HomeMy Public PortalAbout9331 DAINES DR_Building__ DEPARTMENT OF COUNTY ENGINEER �
DIVISIONoiOF OUIMINLOS ANGELAND
SAFETY O
ire WILLIAM J. FOX, COUNTY ENGINEER � APPLICATIOIV
CASSATT D. GRIFFIN, SUP'T OF BUILDING !
FOR APPLICANT TO FILL AIT FOR OFFICE USE ONLY
BUILDING 2 ,�,rd�� /� DISTrR/DICT NO. PLAN CK.OR REC.No. PERMIT NO.
ADDRESS ✓ �.1�/ 'dI%4i' :.:,e✓ % �2 CO 3
LOCALITY �,�i�/f�� �� / R/ECyEIVED. Y DAT/OF APPL. DATE ISSUED
NEAREST*
CROSS ST. Cc.L BUILDING
•�"� �q - ADDRESS; l..
OWNER -. /1� MAIL �/y! ..
' ADDRESS ' Q�. LIT 7.9,4 , a LOCALITY
„/ NEAREST
_ CITY C:.. NO.�'J/ PrX,� L” CROSS ST, t,,,f/y�, ✓
ARCHITECT OR - TEL. 4 FIRE NO. OF TYPE GROIN,
ENGINEER NO. ZONE —" I. PLANS
y. BLDG.
� ADDRESS � - ,SETBACK LINE r ��
CONTRACTOR +Qe'� �� NO. `71 ''�e� h y USE {� APPROVED
,g Q ZONE f� / BY 2� DATE
' ADDRESS �a � elr4,14 a4
HOUSE NUMBERING
LEGAL MAP NUMBER ZDo V NO. ASSIGNED BY
DESCRIPTION ✓I LO�Tn NO. I BLOCK moi^ CORRECTIONSTRACT `1 i– / d' ] l ��d Z. 7 7
° SIZE OF LOT ♦�OI .� � I .NOW ON LOTS
USE OF NO. OF
EXISTING BLDG. I FAMILILS
DESCRIPTION OF WORK /vJ 8, 16-12- 7 o -
A.
REAALTERATION ADDITION
IR I .I DEMOLITION
SQ. FT. // ( NO. OF
SIZE ff �+� ROOMS STORIES vzcn
EXT. WALL "j-
COVERING � ���� I ROOF' �✓G,� u
COVERING
USE OF STRUCTURE
APPROVALS
Ef "- INSPECTOR'S SIGNATURE DATE
¢' FOUNDATION: LOCATION
FORMS, MATERIALS �/ _.,,.d.-„_ /Q/aha
G 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- _ FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION,
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT,.DUCTS
AND STATE LAWS REGULATINGR LDING CONSTRUCTION.
SIGNATURE OF �`j C- 41v Z .� LATH, INT.
PERMITTEE_ rc C � �r "L'� y' -6
LATH. EXT.
ADDRESS
_ PLASTER, INT.
AUTHORIZED AGT.
$ G� Z 6767 -. PLASTER, EXT.
/ P.EC. ffi HOUSE NUMBER COR- /] 5
®�' FEf'� RECT AND POSTED
VALUA TIO _� D FEE $2 6 C FINAL
76Aes DSS a 9-B2 '� -
„id031REV,6/781
��f Y lf/ LI11,
APPLOCATOO I FOR 083UIL®OIVIG. PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESS ,
BUILDING 4
ADDRESS_ 1 33 LOCALITY
�
f NEAREST
CITY�1 ZIPCROSS ST.
NO.OF BLDGS. ASSESSOR
SIZE OF_LOT NOW ON LOT MAP BOOK PAGE I PARCEL
TRACT o BLOC LOT N . G”y ,
DISTRICT GROUP TYPECONST'1 / ZONE P OCES D BY
FIREOWNER �/YI•''L. 5j/L /. TEL.44 V L' � V l. •-�11'x� -
STATISTICAL CLASSIFICATION r'E'R M,�P
ADDRESS' C pay CLASS NO. �DWELL.UNITS B�' PG
CITY ' ZIP' 17 7!7/!/ARCHITEC / r2,
ENGINEERT OR + �� NOTEL./ S'444 VALUATION _rj�ADDRESSJ !L-LBLDG.SETBACK FROM ! •®
TEL., FRONT PROP.LINE OF (STREET) _
CONTRACTOR lt�AL&_ I � ti NO.q6 HIGHWAY + YARD. _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC -� FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS .2 A�.�Y.C. NO.a� .S
+
CITY L tJ a R !.CLASS I3
CONSTRUCTION LENDER BLDG.SETBACK FROM
NAME AND BRANCH. SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE'OF 1EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAYI WIDTH
SQ.FTS. ! NO:OF NO.OF CHECK + = V-
SIZE}'.JrC?(�, STORIES FAMILIES ONE
DESLRIP"fl JOF WORK/ J L NEW ❑ P.C. Fee$ �'a` Permit Fee c
vZ/VPr / CYD IZ rL:�T/D ADD7 Q�
❑ p�vr U`� Issuance Fee
)- ALTER /
` rn REPAIR Cl Total Fee 2-7
USE OF �� �+ '1
EXISTING BLDG. DEMOL ❑ z
APPLICANT TEL G
(PRINT)J!5/4qISE NO.9?6
BY(SIGNATURE)
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE / 7 'hL O o v
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES .� .� O
AND LAWS REGULATING.BUILDING_CONSTRUCTION.I CERTIFY THAT IN DOING THE S /y��/
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V �O O-O`52�Wbe
THE LABOR CODE OF.THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. - S 0 .72
y
4
SIGNATURE OF f
PERMITTEE
ADDRESS \ Y
CITYc•f� Q - NO. G 2-"Z;I {.�o
�-
US� NADP cs�V Cl' o o�7'''(V ILL T
a 1 G 'SPECIAL
/t! CONDITIONS / / g 072M 71
119
FINAL / ® e BY
DATE /� 44___
//�/�