HomeMy Public PortalAbout10123 LA ROSA DR_Building__ 7GA638A CE4803 B-63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 10123 La Rosa
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. 1
41N
ISTRLC.T NO. GR9JiF TYPE PROCE D BY
FOR APPLICANT TO FICONST.
BUILDING STATI ICAL CL FICATION SEWER MA
ADDRESS �jt BK PG
CLASS. NO. DWELL. UNITS
LOT NO. �^1 11' CK WATER NOT REQUIRED RECEIVED ❑
TRACT G/ Z CERTIFICATE: p' HIGHWAY
NO.OBLOCS, NO. Ow (CIRCLE) STATE MAJOR SECON /LOCAL
SIZE OF LOT NOW T USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. residence
OWNER ManBUILDING YARD HWV STREET NAME EXIST.
SETBACK WIDTH
ADDRESS 1012 La Rosa Temple City FRONT
ARCHITECT OR P. L.
ENGINEER SIDE
P. L.
ADDRESS 1
0CONTRACTOR 287-0507ADOREsSp00 So. San Gabrield. San . CO
DESCRIPTION OF WONEW ADD ALTER REPAIRrOLISHZ
SO. FT. NO. OF . OFSIZE STORIESMILIES
USE OF
STRUCTURE
with #1 RC Shingles over old shingles
SIGNATURE OF
APPLICANT VTR(iTN R00F 0
VALUATION $ 0.00
APPROVALS DATE INSPECTOR'$SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ FORMS. MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT�
ING TO W.M..'N'5MPENSATION )NSU NCE.
r LATH. EXT.
SIGNATURE OFJ// . . .. , HOUSE NUMBER COR-
PERMITTEE �'�-C�IAI XXX///K���!!! RECT AND POSTED
ADDRESS 600 Sp- San Gahri Pl Rlvd_ _ S G FINAL .ZlYf6
JOHN F. LEWIS. PRINCIPAL ST5MCTNRAL ENGINEER
PLAN CHECK VALIDATION CK, M.D. CASH PERMIT VALIDATION cK. M.D. CASH
tjn:o 4 1 7 1 16 1 D 8 .00-