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Home My Public Portal About9325 DAINES DR_Building__ ( tel l� I�G�I�O(�ATH®�f-IrORcou, �COUNTYENGI LOS AN, ELEs. S U O L®O N G P E R M Q�• . - D BUILDING AND SAFETY OE , .FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS LOCALITY NEAREST r CITY ZIP 91780 CROSS ST.. NO.OF BLDGS. ' ASSESSOR' SIZE OF LOT NOW ON LOT MAP BOOK . PAGE, PARCEL DIST I�T GROUP TYPE ' FIRE 2.SSED BY TRACT BLOCK LOT-NC CONST. ZONE' TEL. J` ..4o OWNER ,T e n; 'L N STATISTICAL CLASSIFICATION , SEW AP ADDRESS 9325 CLASS NO.p �DWELL.UNITS �BK PG' CITY TemDl e City, ZIP U ONE MAP ARCHITECT O TEL. NO. CrCJ' ENGINEER NO. Qi SPECIAL '4J CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ TEL. CONTRAETOR 'Li ' .,L R a n dal NO: BLDG.SETBACK FROM LIC: FRONT PROP:LINE OF (STREET) ADDRESS o. H HI WAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. -FRONT PROP.LINE HIGHWAY WIDTH CITY San a .w e l C-a CLASS ' _ CONSTRUCTION LENDER CL NAME AND.BRANCH O BLDG.S ROM U . SIDE PROP.LINE OF (STREET) ADDRESS CITY O SQ.FT. NO.OF NO.OF- CHECK HIGHWAY + YARD TOTAL SETBACKTT4QM TYPE OF EXISTING U SIDE PROP.LINE HIGHWAY WIDTH . w SIZE STORIES. 1' FAMILIES'. '` ONE N ❑ + = Z DESCRIPTION OF*WORK Re—roQf h o Li p NEW ADD ❑ CORNER CUTOFF YES ❑ NO & ' a r.a g.e c am V.o s'li n g 1' ALTER ❑ IN OPEN SPACE YES ❑ NO .❑ 12x18 `' REPAIR USE OF DEMOL IN COASTAL PERMIT ZONE YES;. ❑. NO E]EXISTING BLDG. q APPLICT TEL PRINT) CT.. L . Randol No.288-4Q4Q BY(SIGNATURE( ! i I HEREBYACKNOWLEDGE THAT I HAVE.READ THIS•APPLICATION AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO 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 TO WORKMEN'S COM- PENSATION INSURANCE. OM-PENSATIONINSURANCE. SIGNATURE! FINAL BYD �u�,�, PERMITTEE DATE �/ ADDRESS 5 TEL. P.C.Fee$ Permit Feel . CITY San ,G a 6 'e 1 No. . Q n 0.1) na Q Issuance Fee. VALUATION Total Fee oCJr� ✓SJQ - 111—GASH– a PERMIT VALIDATION CK. M.O. GASH 5.4 8� �r�e 1..8 1 D ;5 jt . . :P®LACY j-f®1..®ER:' � .. ©S7fiA6 616E`�Bd3A'ti3i197B ER,, ��I �•��-�" � - - i - _ -0 i : . APPLICATION FOR. BUILDING R RMI` DIVISION OF BUILDING AND SAFETY BUILDING - ADDRESS Deportment of County Engineer, County of LOS Angeles LOCALITY WM.J. FOX. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. RONNEDISTRIC, NO. GROUP SEWER MAP FOR APPLICANT TO ,FILL IN J I TYPE CONST. y BUILDING / D411A.I&; 4,00-5 =T 61 MAP ._STATE. ADDRESS I NUMBER . D HWY 'was O U Sv. �+ r •.i3' GP Lti LOT NO. BLOCK S SPECIAL ZQNE . . - C N CONDITIONS TRACTfC:,/1 9 -O'� BUILDING—DIN , - SIZE OF LOT I NOW ON LOT - YARD HWY STREET NAMEEXIST. SETBACK ^ "WIDTH USE ^/ IVF - FRONT •,p-1_ !�:�.r _,EXISTING BLDG. P L. !; �✓.� J .0.WNER KG/3P'.4?r �• D 6Ir` SIDE t- p P.L.MAIL .� ADDRESS ` V rte. DLII�C.S D� 7 O TRACT DWELL. I UNIT v/ 5 INDUSTRIAL CITY Ct r-Y NO.Arg 1 -DWELL. I.UNIT, a. .. - 6. PUBLIC BLDG.- ARCHITECT LDG.ARCHITECT OR TEL. DUPLEX, I UNIT. , ENGINEER NO;. 3 APT. UNITS 7 ADDN.,ALT.. ETC. . � - -8 MISCEL: ADDRESS 4 COMMERCIAL - - CONTRACTOR �'��=Q +q No'1ji p1-.5Z - INSPECTION.RECORD ADDRESS 930DA/HI�S DESCRIPTION OF 'WORK - - - �IF // ADD ALTER REPAIR DEMOLISH - - S ZE T / /�STORIES / FAMIOLI % - USE OF STRUCTURE fi�f�`{ t�#CIC' - Y�e4il/. SIGNATURE OF APPLICANT' r� APPROVALS ' - - ADDRESS ✓C/ �`D�/NCI Da `!T DATE INSPECTORS SiGNATURE.. $ : P.`C. $ �D FOUND FORMS, M MATERIALS I FEE ./ A a' .e+.�-E•.q:-.d y 'y v� •,i FRAME: FIRE STOPS•' O LI v VALUATION $ t^C :BRACING,BOLTS � - FEE "� FURNACE: LOCATION, - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE REA GA55 VENT. THIS' DUCTSAPPLICATION 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 HOUSE NUMBER,COR- PERMITTEE RECT AND POSTED ADDRESS o FINAL .�• Y WM.J:FOX,COUNTY ENGINEER VALIDATION C.'N. MRLAM,CHIEF BLDG. iNSPECTOR- , COLT 6'6'6'U'R AN ' :9 1 6 195 0 3 9.0 0-. �. i,:..