HomeMy Public PortalAbout10928 WILDFLOWER RD_Building__ 9Ae3?A CE#'809.10-56 APPLICATION FOR BUILDING 'pE IV0• 1
BUILDING AND SAFETY DIVISION - BUILDING
ADDRESS
Deportment of County Engineer
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN. SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUPTYPE SEWER .MAP.
FOR APPLICANT TO FILL IN HK P`G
CONSTBUILD .
ADDRESS ING /09�r WI L b o aJ Ef�' ��. STATISTICAL CLASSIFICATION /t
LOT NO. I/' BLOCK CLASS. NO. DWELL. UNITS-'t
�p MAP STATE YES
TRACT �'rr��1�`r� NUMBER HWY
USA ZQNE SPECIAL
NO.OFBLDGS. J 9 CONDITIONS
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SIZE OF LOT�J X J0. NOW ON LOT
USE OF
EXISTING BLDG. BUILDINGEXIST.
SETBACK YARD HWY, STREET AME WIDTH
OWNER �/ I 9 FRONT
P.L.
ADDRESS .1MAIL
#t J' R p� • SIDE
CITY .�/�Yf. l �'Rr k'L N0'EL �1�70- r31 II1iSPECTIO-4 RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESSTEL. q,� /
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CONTRACTOR y _ •
ADDRESS
DESCRIPTION OF WORK
NEW /'ADD ADD ALTER REPAIR DEMOLISH
NSq.FT. NO.OF NO.OF
NE7. STORIES FAMILIES
USE OF STRUCTURE E1 O?h R,417
So APPROVALS '
SIGNATURE OF
APPLICANT //'' DATE INSPECTOR'S SIMATURE
ADDRESS 9 �//V' JO i�.r1 /r/ �Gi >JLV D/ FOUNDATION:LOCATION
.� /
FORMS. MATERIALS
,500P,C. g FRAME: FIRE STOPS.
�..� BRACING.BOLTS
VONAL FEE 8 FURNACE: LOCATION.
ALUATID
FEE - GAS VENT. UCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND y ? j, I t .►
AGREE TO COMPLY WITH OUNTY ORDIN CES D LATH. EXT. Pas i d'J f1l. ls�'✓✓WCv1 �f
STATE LAWS REGU G 1 �OlrION.
SIGNATURE OF OUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL �/��!/ ,GL avG✓�/'�'T/
OHN A.LAMBIE.COUNTY ENGINEER, CLYDE N.DIRLAM.-PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION M.o. CASH PERMIT VALIDATION M.o. CASH
3233tn OCT 1 6 .9.00AM
/ f.,,�CO3 4 3 6S oCS 17 1 . 3 6.0:0 10.