HomeMy Public PortalAbout10043 BOGUE ST_Building_4/25/1969 76A 6F 8A CE#803 3-68
APPLICATION FOR BUILDING PERMIT U
COUNTY OF IAS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C' T
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. - GROUP TYPE PROCESSED BY
(Print or type only) �� CONST.
BUILDING /^ - STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS J CLASS NO. DWELL.UNITS J BK PG
LOT NO. BLOCK USE ZONE MAPj� C�
TRACT ��. Z�Q
CONDITIONS
y NO.OF SLOGS.
SIZE OF LOT �^ NOW ON LOT
USE OF
EXISTING BLDG. % G BLDG.SETBACK FROM
TEL.�L�f.. FRONT PROP.LI NEOF� Ty� - -(STREET)
OWNER OD� NO. T77V� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS D� 3` 0G'v �f l�
HIGHWAY WIDTH FROM C.L. f
CITY G �l Cil L �C/ bd I + � 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.
TEL. + _
CONTRACTOR GLL/!
ADDRES Z OPr1FTL No - z%�63 ❑
O
CORNER CUTOFF YES NO v
CITY 1.bWJ CLASS SEE REVERSE_ SIDE FOR SPECIAL_ APPROVALS oR
DESCRIPTION OF WORK ' W
`) N
z
NEW ADD LTER� REPAIR DEMOLISH -- - - ---• - "- - '
SQ. FT. NO. OFNO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE A �Q •^ .,,tjoJ
SIGNATUR C +
A
FPPLICA
VALUATION S ag�'��
w� APPROVALS DAC
TE INS TOR' NATURE
P.C. PMT. �. -FOUNDATION: LOCATION
EES FEE $ a-� FORMS, MATERIALS �If161
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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 EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S CO ENSATION INSURANCE.
LATH, EXT. }
SIGNATURE OF olHOUSE NUMBER COR-
PERMITTEE RECT AND POSTED '
ADDRESS FINAL �p► � �
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O CASH _ PERMIT VALIDATION CK. M O CASH
WR25 0 1 2.00 G