HomeMy Public PortalAbout9828 LA ROSA DR_Building__ 7U411.CE#11411. I-11 APPLICATION FOR BUILDIC G PERMIT
COUNTY OF LOS ANGELES n. BUILDING
DEPARTMENT OF COUNTY ENGINEER'' ADDRESS
BUILDING AND SAFETY DIVISION» LocpuTT= w-
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN BUP'T OP BUILDING CROSS ST.'
DIST CTfy_O. GROUP TYPE ;C
R ESSED BY
FOR APPLICANT TO FILL.IN Ll OI coNsr.
BUILDING � '1 (J p2�� STATISTICAL CLASSIFICATION SEWER MAP G�{'
ADDRESS O� +` ll r/ ,�q� BK
CLASS. NO.�DWELL. UNITS ii y-
LO /I CK ACK WATER
hi S` UA/ CERTIFICATE: NOT REQUIRE RECEIVED
TRACT T / '] J I
NO.OF BLDGS. .� NO. / 1'CGRCLEI HWAY STATE MAJOR SECOND, LOCAL
SIZE OF LOT.Sy X ly •� I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITION
EXISTING BLDG. » -
OWNER Grit Q /{ Q yr%j 4TO.Xb
A&
'},^� NO.A-O.(- 'L BUILDING EXIST.
ADD��SS a H 2!� ( s D✓ (ry t'4V SETBACK ��YIIARD HWY STREET NAME WIDTH
ARCHITECT OR TEL. FP. L.T :zO C
ENGINEER NO. SIDE
P. L. }
ADDRESS ,(( TEL. INSPECTION RECORD O
CONTRACTOR As A 6BV� NO. / ,ry V
ADDRESS
(. (( 41E
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DESCRIPTION OF WORT /1z I^ti'y r s•v_fo rar.� _ Ci
I iY W
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NEW ADD ALTER REPAIR DZ
SO. FT. R (�Q NO.OF I TORESUSEOP ��/STRUCTURE AJW1.A�. /M � _/(l) -' ( ASsi f / vEt•t .9CFSIGNATUREOF `-') LT erAPPLICANT C�/ . T { L s .�l bC�
VALUATION$ 1.i ppS DATE INSPECTOR'S SIGNATURE
FEC. PMT.$ FEE �� FOFORMS!MATERPALSONFRAME: FIRE STOPS,I HEREBYACKNOWLEDGE THAT I HAVE READ THITION BRACINGBOLTSANDSTATE THAT THE ABOVE 15 CORRECT AND AGRMPLY _ FURNACE: LOCATION,WITH ALL COUNTY ORDINANCES AND STATE LAWTING GAS VENT DUCT$ I �)
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOWORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. �.
TION OF THE LABOR CO E OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C IPENSATIO INSURANCE. `
LATH,EXT. .
SIGNATURE OF R A HOUSE NUMBER COR.
PERMIT TEn •� RECT AND POSTED
ADDRESS;2-7} ' G1"`Q J
FINAL
//-�) GCLYDE N. DIRLAM, PRINCIPAL ST"URAL ENGINEER
PLAN CHECK VALIDATION D. N.O. SH PERM VAIMATION cN N.o. uBx
Lp 2. 3 5 3 2 SEP 7 3 D 22 .5 IJ
n61 ' In
6 5 9 :o SEP 14 __ D 4 2i .0 0