HomeMy Public PortalAbout9344 DAINES DR_Building__ i
DEPARTMENT OF BUILDING AND SAFETYBUILDING
L� ' IL D I N G 1
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER L7
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING � t ,�/� DISTRICT NO. PLANCK. NO. PERMIT NO:
ADDRESS .Ic) f -i _
LOCALITY ,� RECEIVED BY DATE OF APPL. DATE ISSUED
NEARESTCROSS ST. f� in v
BUILDING
ADDRESS
OWNER r
MAIL -
LOCALITY
ADDRESS NEAREST
A AEL. CROSS ST.
CITY NO. ZONE I PLANS I TYPE I GROUP
ARCHITECT OR TEL. RE NO. OF
ENGINEER `,� NO. BLDG. ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO. BLOCK MAP NUMBER -FIELD CHECK BY
TRACT NO. ASSIGNED BY DATE
NO. OF BLDGS. = CORRECTIONS
SIZE OF LOT 450 NOW ON LOT
USE OF I NO. OF
EXISTING BLDG. FAMI LIES
DESCRIPTION OF W
NEW I I ALTERATION I I ADDITION
0
REPAIR I I DEMOLITION
SQ. FT. NO. OF O
SIZE ROOMS STORIES Z
D
EXT. WALL ROOF f'
COVERING COVERING
USE OF STRUCTURE '
Pro u
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMPLY WITH THE CORR CTIONS LISTED FRAME: FIRE STOPS,
HERMON AND WI ALL CO TY O D A ES AND TATE BRACING, BOLTS
LAWS RBGULATI G UILD CO T CT N. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMIT' Ir 4
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
76A838A Dess to-so $ P. C. S
_'. FEE "" PLASTER, EXT.
VALUATION $
FEE FINAL
I