HomeMy Public PortalAbout10037 LA ROSA DR_Building__ ya e,a.Kes,e.;o _ APPLICATION .FOR BUILDING PERMIT' = 1
COUNTY OF LOS ANGELESAop`R°Ess D Q
DEPARTMENT OF'COUNTY ENGINEER, .r ,
BUILDING AND SAFETY DIVISION LOCALITY.
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST'+' _ -
CASSATT D. GRIFFIN. SUPT OF SUILOIR6• CROSS ST. G /v
DISTRICT,NO:, . GROUP TYPE PROCESSED BY
FOR APPLICANT''TO FILL IN p" —, Z I CONST .
BUILDING ` >> - STATISTICAL CLASSIFICATION S}E�W��RMxc'�.
ADDRESS.- I�C.� •J LAS
SCS.NO._�DWELL.UNITS -�-'IV\ V
,•/.e _ _ -
LOT NO. ./ _ BLOCK� - MAP '']] / T' STATE YES NUMBER o�.O LC/•"' HWY.
TRACT if USEZONE SPECIAL.
SIZE OF LOT OO Q NOWOF.BLDGA ON LOTS W — CONDITIONS
USE OF 1(7T��
EXISTING BLDG7) L _ BUILDING; 'YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONTMAIL
' ADDRESS OJ -
P:L.
NOL
M'
ARCHITECTOR TEL.
—' INSPECTION RECORD
ARCHIT _
ENGINEER NO. / •.
ADDRESS �1♦� p
CONTRACTO / �y [�.�/y ! �NJO.
ADDRESS ✓.J �. - I)(�. .. - - _
DESCRIPTION OF WORK
.NEW — ADD ALTER REPAIR vDEMOLISH.
SO.FT. NO.OF NO.OF -
SIZE I STORIES FAMILIES - - - -
USE OF �L '
SSpTRUCTURE ].,- II1I Aly
SIGNA F -
APPLI APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS _ - FOUNDATION:LOCATION
FORMS.MATERIALS
FRAME:.•FIRE STOPS.
BRACING.BOLTS
P.C. ((ff O� PMT. 9O FURNACE:LOCATION,
FEE S/ D'_ I FEE 6 '"I GAS VENT..DUCTS /—A .
I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS AP-- LATH.INT.
PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND
AGREETO.0 PLY WITH"ALL COUNTY ORDI C AND
STATE -L REGULATING-.B 1 DI G I LATe,EXT.
SIGNAT ENMBER COR-
PERMIT ECT AND POSTED
'ADDRESS - -FINAL
cK. m o cnsK• CLYDE N. DIR LAM, PRINOIPAL'ST cK U MAO. ENGINEER
PLAN CHECK VALIDATION PERMIT VALIDATION
LACD4 a 5 7r GET 16-e`3 A 1' 8'00A