HomeMy Public PortalAbout10916 WILDFLOWER RD_Building__ SA688A �#ao9.,o.ss A P P L I•CAT 10 N FOR BUILDING PE R M.1 T :1.
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engineer ADDRESS
County of LOS Angeles LOCALITY -elf
JOHN-A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE SEWER MAP
FOR APPLICANT TO FILL IN SK PG
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CONST..
ADDRBUILDESSING 6 �/ I, rj.,. villi b STATISTICAL' CLASSIFICATION SSI
LOT NO. /� BLOCK CLASS. NO. LL
DWE . UNIT
MAP STATE YES
G) p I'p NUMBER HWY
TRACT a? 7 7 % SPECIAL
y �/ USE Z NE
SIZE OF LOT .5'3X /O Q.�/ I NOW ON LOTSLOGSJda�l� CONDITIONS
USE OF '
EXISTING BLDG. BUILDING EXIST.
SETBACK• YARD HWY STREET NAME WIDTH
OWNER MAIL ..q�149. W/� �h f� �j f FRONT lL
ADDRESS 172 A, )�. fR rJ ���. i��V I� SIDE bPJ��/7—
P. L.
CITY . S9 d &°A'B R,i'L-L No A T,7o S'31 INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. -
ADDRESS
�j TEL.
CONTRACTOR `J P'`D. NO. 1 )vf3
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH f
SQ.FT. NO.OF NO.OF
SIZE J j �D STORIES / FAMILIES /
USE OF-STRUCTURE �] l �. '' R p�
l �z L
APPROVALS _
SIGNATURE OF
APPLICANT ' / DATE INSPECTOR'S SIGNATURE
r f�jV Cf.R (`I`p FOUNDATION:LOCATION �yy 'f y f
AD.DRE FORMS. MATERIALS �/ s�9J. )//ti/ L� %v�•�
p.C. S FRAME: FIRE STOPS. ` �r•� -��_. �•"
FEE BRACING.BOLTS /' iT'/ -�� '� =.-•.f•
FURNACE: LOCATION. /
VALUATION S �_ CiAB VENT. DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT. /�/ / t!1/L' ✓W%
PLICATION AND STATE THAT THE ABOVE IS CORRECT-AND /��9 . 0.
AGREE TO COMPLY WITH. COUNTY ORDINA ES D LATy: EXT. `/tv
STATE LAWS REGU B IN N U ON.
SIGNATURE OF I SE NUMBER COR-
PERMITTEE • RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION N.C. CASH PERMIT VALIDATION ® m.o. cASH
.Co 3 2 .3:.5- OCT 11 1 6 9.O O e 2
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