HomeMy Public PortalAbout10647 DAINES DR_Building__ 7GA638ACEZ8031-6= APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY /
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF 2JIL.ING 'CROSS
DISTRICT NO.,- 'GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN J/ D/ CONST.t
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS / K P�y.
,C CLASS. NO. DWELL.UNITS'
LOT NO. y ( BLOCK CERTIFICATE:WATER NOT REQUIRED RECEIVED
^ _
TRACT D W MAP HIGHWAY
NO. (CIRCLE) STATE MAJOR SECON LOCAL
O.OF BLDGS.
SIZE OF LO q - NOW ON LOT / USE ZONE SPECIAL h V
USE OF ?� I CONDITIONS 13
EXISTING BLDG. E-V -
n T
OWNER Q BUILDING EXIST,
YARD HWV ST EET NAME
SETBACK WIDTH
ADDRESS ,S' [•sS FRONT
ARCHITECT OR TEL.. P. L. �r
ENGINEER NO. SIDES
P. L.
ADDRESS /� •a ` U
(.,fit EL. ) (.I J /( (rf/ /'l J+- y�
CONTRAC 6/U ', LDC OS I�! //��� ?1� �W!'-^TA {'�A..^F"!".:As,./•! �C..
ADDRESS a
DESCRIPTION OF WORK aro°^ ✓& .n �:J� v—_ rsi%/1 w
NEW- ADD ALTER REPAIR DEMOLISH < ` v '/C- � (" Z
SQ. FT. f, STORIES NO OF ES I '�
SIZE (Q.
U SEOF �-/f'
:TRU CTUR131(A L-C L (,(:LLL-(ry� d / >> / / ,r
SIGNATURE OF .F /y' /7� /� 9��1 L /{ �.,Iaf��iy'S..R.� NG
APPLICANT t 1113 C-3 `�V-4 t.'�6I Ile/'P/ e�'Y /1
VALUATION$ /� / /�.+7" 1 ;.✓ ter �
�C'/t APPROVALS �J/�,f &DATES/ IN SPECTOR'SSIGNATURE
FEE $ C2 L .FEE $ 'j�J % FO FORMS,OMATERIAALSON /(�l�
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.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT..DUCTS I� _
BUILDING CONSTRUCTION.,, CERTIFY THAT IN DOING THE WORK //_ G
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. // 6 ' "r
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
SING TO WORKMEN'S^COMPENSATION J/�+SU�RANyGE - LATH. EXT.
SIGNATURE c /, Ly J/ —/_`,�, HOUSE.NUM BER COR- �J -
PERMITTEE /� A �/, iILF /t.lA/ RECT AND POSTED
ADDRESS FINAL ,
JOHN F. LEWIS "PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION GK. M.G. CASH _ PERMIT VALIDATION :K. M.G. CASH
VA(;o 6 i ,8 5 0' GO z a 23 D 2 3.25A � C
,;
L�Go;6,'7 9 raoV 9 ' D 4 6-5 0—