HomeMy Public PortalAbout9920 DAINES DR_Building__ v ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WK, J. FOX, CHIEF ENGINEER
FOR OFFICE USE ONLY.
FOR APPLICANT TO FILL IN
BUILDING // C '/meq• LE DISTRICT NO. PLAN CK. NO. PERMIT NO. y
ADDRESS D f w nsze, ,/� C./'P <& �-'—' 7Q 7
^ry Lam•-0�
• RECEIVED BY DATE OF ADPL, DATE ISSUED
LOCALITY
'NEAREST /-�
CROSS ST. N40kL-, , I,- ,D/,+/ ss A:�e BUILDING
1 - ADDRESS L./ 1 ��•" .,
OWNER A1.E N A vs red �^y� _
_cy.
MAIL LOCALITY lJ
ADDRESS NEAREST ,
TEL. CROSS ST.
CITY ,�L GI�'-Y- NO. FIRE NO. OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANB�"�-
ENGINRER NO. BLDG. +� /J GRD. NO.P
1 SETBACK LINE Ly ,+•^ , j/"� �� J ' L•[SU
ADDRESS - APPROVED - • -
• TEL, _ - BY - `DATE '
CONTRACTOR NO. USE APPROVED -
ZONE BY DATE
ADDRESS HO�USEE�' NUMBERING ,
LEGAL 11� 4J FIELD CHECK BY '
DESCRIPTION LOT NO. BLOCK MAP NUMBER-
TRACT ds/ NO. ASSIGNED BY DATE -
J _ - I NO, OF BLDGS. - CORRECTIONS -
SIZE OF LOT O ,^ 1 1 30 NOW ON LOT
+
USE ,. j� .� INO LIES
EXISTITING'BLDG. FAM •
,DESCRIPTION OF WORK
NEW I I ALTERATION I 'I ADDITION I
O
REPAIR I I DEMOLITION
SQ FT. NO. OF O
SIZE v y ROOMS STORIESEXT. WALL ROOF
_ Z
COVERING �T✓GAO I COVERINGA9Yl11"T SIm.-z1r" r
USE OF STRUCTURE � �fl
O Pe13be
- C APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HERE6Y •ACKNOWLEDGE THAT 1 HAVE.READ THIS AP- FOUNDATION- LOCATION=���
PLICATION AND STATE THAT THE INFORMATION GIVEN IS 'FORMS, MATERIALS �� ��
CORRECT.
N I AGREE TO,COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL))COUNTY.ORDINANCES AND STATE BRACING, BOLTS FC✓ /J.l/5'3•'
LAWS REGULATING B fLDING CONSTRUCTION. FU NAC
91
SIGNATURE,OF 6•s++ -
PERMITTEE
_ LATH, INT. '
ADDRESS
' LATH, EXT.
AUTHORIZED AGT. - -
/ PLASTER, INT.
iEAa&8A,• D063 10-30. .$ +�, P C. $ -
0 /• FEE PLASTER, EXT. '
VALUATION ( , FEE' &---j
DEPARTMENT,OF BUILDING AND SAFETY t ; APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES 1
WM. J. FOX, CHIEF ENGINEER I L D �'
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT..AL�_l PLAN CK.NO.}{ PER NO.
ADDRESS O\q/1/�G. j1O�
K �J
LOCALITY RE EIVEDBY DATE grAPPL. ;D_A_ 199U
NEAREST 1`
CROSS ST. BUILDING
OWNER ADDRESS `� /
/�l_/ f /J/P`/
MAIL LOCALITY , �-
ADDRESS
NEAREST"
TEL CROSS ST.
CITY NO.
FIRE NO.OF TYP�=j GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO.
BLDG. RD.NO. L
ADDRESS SETBACK LINE V
APPROVED
TEL. BY DATE
CONTRACTOR
y.. USE APPROVED ,
ADDRESS ZONE BY DATE
LEGAL '` CORRECTIONS '
DESCRIPTION LOT:NO. BLOCK x
_TRACT
SIZE OF LOT ;,7�" 'y/�;� I NO.OF BLDG9.
7q NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. I FAMILIES I ROOMS -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH+_
�
Sq.FT, �,ry NO.OF Z
_SIZE ROOMS STORIES D
WALL - ROOF r
COVERING I COVERING
USE DI NEW J -
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS - APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS q /
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
/� FRAME: FIRE STOPS,
SIGNATURE OF i//(\� BRACING,BOLTS
PERMITTEE �J' I'' ' �f LATH,INT.: - tv
AUTHORIZED AOT ` LATH,EXT.:
DeS-a 50M SETS 7-47 $ /J P.C. PLASTER,INT. -
�[ ^� FEE (�] PLASTER,EXT. ,
VALUATION FEE FINAL