HomeMy Public PortalAbout10922 WILDFLOWER RD_Building__ BA858ACE#'809.10.38 APPLICATION FOR BUILDING PERM 7r
BUILDING AND SAFETY DIVISION BUILDINGAll
ADDRESS or
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
DIST RIC NO. GROUP TYPE SEW R MAP,
FOR APPLICANT TO FILL IFBLOCK
'BK ' PG
CONST.
BUILDING p STATISTICAL CLASSIFICATION
ADDRESS � (7 �:Z iL ��1 � Q�L fl �'ALOT NO. CLASS. NO. DWELL. UNIT.
MAP •STATE_, YES
sg NUMBER HWY
TRACT / US, OHNE SPECIAL
NO.OF BLDGS / CONDITIONS
SIZE OF LOT-0,Y,/00,E 3 Z I NOW ON LOT Q��
USE OF
EXISTING BLDG. BUILDINGEXIST.
ry SETBACK YARD HWY STREET NAME WIDTH
OWNER / cw
MAIL1'b7 1 !� �r��se / I�_ FRP.ONL.T
ADDRESS o7 7.Z SIM ,!'FJ I'✓t�A®a SIDE
1 TEL q 7� /.�I P.L.
CITY .ECTOR *� 1Pt TEL.f77 fJJ INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
CONTRACTOR
ADDRESS
DESCRIPTION OF WORK
NEW t/ ADD ALTER REPAIR DEMOLISH
S ZE FT, STORIES FAMIO IES
USE OF STRUCTURE
APPROVALS
SIGNATURE OF /I•
APPLICANT DATE INSPE/CTORS SSIGNATURE
ADDRESS Zr SO i�p lP.d , 1. hl FOUNDATION:LOCATION
FORMS. MATERIALS D S7
�� EFEE
C. S FRAME: FIRE STOPS. -
/l aBRACING.BOLTS 1/-7/- J// awn
VALUATIO�i FURNACE: LOCATION. / ' t / l ,
E '�� GAS VENT.DUCTS l•0i_......
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND rr " !. `t
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES D LATH. EXT. �!'f7 Y ! r d/V� !/Vv✓r
STATE LAWS REGULA B ING N3 ON. /
SIGNATURE OF *� OUSE NUMBER COR- �� �
PERMITTEE ' RECT AND POSTED
ADDRESS FINAL �` / �•
OHN A.LAMBIE.COUNTY ENGINEER, A CLYDE N.DIRLAM,PRINCIPAL-STRUCTURAL ENGINEER
PLAN CI3= VALIDATION K. M.o. CASH PERMIT VALIDATION Q M.o. CASH
03234 OCT 1. 11 6 9.00A
F ►' 3 4 3 3 OCT 1. 7 1 3 6-.00 .'�