HomeMy Public PortalAbout10836 DAINES DR_Building__ ]6Afi3BA DB59 1351 - - '
APPLICATION -FOR; BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY Ao�RelssG �D 3
Department of County Engineer
County Of.Los.Angeles LOCALITY
- WM. Jr FOX, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BU ILDINO CROSS ST.
DISTRICT NO. GRO SEW
FOR APPLICANT TO FILL IN I ,E BER K MAP
P6
BUILDING
ADD ESS 'O.J y� /� 7Q�M}y q f'7r MAP T' STATE-
. YES .NO-
NUMBER HWY
LOT NO. ---- - -T--:BLOCK. .,.. �USE';ZONE� = SPECIAL._
CONDITIONS
TRACTNO. OF BLDG$. _
SIZE OF LOT I NOWON LOT BUILDINGEXIST.
YARD HWYSTREET'NAME
USE OF - SETBACK WIDTH'
EXISTING BLDG. FP. L.
OWNER } - �7MA" SIDE
p ) 1^Y-I P. L.
MAIL IDR�� /��QIwILL .VN.
ADDRESS
q/� l
CITY .19 IJlA/ No 6046 t DWELL. T'UNIT 5 INDUSTRIAL
.M 2' DU PLEXUNIT '6 PUBLIC BLDG.
ARCHITECT O TEL. -
ENGINEER NO. 3 APT. UNITS_ 7 ADDN. T., ETC.
ADDRESS ' '1 . 'q COMMERCIAL 8 MISCE
CONTRACTOR /`.,QP/,IAW+ gVmn J' NO.
'n1 INSPECTION RECORD
ADDRESS- lL l l l_.QdI/Y.DESCRIPTION OF WORST
NEW ADD . ALTER REPAIR DEMOLISH -
SO. FT. NO: OF NO. OF
SIZE , STORIES FAMILIES _
USE OF STRUCTURE -
SIGNATURE OF ��---•o - -
APPLICANT n /✓✓F,^+� APPROVALS
ADDRESS DATE INSPECTOR'S SIGNATURE
useFOUNDATION: LOCATION
C. Sv FORMS. MATERIALS
FEE _ FRAME: FIRE STOPS.
SBRACING, BOLTS
VALUATION -
FEE aCldo FURNACE: LOCATION,
(GAS VENT, DUCTS '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS .
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -LATH, INT. -
AND STATE LAWS REGULATING -BUILDING CONSTRUC. -
TION. LATH, EXT.
SIGNATURE
OF
HRECT AND POSTEDR` ,
p.w �_ �o.� Q P
..ADDRESS .FINAL D�� � •
wM. J: FOX. 'coon EndtnFCO VALIDATION . . -
BY �.,,' - .. .''"r�YL�:2':5_in ,MRR'_ 1_4 ,�. -
BY - BY - ..
- ..DEPUTY - - DEPUTY
DEPARTMENT OF ILDING AND SAFE�gT 5 lbbtPLICATION FOR PERMIT
COUNT LOS ANGELES ® 8
WM. J. FOX. CHIEF ENGINEER - U
RLDONG
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. "' PLAN CK.NO. PERMIT NO.
ADDRESS -y��d� h UdPG�� wP� � O
LOCALITY / �Y l� E- G 1 RECE WED 8Y r, DATE OF APPL. DATE ISSUED _
NEAREST - - '� O '�SQ
CR039 9T.
OWNER .�? / /— ���'l�� .. ADDRESSMAIL
�� 7 ( l Z /�. /7�Ot//��✓� Y
ADDRESS 2. /"RAE•• LOCALITY
r� EL CROSSBT.
CITY / a M ID L6r C.,�1P T� NO.• .
FIRE NO.OF Z TYPE GROUP
ARCHITECT OR TEL. / / ZONE PLANS
ENGINEER NO, -
/ SLOG. r. ORO. 'O.
ADDRESS / SETBACK LINE �•O FT ✓�/ Z/V I�.PL
APPROVED ^-• r
CONTRACTOR C>r-n. k Acrd TiE'A T YM 5 (°„ BY DATE1
9r �) USE nnAPPROVED 1
AD RE '/..ff 8 / SO rdA 2v"An/ .Al-,Ll. ZONE /'_��/ BY _ DATELEAL ;
DESCRIPTION LOT NO..P'9 BLOCK CORRECTIONS r /�
TRACT (J �1JG/
NO.OF
912E OF LOT , �X NOW ON LOTS ✓D�[_ 1=_nj7-"t •U, .� GT )= W.St7)=USE OF L
EXISTING BLDG, I FO rtEe� ROOMS
DES�CRIPTION OF WORK
_NEW -I ,/ALTERATIO)N ADDITION7p - - _ - - •• '
r REPAIR MOVING ' F DEMOLISH - A
4
9Q.FT. NO.OF-r �_
912E � 0 ROOMS STORIES / D
WA ����I11I,,
COVERING.STt)rt&'Cr" �-vS/A/NIi-/COVOERIING B0IM /'(, � 'y-(� `�� ''/A�• �N�
BUELDIND� �`� iV /T)/ 19�T
FI /
200 X 7 .q,!L °p
39� x7 ILI of
375
I HEREBY ACKNOWLEDGE THAT 1 HAVE, READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATIONINSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
/ �� 4 -� /•��
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
tom, FRAME: FIRE STOPB, �(nAN�
SIGNATURE OF X ' wL BRACING.SCLTB b
PERMITTE �'J LATH, INT.
AUTHORIZED ADT v �uK• LATH, EXT. IUfl( I
96A639A-3 7.49 .$ O v P.C.$ / D PLASTER.INT.
FEE PLASTER,EXT. /
8
VALUATION .�� 6r'
FEE FINAL