HomeMy Public PortalAbout10214 LA ROSA DR_Building__ ........ ..... APPLICATION FOR0 BUILDING PERMIT
COUNTY OF LOS ANGELES "BUILDING
DEPARTMENT OF COUNTY ENGINEERADDRESS /D =Zj'
BUILDING AND SAFETY DIVISION LOCALITY
.JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATTD.GRIFFIN,SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP TYPE P OCESSED BY
BUILDING / vv STATISTICAL CLASSIFICATION i SEWER MAP
ADDRESS / O2/� L� NCAA: r SFR
PG
A/�� �. CLASS. NO. DWELL. UNITS
LOT.NO.:%j. �A@(, >L /•J- BLOCK NUMAPMBER `^Q HATE YES-
TRACT, /3s j . USEZONE - SPECIAL ' /• �-•/
SIZEOFlOT �p I 'NOW ON LOTS CONDITIONS(y�y�/
USE OF
EXISTING BLDG. W GG BUILDING D - EXIST.
JYARD HWY STREET NAME
SETBACK WIDTH
OWNER _FRONT
ADDRESS - OZ/Z ZA RoSorTEL.^ SIDE
CITY E `1-L NOj�. lW 43iP.L.
ARCH ITECT OR TEL.
INSPECTION .RECORD
ENGINEER NO.
ADDRESS - r
TEL. /1� Cshr ya�_� i11••'T/A:...'w .�' -
CONTRACTOR. /aaG�- E.CS NO. •-•LlBOI / J ,J 1i
ADDRESS �i V OA aADI
DESCRIPTION OF WORK' T_
SO
FT. q ALTER NO6O FAIR -DEMOLISH
OF
SIZE STORIES FAMILIES/ .•. �-
USE OF ST nom $" �•�\�( .�.' '
GY �
SIGNATUREOF APPROVALS
APPLICANT
I
DATE INSPECTOR'SSI GNATURE
ADDRESS FOUNDATION: LOCATION q
LIZO
FORMS,MATERIALS /0 2 '$ P.C. FRAME: FIRESTOPS.FEE BRACING. BOLTSVALUATION § Q' FURNACE: LOCATION. -�
FEE GAS VENT.DUCTS•
I HEREBY ACKNOWLEgI�ppE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE T,IR/(T THE ABOVE IS CORRECT AND
AGREE TO COMPLY WI ((H ALL COUNTY RDINANCES AND
STATE LAWS REGU TINGSTATE LAWS REGU TING BUI�' ON TR 710N. LATH, EXT. '.ON TR TION. LATH, EXT. .
SIGNATURE OF HOUSE NUMBER COR.
PERMIT RECT AND POSTED
ADDRESS FINAL
'CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH' ;
P^ 7 QCT 4. 2
,YO6A¢Ao.2A. APPLICATION FOR BUILDING PERM, IT .1.
COUNTY OF LOS ANGELESBU aD ING
DEPARTMENT OF COUNTY ENGINEER ADDRESS GL
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ll
WILLIAM A. JENSEN SUPT OF Bu MOING CROSS ST.
DISTRICTNO. I GROUP TYPE v PR SED BY
FOR APPLICANT TO FILL IN S I _ CONST.
{AA STATISTICAL CLASSIFICATION I SE ER MAP
ADDREIt-
SS / t//. � Cis CLASS.NO. DWELL.UNITS-- 48K
NITS —` BK
LOT NO. f6 •BLOCK NUMBER HWYMAP E YES N _
TRACT -.y USEZONE SPECIAL
✓. NO.OFBLOGS. CONDITIONS
SIZE OF LOT [J NOW ON LOT
USE OF
EXISTING BLDG. ] /�^ BUILDING - EXIST`,
/ TEL. SETBACK YARD HWY REET NAME, WIDTH
OWNER NO. FRONT
ADDRESS d L !" - SIDE
ARCHITECT OR - TEL. - P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS - --
TEL. Q
CONTRACTOR ' !/- O O
ADDRESS�O�Y'� ,L/L' G t//yt_
DESCRIPTION OF WORK
• F .
NEW ADD ALTER REPAIR DEMOLISH - �U
SO.FT. NO.OF NO.OF W
SIZE 'STORIES FAMILIES -
USE OF
STRUCTURE / F7
/
SIGNATURE OF
APPLICA
VALUATION$ —_
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. Q' FOUNDATION: LOCATION
FEE FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HERECATION
A D STAT LEDGE THAT I HAVE READ THIS AP-AND
BRACING BOLTS / J
PLICATION AND STATE THAT COUNT VE IS CORRECT AND FLGA ACEI,DUCTS ON,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION. -
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT. -
WILL NOT EMPLO A_DIY PERSON IN VIOLATION OF THE
WORKMEN'S CO /S TIO t LAWS OF VLIFORNIA. LATH,EXT. -
SIGNATURE OF HOUSE NUMBER COR-
, PERMITT �� z� L-� RECT AND.POSTED -
ADDRESS - - FINAL & 41, �y
/ CLYDE N, DIRLAM, PIRINCIPAL ST AL ENGINEER
PLAN CHECK VALIDATION cK. M.o.. CASH PERMIT VALIDATION. CK., M.o. 'CASH
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