HomeMy Public PortalAbout10139 LA ROSA DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR P1:IunrF /ice
COUNTY OF LOS ANGELES ` 2919FA 9
5
- WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
q 1 ♦ DISTRICT NO. PLAN CK.NO. — /PERMIT NO.
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ADDRESS I U I JCIP'y �1r'dS G'.1 j �• I2 6 (� �+ `/1�..��
LOCALITY / /I lO I I 1� / RECEIVED BY DATE Olr±APPI- C�DAT[ ISSUED
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OWNER -ADDRESS E 1 A QOSA
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ARCHITECTOR T[L. ZONE I PLANS TYPE OROUP�
ENGINEER No.
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ADDRESS �'"- SETBACK LINE d II L I CI +IV•
�f APPROVED
CONTRACTOR :1'.T^ NO. BY OdAT[
v USE / APPROVED
ADDRESI ZONE B�Y
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SIZE OF LOT �— ''y1
USE ` I F I 1c,e I ROOMS `�(/� ✓'fir / ,�
EXISTING BLDG.
DESCRIPTION OF WORK
NEW ALTERATION ADDITION y✓) 1- L.E IqSC 'TIF�
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REPAIR MOVINO—' DEMOLISH pPOVND �-� �T. � Pit• w14rl4 t=o
9D.FT. 12-
/1 7/1 L NO.OF / Z
SIZE .L 1 �^l� ROOMS STORIES 1 1�1.yALL M tr�S 6 1 N G
COV ERIND SfIIGGO I COVEDorRT NG`,(I MU P331'I'/6N T` �P`}//r t�F`'�OO F TQ ns1 7 r
BUILDING NEW — I .SI enc, HT►� , V � Nl' . lh� o Cd MruTl p..
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATUREITTOF y� y � ' J{ /'mow BRACING.BOLTS
PERMITTEE �TN'Mt �( //, lll���(((///
r-' L LATH, INT.
AUTHORIZED ADT �•
LATH. EXT. ��
75A526A-2 2-50 PLASTER.INT.
II v/10 WO FEE I O. PLASTER.EXT.
VALUATION ®
FEE FINAL
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76..3SA CE}k803.10-56APPLICATION. FOR BUILDING .PERMIT 1
BUILDING ASAFETY DIVISION ND
ADDRESS
Department of County EngLne F
_
County OI Los Angeles LOCALITY s
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE EWER MAP
FOR APPLICANT TO FILL IN BKBUILDP
(J CONST.
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ADD EISS �Q 139 ^ / C] A S c? D/f.
STATISTICAL CLASSIFICATION
n^ C
of LASS. NO.—Sr-DWELL. UNITS '
LOT NO./ 31 ry/�/j� ,� ��� // BLOCK MAP STATE YES
NUMBERHWY
TRACT f{/p .G I '
SIZE OF LOT J S/1 170 0 I NOW ON LOT � USE SPECIAL
NO. OF BLDGS. CONDITIONS
USE OF r
EXISTING BLDG. W e1/' �n CZ BUILDING YARD HWY REET NAME EXIST.
SETBACK WIDTH
OWNER / p /V) � yJJ �l�/ /I FRONT
act
ADDRESS ��,7 / /-4 ICO .SIR Pr SIDE
TEL/' P. L.. ..
CITY *P_Dh PP712- L° 11"Y NO..Ui'l 63S/O INSPECTION RECORD
EN
ARCH ITECTOR /.✓1/ /� ,.� TEL. //•/ -
GINEER NO. ./�'D JtiI I• J•Y/ /�S/Qli/
ADDRESS
TEL.
CONTRACTOR rl[K/Y NO �
ADDRESS
DESSCRIPTION OF WORK
NEW ADD$" ALTER REPAIR DEMOLISH
SO. NO. OF NO. OF
SIZEFT. O 0 STORIES / FAMILIES
USE OF STRUCTURE
afi o
APPROVALS
SIGNATURE OF
ARPI ICA NT p .��j� -A'� - DATE INSPECTORS SIGNATURE
ADDRESS jd I37 iJ G3Q /D1'� FOUNDATION: LOCATION
I FORMS. MATERIALS
$ p, C, s FRAME: FIRE STOPS.
FEE BRACING. BOLTS
/ ✓ v FURNACE: LOCATION.
VALUATION 6
FEE GAS VENT. DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGU.��e/IN ILDING O STRUCTION.
SIGNATURE OF AY HOUSE NUMBER COR-
PERMITTEEI !!!!!l/ I 1I�_ RECT AND POSTED
aooaess ✓✓✓✓✓✓ - FINAL
JOHN A. LAMBIE, COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINFER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. SH
Lilo 3 4 0 7 OCT 6 1 4.00-