HomeMy Public PortalAbout10053 BOGUE ST_Building_6/7/1961 79AG38A CE'NOS-9.60 APPLICATION FOR BUILDING PERMIT
COUNTY OF, LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION' LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER' NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. '
DISTRICT X10 I G OUP P SSED BY.
FOR APPLICANT TO FILL IN r �jT/ C NST. , L,
BUILDING /' STATISTICAL CLASSIFICATION • SERVER MAP
ADDRESS raQg ,3 D [7�r •�� I I:rK G
--77 �
LOT NO. BLOCK CLASS NO ,,tt DWELL. UNITS
STATE Z L.� MAP
NUMBER V' HWY. YES NO
TRACT T �I USE ZONE SPECIAL
,� I NO OF BLDGS. � -CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BUILDING EXIST. '
/ TEL. SETBACK YARD HWY STREET NAME WIpTH
OWNER�vP.01(� / zloeb/S NO. FRONT 1,
P. L. l
ADDRESS A&d!5lU,x SIDE ••
ARCHITECT OR '
r J TEL. �" P.L.
ENGINEER /1:.12 La • No. INSPECTION RECORD
CL
ADDRES 7� �r 0_
CONTRACTOR
/EQ •/JsJ �C S TEL. O
ADDRESSg! �O
DESCRIPTION OF WORK
Lu
CL
NEW ADD ALTER REPAIR DEMOLISH - z
Z
SQ FT. NO OF NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE -
1.20 - ,o
SIGNATURE OF V
APPLICANT
VALUATION$• -J6F 4]�Q(,
v APPROVA AT INSPECTOR'S SIGNATURE
+J d + FOUNDATION
FEE FEE $ Z - FORMS. MA 1 S
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE. LOCATION, I r
WITH ALL COUNTY ORDINANCES 'AND STATE LAWS REGULATING GAS VENT'OUCTS _
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE -
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER 50 AS T BECOME SUBUECT
TO THE WORKMEN S COMPENSATION L WS O ALIFORNIA
LATH,EXT.
SIGNATURE Opz�dHOUSE NUMBER COR-
PERMITTEE
OR-PERMITTE RECT AND POSTED t
ADDRESS Alo FINAL
CLYDE N. DIRLAM, PRINCIPAL STRU RAL ENGINEER
PERMIT CHECK VALIDATION cK. M.O. CASH PERT VALIDATION' cK. M.O. CASH
Q 2 a-16 —
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