HomeMy Public PortalAbout10120 LA ROSA DR_Building__ �LRO T. PE IS QUIRED
FO NY MATERIAL STORAGE OR WORK
DONE IN THE ROAD RIGHT OF WAY
7N13 CE Aero 2Ao APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY /
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUF'T OF BUILDING CROSSST.
IDEMOLISH
ISTRICT NO. OU �.pE P SED BY
FOR APPLICANT TO FICONST.
BUILDING STATISTICALCLASSIFICATION SE ER MAP
ADDRESSjO.S A K PG
CLASS. NO. DWELL.UNITSLOT NO. � BLOCK NUMAP MBER TATEYES ,TRACT LUSEZONE SPECIALNO.OGS. / / CONDITIONS
SIZEOFLOT X / NOW T ,JIJ.�USEOF
EXISTING BLDG. BUILDING YARD HWY TREET NAME EXIST.
�� i . SETBACK WIDTH
OWNER * n W�`.C. .'', J Eye FRONT 7�JjADDRESS E7 AMfd rc1 L• SIDE P. L (LARCHITECTOR . P. L.ENGINEER INSPECTION RECORD
ADDRESSEL
CONTRACTOR IC I14y AL / 6 0COADDRESS F M V
DESCRIPTION OF WpiNEWA)DD A TER REPAIROLISH
FT. hf NO.OF NO.OF
SIZE I IQ� STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ e v
APPROVALS DATS IN ECTGR' SIGNATURE
P.C. LI PMT.__ hh 6- FOUNDATION: LOCATION
FEE FEE �✓ / _ FORMS,MATERIALS O Ilr
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HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS.
BRACING. BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT ANO FURNACE: LOCATION. /
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS f�
STATE LAWS REGULATING BUILDING CONSTRUCTION. / 1
I CERTIFY THAT IN DOING TH WORK AUTHORIZED 1 LATH.INT. �G A
WILL NOT EMPLOY ANY PERS I OLAT10 OF E I
WORKMEN'S COMB N W O CALIF NI LATH,EXT. `
SIGNATURE OF HOUSE NUMBER COR-
PERMIT'r RECT AND POSTED /
ADDRESS FINAL
Awe—,
CLYDE N. DIRLAM, F`lkINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION cK M.o, cAsx PERMIT VALIDATION &K M.G. . CASH
L; 033752 JUL 1123D 25.53 r ®.
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