HomeMy Public PortalAbout5426 ACACIA ST_Building_4/29/1965_Garage 76A638A a APPLICATION FeRBUILD NG PERMIT .
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�w, !MTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS �I _ ciGitiG9
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP 7 OF BUILDING CROSS ST
DISTRICT NO GROUP- TYPE R1 SED BY
FOR APPLICANT TO FILL IN 5 CONST �Ci4
B UILDING' . STATISTICAL CLASSIFICATION ` SEW R MAP I
ADDRESS CLASS NO _DWELL UNITS PG/.-j'
LOT NO ; LK BLOCK ' _ USE Z NE MAP
TRACT /p /J"G. CLQ RSC% , -• ^- NO - --
7 SPECIAL
NO OF SLOGS Y I CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
N BLDG SETBACK FROM
OWNER W NOLZ �—I Z35C FRONT PROP LINE OF ' — (STREET)
,/j TvPE OF EXISTING SETB "`ACK HIGHWAYYARD — `TOTAL,
ADDRESS 12.6 -c-e— 4—'f HIGHWAY _tIDTH FROM C L
CITY j4ECA
BLDG SETBACK FROM
ARCHITECT TEL�Q �dp 2-5( SIDE PROP LINE OF (STREET)—
ENGINEER NO
Q TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL\
ADDRESS 'Ct T HIGHWAY WIDTH FROM C L _� r _ _ _ CL
>-
CONTRACTOR / OLIC
' LJ
ADDRESS ' NO CORNER CUTOFF YES - NO O
CITY LCLAIZQIc SEE REVERSE SIDE FOR SPECILu
AL APPROVALS v
bESCRIPTION OF WORK , ' , - in
'/ AND PARKWAY "- ^:^.U,RED � Z
NEW P ADD ALTER REPAIR DEMOLISH • ,
SO FT NO OF NO OF
SIZE STORIES FAMILIES Note rermits tor cu-b, y 7 , sl dilvcwy approM .
USE OF /1 stallabons sho0daro I,i et 1• _ A "a U, d Dept, Alta e e
STRUCTURE L CJ Office, or T C Co Er3l . r:,l 7 rod atell In order to ayo d
SIGNATURE O i until Permit hes been s;uo/dd pp!y for partway tree permit et T.
APPLICANT 7 7,5 7-7 O��(
U D(J !J CI
VALUATION$
APPROVALS PATE_ INSPECTOR'S SIGNATURE
UT1 PMT /_ vro FOUNDATION, LOCATION
FEE$ (� FEE$ 3Co. FORMS, MATERIALS__
FRAME, FIRE STOPS, G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
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 E Y ANY PERSON IN VIOLA LATH INT (!�
TION OF THE LABO CODC OF T STA OF CALIF�RN A RELAT
ING TO WORKMEN OMPENSAT11 INSURANCE ' LATH EXT
SIGNATURE OF ,HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS INAL
AL
PLAN CHECK VALIDATION cK M O CASH _
JOHNPERMIT VALIDATION TRCK RM O ENGINEER
L 1',0 0 4 0 vU �'R �S 2 1 8.00
( - - Ltil,t3,1 3 4 3:n }RY 7 1 D 3 6.G 0
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