HomeMy Public PortalAbout10912 WILDFLOWER RD_Building__ #e09:10.58 APPLICATION FOR BUILDING PERM �.
BUILDING AND SAFETY DIVISION BUILDING r
DepOaI ent of County Engineer ADDRESS
County of Los Angeles LOCALITY r
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING ' CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT No. !VUP I TYPE SEWER MAP
BK PG
CONS
BUILDING D D
ADDRESS STATISTICAL CLASSIFICATION
rrP� CLASS: NO. DWELL. UNIT
LOT NO. f T BLOCKMAP STATE
YES O'
�Q NU BER HWY
TRACT 7 UXZ NE SPECIAL
y" NO.OF BLDGS_�// _/ CONDITIONS
SIZE OF LOT �3 /r d O. I NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST.
YARD HWY STREET ME -
�{'� ,,I ,/�p� qy SETBACK - WIDTH
OWNER �I ) �7 i W +G L7 Ar R, FRONT
MAIL "q �+ ,g P. L.
ADDRESS 72�IY 5'6�e J fAl 4.4'e. .D L'Ib SIDE
CITY c��yt� lYP? BV I,' �. NO' /./ 7b•�31 1.P L l �� a
ARCHITECT OR TEL. . �f INSPECTION RECORD ""+�''Ij1•�°
ENGINEER NO.
.A DDRESS
j+ /If/w
rir TEL. go s'3I tits, F .q 274f,�
CONTRACTOR � . J l�'l'F eNO. + E
ADDRESS
DESCRIPTION OF WORK
NEW v ADD ALTER REPAIR DEMOLISH
SQ.FT: �/ NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE KJjrX
�iJ 9 z (� 4
'O�� R
APPOVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRES Z%✓ O! hp/ e $+ J FOUNDATION:LOCATION /����� /�✓/G.�wa �L_ •_�
FORMS.MATERIALS
P,C, $ FRAME: FIRE STOPS.
FEE BRACING.BOLTS
VALUATION S s, FURNACE: LOCATION.
FEE pZ GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. - D� O / il�rW�+�+'✓/�C
PLICATION AND STATE THAT THE ABOVE IS COR CT D
AGREE TO COMPLY WITH A COUNTY ORDIN CE ND i
STATE LAWS. REGULA I TR TION. LATH. EXT.
SIGNATURE OF OUSE NUMBER COR- �.r r / /
PERMITTEE
RE AND POSTED �J /�1��'VG�+t�!
ADDRES FINAL 'Sd• /7
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL;-ENGINEER
PLAN CHWK VALIDATION M.O. CASH PEMUT VALIDATION - M:o.• CASH
34. 29C OCT171 6 1.3.0 0 . . _ : ®
'.CO 3 5 1. 9� OCT 18 1 2 8.55 0 : , 1
i78A435A,CE 0803 1/71 Q• � X—
APPLICATION
►F APPLICATION F9R BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION ADBUILDING /U J ;qbw,_=p
COLEMAN W. JENKINS, SUPT of BUILDING LOCALITY 7�-��f
FOR APPLICANT TO FILL IN NEAREST
Print or tVDe onl CROSS ST. I- AJC
BUILDING DIS�TR CT NO. GROUP TYPE C P CESSED BY
ADDRESS /Q a. dr (w T CONST. �
LOT NO. STATISTICAL CLASSIFICATION -�•- SEWER MAP `+
BLOCK CLASS NO.�/ DWELL.UNITS BK '717
TRACT jOA 9 USE ZONEMAP
NO.OF BLOGS. NO. Zo1
SIZE OF LOT , NOW ON LOT {� / SPECIAL
USE OF IONS
EXISTING BLDG.
TEL.
OWNER `�� •,�/ NO.
BLOG.SETMA.PK FROM
ADDRESS � ` � FRONT PROP.L OF (STREET)
TYPE OF EXISTING SETBA HIGHWAY + YARD = TOTAL
CITY /C' C� HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
CONTRA CTO§A&&
J eW Np �OC
S3 HIGHWAY WIDTH FROM C.L. C
ADDRESS slS ,*" S / NO. `i/ +
LIC.
CITY •,l�.Sy,�' gf> CLASS CORNER CUTOFF YES ❑ NO LL
CONSTRUCTION LENDER a
NAME AND BRANCH SEE REVERSE SIDE FOR PECIAL APPROVALS z
ADDRESS
SQ. FT. NO OF NO. OF
SIZE /3, STORIES FAMILIES NEW E] Q
USE OF ADD
STRUCTURE �/'-b GIAii ALTER ❑ 1- '
SIGNATURE OF REPAIR[:] ,-
APPLICANT DEMOL ❑ /
VALUATIONS d , APPROVALS DATE INSP T R'S SIGNATURE
P.C. PMT• 'r� FOUNDATION: LOCATION r Z
FEES FEES FORMS, MATERIALS lU
FRAME: FIRE STOPS, p
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION BRACING BOLTS i �Zg,
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS -
STRUCTION. i CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMP OY ANY PERSON IN VI ION OF THE '
LABOR CODE OF THE T TE OF •CALIFORNIA•,`_ ELATING TO LATH, INT.
WORKMEN'5
C.
NS 10 INSUR J CE. LATH, EXT.
SIGNATURE OF f ' HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
G�%JQ
ADDRESS FINAL Ip:42.,7�
JOHN F. LEWIS. PRINCIPAL ST R1 L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDA ION CK. M.O. CASH
'LACo. MAY 24 1 D' 21.75^' a