAL `-t '
USE OF ONDITIONS -
EXISTING BLDG ���iQ/ TELL�" �/ ,
OWNE . / NOr13�D( BUIL ING EXIST
SETBACK YARD HWY STREET NAME ,WIDTH
ADDRESS ' D FRONT / O
ARCHITECT O TEL P L
ENGINEER �lI�E • NO SIDE
P 'L - O
ADDRESS TEL ` INSPECTION -RECORD _ m
CONTRACTOR04t//VeZ NO +'1 {�+ G
ADDRESS
DESCRIPTION OF WORK k) 7, 7 �// S�/� a�F,��il�fi '►r - fir~ H
NEW ADD X ALTER REPAIR -DEMOLISH r 4 77
SQ FT 'NO OF NO OF"
IZE Q
STORIES
FAMILIESUSE OF
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SIGNAT RE OFAPPLIC
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VALUATION$ ' O� ✓lta� � '� �9X�f ..b7f� �113✓y
"f ,'''_APPROVALS'' • ,DATE 'INSPECTOR S SIGNATUR
PC PMT - FOUNDATION LOCATION Q,g
FEE $ ` FEE $ Y 1✓ FORMS,MATERIALS (J�)
'FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING.BOLTS A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, 1"
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 LATH, INT �`�!{(� �„f+/�"�W l
TION OF THE LABOR CODE THE STATE CALIFORNIA RELAT-
ING TO WORKMEN S COMPENSATION INSURANCE ,
LATH.EXT �2
SIGNATURE OF /�/ HOUSE NUMBER COR-_ E
PERMITTEE "' ' aRECT AND POSTED
' ADDRESS ig'3 [FINAL, VGA' "
PIAN CHECK VATIO CK la o. cwsN CLYDE PERMIT VALIDATIO cK:, RM o.EN�G,ISN„ER
LAG 2 2 6'1No JUL 27 1 D 2 2.00N
DIVISION OF BUILDING AND SAFETY 1 0"M ' L I
Department of County .Engineer
County of Los Angeles
`^ WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. Puri CK. OR REC.No PERMIT NO.
BUILDING - /^ 10-5-37,,Z
ADD R ESB �J
RECEIVED BY DATE OF APP' DATE ISSUED
LOaALITY li �i-� 1-36 -5-3
NEAREST
CROS8ST. / Pte` BUILDING Ap
�,( ADDRESS J 7 �Lc 1A.,Y
OWNER
MAIL /� (^► LOQALITY
ADDRESS D✓�• y `�/ NEAIFEBT /✓
CROS-ST. Ct ., 4 J�
CITY t ' NOL v FIRE NO.OF, TYPE I !I GROUP /
ARCHITECT ORf TEL ZONE PLANS v
ENGINEER L NO. BLDG.
NO.
p/
SETBACK LINE �Rf;.
ADDRESS
UfE EN_/p APPROVED
' TEL' ZONBY DATE 3 ��
CONTRACTOR NO. HOUSE NUMBERING
ADDRESS MAP NUMBER NO ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTIONp BLOT NO. BLOCK
TRACT a t� v
�f �/ ND. OF BLDGEL j
SIZE OF LOT/D/� NOW ON LOT
USEOFI OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK p
/ra
NEW r./ ALTERATION ADDITION Z
D
REPAIR /� DEMOLITION / r
EQ.
ZE �A V ROOMS / STORIES I
EXT.WALL / VV I ROOF
COVERING / COVERING
USE OF STRUCTURE
INSPECTION FOR ` APPROVALS
OCCUPANCYAS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS .�5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIN AP-
PLICATION AND STATE THAT THE,INFORMATION GIVEN IS FRAME: FIRE BTOPS,
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH,AL4 COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONBTRUCTION. FURNACE: LOCATION,
�J GAS VENT, DUCTS
SIGNATURE OF / �l tE� LATH. INT.
PERMITTEE !A �P/1_– a •ADDRESS ✓ �A r-�-�. /�'i� LATH. EXT. – /,G/—<a `-
PLASTER, INT.
AUTHORIZED AST.
PLASTER, EXT.
P.C.
FEE HOUSE NUMBER COR-
RECT AND PORTED _
VALUATION
FEE FINAL
7SA638A DBS 3 I-53