HomeMy Public PortalAbout10702 LA ROSA DR_Building__ DEPARTII'lENT OF COUNTY ENGINEER �-
DMSION
OF BUILDING AND SAFETY u ' `®�'�
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN. SUPT OF BumDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING /'J / DISTRICT NO. PUN CK. 1l REC.F. PERMIT NO.
ADDREBS Q C/� /�/� 5 6337 - g �� S-�-
LOCALITY 7e /G RECEIVED Y DATE OF APPL. DATEISSUED
NEAREST I
CROSS ST.
io
_ ADDRESS
OWNER h
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MAIL LOCALITY coz
ADDRESS V 72 C L
CITY /7 �� TEL- / NEAREST
7JJ((// CROSS ST.
ARCHITECT OR TEL. ZONE s I PLANS 1
FIRE I TYPE I GROUf}�
ENGINEER NO.
i BLDG. L D / O NO.
ADDRESS SETBACK LINE !/
L / TEL. USE APPROVED A/ L
CONTRACTOR .//��+ �C / NO. L ✓�/' ZONE -I BY / DATE --4 5
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ADDRESS /� / V f'J Q�/ �� �T HOUCBE N MBERING I
LEGAL MAP NUMBER L NO. ASSIGNED BY
DESCRIPTION I LOTNO. I BLOCK CORRECTIONS
TRACT 4 /
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SIZE OF LOT O O I NO. OF BLOT �+
A
NO ON LOT
USE OF I NO. OF -- - - - -
EXISTING BLDG. FAMI I69
DESCRIPTION OF WORK D -
N6Y1I ALTERATION ADDITION z
2
REPAIR DEMO(TION >
r
3O. FT. NO. OF n
SIZE D nEXT. WALL ROOMS STORIESAC
ROOF
COVERING L•A I COVERING
USE OF STRUCTURE L n
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS. MATERIALS
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS. •�
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS i
CORRECT. �O
FURNACE: LOCATION.
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS
�REGULATINGG BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH. INT./r `
PERMITTE
1: ZLSO CJ (/5.fn l / LATH. EXT. 7
ADDRESS
/
PLASTER, INT.
AUTHORIZED scai ' '!/
PLASTER, EXT.
$ pO
FEE
S / S_� HOUSENUMBERCOR-
FEE (O RECT AND POSTED /,
VALUATION Cd
FEE $`(p �'� FINAL
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