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HomeMy Public PortalAbout5015 DOREEN AVE_Building__ DMSION OF BUIMING AND SAFETY Department of County Engineer cl I ; 1 U I LA G County of LOS ABgelee - 1 -«(Ivl. J. FOX, COUNTY ENGINEER I/A P PLICATION �r FOR APPLICANT TO FILL IN BUILDING BUILDING ,/� LOCALITY / 4C' ADDRESS O At/���E`�`-� �£ ryEAREST�e/�^/} .,/ �/``' ~� LOCALITY _t�Nt-A/., c CRCOS 6T✓ '`/ / /+ M (/G�w/ , DISTRICT NO. PUN CK. OR Roo No. PERMIT NO. C os�:. A �o S -7 �/ 67,7 / 36 ¢�S OWNER &EO C>, /1C 4?Ef 1 O o /RECEIVED BY! DATE OF APPL DATE SSV MAIL /� , W /&)/f/5-3 ADDRESS O K E L•'�� /�'�� USE ZONE O. OF PE I GROUP FI E ZONE TEL. PLANS �j CITY L- f'! NO. Q I � , Z- I — ENGINEECTOR TEL. /Iplp� ZONING- -- ENGINEER NO. LLSS[r//LLTT AvvRoveo By- BUILDING ADDRESS ^ A /q SETBACK LINE: 6.. CONTRACTOR STE U ` NO. S)S / BVPROYED ADDRESS Z O EI /"IPN OGIIUO <TA� i I HOUSE NUMBERING LEGAL MAP NUMBER 2® 1c> -'NO. ASSIGNED BY '�• DESCRIPTION LOT NO. I BLOCK - . DATE I CORRECTIONS I INSPEC'r0 TRACT �' a (� tt��^ �/ J� �i SIZE OF LOT �O X I�I / I NOW ON LOTS Z r � USEOF � G, /�I FAMIOLFEH11 I ' EXISTING BLDG. DW S+LU AY 1 O T. DESCRIPTION OF WORE n�IL 1_�/.�s.�—�L£ ..v S�ea� •4v P,�_ 'B z NEW ALTERATION ADDITION o-]1 Cu! it/��a tl /�• F[2eW ��Q'.v t-[ r REPAIR DEMOLITION T aO S SO. FT. t7 /NO. OF SIZE /Vp �'F'+P-.S'7 ROOMS 'T STORIESI EXT. WALL [1. ROOF COVERING _ t� cCO COVERING OO/y PQ 1 ���. �� �'�� _ lO-•{� QQO�,� � USE OF STRUCTURE / / -F'PI M metal£.C�! AJ(T•— �/ /ZI L�rN NmT CoNR 1 ' n`G._ I APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION -.0 FORMS. MATERIALS V 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- - PLICATION AND STATE THAT THE INFORMATION GIVEN I6 FRAME: FIRE STOPS, /f CORRECT. BRACING, BOLTS / /I 1 AGREE TO COMPLY WITH ALL COU TY 0R pO NCEE FURNACE: LOCATION:. AND STATE LAWS REG NG BUILDIN CONS'TRU ION. GAS VENT, DUCTS /I SIGNATURE OF PERMITTEELATH, INT. LATH.. EXT. ✓�Q/ .�-+r/' !-O ADDRESS - PLASTER, INT. AUTHORIZED AGT. •r PLASTER. EXT. Jas✓'" a2^/1/�/ , FEE HOUSE NUMBER COR- /]q RECT ANO POSTED 4 �\ VALUATION FEES FINAL 76A898A DOSS 2-0.9 - APPLICATION .FOR BUILDING PERMIT BUILDING FOR APPLICANT TLO'FILL IN ,`r� ADDRESS ADIDRESS Q �iL� V LOCALITY �Jpp-�./, NEAREST - CITY .�. .. ZIP-9i�0 CROSS ST. �l NO.OF BUDGE. / ASSESSOR SIZEOF LOT NOW ON LOT MAP BOOK PAGE PARCEL 2c DISTRICT GROUP TYPE FIRE CESSED BY TRA BLOCK LOT NO. ' �/ 0 CONST TEL./, OWNER. /C . N0.7 ,STATISTICAL CLASSI F''ICATION - SEWER ADDRESS 59Z 5 p - CLASS NO. DWELL,UNITS BK PG, CITY ZIP ZONE' NAAP ) ARCHITECT OR T L. SPKIAL ENGINEER N .� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES Q NO ❑ TEL. CONTRACTOR NO, BLDG.SETBACK FROM LIC FRONT PROP.LINE OF ISTREETI •"' "ADDRESS N NO. - TOTAISETBACKFROM TYPE OF EXISTING LIG H HWAY^ + YARD = FRONT.PROP.LI NF HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER + - NAME AND BRANCH.. '- BLDG SE K.FROM - .. U WEEP LI (STREET) ADDRESS CITY O SD.FT. NO.OF, NO.OF. CHECK HIGHWAY + ' YARD = TYPE OF EXISTING w SIZE ' STORIES FAMILIES ONE SIDE PROP.LINE AY. WIDTH, a N + Z DESCRIPTION OF WORK NEW ADD CORNER CUTOFF 1-'YES ❑ NO ❑ /. ALTER ❑ IN OPEN SPACE YES ❑ NO ❑ - CY REPAIR' ❑ EXISTING BL _ DEMOI F] IN COASTAL PERMIT ZO N E YES' ❑ NO El APPLICANT- '7 — - TEL Z 1771 /�`•� /�.... (PRINT) BY ISIGNATUREI 1 , '-I HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION,I CERTIFY THAT IN DOING THE WORKAUTHORIZED'HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF, THE LABOR CODE Of THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM ' PEN5ATION INSURANCE. SIGNATU OF I FINAL S � BY,�r %E%%' 'PERMITTEE .DATE ADDRESS P.C. Fee$ Permit Fee CITY L N - - Issuance Fee VALUATION PLAN CHECK VALIDATION c "m o.�cnsH _ PERMIT VALIDATION CK M.o. CASH 9.5 4'�N0v 3 1 .0 y3']6A638B CE#S03B 6/96