HomeMy Public PortalAbout9404 LA ROSA DR_Building__ 7EAG;SA CIE#803 E-08 - APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST. / Y^,S e'jf �/I•'�
DISTRICT O. GR P I TYPE Y
FOR-APPLICANT TO FII.L IN CONST.
BUILDING - EWER MAP '
ADDRESS Q STATISTICAL CLASSIFICATION BK PG
.� CLASS. NO. � DWELL:UNITS /0
LOT,NO. `UPS 7 J_r, %GP BLOCK MAP STATE yES O
_ NUMBER HW Y.
TRACT , iZ �" USE ZON ECTAL '
pg r� NO.OF BLDGS. D,TONS -
SIZE OF LOT f g,7 7^ �y I- NOW ON LOT'
USE OF-
1 G Off/ BUI DING EXIST.
S BACK YARD HWY STREET NAME WIDTH
OWNER B I•' jG� L �_il FRONT.
MAIL r / - P.L.
ADDRESS 9Z10 b A a Re so z) SIDE
TELL P.L.
TTY '- C 6h /a' e NO./��6 Sd INSPECTION RECORD-
ARCHITECT OR TEL.
ENGINEER NO.-
ADDRESS
O.DDR S
TEL.
,CONTRACTOR eLl NO. I 4
ADDRESS
DESCRIPTION OF WORK s L '
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF �•^..7'a '�t.a. �l6Srt._.Jl l�l Y_
SIZE , (^! STORIES FAMILIES v
USE OF STRUCTURE
a
SIGNATURE OF �� r"i �Jo w/ APP AL C
APPLICANT // DATE INSPEC.OES SIGNATURE
ADDRESS ���O G• t?cY _ - FOUNDATION: LOCATION
FORMS.MATERIALS
hl
$ , P.C. $ \' FRAME: FIRE STOPS.
FEE BRACING, BOLTS
VALUATION `L5 " 9/'�"' i� FURNACE: LOCATION.1 1
FEE GAS VENT,DUCTS
d HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. _
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT.
STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE.OF /�� � HOUSE NUMBER COR- 9 _
PERMITTE d .zc ff RECT AND POSTED.
ADDRESS 4 lat C� FINAL v
CLYDE N. DIRLAM„PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION' CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH