HomeMy Public PortalAbout10641 DAINES DR_Building__ L�6A63$XC68173AO CATION FOR BUI�G PERMIT 8=. 1COUNTY OF LOS ANGELES ABUILDING
DDRESS O iEPARTMENT ,6F COUNTY ENGINEER
BUILDING AIVD_SAFETY DIVISION LOCALITY 7U�
.JOHN A. LAM81 E'. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST. _
DIST ICT N GROUP ' TYPE, PR CESS XBY
FOR APPLICANT TO FILL INI O , _ CONST- o
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
\ADDRESS D6 s CLASS NO._121, DWELL UNITS B PG .
LQA NO. 1y I,"/ t BLOCK USE 20NE MAP qq -C.p
NO.
TRACT 5•g_ 7 �_ SPECIAL
NO OF BLDOS, ^ CONDITIONS
SIZE OF LOT Ow ON LOT OC..
USE OF
E"S",
ST G BLDG. V BLDG. SETBACK IgOM V S
ff
TE -1 FgONT PROP. LINE OF ASTIGET)
OWNER NO. L /� TYPE OF EXISTING BE_TBACK HIGHWAY +' YARDI _ _TOTAL
ADDRESS K%. HIGHWAY WIDTH
'I OM C.L. -I
CITY + Z U - ZO
ARCHITECT R yS!�� TEL. BLDG. SE BACK FROM ,
ENGINEER AJ NO. 91DE PgOP. LINE OF (STREET)
TYPE OF E.XISTINO SETBACK HIGHWAY + YARD o TOTAL
ADDRESS XIGXW AY WIDTH FR OM C.L. }
CL
TEL.
CONTRACTOR NO' / O u
ADDRESS .,41DlNO. (y CORNER CUTOFF YES ' NO O
CITY
LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS u
ftSCRIPTIdN OF WORIfc�.- S-U,S� PPQ0V9 PL f\ h15 z
NEW ADD ALTER X REPAIR DEMOLISH "^ p T
SO.FT. NO. OF - NO. OF N.uSI. = r)K) I a � �- I fYs
SIZE STORIES FAMILIF_5
USE OF. -
STRUCTURE
T coI Ai r-
SIGNATURE OF ,'.f �. a :7 L=QlZ. Q(f l�.}fl "�`At 1 I GI.I,-.
APPLICANT c '- ♦ - - ,J
VALUATION$ f.� - �1 F
APPROVALS DATE INSPECTOR'9SIGNATURE
P.C. PMT. -D FOUNDATION, LOCATION 4 r / /j!(i k Lit ,
LL
FEE$ / / �— FEES FORMS, MATERIALS _ W /nl NY WE '(-t�.
FRAME, FIRE STOPS, 4 --1O / r /)JC"_ v (i A4 y
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT4_ 44 (C.DD bJ Lyf .Gf7-'^^�
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �''o1
l!
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION.' I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CO.. OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENS TI INSURANCE. LATH. EXT. V
ur(A(oB H.�an1{kfw4J
SIGNATURE OF OUSE NUMBER CORT� -
PERMITTEE RE AND POSTEDLLA
y _ y
ADDRESS Z f L FINAL 1/ 3114 ZF
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION _GK, .D. CASH _ PERMIT VALIDATION cK. M.D. CASHJiIO9929:0I4AR2523D 14.50A
_FLo0 1 7 IG APR 1 1 D 2 9.00