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76A638ACEy8033-66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION L O C A L I T Y 17
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST zCOLEMANW. JENK)NS,SUP-T or BUILDING CROSS ST f
DIsrR T h0. GRo 1}P , ss D a
FOR APPLICANT TO FILL IN CoNST y-
BUILDING '7--3EQf ' tin6., Z %A&s-Gf 7 STATISTICCAAALCASSIFICATION SEWER MAP
AfDDRESS 'e A CLASS NO DWELL UNITS EK PG
LOT NO-(' ;
jI /
BLOCK USE ZONE
TRACT 2. ,^ Zz4
CONDIAL
TIONSN0. OF BL035.
SIZE OF LOT NOW ON LOT
USE OFJ f//
Ti BLDG. SETBACA FROM
yy (STREET)
OWNER 7'2.+OIr's &.a `elaj/.
NOL
62.E 3/.
FRONT PROP. LIKE OF
TYPE OF E%1571 HG SETBACK HIGHWAY + YARD -- TOTAL
p / Ells FROMC L. ADDRESS oS, O S'o• i ••r.CA 4d"6 /' HIONWAY
I/W tjd/V 6A I'e %P• + _ CITY
ARCHITECT ORt
BLDG SETBACK FROM
ENGINEER C rFgd, NO. /
S1DE PROP. LIME OF - - -- (STREET)
46% A/
p1
T 4/
nn s 11 ,q
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 22,;o J.V- A4,444;04Y71 Pt t''Q_ "' `, HIGHWAY WIDTH FROM C L
CONTRACTOR C- it'•JOMNSOIJ
NOL
t 2J + ADDRESS 2r /114-St.j0+1;, p Ll g_j S62 / CORNER Cu70FF YES CI ND Ij,-J Q
CITY 'sem k%K
cl a SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
x
NEW /° ADO ALTER REPAIR DEMOLISH
i`.•i.i f,+r^ y%rte /' j:'"' SQ. FT -- Ill- _ JO OF 1 NO. OF " 27
N
512E CO f1 STCRI ES FAMILIESy1.T
r C•1 ." r _ -3 -
r
l'" USE OF w"'/'.-. _
STRUCTURE
SIGNATURE OF ,",., f/ :
APPLYCANT
L d' 5 `'?ter. S/' s'v7 v ii&
VALUATION rS ,' O G
APPROVALS DATE INSPECTOR'SSNBNATURIRl-
T.* FOFORMS,I i ' FEES `J FEE S - MATERIALS
FRAME, FIRS STOPS,
I HCRE9Y ACY,NOWLEDGE THAT HAVE ROAD THIS .APPLICA'ION BRACING BOLT ti
AND STATE THATTHC ABOVE IS CORRECT ANO AGRC.E TO COMPLY FURNACE: LOCATION '•5 ' t; WITH ALL COUNTY OROINANCCS ANO STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONS7RUCT!ON I CERTIFY T}AT IN DOING THC WORK
AUTHORIZED HERFEY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR COOS O 7H Fy S --..A 7 OF CALIFORNIA RE}.AT-
NG TO WORKMEN'S C P[NSATIO IN AN^E,
LATH EXT. t I
RE R COP.- +JSIGNATUOF
r HOUSE NUMBE
PERMITTEE ,!~ RECT AND P0S7ED •s' '
r
2 'lADDRESS F1 NAL-
n .
JOHN F. LEWIS. PgINCIPAL STRUgTURAL ENGINEER
PLAN CHECK VALIDATION .' M o. CASH _ PERMIT VALIDATION (i K., M.o CASH
2-n z 3 1. 3 3 .5
N TU'll.1 WASTE APPROVALDUv'2l
FLOOR DRA:,F,,S ... ------------
FLOOR S!N,;S. --•---•---•-------------..........
GREASE INT. ..............
S. A. INT- -------------- -------------------------
Misc- ------- ------- ----------- ..........
Y. . .................................. .... .... K R DATE