HomeMy Public PortalAbout9151 LA ROSA DR_Building__ D _ APPLICATION F
8A 83BA CEttB 3 8 63 R BUILDING PERMIT�
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS _
BUILDING AND SAFETY'DIVISION LOCALITY - J
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DI ICT N P TYPE ES Y
FOR APPLICANT TO .FILL IN �� � coNsr.
BUILDING �/ STATISTICAL CLA$SJ5-ICATION SEWER MAP ,
ADDRESS BG
CLASS NO JJrf' DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE. NOT REQUIRED ❑ RECEIVED ❑
TRACTMAP HIGHWAY -
NO OF SLOGS NO. D (CIRCLE) STATE MAJOR SECOND, LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS '
EXISTING BLDG ,
TEL
OWNE NO. BUILD NG EXIST
_71SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR EEL P. L
ENGINEER NO SIDE
P L
ADDRESS
CONTRACT N �j' � ` ;
ADDRESS
OC
DESCRIPTION OF WORK G
ul
NEW ADD ALTER REPAIR DEMOLISH tn
Z
FT. NO. OF NO OF
SIZE- STORIES FAMILIES -
USE OF
STRUCTURE -
SIGNATURE OF
APPLICANT I
VALUATION $ ���
APPROVAL$ DATE INSPECTOR'S SIGNATURE
PC PMT / d FOUNDATION. LOCATION -
FEE $ FEES 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 S N IN VIOLA- LATH. INT
TION OF THE LABOR CO OF THE STATE CALI ORNI RELAT-
ING TO WORKMEN'S C PENS 10 INSU NC LATH. EXT
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE 'J RECT AND POSTED .
ADDRESS 15
FINAL
JOHN F. LEWIS. PlITN61PAL/S RAL ENGINE R
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O. CASH
Co 8-8 9 6 co JUN 5 1 D 1 7.2 5
76A638A CE#803 8-64 APPLICATION FOR BUILDING -PERMIT
COUNTY OF LOS ANGELES BUILDING J
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOC A L,1 TY Ct
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST.
DISTRI -MN .• •GR UP• TYPE ,PR ES ,BY.
FOR APPLICANT TO FILL IN r (� _Z,CONST.
BUILDING STATISTIC AL'CLASSIFICATION` SEWER MAP
ADDRESS /,f� CL,ASS NO. DWELL U'NI'TSy "� BK� P \� ' -
LOT NO. _ BLOCK USE ZONEMAP-`
NO. -
TRACT SPECIAL -
N0. OF BL DOB. CONDITIONS O -
SIZE OF LOT �L/ NOW ON LOT / _
USE OF - _
rXISTING is L Do. ' - v BLDG. SETBACK FROM - -
_
TEL FRONT PROP. LINE OF (STREET)
OWNER �' �` ' - TYPE OF EXISTING SETBACK -'KION WAY YARD = TOTAL
�. HIGHWAY M C.L.
ADDRESS +..-i - _ + _
CITY
ECT OR TL. BLDG. SETBACK FROM
ARCHITECT E
-
RCHITENGINEER ,�='.�/�,q, O, �j SIDE PROP. LINE OF — (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS `2 /, _ j HIGHWAY WIDTH FROM C.L.
CONTRACTOR ' -�j O 4J ,3—,LC
- -
IADDRESS j / �' - NO •�.7 CORNER CUTOFF •• YES NO O
CITY- - 4•• LCLASSIC SEE REVERSE SIDE FOR OVALS ~
u
W
�--/s CL
DESCRIPTION OF WORK AND PARKV•/AY TREE REQUIRED Z
NEW ADD ALTER REPAIR DEMOLISH
SQ,FT. NO. OF • NO. OF �_ r^) J';:s•ra ��8fAB6I1 _I
SIZE � ("7 STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF--)
APPLICANT - _- twilk
VALUATION$ APPROVALS DATE INSPECTOR'S SI'ONATURE
FEE$ lJ �" s FEE$I ClO FOUNDATION, LOCATION,
® FORM S•,-MATERIAL'S',_,,
FRAME, FIRE STOPS, /
I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY,ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS: /
9U ILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK -
AIUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TON OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- �
ING TO WORKMEN'S COMPENSATION INSURANCE
�f ,-^•�j ` LATH. EXT. -
SIGNATURE OF%/,'� /� /{/ A�4�`� f ,HOUSE NUMBER•COR-
PERMITTEE -' llleeecccr Z�<tp��'KKK RECT AND POSTED !'I
ADDRESS f!I.! ,-13.>fi .S�t'✓/;✓/CIJ:. F I N A L' • .. rl(N(CIPAL.STkUC:TUR' AL
JOHN F. LEWIS. ENGINEER
PLAN CHECK VALIDATION K M.O. CASH PERMIT VALIDATION CK. M.O. CASH '
-L� 8. 3..2.51 :•4SAY 2. 23 5 (}� 5:x2 61-0 MAY 12' �:� "1.b3f;.(?0- ' a
- ." dry _ . .�����J _ __ _ •�;_ .•. ,
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76AB38A CE#8633-88 APPLICATION FOR BUILDING PERMIT
COUNTY -OF LOS ANGELES BUILDING, m
sp s,µ
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY-
JOHN-A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS; SUPT OF BUILDING NEAREST
CROSS ST. /tE N C % N / T
DISTRICT NO. GROUP, TYPE PROCESSE BY '
FOR APPLICANT TO FILL IN o Z CONST. •,_
(Print-or t a only)
BUILDING, / STATISTICAL CLASSIFICATION• SEWER MAP
ADDRESS /( 0 CLASS NO. - DWELL•UNITS D BK PG
LOT NO. 7 BLOCK USE-ZONE MAP % 7
NO.
TRACT u 5 /"� / SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT�7,%0 X -� NOW ON LOT
USE OF / - -
EXISTING BLDG, Q ! �c3 /v /o L7 BLDG,SETBACK FROM
E FRONT PROP.LINE OF - (STREET)
OWNER /17 _
f n TYPE OF EXISTING SETBACK- ,HIGHWAY + YARD -TOTAL
,ADDRESS �� /l Kos rV<✓e HIGHWAY WIDTH FROM C.L.•
CITY /)-) 1, / B __ +
LDG.SETBACKFROM
ARCHITECT OR TEL, 7 SIDE PROP.LINE,OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD, - _ -TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
TEL. - + = d
CONTRACTOR iC .G V A
ADDRESS /4S� /Cd o5 NO CORNER CUTOFF YES ❑ NO ❑
CITY C11-
- 1ti�. ;71, c�ss SEE REVERSE SIDE FOR SPE Lor PPROVALS F"
D SCRIPTI OF WORK n j N
r. / i z_
NEW ADD ALTER REPAIR DEMOLISH ( ,
SQ. F.T. NO. OF NO. OF -
SIZE STORIES FAMILIESUSE / }
STRUOCTURE
SIGNATURE OF
APPLICANT
VALUATION $ ��
�DO APPROVALSa,j�- DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION: LOCATION
FEES J 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•
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELA7• - LATH, INT:
• ING TO WORKMEN'S COMPENSATION INSURANCE.'
LATH, EXT'. _
SIGNATURE O HOUSE NUMBER COR- "
PERMITTEE RECT AND POSTED
• ADDRESS 51, FINAL -
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN.CHECK VALIDATION CK M O CASH = PERMIT VALIDATION CK. M O •CASH
I
L •?h143,9� .NOV. , 6-2 3 0 5.�,�� f