HomeMy Public PortalAbout9333 DAINES DR_Building__ DEPARTMEtW OF COUNTY ENGINEER
' 4•
DIVISION OF BUILDING AND SAFETY
v f" COUNTY OF LOS ANGELES e
"-• 'WILLIAM J.. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING
P�CATIOiV
FOR APPLICANT TO FILL IN FOR OFFICE. USE ONLY
'- DISTRICT NO. PLAN CK.OR REc.pNN►o. PERMIT
'32 , NO.
ADDRESS 2),4Ao-ler's 'Re 9z
LOCALITY ���, �,o'—y . RECEIVED BY DAT OF PPL. DAT EkSSUED ;
NEAREST �L�� 2�`l
g CROSS ST. /"► T BUILDING
ADDRESS v -3 3 /7 �V p� t /�d C` . r
OWNERi ,9 ♦��
MAIL //�� � f— x' LOCALITY of
ADDRESS NEARESTTEL �g
I CITY NO.#� CROSS ST. GGV z—
YARCHITECT OR TEL. ZONE I PLANS ,TYP GROUP
ENGINEER NO. ��1
BLDG.
k, + y/ ♦�
0� 40ADDRESS SETBACK LINE
CONTRALTOA 61A �0,0(,,OTEL. � PROVED
BY � DATE'
NO. ZONE e
HOUSE NUMBERING
6q
�
LEGAL MAP NUMBER NO. ASSIGNED BY
ml—DESCRIPTION I LOT NO. � I BLOCK
CORRECTIONS
TRACTNO. OF
SIZE OF LOT ✓[ D ( NOW ON LOTS. s� E �f
USE GING BLDG/ �� NO. OF -
FAMILIES I �R.
DESCRIPTION OF WORK o -
NEW ALTERATION ( !�
REPAIR I—I DEMOLITION �_ADDITION
I �64
e—M 1-4,P -7 _ 7 D
I'
SQ. FT. NO. OF
SIZE ROOMS .2r STORIES
EXT. WALL �^�/ 6
COVERING ���eF� I COVERING t 10 d r✓C. /
n .D� 1�PAe//? R •. tet
USE OF STRUCTURE f� r
APPROV
INSPECT 'S SIGNATURE DATE
j FOUNDATION: LOCATION
FORMS, MATERIALS -��.•
1 HEREBY ACKNOWLEDGE THAT t HAVE READ THIS AP FRAME: FIRESTOPS, u t
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE: LOCATION.
I-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -GAS VENT, DUCTS L,%/�/mac? �,.-p _ c /2+• a
AND STATE LAWS REGULATING BUILDING CONSTRUCTION:
SIGNATURE,OF ®�ps � LATH, INT.
PERMITTEE
e LATH. EXT.
l !SP+ V,/�- yt ADDRESS
a
• � r� a � PLASTER. INT.
AUTHORIZED AGT. `cd
�. w n
f
_ PLASTER, EXT.
..�
P. � ®�
FEE °"'Ge HOUSE NUMBER COR- / '?
RECT AND POSTED 1f
VALUATION FEE FINAL
7GA888A 0853 8-88 I
II
I6A638A CE.#8035-61 /!-OL 11 UCATION... FOR O BUILbING 'PERLLVII ff -
COUNTY OF 'LOS ANGELES BUILDING '
DEPARTMENT OF COUNTY ENGINEER ADDRESS �
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST' �y%
WILLIAM A. JENSEN SUP'TOF.BUILDINCi CROSSST'. 1 1
DISTRICT. G P jypE R S BY'
"FOR APPLICANT TO FILL IN. :e:` CONST.
BUILDING pp STATISTICAL CLAS FICATION SEWER MAP
'
ADDRESS
I EaJ K• P
- CLASS.NO. DWELL.UNITS��7 _ �LOT NO. v - BLOCK 'WATER NOT REQUIRED 'I�.:vF� RECEIVED _
CERTIFICATE:
TRACT C EE' GT 'MAP' IGHWAV STAE MAJOR SECOND, LOCAL*
_
E• 5�/r J` /�T NO.OF-BLDG NO. ( T
CIRCLE)
SIZE OF LOT�- 7.3A- ��'. I NOW ON.LOT IrwAR H-Er USE ZON . SPECIAL'
USE OF L�' - CONDITIONS - '
'EXISTING BLDG. ..j- ;4 //��� / ��//33 -
OWNEIC/Ms.. e></•��. 687-7-4IS'LQ ND A71-TJnJ BU.LDING'• - "EXIST
_ _ YARD- HWY' STREET NAME
/�� . SETBACK WIDTH
ADDRESS 77aa// �J FRONT
ARCHITECT OR TEL. a CI Cf
ENGINEER •NO. SIDE
ADDREss J, TEL. INSPECTIONS CORD.
CONTRACTOR.:'- " NO. v ' `o.
ADDRESS • - - u
Lu
DESCRIPTION OF WORK H
NEW ADD ALTER - REPAIR DEMOLISH
SQ.FT,. NO.OF .NO.OF -
�IZE .� � 7� STORIES FAMILIES
USE OF
STRUCTUREA W/�,df,4 Ids -
T w 'y"
SIGNATURE. F
APPLICANTVALUATION
lr APPROVALS- > DATE/ INSPECTOR S SIGNATURE
F E',.$ PMT.- FEE $ 0-0 FOUNDATION: LOCATION L / - /L V7
. FORMS,MATERIALS 1 ! /jJ %/ii.%'C/(..J"`✓
- - 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
WITH ALL:COUNTY ORDINANCES AND STATELAWSREGULATING- - •,GASVENTDUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION.OF THE LABOR CODE.OF,THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO ENSATION I SURAN
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS-, FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION m m.o. CASH PERMIT VALIDATION cK. M.o. CASH"
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