HomeMy Public PortalAbout4917 ARDEN DR_Building__ 76A638A CE 9803 ""APPLICATI.ON FOR BUILDI.N P,ERMIT�
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COUNTY OF LOS ANGELES - ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMEIIE, COUNTY ENGINEER ADDRESSOA-Aft JDA '
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
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DISTRICT NO Ty PE PROC SE"Y
FENGINEER
ING L� /h�� �� � CONST,.
SS - / r 1 i .L__%� " + V
STATISTICAL CLASSIFICATION EW MAP
:. l BLOCK o�
' CLASS NO:��_DWELL,UNITS� BK PG
USE ZONE MAP Cg
NO.OF BLDGS. ,,,///JJJ NO.
F LOT NOW ON LO /fY SPECIAL -
( r /1 CONDITIONS - -
N(G� BLDG. / / jp y�
\/,� d r ENOL 46izg - - _
BLDG,SETBACK FROM
SS - FRONT PROP.LI-NE OF (STREET)
TYPE OF EX IST ING SETBACK„ HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
TECT OR TEL. } _
EER NO` BLDG.SETBACK F
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGH } YARD = TOTAL
CONTRA O N0�2,f���b HIGHWAY WIDTH FROM C.L. }
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ADDRESS 'S U NO. �l.S' f
LIC.
CITY CLASS C CORNER CUTOFF YES ❑• NO
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS a
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE ,S^ ,�r 0 STORIES j FAMILI S
USE OF } ADD ❑ /rA c ! ��t',t e#vd
STRUCTURE "
_ALTER ❑
REPAIR❑ - -
SIGNATURE OF
APPLICANT �j,� DEMOL
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEES FORMS, MATERIALS
FRAME: FIRE STOPS,.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, -
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUC TION. I CERTIFY THAT 'IN DOING THE WORK, AUTHORIZED
HEREBY 1WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. -
LABOR CODE OF, THE STATE OF -CALIFORNIA IN 'RELATING TO
WORKMEN'S COMPEN TION INSURANCE. - LATH; EXT.
SIGNATURE O 24 HOUSE NUMBER COR-
PERMITTEE f - RECT-AND POSTED ,
ADDRESS FINAL
JOHN F. LEWIS.-PRICIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK; M.O. CASH _ PERMIT VALIDATION• M.(I. CASH
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