HomeMy Public PortalAbout9565 DAINES DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICA'r-DN FOR PERMIT
COUNTY OF LOS ANGELES q 19�1
WM. J. FOX. CHIEF ENGINEER DECDE
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.Np.,,�- PERMIT NO.
ADDRESS
i
LOCALITY , RECEIVED
^^BY DATE O�+F^APPL. DATE ISSUED
46
CROSSsT.
ADD EISS ~also/
OWNER
MAIL _ �,�) LOCALITY
ADDRESS
NEAREST
TEL. CROSS 9T. I0�
CITY NO
FIRE NO.OF TYPE GR UP
ARCHITECT OR TEL ZONES PLANS
ENGINEER NO
BLDG. _ C ORp• ❑
ADDRESS 9ETBACK'LI N E
APPROVE?j�
EL. [[ B�. �.= DATE
CONTRACTOR O. , 7-G Q �6
'�7 USE r APPROVED, t
ADDRESS /Z (�., ,r ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION I4LOTNO. BLOCK
TRACT /45 Cl �-L < bO c �• - .-/ G'. yC�
NO OF BLDGS.
SIZE OF LOT LP p NOW ON LOT I ) L o-e 06•r Dx-UBE
EX 90T NG BLDG. /1• OF NO.OF
I, F� Es I ROOMS /
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
A
REPAIR MOVING I DEMOLISH p
Sq.FT. // NO.OF / Z
SIZE Z !D'a ROOMS � STORIES ( ,>
WALL .._L. � I ROOF
COVERING �Q%Cj' COVERING iv
USE OF NEW
BUILDING.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL'S
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
f� FRAME: FIRESTOPS, / 1
SIGNATURE F /Id/l)B BRACING,BOLTS O
PERMITTEE LATH, INT.
AUTHORIZED AOT
f3/ � LATH, EXT.
7GA63BA-3 7-49p,C. PLASTER, INT.
a
—01-
�'o FEE � . i PLASTER,EXT.
C1 I
VALUATION FEE ���((/ FINAL