HomeMy Public PortalAbout9851 LA ROSA DR_Building__ ,..,,.. Eb APPLICATION, FOR BUILDING ERMIT—
COUNTY OF LOS ANGELES' BUILDING
DEPARTMENT OF COUNTY ENGINEER .ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBfE, COUNTY ENGINEER NEAREST.
WILLIAM A. JENSEN SUP'TOF BUILDING CROSS ST. �/'✓
DISTRICT NO. GROUP TyP PR SEDBY
FOR tAPPLICANT TO FILL IN y✓,•tj_ ' . I '. c CONST:
BUILDING STATISTICALCLASSIFICATION I SEW RMAP
ADDRESS G _ w. ]� -• K P
CLASS. NO. DWELL. UNITS V'
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LOT NO. C '' CIf/ 6 W_ BLOCK MAP .STATE
_ p- NUMBER - -HWY. ',YES O
{TRACT` ' Q /..• - USE-:ZONH SPECIAL'.
SIZE OF LOT 5S .X )�.Z '�' I NNo
OWOESL
ON LOTS / CONDITIONS
USEOF •yam
EXISTINGBLDG.� BUILDING EXIST.
j7 SETBACK .YARD 'HWY TRE NAME WIDTH
OWNER (? UKS La b`� /�1' RS�>R NOL/-_/i FRONT
! JJ�� 1 P. L.
ADDRESS-> 3'4 S• CJCY /dW iN 14 IN J SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
CONTRACTOR `S •/� (JJ1 o.v s/ �d TNO.EL. ,r �CP/ "I. `J�L��✓fM/jr1 0
ADDRESS 21 j 6 S 8./(F Lt1 ,w i ��+Y �-' SY✓B� S a�'✓Cc/J�.ifJ� LGA/ A—.�`Y� 6'
DESCRIPTION OF WORE �o t'_5 frt�U� i ` w rPf pA+S+ -u' `
NEW I ADD ALTER ' REPAIR ' DEMOLISH - ,t.-
S. T I Uyy��n /STORIES FAMIOL IES- '���/ �__ {/�~>i Z
SUSE OFTRUCTURE LLiJ e-` /�K , 'c'i r/r a �! 5. 94 /-'F.l "r
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SIGNATURE OF �-� / /4.Ta <74F{flS - /i�4i `147�
APPLICANT [ /�
VALUATION$ �. 0 I ,
AP PROV$AL'S --D�9TA —41MVECTOR'S SIGNATURE Oyu.
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PMT. UNDATION: LOCATION /7�
FEE I I' FEE $ --�� _FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION BRACING. BOLTS z L A )
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO•COMPC•N\ FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,'GAS VENT DUCTS A
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE / j�
OF THE WORK FOR WHICH THIS PERMIT IE ISSUED I SHALL NOT LATH. INT. F d
EMPLOY ANY PERSON IN ANY MAN %O BECOME SUBUECT (( "I
TO THE WORKMEN' ENSA ON E OF LIFORNIA, LATH, EXT. P. f A'4..
SIGNATURE OF HOUSE NUMBER COR.
PERMITTE RECT AND POSTED 109
i
aoDREss � FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUGTURAL ENGIIIIEER
PERMIT CHECK VALIDATION cK. M.O. CASH PERT VALIDATION DK` m.o. usH
l r,'-'D 7 1 0 2 f"nY l 52 3 D 2 5.5 v
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