HomeMy Public PortalAbout4840 ARDEN DR_Building__ 7aA/89A C6#603 C D9 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING �(G /O rjOE� ^
DEPARTMENT OF COUNTY ENGINEER ADDRESS / O 4 it L/
BUILDING AND SAFETY DMSION LOCALITY %
JOHN A LAMBIE COUNTY ENGINEER NEAREST �
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST A
DISTRICT NO G TYPE
V�I`RdCESSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING U 4 n r
ADDRESS J.O B AZ .12 .& /Q T/ STATISTICAL CLASSIFICATION
SEWER MAP
CLASS NO i DWELL UNITS-/ -
LOT NO
BLOCK O MAP STATE
t� NUMBER HWY YES NO
TRACT / ) USE ZONE SPECIAL
NO OF BLDGS , CONDITIONS
SIZE OF LOT SE OF /� NOW
WAON LOT
EX STT NG BLDG )C 4 4.'E 0h BU1� EXIST
OWNER /_0 /-
YARD` HWY STREET NAME
SETBACK WIDTH
Q I B -FRONT •
MAILT/ P L Zbo
ADDRESS _- /[ o SIDE ..
CITY ! A L I TEL P L
NO
ARCHITECT OR TEL INSPECTION RECORD
ENGINEER NO
ADDRESS
TEL f G� � f�/tet l�dl
CONTRACTOR c1 O jl3 r
ADDRESS - / e, fia
/ L
DESCRIPTION OF WORK 1 'I° ' t
NEW ADD LALTER REPAIR/.--DEMOLISt1 c 1 I1
SQ FT /-� NO OF NO OF M
SIZE / �J STORIES FAMILIES '
USE OF S UCT R
SIGNATURE OF APPROVALS
APPLICANT -
i DATE INSPECTOR S SIGNATURE
ADDRESS !.� C.,r¢•(J FOUNDATION LOCATION n
$ FORMS MATERIALS
P C $ FRAME FIRE STOPS ['�
FEE BRACING BOLTS �� /✓Q
VALUATION 6 $ FURNACE LOCATION
FEE GAS VENT DUCTS
I HEREBY AC OWLEDGE THAT I HAVE READ THIS AP LATH INT
.. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS DREG TIN BUIL G CONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEP RECT AND POSTED
^ ADDRESS �'-'�' FINAL
r I CLYDE N DIRLAM PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK m o CASH PERMIT VALIDATION cK II mo CASH
r 1 X5 3 9 50011 OCT 1 1 A 2 1 00 L)
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