HomeMy Public PortalAbout9829 LA ROSA DR_Building__ '41f6A638A CE #8031/TAPPLICATION FOR BUILDINGc RMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PACE P L
BUILDING AND SAFETY DIVISION AADD ESS T �2 el �Qw
COLEMAN W. JENK I NS', SUF T Or B.'L.IN. LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort a onI CROSS ST.
BUILDING Q OISTRIC,Co/nyµO. GROUP C NPE ST. " ROC SSED BY
ADDRESS o
LOT NO- �d STATISTICAL CLASSIFICATION SEWER MAP
. BLOCK �' DWELL,UNITS'— � BKP��
CLA SS,NO.
TRACT USE ZONE MAP' - '
NO.OF BLDGS. : No.
SIZE OF LOT .NOW ON LOT ,�/✓'') SPECIAL
USE OF '!�' / CONDITIONS
EXISTING BLDG. - -
/,. TE
OWNER N BLDG.SETBACK FROM
f7� P FRONT PROP.LINE OF (STREET)
ADDRESS D�
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAYI WIDTH I FROM C.L.
ARCHITECT OR EL.. �G) } /h = 7o
ENGINEER NO.
BLDG,SETBACK FROM ,
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE-OF�EXISTING SETBACK HIGHWAY }' YARD = TOTAL - L
CONTRACTOR NO. HIGHWAY WIDTH PROM C.C.
U
ADDRESS NO } = O
CITY CLASS CORNER CUTOFF YES ❑ NO W
CONSTRUCTION LENDER - - - �-
NAME AND BRANCH ® SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE RIES ADD FAMILIES
USE OF - El
STRUCTURE >1
- ALTER ❑
SIGNATURE OF REPAIR❑ .
APPLICANT f DEMOL
VALUATIONS ��✓ APPROVALS DATE .INGPECTOR•S SIGNATURE
P.C. - PMT. / qq FOUNDATION: LOCATION
FEE S FEES' (�. V FORMS, MATERIALS
FRAME: FIRE STOPS,
�I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
:.'ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUCTION. (,CERTIFY THAT IN DOINGTHE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY-ANY PERSON IN VIOLATION OF THE LA TH, INT.
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN TION INSURANCE. LATH, EXT. - '• '
S IGNATURE•OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS .2ga T�
,FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONb ON. M.O. CASH PERMIT VALIDATION K. M.o. DASH
1 9. 6 2r. AUG17 1 D 6.00~ q