HomeMy Public PortalAbout5426 ACACIA ST_Building_1/12/1962_New Dwelling 76A638A CE#8035 61 APPLICATION FOR BUILDING PE§MIT'
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION' LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST r
WILLIAM A `JENSEN SUP T OF BUILDING CROSS ST
N- FOR APPLICANT TO FILL IN t DISTRICT Ng_ GROUP YPE P ESSED BY
CONST
BUILDING, STATISTICAL CLASSIFICATION ER MAP
ADDRESS LSy Z C4
2 CLASS NOS DWELL UNITS '
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
r - _ .CERTIFICATE
TRACT MAP HIGHWAY STA E MAJOR SECOND OCAL
NO OF BLDGS 7�r NO ! (CIRCLE)
SIZE OF LOT,2Z .7 V 7/y �O XhNOW ON LOT /Y.p,y F USE ZONE I SPECIAL
USE OF , CONDITIONS
EXISTING BLDG //
TEL /' t
OWNER 16w, ' NO Z BUILDING— YARD HWYSTREET NAME EXIST
ADDRESS Z Z SETBACK WIDTH
FRONT
ARCHITECT ORSq� TEL P L
ENGINEER �° �JL NO SIDE r d.
P L _ V
ADDRESS Gu-
CONTRACTOR ( NoTEL
INSPECTION RE ORD _ o
ADDRESS 2 �^NhI (s H19Ap 4 U
DESCRIPTION OF WORK' h
- Z
NEW ''9= ALTER REPAIR DEMOLISH `
T (r'S 6 -+ -4y NO OF NO OF .
IZE o c 4 t t2 946r STORIES FAMILIES
1 USE OF p ,
STRUCTURE
SIGNATURE OF G
APPLICANT
VALUATION S `
APPROVALS DATE INSPECTOR S SIGNATURE
tPMT FOUNDATION LOCATION
F E S FEE S FORMS MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
r AND STATE THAT THE ABOVE 15 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 t
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT _
ING TO WORKMEN S COMPENSATION INSURANCE r `
LATH EXT
SIGNATURE OF HOUSE NUMBER CO
,PERMITTEE RECT AND POSTED'
ADDRESS FINAL
PLAN CHECK VALIDATION CIC M O CASH CLYDE P DERI IIT VALIDATIONTR STRUCTURAL m LO ENGINEER
7,0 0 1 - JAN 12 2 3 D 1 .Q c,