HomeMy Public PortalAbout4826 ARDEN DR_Building__ TEMPA r
r
e 6 r!I
76A638ACE 603263 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS, ANGELES BUILDING r/
DEPARTMENT OF COUNTY ENGINEER ADDRESS a
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NTYPE R B
t FOR APPLICANT TO FILL IN `5— o
CONST
O
BUILDING �) /] _ „ ✓ / STATISTICAL CLASSIFICATION S W R MAPF
ADDRESS
CLASS NO DWELL UNITS _3
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT NOP, HIGHWAY
CG CVLE) STATE MAJOR SECOND OCAL
SIZE OF LOT 2/X /'`p ' S , NOW ON LOTNO OF S
USE�ZO SPECIAL
USE OF CONDITIONS _
EXISTING BLDG
TEL 9g
OWNER NO -�j7 BUILDING EXIST
/� SETBACK YARD HWY STREET NAME WIDTH
ADDRESS �ZJ FRONT
ARCHITECT
ARCHITECT OR TEL [P L 0
ENGINEER NO SIDE f a
P L
' ADDRESS I O
TEL
CONTRACTOR NO ix
O
ADDRESS I--.
I U
a DESCRIPTIQN OF WORK a
I N
NE ADD ALTER REPAIR DEMOLISH r� _
SQ FT /� NO OF NO OF g"13 (-,q- Ow
SIZE STORIES FAMIL S ------
USE OF
nnwa
STRUCTURE v
r � 17
l A P�Qi-u
SIGNATURE OF /
APPLICANT l/
VALUATION ��D O��
APPROVALS DATE INSPECTOR 5 SIGNATURE
PC PIVIT FEE S�Oj FEE S 0. FOUNDATION LOCATION / 1/41,4Q /
FORMS MATERIALS U'
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COOL OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S C PENSATI ON INSURANCE
1,.�� LATH EXT
SIGNATURE OF /// 4HOUSE NUMBER COR
PERMITTEE N! RECT AND POSTED
ADDRESS 2 FINAL
JOHN
PLAN CHECK VALIDATIONOM o CASH _ K PERMIT VALIDATION ' uRM O N c SHER
CK
LAO i 45,:S Al P, 27 2 ? D �3 0 � ;4 . �
LI�t 1 D 6 C� 5th
I