HomeMy Public PortalAbout10049 LA ROSA DR_Building__ ,e,esaA es,o= ° APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES BUILDING .��
DEPARTMENT OF COUNTY ENGINEER ADORE ss.
BUILDING AND 'SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST.
CASSATT D. GRIFFIN, SUPT of AUILpING CROSS ST.
DISTRICT NO. ROUP TYPE PROCES Y
FOR APPLICANT TO FILL IN S X I CONST '
ADDRESLDINGS QO --STATISTICAL CLASSIFICATION - -.I-SEWER MAP
_-9 CLASS.NO.-<E-DWELL.UNITS "Y�'f/J
LOT NO. .�O / 1r' BLOCK P STATE
NUMBER ER L at' HWY.
TRACT 2 • USE12�GYARD
SPECIAL
--yy 'J ,I CONDITIONS
SIZE OF LOT < / 4 I NOW ON LOTS
USE OF EXISTINGBLDG. BUIHWY - STREET NAME EXIST.
SETBACK WIDTH
OWNER - FRONTS / /T
MAIL P. N //
ADDRESS '-'� SIDE (� ,
TEL.a
CITY. NO. INSPECTION RECORD
ARCHI CT OR� TEL.'
ENGINEER No v
ADDRESS
TEL.
CONTRACTOR -ty-iwy NO.
ADDRESS
DESCRIPTION OF WORK
NEW AD ALTER REPAIR DEMOLISH
. SO.FT. 'l - NO.OF NO.OF --
SIZEV STORIES FAMILIES
USE OF
STRUCTVRE '
SIGNATURE OF .
APPLICANT
APPROVALS OATE' INSPECTOR'S.SI ATURE
ADDRESS FOUNDATION:LOCATION
FORMS,MATERIALS
VALUATION$ �•
FRAME: FIRE STOPS..
BRACING,BOLTS
//f �� _ FURNACE:LOCATION. q
F E' S —_ I FEE $ IL I - GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- \ O •-I f
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH INT. A
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS R ULATING 8 LO !G CONST CTION. LATH.EXT.
SIGNATURE OF _ HOUSE NUMBERCOR- -
PERMITT, n RECT.ANDPOSTED -�- —
AooREss ` FINAL o/30 .G�.. 'y/C/ Llln. �•.
CLYDE N. DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION pK m.p, LASH
AC,a.4 8 9 d 25 I I. 12 .0 0
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J r r
.... APPLICATION! FOR BUILDING PERMIT
t BUILDING AND SAFETY DIVISION BUILDING
` ADDRESS
Department of County Engineer
.� County of Los AngelesLOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, Suv'T of Bulloivc CROSS ST.
DISTRICT NO. GROUPPE ,/'. SEWER MAP
FOR APPLICANT TO FILL IN c, -I j I BK j{PG
CONST
BUILDING y✓r /// STATISTICAL CLARIFICATION
ADDRESS
//�� � / / 1 CLASS. No
y—DWELL. UNITS
LOT NO C'.eg /I '1 tl e" A BLOCK MAP STATE
J`[T'��; HWY YES b1,
f NUMBER
TRACT � O rt/� USE ZpNE SPECIAL
ij �f /t /Q NOW ON LOTS CONDITIONS
1 SIZE OF LOT _"/� 41zl
USE OF // '�G z ��
EXISTING BLDG. BUILDINGYARD HWY STREET NAME EXIST.
SETBACK WIDTH
'OWNER Ta, � FRONT
"IRI RESS �t.7�'✓ Q OQQ L SIDE
.�.. /
TEL Y/69O P. L.
�CITY jai„ � i',�.•a NO712 f• 1 yr INSPECTION RECORD "l ;
ARCHITECT TEL.
'-_ENGINEER NO. / /X i � � / ll S ./{•
TEL.
;ONTRACTOR t✓N F R NO.
-.`RESS
DESCRIPTION OF WORE
NEW AJD ALTER REPAIR DEMOLISH
SO. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
6
USE OF STRUCTURE
APPROVALS
tOL:J NATURE OF
APPLICANT DATE INSPECTON'S SIGNATURE /
•ADDRESS _ FOUNDATION: LOCATION
_ FORMS, MATERIALS f :°• f % �/ t'l
f $ - P. C. S FRAME: FIRE STOPS.
FEE — FRACING. BOLTS
VALUATION FEE
. [_— FURNACE: LOCATION,
FEE /Cqq% GAS VENT, DUCTS
1 HEREBY ACKNOWLEDGE STATET THAT I HAVE READ THIS AP- LATH. INT.
rryI ACREFLICATION AND STATE THAT THE ABOVE IS CORRECT AND
•'1' AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS RE VLATING BUILDIN NSTRUCTION.
SIGNATURE OF I /' /ri, HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS • IOOT/S� Q 11"�/1 • FINAL
JOHN A. LAMBIE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. ! M.O. CASH
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