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HomeMy Public PortalAbout9143 LA ROSA DR_Building__ CITY OF 76A638A CE9803 8-64 APPLICATION FOR' BUILDING PERMIT . COUNTY OF LOS ANGELES . BUILDING DEPARTMENT OF COUNTY,ENGINEER -A..R ESS ¢ _ . LJ4 �o S'A 2 BUILDING AND SAFETY. DIVISION' 'LOCA' LITY C(t JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.. � lp am•. A - DISTRICT NO! GROUP ,•TYPE' PROCESSED:;;f R' FOAPPLICANT TO'FILL IN ;�',.Q�j. ,CONST 'BUILDING. _ STATISTICAL CLASSIFICATION -SEWER MAP '} ADDRESS ;CLASS NODW—ELL UNITS -L. ' "3''- LO.T NO.- - BLOCK USE.ZONE MAP 14 m._ - - NO. Z o IIC7 _ TRACT J ` SPECIAL _ - •/� N0. OF BLDGS. s" ICO DI I - SIZE OF LO.T V NOW ON LOT USE OF I-XISTJ "BLDG. SETBACK FROM _ TEL. FRONT PROP! LINE OF LIN �.S�••• •,� • _ (STREET) ' OWNS O• �• TYPE-OF- EXISTING SETBACK "HI OH WAY- "'YARD+--= TOTAL ADDRESS /0 Y }LnrH M E �. CITY W� Al. . ltDd ARCHITECT OR' TEL. BLDG. SETBACK"FROM, ENGINEER L, NO. SIDE PROP. LINE OF STREET - TYPE OF EXISTING SETBACK" HIGHWAY + YARD = 'TOTAL,- ADDRESS TOTAL,-ADDRESS �' - HIGHWAY - WIDTH _ _.FROM TEL + _ Ou CONTRACTOR , O " (ADDRESS �' NO 18• CORNER CUTOFF - YES NO 0 LIC, ~' Y o' SEE REVERSE SIDE''FOR SPECIAL APPROVALS W DESCRIPTION OF WORK' ) Z NEW ADD' ALTER ' REPAIR DEMOLISH SQ,FT. NO. OF NO. OF, ~�S SIZE STORIES .� FAMILIES /� d ' USE.OF STRUCTURE G� /% _ SIGNATURE 'APPLICANT OF - - VALUATION$ 2 ®©� APPROVALS DATE INSPECT09'Sj3IGNATURE P C. A "L. _ PMT. �� FOUNDkFORMSTI MATERIALS- 'FRAME, N, CIIN FEE$ 4¢ , FELE$ - - 'FRAME, FIRE STOPS, I HEREBY 'ACKNOWLEDGE THAT I HAVE REAWTHIS APPLICATION BRACING BOLT -f �L) �✓�-,�• , AND STATE THAT THE".ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION ` WITH ALL-COUNTY ORDINANCES,AND STATE LAWS REGULATING G'AS 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 CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. _ LATH. EXT. , �^���, • SIGNATURE OF �,;.,� rHOUSE NUMBER COR- • PERMITIU, .gyp' RECT AND POSTED 4A /' ✓ ADDRESS' �oI1 //GH S% S /" FINAL* - 4 JOHN F. LEWIS, PRINCIPALST5WICT RAL ENGINEER 'PLAN CHECK VALIDATION CK. M O CASH _ PERMIT VALIDATION CK: M.O CASH , �,$� 024`0 30 4425A _< � t . LG .s�0 5:'!o�• AFR13 1 D. ' 8; 8.5b- APPLICATION BUILDING PERMI 78A 638A CE#8 3 8 83 APP FOR L , COUNTY OF LOS ANGELES BUILDING c, DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NO GR TYPE P Y FOR APPLICANT TO IN CONST. BUILDING rJ STATISTICAL CLASS ICATION SE ER'MAP ADDRESS BK PG CLASS. NO 'DWELL UNITS - LOT NO BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE TRACT MAP NO. (iCIGRCVLE) STATE MAJOR SECOND. LOCAL NO OF BLDGS. SIZE OF LOT NOW ON LOT USE ZONE I SIPECIAL USE OF CONDITIONS EXISTING BLD ,/ TEL OWNE d_"'t TEL BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS �- FRONT ARCHITECT OR TEL. P L ENGINEER NO. SIDE P. L ADDRESS /J• / d CONTRAC O NEO U 09 ADDRESS ) - 7n ' O DESCRIPTION OF WORKuj G d NEW ADD ALTER REPAIR DEMOLISH FT NO OF NO OF SIZE STORIES FAMILIES USE OF ST UCTUR SIGNATURE OF - APPLICANT - VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE PC pMT 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 WITH ALL 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 CODE OF THE STATE OF IFORNIA RELAT- ING TO WORKMEN'S CO SATIO INSURA LATH. EXT. SIGNATURE I / HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED ADDRES FINAL PLAN CHECK VALIDATION CK., MO CASH JOHN F LEWIS. PRINCIPAL,S�:.K:y RAL ENGINEER - PERMIT VALIDATION M O CASH LA LO.8 6 9 5- JUN 5 1 D 1 7.25 — a