HomeMy Public PortalAbout9956 DAINES DR_Building__ IT_ Y
76A638A CE18032-63 APPLICATION FOR, BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING' _ t
DEPARTMENT OF ,COUNTY ENGINEER AD°REss
BUILDING AND SAFETY DIVISION , LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST "
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST
r DISTRI T NO GROUP' TYPErSElkER
P SSED BY
FOR APPLICANT. TO FILL IN' CONST' -
-BUILDING' - '� - _ STATISTICAL CLASSIFICATION •. _ MAP,,,
ADDRESS 4 PAw S CLASS•NO DWELL UNITS �BK PG,
i
LOT NO •1 -• BLOCK WATER •' NOT-REQUIRED RECEIVED
• _ CERTIFICATE ,
TRACT "gQS _ MAP q� �...� HIGHWAY,` -
NO OF BLDGS NO �Y C��.' •+ (CIRCLE)' STATE MAJOR SECOND, OCAL
SIZE OF LOT d NOW ON LOT USEZONE SPECIAL'
USE OF ^w _ _ CONDITIONS '-
EXISTING BLDG ff �.
TEL
OWNER NO - BUILDING :EXIST
YARD HWY -STREET.NAME
_ SETBACK - "WIDTH
ADDRESS 9911_ DAINES FRONT
ARCHITECT OR TEL - P L
ENGINEER' ' NO, r SIDE
P L >
ADDRESS' a. - • CLO
, - - TEL
CONTRACTOR FluNOA, ✓� - A I O
ADDRESS
DESCRIPTION OF WORK ` eG�i v
• a
NEW ALTER REPAIR DEMOLISH - • J c -Z
SQ FT _ NO OF NO OF ..
SIZE - STORIES _ FAMILIES -
USE O
STRUCTURE V� ,� �. L��L1 ��a - '.m-'r, ` •1•
SIGNATURE-OF -
APPLICANT
VALUATION $ � '- ,• - .` -I
_ APPROVALS~ - DATE INSPECTOR'S SIGNATURE
PC PMT FOUNDATION LOCATION t j ,
FEE $ �_- FEE $ �� FORMS MATERIALS , ��- ""••"'� '
,n 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 _�^ �-'�.,.rr���'�
WI rH -ALL COUNTY ORDINANCES AND-STATE LAWS REGULATING GAS.VENT DUCT$:° 7 S - -"
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBYI WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT
TION OF THE LABOR CODE OF THE STATE'OF CA FORNIA 'RELAT
ING TO WORKMEN 5 COMPEN TION INSURA E _ :LATH-E
C('T/_ �.. XT
RCOR-
PERM
SIGNATUE'OF HOUSE NUMBER COR- -
PERMITTEE RECT AND POSTED _
ADDRESS MFE7 FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL�'ENG ER
PLAN CHECK VALIDATION CK, M o co ti PERMIT VALIDATION,,, CK M CASH
f' f'd 7 2 4 V 1'J'R ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0107250063
PHONE: (626) 285-0488 EXT: