HomeMy Public PortalAbout9258 LA ROSA DR_Building__ A' , ROAD �K� REQ ED
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70.696 4[:8038 CC APPLICATION" FOR BUILDING PERMIT - `'• :� ;: �.�
COUNTY OF LOS ANGELES . BUILDINGADDRESj'8 F..' ,1,4 Za,.9 S
-DEPARTNMNT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY -7w
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT No., GSR ►gyp TYPE PRO
CESSED BY
CONST:
BUILDING 95 / STATISTI AL CLASSIFICATION SEWER MAP -
ADDRESS 5 rJ /-. , Q� 1.D eK
- CLASS.NO. DWELL.UNITS
d %. I —, An
LOT NO.- O BLOCK MAPNUMBER-w HM Y. YES NO
TRACT 41 U E ZONE_ SPECIAL
p NO.OF BL'DGS. CONDITIONS
SIZE OF LOT fi S><" / I NOW ON'LOT
USE OF D� BUILDING EXIST.I'
EXISTING BLDG. JC
J TEL. ) is SETBACK' YARD HWY STREET NAME, "WIDTH
OWNER —PciAe '�.S TA G TZL*-7/0,�3aa FRONT
ADDRESS 7'�:J �. �� ZO9-19 'SIDE "
ARCHITECT.O , TEL P• L•
ENGINEER i4 ,x' No '",. yf/o1� INSPECTION RECORD.
ADDRESS o E D �p =
TEL.
W. �o<j,,y _ p'
CONTRACTOR - Ac Gy NO. C V qr O
ADDRESS0.10 Zl S,9 N ti y
DESCRIPTIO_ `OF WORK 4A U C'c _
M'� A �-..��
I
NEW ADD' ALTER REPAIR DEMOLISH gy
_SIZE
STORIES - FAMIOLIE3 -
USE OF I / L /1 /- 7-/,f-
STRUCTURE
�S
STRUCTURE E D iL�+ ^
7-49
SIGNATURE OF
APPLICANT
VALUATION$ — �r
APPROVALS .- DATE INSP TOR'S SIGNATURE
FEE $ FEE $ 1`) FOUNDATION'. LOCATION'
FORMS,MATERIALS' L�i�
I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS AP- FRAME: FIRE STOPS,
BRACING,BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND L
FURNACE: LOCA
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND TION, V
STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS ,�/
1 CERTIFY THAT IN"DOING THE WORK AUTHORIZED I LATH,INT. 100
WILL.NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COM TION LAWS OF CALL LATH,EXT. tA
SIGNATURE OF ^ �� HOUSE NUMBER COR- /
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRL AM, PR NCIPAL.ST RAL ENGINEER
PLAN CHECK VALIDATION ..Cr_ M.D. 'CASH --PERMIT•VALIDATION cK -M.o. c:AsH
O2 8 1"4 a J-ill 2 7 5.0'd `�' '
' 5 j�R
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
. COUPTTY OF LOS ANGELES ® 1 I L ® 114
-Wim. J. FOX. CHIEF ENGINEER v
FOR-APPLICANT TO-FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILD+ ND
aDDA IBS9258 La. Rosa_Triye Is 420 6'3.- 17 (oq���-
LOCALITY Tp�em_nIA•Ci &� California RAVED BY DATE OFAPPL. DATE ISSUED
NEARE'CROSSBT. Rio Hondo 'Avenue
OWNER TUf1tYPr1► HVl•J�1.7 INC• - BUILDING J A
ADORES9
ADDREBB P
MAIL 26 East Santa Clara Sty - f LOCALITY
�
p r,,. - NEAREST
A 1 ,
CITY oadia NO..DO 7-3563 ' CROSS ST.
FIRENO.OF TYPE .5GROUP `
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
BLDG.
- SETBACK LINE
ADDREBB "
APPROVED
TEL.
BY DATE
CONTRACTOR $&1118 NO.
USE �� 1 APPROVED -
ADDREPQ
//'�� ZONE f�Y BY DATE
LEGAL
DESCRIPTION •''1 LOT NO. OV BLOCK ® ' CORRECTIONS
TRACT 16475 5 pI rI y
NO.OF BLDG9.
SIZE OF LOT. 65 R-112 ~
I NOW ON LOT NO
UBE OFI NO.OF NO.OF
EXISTING BLDG. N FAMILI[e ROOM -
DESCRIPTION OF WORK
NEW ALTERATION ADDITION 0
_ A
REPAIR MOVING DEMOLISH p
FT. NO.OF _ _ _ Z
Sq.ME -JJ ROOMS 4 STORIES -1 r
WALL ROOF ID
COVERIN® COVERING
BUDI
ING Dwelling —
0
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION' LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
I FRAME: FI RE STOP%
BIGNATURE OF BRACING,BOLTS
PERMITTEw =R HOMES •
LATH, INT. �
ALLTNORIZED AOT LATH, EXT.
r
76A63BA-3 2-30 $ P.O.B �s PLASTER,INT.
FEE
PIASTER,EXT.
VALUATION FEE 28.88. FI PIAL