HomeMy Public PortalAbout10552 DAINES DR_Building__ 76As;38A CE#603.,10.256 APPLICATION FOR -E U I L D I N G PE RMIT �.
BUILDING AND SAFETY DIVISIONBUIL01 s O *gZ � h�
Depcaiment of County Engineer ADORE
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST
DISTRICT N . GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN B
Q CONS
BUILDIN�D��Z SES �� TC
ADDRES r STATISTICAL CrSSIFICATION
LOT NO 7v /�SrEwogzr el- BLOCK CLASS NO ` DWELL UNITS
/ _ NUMBSTATE
MAPER V - HWY YES NO
TRACT 70�0 U E Z N SPECIAL
.y ,t� NO OF BLDGS. /y CONDIT10
SIZE OF LOT 7?_X L 7c. I NOW ON LOTUSE OF
/ �Q -
EXISTING BLDG -7`/[ L� �L �s U DING - EXIST.
// YARD HWY STREET NAME -
OWNER 64 Ne F SETBACK --WI�DT—H�
FRONT ha
MAIL A /� P L �(J
ADDRESS D3 / jF. Y SIDE -
TEL. / p/�� P L
CITY F L� C i 7 No ',07 INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS CJ ELI 9-�
CONTRACTOR NO �/ Aga -A
ADDRESSID O E-1_D �F.t �� ,�� 0
DESCRIPTION OF WORK
NEW `ADD ALTER REPAIR DEMOLISH
SQ FT _ NO OF ` NO OF
SIZE T82 STORIES / FAMILIES I d d
USE OF STRUCTURE 514�F� S ` ��� !31 A` , /"I
"' 'c- rAPPROVALS
SIGNATURE OF -
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS. MATERIALS , J�
$ y`DD p S `� 1 FRAME FIRE STOPS.
/6 FEEE / BRACING. BOLTS
FURNACE LOCATION.
VALUATION ),.
FEE $ D GAS VENT. DUCTS !� r/ n
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT �� o J X
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT ' •dam']' �� .����id✓�t�/
STATE LAWS REGULATING BUILDING ON RUCTION
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS A FINAL
JOHN A. LA IE, COUNTY ENGINEER, CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK m o c... PERMIT VALIDATION cK m o CASH
LA5,2_.7.7.Ls-1:'BEG23-1-.6 11 .75 A
JACO 5 2 7 s� DIN 2.3 1 2 3.5 C� 0