HomeMy WebLinkAboutNo Permit Number (22)I
76AE70A CE $x`803 8-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND.SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING
FOR APPLICANT TO FILL IN
BUILDIs
LOCALITY -,
NEAREST
CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
l CONST.
BUILDING /
ADDRESS .a S%7
STATISTICAL CLASSIFICATION
r CLASS. NO. UNITS
SEWER MAP
BK PG
LOT NO. BLOCK
DWELL.
WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT
NO J O +HIGHWAY STATE MAJOR SECOND, LOCALCIRCLE) NO. OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIALCONDITIONSUSEOF ^ /
EXISTINGDDBLDG.
nn e'A ^
11 `
OWNERTKANSkMENCA DLVEUNEb T'Laao. GS -2C 7 BUILDING YARD HWY STREET NAME
EXIST,
SETBACK WIDTHThADDRESS2"100 S, SREA C'AWOO RD. `iAi' tlib R C Ll. FRONT
TEL
ENG
NEERARCHITECT
OR ,
ro E (71 R NO. T-7(SI SIDE
ADDRESS gl2 w. 6 1 J1. LO li, r e" Rl / ! TEL. CONTRACTOR QOT SELEG NO.
ADDRESS
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DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH
T. NO. OF II11'' NO. OF
S ZE 16,30 ,,tt
STORIESVNE FAMILIESNOVE
SUSEOF
pcTRUCTUREREi^ L W -ES
SIGNATURE OF
APPLICANT
VALUATION $' 60 Opp
j
FEE $ /(rj FEE $
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FORMS. MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION, 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS
FRAME: FIRE STOPS,
BRACING BOLTS
FURNACE: LOCATION.
GAS VENT. DUCTS
LATH. INT.
LATH, EXT,
HOUSE NUMBER COR.
RECT AND POSTED
FINAL
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JQHN F, Lt--WIS, PRINCIPAL STRUCTURAL LNGINEER
PLAN CHECK VALIDATION —cK. > M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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