HomeMy Public PortalAbout10643 DAINES DR_Building__ 76A030A CEC803 R.B'APPLICATION FOR B ILDING RtRMIT
COUNTY OF LOSANGELESBUILDING 3
DEPARTMENT OF COUNTY ENGINEER ADORES
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUrT OF BUILDING CROSS ST. _
DISTRICT N GROU TYPE PROC BY
FOR APPLICANT.TO FILL IN
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BUILDING2r,.w ZZ STATISTICAL LA5SI FICA TION SEWER MAP
ADORES CLASS NO. O DWELL.UNITS PG
LOT NO. BLOCK USE ZONE MAP j�
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TRACT / SPECIAL If
NO.OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
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OWNER, NO. O TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C.L.
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CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
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NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORI FAMILIES
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SIGNATURE OF ,..-
APPLICANT
VALUATIONS O
APPROVALS GATE IHS PEcroR•s SlpNan RE
P.C. PMT. O FOUNDATION: LOCATION
FEE $ FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT t 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 CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'$COMPENSATION
/� )ATH, EXT.
SIGNATOR E/O F�J HOUSE NUMBER COR-
ECT RECT AND POSTED 1
ADDRESS�7,9�-_�� F �AQ✓3-f✓ FINAL
JOHN F. LEWIS. PRINCIPAL STR CTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION cK. M.O. GASH
lA['� 1 s 1 AUG g t ,_1 0 ...6.0 0-
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T6AG38A CER8036.63 APPLICATION FOR BUILDING P RM /y
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTT NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL IN 5 n Cr coNST.`-7�
BUILDING L STATISTICAL CLASSIFICATION S WER MAP
ADDRESS ®(J BK
CLASS. NO.�DW ELL UNITS
LOT NO. _N�� rl rI BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT _ ` MAP HIGH WAY
IJ NO.OF FLOGS. N ICIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT /o NOW ON LOT USE Z NE SPECIAL ,)'_
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER �J` ��I_� NO. B ,LDING EXIST.
A`t+- A p }� SETBACK YARD HWY TREET NAME WIDTH
ADDRESS Q ` e / FRONT / 1
ARCHITECT OR TEL. P. L wql 4
ENGINEER NO. SIDE
P. L.
ADDRESSy
rEL. • t2 - LI ,e . O
CONTRACTOR N.
u
ADDRESS SL ? r- G!1 Rlli'ff,(5 m
DESCRIPTION OF WORK -' 5 O 0
ri �S No p1
a
NE ADD ALTER REPAIR DEMOLISH - N
SO. FT. NO.OF NO. OF OVE O f- Ssti. N A- ?
SIZE s STORIES FAMILIES /}
USEOF �A) A\IES CL
STRUCTURE 6�J
0-
SIGNATURE
SIGNATURE OF /� de-ZQOAIT MrZ. ICO Kr F•O
APPLICANT V Aki"M v/AL pN SIDEVVA Ee2lla FIrJACy' /�tus
VALUATION v
APPROVALS DATE INSPECTOR'S SIGNATURE
^ A.f FOUNDATION: LOCATION
FEE S� Cl �' FEE S IV V 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
D
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'5 COMPENSATION INSURANCE. /
LATH. EXT.
SIGNATURE OF / •.��r-/�a. HOUSE NUMBER CO
P RMITTEE R-
` REST AND POSTED
ADDRESS FINAL *-
JOHN F. LEWIS, PRINCIPAL'S RAL ENGINEER
1 PLAN CHECK VALIDATION K. M.D. CASH PERMIT VALIDATIO .K. M.G. CASH
Llt�o 7 1 9 9;C DEC 31 2 3 D . 3 0.25A
��� , L4;0 7 3 3 5 b ,lRN 7\ 1 D 6 0.5 0" �I