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HomeMy Public PortalAbout10105 LA ROSA DR_Building__ CE �. 1 CE B031RE6/781 t APPLICATION FOR- BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN - BUILDING FADDRESSLDING D� LOCALITYNEAREST 21P CROSSST.NO.OF BLDGS. ASSESSORT .t3.) S� NOW ON LOT MAP BOOK PAGE LDISTRICT GR P TYPE FIRE PROLE SED BY BLOCK LOT NO. _ C T. ZON T7EL. �. Or/NO. .d STATISTICAL CLASSIFICATION SEWER M ADDRESS d� CLASS NO.- / DWELL.UNITS BK CITY ZIP �) ARCH REGI TEL. / VALUATION ENGINES /o/os- r NOy(e^ ADDRESS V D y /C BLDG.SETBACK ROM /,. TEL FRONT PROP.LINEOF (STREET) CONTRACTOR / QOY NO. - HIGHWAY + YARD TOTALSETBACKFROM TYPE OF EXISTING LIC. gg - FRONT PROP.LINE HIGHWAY WIDTH ADDRESS O NC4.JI��a LI(. + _ CITY, CLASSn CONSTRUGTION LENDER BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET( NAME AND BRANCH HIGHWAY + YARD -_ TOTALSETBACKLINE TYPE EXISTING PROP. ADDRESS CITY SIDE LINE HIGH WAA V WIDTH O SO.FT. NO.OF NO.OF CHECK + = V SIZE STORIES FAMILIES ONE - 0 DESCRIP ION OF WORK NEW ❑ P.C. Fee S Q Permit Fee L ADD ❑ ❑ Issuance Fee y� ALTER Z v REPAIR ❑ Total Fee USE OF DEMOL ❑ EXISTING BLDG. �, ZO APPLICANT TEL ;?5 1 3 6 A (PRINT) NO. VU• C v a-o QGO(,�/ G o opo o 2 1 BY(SIGNATURE _ HEREBY ACKN EDGE THAT I HAV READ THIS APPLICATION AND STATE Y 2 e - 4 Q 3 2 THAT THE ABOVE ORRECi AND AGREE t0 COMPLY WITH ALL ORDINANCES Si WORKANDAAUSHORIZ D II EREBYNG IiDIWRG CONSTRUCTION.LOT ANY PERSONHINT VIOIN�T ONING TOE y o e e 40326 THE LABOR CODE OFTHESTATEOF CALL A IN RELATING TO WN CO Z PENSATION INSURA 0 L U 'Z JC-'�(1 SIGNATURE 1J s 251 3.7A PERMITTEE ADDRESS t7 - _ # e e•o o e 1 TEL. _ �� 2- - 79. 00 CITY NO Q UZONE MAP a e e e '7 9,Q Q U. No. 0 CONDITIONS _ f 0.6 2 51-7 9 S/7 n 79 M DATE © 'I/ // / BY /� i AA APPLICATION rR BUILDING PERMIT FCj.F3 APPLICANT TO FILL IN (PIIDI Gr IYPB oDlYl Ed BUILDING COUNTY OF LOS ANGELES ADDREss A DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION ` NO.OF SLOGS. BUILDING �Q /Q SIZE O��FLOT p� W ON LOT // ADDRESS TRACT:;-19.1/6 BLOCK I LOT NO. Q' LOCALITY , w�3,�rP TEL. NEAREST / OWNER,ow. Li C>'V/� NO. CROSS ST. -I .c ASSESSOR ADDRESS �s STU f2 MAP BOOK PAGE PARCE DISTRICT GROUP TYPE FIRE -S)&E)D BY CITY 727-,0>7O,6F e ZIP 4" 0(9 z DONS Tv ZOt� G ARCHITECT OR TEL. J V d ENGINEER NO. STATISTICAL CLASSIFICATION CEWER MAP ADDRESS CLASS NOOP/ OWELL.UNITS -3ti G CONTRA CTO Ap oK- (f NOL 2 T'YD USE ZONE MAP q �f o n �f - NO. cp_0 ADDRESS PrlQ pFt'/�•9CL 0. ZG^�V •'/ SPECIAL LIC. NOITIONS CITYT/l7P4E' CLASS 16 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER %e�,��,� NAME AND BRANCH SLOG.SETBACK FROM � n, (STREET) FRONT PROP.LINE OF L c-•P-+ ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SO. FT. NO. OF NO. OF / CHECK FRONT PROP. LINE HIGHWAY WIDTH Slip- O STORIES , FAMILIES 'ONE /J G'!'7 Sc /n NEW + U d-U •X-LC� & U O DESCRIPTION OF VfIJRK w ADD ❑ SIDE PROP.L NE OFLOGSETBACK OM--lo'?16Q - F A� (STREET) 0 ALTER ❑ HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF IEXISTING U REPAIR[:] ` SIDE PROP. LINE HIGHWAY WIDTH W USOF EXISTING BLDG. DEMOL ❑ + / V U Z� Z APPLI CAN TEL r�/.J CORNER CUTOFF YES ❑ NO ❑ BY (SIG UR IN OPEN SPACE YES ❑ NO ❑ QQ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUA TION,Y �� /I ��� p,ZyJ-• (� i ; I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPL ANY PERSON I TION OF THE LABOR CODE OF THE ST E Of 'GLI NIA IH ELATING TO WORKMEN'S COMPS SATI INSURANC SIGNA OF PER TTEE ADDRESS `S -}y n TEL.� ��y FINAL BY /� CITY /G" LOLX+` G.%�T� NO. " DATE '!� ,IAAF_ CIIECKS PAYABLE TO: Fee'$ q FEE HARVEY T. BRANDY, COUNTY ENGINEER 14 � U b� /� 3Li3 PLANCHECK VALID N cK. 4.O. CASH _ PERMIT VALIDATIO cNj M.o. CASH 302—NOV 62 _ 2_ .2. 0 � I 564 iZ SEP 1 •1 © 343.50 A% 563-�SEP 123 © 63.90 . 6 7GA638A CE*883 5/74 Y