HomeMy Public PortalAbout9421 LAS TUNAS DR_Building__ DEPARTMENT OF BUILDING AND SAFETY` ' JkPPLICATION FOR PERMIT --
COUNTY OF LOS ANGELES ' S
WM. J. FOXv CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
_BUILDING
e j�A DISTRICT NO.. PLAN CK.NO. LGA`�PEERMITT"NO.
ADDRESS j j E � S �iD C M '� �/"` .J O ✓ ,o r <
LOCALITY RECEIVED BY DATE OF AP/PL. DATE'199UED
NEAREST
i
BUILDING --y _
` ✓ G u /�yd/ t� ADDRESS ��
OWNER
MAIL
ADDRESS GU2aL S /•I �JL� 3W& LOCALITY4 / f�/�"`i��.f G/�
CITY .T^-,• �'� • NO. NEAREST.
TEL. CROSS ST.
FIRE NO.OF TYPE GROUP.
ARCHITECT OR TEL. ZONE _ PLANS
ENGINEER NO. -t-
BLDG. / / � ORD.NO.
y
ADDRE89 SETBACK LINE
APPROVED l' --
TEL. BY DATE
CONTRACTOR NO.
- USE APPROVED
ADDRESS ZONE (C, BY _ DATE
LEGAL - CORRECTIONS
DESCRIPTION I LOT NO. ,3 Td" I BLOCK ;p6w 9
TRACT
NO.OF BLDGB.
SIZE OF LOT �"U �� I NOW ON LOT
USE OF / NO.OF NO.OF
EXISTING CLOG.Sd/6T�.S;' FAMILIEH � ROOMS _
DESCRIPTION OF WORK
NEW ALTERATION' ADDITION
_ O
Y
REPAIR MOVING DEMOLISH
Sq.FT. NO.CFi
SIZE / ROOMS 13TORIE9
WALL ROOF
COVERINGy /_� I
COVERING -COVERING
USE
D I NEW
SUILDIy T�l�/++ -/'��/'
NO
0 At
5t N ® /`� 5
I HEREBY ACKNOWLEDGE THAT' I HAVE READ TF419 APPROVALS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING C STR CT
FRAME: FIRE STOPS, '
SIGNATURE OF BRACING,BOLTS
PERMITTEE _ LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DBS-3 SOM SETS raB $ ^�J P.C.41 PLASTER, INT. -
-s' FEE �— PLASTER.-EXT.
VALUATION FEE / Uy FINAL ,t—