HomeMy Public PortalAbout4809 ARDEN DR_Building__ 76A638A"CE#8031163 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BU'ADDREISS /S
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST,
DIST�I.CT N GP TYPE P CES
FOR APPLICANT TO FILL IN Vc CONS il
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS O r r //l BK P..1-
CLASS NO _�_SL DW ELL UNITS �}
LOT N05 BLO ekt7ffft WATER
CERTIFICATE NOT REQUIRED ® RECEIVED ❑
TRACT MAP HIGHWAY
NO OF BLDGS *� NO (CIRCLE) STATE MAJOR ECOND LOCA
SIZE OF LOT 7S� /A 3 NOW ON LOT .r<_ USE ZONE SPECIAL
USE OFj CONDITIONS
EXISTING BLDG w ( C
TEL
OWNER J NO BUILDING /EXIST
nn SETBACK YARD HWY REET NAME WIDTH
ADDRESS �r Vey `a�. FRONT 0/
ARCHITECT OR TEL
ENGINEER NO SIDE Q/ � ' Q i
ADDRESS L4
T . -41EL ✓'�C� �w IL
CONTRACTOR No
A U
0
O
ADDRESS b0z 1 d
0
DESCRIPTION OF WOR d '� - G
W
a
NEW ADD ALTER REPAIR EMOLIS W
SQ FT NO OF FAMOF ?
SIZE / STORIES ILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ �y �_0
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT 8-� FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH IN
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE 7 RECT AND POSTED
ADDRESS a4 FINAL s4r� Aw
PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STI RAL ENGINEER
PERMIT VALIDATION CK MO CASH
3 7 8 51 SEP 15 1 D 4.00"