HomeMy Public PortalAbout10808 DAINES DR_Building__ (,T BBA%E #803 1n1 '
a. • APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS [.J
COLEMAN W. JENKINS, SOFT or EI LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Pri Dr orf eonl CROSS ST.
BUILDING - DISTRI T N G OUPq TYPE P E6259 BY
ADDRESS ��/ C�� CONST,•
STATISTICAL CLASSIFI TION SEWER MAP
LOT NO�', BLOCK
CLASS NDWELL,UNIT5 BK PG
TRACT WT, USE ZONE MAP
NO.OF BIDGS. NO. C/
SIZE OF LOT NOW ON LOT SPECIAL '
USE OF CONDITIONS.
EXISTING BLDG. -
TEL, • ;
OWNER NO. BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF '(STREET)
.TYPE OF EXISTING SETBACK HIGHWAY } YARD. = TOTAL
CITY •HIGHWAY WIDTH FROM C.0
ARCHITECT OW TEL. } _
ENGINEER NO, BL CK FROM
ADDRESS SIDE PROP.LI (STREET)
TEL. TYPE OF EXISTING SETBACK WAY } YARD = TOTAL d
CONTRACTOR NO. HIGHWAY WIDTH 'FROM C,L,
CJ
110. _
ADDRESS NO, } p
LIC. 6~A
CITY CLASS CORNER CUTOFF YES LJ NO ❑ y,I
CONSTRU TIO ENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPEC IA LqA PPRPVA LS
ADDRESS _
SO. FT, NO. OF NO. OF NEW ❑ - 71 A•"
SIZE STORIES FAMILIES r
USE OF / ADD
STRUCTURE
ALTER ❑ � �
ce REPAIR❑ _
SIGNATURE OF
APPLICANT OEMOL ❑ -
VALUATIONS APPROVALS '11)ATE INs TOR•s is AnRE
P.C. PMT. ', FORMS MATERIALS
FOUNDATION: LOCATION /
FEE 5 FEE s, , (/ V
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLYFURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST INC
TIDN. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HERE BT I WILL NOT EMPLOY ANY PERSON IN.VIOLATION OF THE LATH, INT. -
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSAT N INSURANCE. LATH, EXT.
�1
SIGNATURE OF
HOUSE HOUSE NUMBER COR;
_ PERMITTEE { RECT AND POSTED
ADDRESS FINAL 7�
JOHN F.,LEWIS. PRINCIPAL $TRU URAL ENGINEER
PLAN CHECK VALIDATION 5H _ PERMIT VALIDATION cK. M.o. CASH
ter s o � uiv25 1 Q 6.GON"
DEPARTMENT OF BUILDING AND`SAFETY APPLICATION FOR PERMIT -
COUNTY OF LOS ANGELES �p i¢ ,
WM. J: FOX, CHIEF ENGINEER N ` 7o
FOR APPLICANT TO FILL IN, FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. - PERMIT NO.
BUILDING cI� 4&/-/ G L� ;)-
ADDRE69 J✓ D VX l?('�
LOCALITY - - REC IVED BY DATE OF APPL. I D E IB9U�/Ey�D�Cy
NEAREST
CRO99 9T.
BUILDING
OWNER y� p ADDRESS
MAILADDRSJZ C LOCALITY T '
NEAREST
TE
NO.LAV
CROSSBT. V v
CITY '
Yul FIRE NO.OF TVP�-GROUP�
ARCHITECT TELs 4. ZONE PLANS
EN SINEER 0.1 NO.a OF J
SLOB, y!� `^ JJ ORD.NO.
ADDRESS SETBACK LINE I /-
APPROVED
TEL' BY DATE '
O.
USE /''J APPROVED
ADDRESS ZONE �/'/BY DATE
LEGALI CORRECTION3�
DESCRIPTION LOTNO. BLOCK
TRACTWet
No.or
SIZE OF LOT / 6'O I NOW ON LOTS
- USE OF NO.OF I NO.OF /-�--
EXISTING SLOB.
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
0
A
REPAIR MOVING DEMOLISH p
S4.FT. NO.OF Z
SIZE ROOMS STORIES D
WALL-- ROOk F
COVERING I COVERINGAO
USE OF N
BUIUSE DIN
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPRO LS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONt LOCATIONINSP TOR_ ZDATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME! FIRE STOPS,
SIGNATURE OF ` SRACING,BOLTS -
PERMITTE iLe LATH.INTI �1
AUTHORIZED AOT �� LATH.EXT.. /
J ..
oee-a soM SETS 1-46 $ .�/j PLASTER.INT.
' P.C.$ VV /�/y�
��/] r� FEE 'P--.
® �•' PLASTER,EXT.. / / 1 I �-�� 6`,
VALUATION l OO , FEE 7�� �� FINAL v /`�v� v
APPLICATION FOR
BQILDING PERMIT
BUILDING
FOR�APPLICANT TO FILL IN I, ADDRESS / D U e.] ' ✓�
BUILDING
ADDRESS L - LOCALITY
-- ,� - y' NEAREST
CITY ZIP' _ /. Q CROSSST-
NO OF BLDGS. - - ASSESSOR '
SIZE OF LOTW ON LOT MAP BOOK PAGE I PARCEL
oy ,/ p¢i O%l . DISTRICT GROUP TYPE FIRE OCE DBY
TRAC B OHK- LOT NO., O C�NyQ 0 ZONE
TEL .S (]ZJ., r- G'LC../�-�•,,
OWNER .'Y J%HCY- M. NO. '
.1 1 ® STATISTICAL CLASSIFICATION. 'I ". - SEWER MAP
ADDRESS �<.ip CLjvL,[.. u,( .azr'14 CLASS NO. �C'1 DWELL UNITS BK/�
CITY ` I i ZIP -� USE iJ ZONE MAP O�'.
ARCHITECTORIJ 1) TEL+{ "i. 7. '1 NO. ' V -
J-' J Jt T1 Off+ '
ENGINEER NO SPECIAL -
.
CONDITIONS . _
ADDRESS - "' - ROAD DEPARTMENT APPROVAL REQUIRED 'YES ❑ - NO ❑
n TEL. p
CONTRACTOR" cL.�QcL.u'.NA'96—/qG-� BLDG.SETBACK FROM
/ p FRONT PROP.LINE OF (STREETILIC .
ADDRESS /S CZ NollU2.?.L HIGHWAY + "YARD TOTAL SETBACK FROM TYPEOF- _EXISTING.
LIC.' /a FRONT PROP.LINE . HIGHWAY WIDTH
CITY E CLASS
CON STR ION ENDER _ + - i•"NAME AND BRANCH _ U
BLDG.SETBACK FROM _ U t
ADDRESS - CITY - SIDE PROP.LINE OF (STREET)- O
SO.FT., - NO:OF,.. � NO.MILIES OFCHECK. HIGHWAY +�' YARD TOTAL SETBACK FROM TYPE OF- EXISTING W ,
SIZE STORIES FA . ONE SID E PROP.LINE' HIGHWAYWIDTH a
+ = Z
DESCRIPTION OF WORK` NEW ❑
/Jn� O-e4,1w iL- ADD ❑ CORNER CUTOFF - YES ❑ NO ❑
-- ALTER ❑ IN OPEN SPACE YES ❑ NO -❑ -
REPAIR
USE Of _ F] IN COASTAL PERW ZONE YES- ❑ NO ❑
EXISTING BLDG.. OEMOL [j --
APPLICANT TEL _�,tZ,
IPRINTI TEL 7 i/SSP -' L-- /✓LT/'/�
BY(SIGNATURE)
:e.
I HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS APPLICATION AND,STATE '
THAT THE ABOVE 15<ORRECT ANDAGREETO COMPLY WITH ALL ORDINANCES- -
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I'WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TOWORKMEN'SCOM.-
PENSATION INSURANCE.
SIGNATURE OF FINAL
PERMITTEE _ r DATE -
ADDRESS LLL
TEL� . . P.C.Fee$
CITY '- r� NO. _
- Issuance Fee _
VALUATION
• Total Pee
PLAN CHECK VALIDATION CK: Mo. EASH PER VALIDATION CK.' M.O. CASH'
359�EiAr 9 1 ' 3 SOC)
0
IDS 76A6388 CE M803B 8/77 "