HomeMy WebLinkAbout1501 (442) � ••'��.��'LiCAT10[V FO R COUNTY OF LOS ANGEIES �`�� �
, DEPARTMENT OF COUNTY ENGINE �
B U 1 L D i N G P E R M IT BUILDING AN FE c�v�s� ,
f FOR APPLIC T TO LL I ADDRENG � Q �(� ��L I
A RE G �W G!�'L� IOCALITY fj/=/� �Z�
CTY ZIV CROSSST. �J�CJCH[�j�.��
NO.OF BLOGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
TRACT 1� BLOCK LOT NO�� DISTRICT GROUP T�YOPE i FIRE PROCESSED BY
OWNER i/ NO. O " � � � ��'���
STATISTICAL CLASSIFICATI N SEWER MAP
ADDRE55 CLASS NO. DWEII.UNITS ^ 8��
CITY ZIP U ZONE MAP �
ARCHITEGT OR TEI. � � NQ' / �
ENGINEER NO. SPECIAL
D a� CONDITIONS
ADDRE, ` ROAD DEPARTMENT APPROVAL REQUIRED YES� NO
TEI.
CO T �O�(�j fiLDG.SETBACK FROM
��� r� FRONT PROP.LINE OF 't'a� � ISTREET!
ADDR . O. OI! TOTAL SETBACK fROM TYPE OF EXISTING
LIC. .�' HIGHWAY + YARD = FRONTPROP.LINE HIGHWAY WIDTH
GTY � CLASS e�
CONSTRU TION LENDER + �� �� �-
NAME AND BRANCH LL
BLDG.SETBACK FROM
ADDRESS CITY SIDE PROP.LIM1tE OF t-�J 157REETI V
SQ.FT. NO.OF N OF CHECK HIGHWAY t YARD = TOTALSEfBACKFROM TYPEOF EXISTING �
SIZE O STORIES A IlIES ONE SIDE PROP. INE HIGHWAY WI�TH O
DESCRIPT�ON WORK NEW + �� U
ADD
� CORNER CUTOFF YES � NO a
ALTER ❑ N
2 IN OPEN SPACE YES ❑ NO Z
USE OF REPAIR � �N COASTAL PERMIT ZONE YES ❑ NO
EXISTING BLDG. DEMOL ❑
APPLICANT TEL �'I9 �1„� �a S�
IPRINTI NO. �� NJi
BV ISIGNATUREI
i HEREBY ACKNOWLEDG AVE READ 5 APPLICATION AND STATE
THAT THE A80VE IS CA T AND REE TO M Y W1TH ALL ORDINANCES
AND LAWS REGULATIN UILDING C STRUCTI N.I ERTIFY THAT IN DOING THE
WORK AUTHORIZED REBY I WIL OT EMPI PERSON IN VIOLATION OF
THE LABOR CODE THE STATE ALIFORNIA ' tiNG TO WORKMEN'S COM-
PENSATION INS E
SIGNATU FINAL //1�/�� BY �
PERMIT � � DATE
�� F �� a.u.---
ADDR
TEL. P.C.Fee$ 2����^ Permit Fee �.�•�O
CITY NO.
O Issuance Fee .O'� �
VALUATION� � � i
�� Total Fee 'j'��0�
PLAN CHECK VALIDATION cw M.O. CASH PERMIT VALIDATION CK. �.0. GASN
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