HomeMy Public PortalAbout9914 1/2 LA ROSA DR_Building__ 76A838A CE#8038.83 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGG}r y
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY',
JOHN A. LAMSIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
D I STRICT NO GJFOUP TYPE PROCES BY
FOR APPLICANT TO FILL IN J
CONST ��
BUILDING STATISTICAL C IFICATION SEWER MAP
ADDRESS `�9/ EBK
,. I CLASS. NO. DWELL. UNITS
LOT NO.w - /p BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT MAP / HIGHWAY
SIZE OF LOT NOWOF ON LOGS. NO.yO t (CIRCLE) STATE MAJOR SECON . LOCAL
Gc USE ZONE SPECIAL• - / // /O
EX STTINOWNER /G�BLDG. d N LE 4,44; Jp USE OF CONDIT 1005. TOY -
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT i^
ARCHITECT OR TEL. P, L O
ENGINEER NO, SIDE
P. L.
ADDRESS d
TEL. G
CONTRACTOR -
/ _ u
ADDRESS / Q /V/E;' O
DESCRIPTION OF WORK
W
NEW 6 ADO ALTER REPAIR DEMOLISH "Al
50. FT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT_ cW
VALUATIONS Tc' �-
APPROVALS IDATE INSPECTOR'S SIGNATURE
FEE FEE S FO FORMS. MATERIALSION /p7Q./y� .`._.y�_ya
FRAME: FIRE STOPS, 1;v fid1{
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS -
BUILDING CONSTRUCnON. I CERTIFY THAT IN DOING THE WORK
AUTHOR IZ HEREB WILL NOT ANY PERSON IN VI A- LATH. INT.
TION OF TH LAB CODC- 5 T CALIFOR Ip R
ING TO WORK EN CO B TIO
LATH. EXT.
SIGNATURE I HOUSE NUMBER COR-
PERM -TRECT AND POSTED
ADDRESS AL I��LYQT
JOHN F. LEWIS. PRINCIPAL STUGTyi RAL ENGINEER
PLAN CHECK VALIDATION M.D. DASH PERMIT VALIDATION CK. M.G. cpGH
L& 4 1 4 2Z SEP2 4 1 D 6.00- Q