HomeMy Public PortalAbout10037 BOGUE ST_Building_4/5/1967 .76A638ACE08033-66 APPLICATION OR BUILDI - PERMIT- _
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION LOCALITY r ,
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST
DISTRICTGRQUP TYPE P ES BY
FOR APPLICANT TO FILL IN !T-�' CONST.
BUILDING ,p STATISTICAL C SSIFICATION SEWER MAP '
ADDRESS �� �� ` CLASS NO. OWELL UNITS PG-•
LOT-NO. BLOCK US -ONE MAP
47
NO. L`
TRACT ,S^� SPECIAL -
p NO. OF BLDGS. / CONDITIONS
SIZE OF LOTS /% NOW ON LOT
USE OF C7
IS NG BLDG. BL G. SETBACKOM
.� �j/ TEL. FRONT PROP. L E.OF �- ' (STREET)
OWNER o /// NO. TYPE OF EXISTING SETBACHIGHWAY + YARD. = TOTAL
ADDRESS (..: - NIG WAY WI TH FROM C-IL
CITYff!•�I / BLDG. SETBACK FROM _
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF- EXISTING SETBACK HIGHWAY } YARD -TOTAL
ADDRESS - HIGHWAY WIDTH FROM.C.L.
CONTRACTOR ` iT�G�G� q� - - + _
ADDRESS (,�J NOL'C ��( Z Z� CORNER CUTOFF YES El NO
O
CITY
LL SEE REVERSE SIDE FOR SPECIAL APPROVALS _
DESCRIPTION OF WORK
,Q/ W
CL
NEW ADDALTE REPAIR DEMOLISH v
SQ.FT. NO. OF NO. OF
• SIZE AND
FAMILIES
USE O /h 'f. /I' , RF_ nrr-;IJ1R:
STR
e: Permits for curb, rge.ev, -
SIGNATURE n 11 1 ., �',r= - '� -:•s '•4 A!hadena
APPLfCANT `D avoid
ice, or T. C. Co. . �r' ,..-. . >` .'c _ . _
VALUATION$ / j .00 E --
_ .DI` vG4 lgwey htj%PY%r 3&IdNACIRE
P.C. PMT —Q� �LQl�NDATION, LOCATION
' J`
FEE$ FEE$ CI "`FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS,REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR C OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S C P NSATION INSURANCE LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE / RE AND POSTED
ADDRESS /� �`/ F I N A L „/j�',
JOHN F. LEWIS. PRINCIPAL 5 C'�U
PLAN CHECK VALIDATION CK. M o. CASH _ RAL ENGINEER -
PERMIT VALIDATION. C -`.O CASH
LA
Lo 7-9, 3 1 APR 5 1 0
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