HomeMy WebLinkAboutNo Permit Number (62)76A038AC68033-6 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
ABUILDING
DDRESSDEPARTMENTOFCOUNTYENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST U8CROSSSTCOLEMANW. JENKINSSUP T OF WILDING
FOR APPLICANT TO FILL IN
DISTRICT N0. I GROUP TYPE
CONST.
P ESSED BY
BUILDING 3 OL Z 41)
ADDRESS
STATISTICAL
ACL/
p SSIFICATION
CLASS N0._.L_1:1DWELL UNITS C'—=9- SEWER MAP
BK PG
LOT NO. BLOCK USE ZONE MAP Lam'
40 J4J
TRACT - SPECIAL
tON I I NN0. OF SLOGS. `
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK FROM
FRONT PROP. LINE 0 STREET) TY2ANS TEL.
OWNER NO. TYPE 0/ EXISTING SETBACK HIGHWAY
HIGHWAY M C, L.
YAPD: = TOTALC_
a (
Q `
tv A
A D D R•E SSS .-[ 0,,,',
A
J ry "fPV F.i• •
CITY Yt,q(zc//m
BLD O. SETBACK FROM
SIDE PROP. LINE OF STREET) ARCHITECT OR TEL. yy J
ENGINEER Aml, NO. '- SiZ /
77 ,p
ADDRESS a•1_(D i%• ri /7 'V Q' ?,PAG,,
TYPE OF EXISTING SETBACK HIGHWAY. +
HIGHWAY WIDTH ROM C.L.
YARD . TOTAL
J
LIC C
CONTRACTOR e -IP 0.lbw No
ADDRESS /JV•C/l WD'NO 8`CJ'TT'J.2J CORNER CUTOFF YES NO '
CITY tRL*t JA/le LIt
SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
NEW >C ADD ALTER REPAIR DEMOLISH
TwS" T_ NO. OF NO. OF
SIZE 1 _ Q STORIES / FAW LIES
USE OF „1 G ' STRUCTURE AJ
1SIGNATUREOF
APPLICANT ry rc
VALUATION $ .00 APPRoV ,KLS DATE INSPECTOR'S SIGNATURE
P.C.d
FEE $
PMT.
FEE $
FOUNDATION !LOCATION .,, _
FORMS. MATERIALS """
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
9UILD I NO CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 ILL NOT EMPLOY NY PERSON IN VIOLA-
TION OF THE LABOR C E OF THE STATE OF CALIFORNIA RELAT•
ING TO WORKMEN'S PENSATI INSU NCE. r
SIGNATURE OF
PERMITTEE u C
ADDRESS
FRAME, FIRE STOPS,
BRACING BOLT
FURNACE: LOCATION
GAS VENT. DUCTS n
LATH. INT. ""•"-•-.1
t1LATH. EXT. i -""......... 4
HOUSE NUMBER COR -
RE T AND POST /
FI NAL
r• JOHN F.L•EW(S.•P..RINCIPAL.STRU TURAL-ENGINEER
PLAN CHECK VALIDATION cK. M.G. CASH _ _', ERMIT VALIDATION CH M.o CASH
F i,o268566 DE0202 3 133.5 W, 042''x3 FEB '] 1 267.E °
J/
I
j _„•`_ /--+---Cit'-—'
ISNOT,
REQUIRED
RECEIVED.
OR REQUIRED
WATER'CERTIFICATE"'
ROAD'. OEPT:APPROVAL
HEALTH DVPT.AP,PROVAL
FIRE DEPT.•APPROV AI --
GRADING APPROVAL'
GEOLOGICAL:APPROVAL
PEDESTRIAN PROTECTION
FENCE) (CANOPY)
SPECIAL INSPECTION ON
C0NC.) (MA5RY.)'(WELDG.)
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