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HomeMy WebLinkAboutNo Permit Number (39)w ©s 76A638A Vr' CE 8803 (REV. 6/78)„ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING p ADDRESS BUILDING '" ADDRESS 603 LOCALITY +, N EARES- CITY IC 'ZIP CROSSST. +fj/-^'i✓ NO. OF SLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP -"PE FIRE PROCESSED BY TRACT BLCCK LOT NO. CONST -, 11 1 ZONE OWNER STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL. UNITS BK PG CITY % ZIP BLDG SETBACK FROM FRONTPROP.INEOF (STREET) NO�cJ✓ALUATION ARCHITECTO TEL.j3j ENGINEER) 7 �7�^ ry�(�� ADDRES50Y (r T CONTRACTOR [ c— HIGHWAY + Y REJ = i"OTALSETBACK FROM FRONT PROP. LINE TYPEOF HIGHWAY EXISTING WIDTH y,, LIC ADDRES`CWY % NO, + *«_ LIC. /+ CITY CLASS BLDG. OPSETBACK FROM LI SIDS PP,OP. LINE OF !STREET( CONSTRUCTION LENDER NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF XISTING ADDRESS CITY SIDE PROP. LINE HIGHWAY WID'H SQ. F? 7) NO, OF NO. OF CHECK + _ SIZE C% STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ADD P.C. Fee $ Permit Fee )Q4 ll'iSco � ��� Issuance _.. Fe " Al -TER ❑ REPAIR ❑ ��i'., a Total Fee-,USE O DEMOL ❑ EXISTING DG ..�. Z ?t`.�. .,® Cw .... 9 APPLICANT - TEL, (PRINT NO BY (SIGNATURE) Y I HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM Y WITH ALL ORDINANCES µVi AND LAWS REGULATING BUILDING CONSTRUCTION, CERTIFY THAT IN DOING THE V - WORK AUTHORIZED HEREBY I WILL NOT EMP'_OY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATEOF CALIFORNIA IN RELATINGTO WORKMEN S COM �,, - Z PENSA-ION INSJRANCE `� ➢i J1 J O. .. .... .., �.,..., :, SIGNATURE OF ?ERMITTEE Z G r - ADDRESS" TEL d / CITY N ''l' r-, .. ... -_._ .., USE -ZONE MAP CY f NO. 'Q SPECIAL CONDITIONS .. s a FINAL DATE / aBY � *F) Z . ENERGY INSULATION I FINAL- -ENTER ON FRONT r 7 } r r Y PLANS TO APPLICANT TO RETURNED„ NAPPROVED 'O DATE NO. � �.;i:' . DATE - INSPECTOR'S NOTES _ I ! � jrti.'F;,� ,`°'..r�'. -:,�.,: � i.,�,,, „^r �-.•,J"'_ APPROVALSYES REQUIRED DATE RECEIVED CR APPROVED I NO WATER CERTIFICATE.-,.... - - HEALTH DEPARTMENT i FIRE DEPARTMENT GRAD NG GEOLOGICAL I PEDESTRIAN P ROTECTiON PEDESTRIAN IFENCEi TCA NOPYI ,. I SPECIAL INSPECTION. iCONCJ iMASNRY.I IVJELDG.I - _ - „. . - . .......... - ... ._..._._- ..._. --� ._ i OT DRAINAGE - PARKING Y APPROVALS LOCATION- ? (SETBACK & YARDS(- 9--I FOUN FRAME DATE Ii INSPECTOR'S SIGNATURE �' t .. - ! LATH/DRYWALL INTERIOR LATH -EXTERIOR HOUSE NUMBER- CORR ECT & POSTED ENERGY INSULATION I FINAL- -ENTER ON FRONT r 7 } r r Y