HomeMy Public PortalAbout5112 1/2 SERENO DR_Building__ A ROAD D--PT- PE'r�•� 15 REOJ'RED
FOR ANI' MATE',, L ,FACE O' 4 .:RK
DONE IN THE ROAD RIC,r{I OF WAY.
.•��.� APPLICATION FOR BUILDING PER IT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENTENGINEER
OF COUNTY ENGINEADDRE88
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CABBATT D GRIFFIN ur To,BDILGING CROSS ST
DIENO GROUP 'TYPE EBBED BY
FOR APPLICANT TO FILL IN coNHr
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS
CLASS NO WELL UNIT
LOT NO Atrkw BLOCK MAPSTATE YES O
NUMBER HWV
TRACT USE ZONE SPECIAL
NOor BLDGB I CONDITIONS
SIZE OF LOT NOW ON LOT O
USE OF
EXISTING BLDG NA BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER /f FRONT O /'1
MAIL SII s P L d'(/
ADDRESS FIDE
TEL
Cr G's No IIVSPECTION RECORD'
ARCHITECT O TEL J
ENGINEER NO
ADDRESS
CONTRACTO hV NEL
ADDRE88 % '
DESCRIPTION OF WORE
N ADD ALTER REPAIR DEMOLISH
SO FT a NO OF NO OF
SIZE O a STORIES FAMILIES
USE OP
STRUCTURE -5
2
SIGNATURE OF !J
APPLICANT
APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION
FORMSTION
MATERIALB
VALUATION $ GQ Q FRAME FIRE STOPS
e- Q BRACING
3FURNACE LOCATION
P C PMT GAS VENT DUCTS
FEE FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATA IN'T
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND r ✓
AGREE TO COMPLY WI HALL COUNTY ORDINANCES AND
STATE LAWS REO BUILDING CONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER CR- r
PERMITTERRECT AND POSTEDOi
ADDR FINAL G -111-1610 9�vlz_4�N DIRLAM PRINCIPAL ST RAL ENGINEER
PLAN 0=11 VALIDATION 0 M o cArH pERMIT VALIDATION(y No auH
_UDS 9.2449-,FEB 2 2 3 A 1 $.008 5 ®.
36.00
M7298s MAR '4 1 A