HomeMy Public PortalAbout4842 ARDEN DR_Building__ 7GA63eA CEW803.7.56 APPLICATION FOR BUILDING PERMIT 1
BUIL"D,,TNG AND SAFETY DIVISION ADD BUILDING
Department of County Engineer
County of Los Angeles LOCALITY �.
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT No. GROUP TYPE I SEWER MAP
.�G
e _ CONST.. BK --s— /
BUILDING Arden STATISTICAL C A:SSIFICATION
ADDRESS T I
CLASS. NO.—DWELL.DWELL. UNITS
LOT NO. 12 BLOCK
NUMB ER Sj.TATE WY YES NO
TRACT 15098 U E ZpNE SPECIAL
NO. OF BLDGS. / CONDITIONS
SIZE OF LOT 2272 I NOW ON LOT 3_ - Soo�
USE TI Homegarage., shed Y
EXISTING BLDG. ! BUILDING YARD HWY 'S`TREET NAME EXIST.
SETBACK WIDTH
OWNER Ford Y. Jamison FRONT
MAIL ,• 1. P. L. (
ADDRESS 4840 N. Arden SIDE
TEL. P. L.
clTv Temple Citv No. i; lI_),I ?£i INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR L. A. C;C0tt No. Gi 67952
ADDRESS11303 Louder Azusa, Fl Yonte
DESCRIPTION OF WORK
NEW X ADD ALTER REPAIR DEMOLISH
S ZE 81.5 STORIES 1 FAMIILFIES 1
USE OTRUCTURE
TelFUing and attached garage 10 x 20
StandardAPPROVALS
SIGNATURTE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS IF FOUNDATION: LOCATION
FORMS, MATERIALS
$ Q� P. C. S FRAME: FIRE STOPS, p -
�/ FEE BRACING. BOLTS •L _>p �'
VALUATION sFURNACE: LOCATION,
FEE ,4 3 'C GAS VENT. DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. .�Y.��
PLICATION AND STAT THAT THE AYfE IS C RRECT AND AGREE TO COMPLY 1 H ALL CO ORDI ANCES AND LATH, EXT.STATE LAWS RE NG BUI C STRUCTION.
SIGNATURE OF HOUSE NUMBER COR- (-
PERMITTEE RECT AND POSTED
ADDRESS ? Z! y 0
JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL Shu RAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION C
CK. M.O. CASH
-COO 578t M42116 5. m
. 0579t" ,SAN21 1 A 2350
76A638ACE#803.6-57 APPLICATION FOR BUILDING PERMIT. 1.
COUNTY OF LOS ANGELES BUILDINGZM,qqL'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY . 5
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT O. GROUP TYPE SEW R MAP
FOR APPLICANT TO FILL IN .LT► BK
(CONST,
BUILDING
A ��,D. STATISTICAL
DDRSSIFICATION
rpESS v
LOT NO, BLOCK CLASS.NO. DWELL.UNITS
MAP STATE YES
ER
NUMB (/ HWY.
TRACT IS� UgEZpllE SPECIAL _
NO.OF BLDGS. d- _ CONDITIONS
SIZE OF LOT I- NOW ON LOT
USE OF
EXISTING BLDG. ILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNERMAILB��J�/ /� n�J FRONT d Or
ADDRESS �JY(// SIDE
TEL. P.L. y'
CITY �e NO. INSPECTION RECORD
ARCHITECT OR-*' TEL.
ENGINEER NO.
ADDRESS
` TEL. 13 qq
CONTRACTOR r NO. ZJ
ADDRESS E
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH -
SQ. FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE 2'k
6 e
` APPROVALS
SIGNATURE OF
APPLICANT r `�
ADDRESS
�7 �! so FOUNDATION: LOCATION DATE INSPECTOR'S SIGNATURE
�A//�� - FORMS.MATERIALS
$ V P•C• $ FRAME: FIRE STOPS,
c.� FEE BRACING,BOLTS
VALUATION `� `� $. FURNACE: LOCATION,
_ FEE I GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE 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 REGULATING BUILDING CONSTRUCTION. LATH,EXT. -
SIGNATURE OF HOUSE NUMBER COR- -
PERMITTEF RECT AND POSTED _ Q/
ADORES s FINAL , v
JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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