HomeMy Public PortalAbout9050 ACASO DR_Building_11/4/1971 76A638A CE #803 I/7APPLICATI0a OR�BUILDI oG PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �; r
ADDRESS C A.,A
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COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
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NEAREST
FOR-APPLICANT TO FILL IN `
Print ora onl CROSS ST.
BUILDING PP�� _/' DISTRICT NO. GROUP TYPE PROCESSED BY
ADDRESS - v17 C/4'J`O �L g� CONST..
V
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. _61 BLOCK
CLASS NO.�DWELL,UNITS BK PG
TRACT 01
USE ZONEIND
P :q
�V 3 01 NONO.
OON LOTS. . �(.0 1
USE SIZE F LOT /' r IIT ONS
EXISTING BLDG. b bt, 5 k S
OWNER �` NOL
BLDG.SETBACK FROM
ADDRESS Q.S'b ,SQ FRONT PROP.LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY 7 HIGHWAY WIDTH FROM C.L.
ARCHIT CT OR TEL.
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINEOF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. CD
LIC. _
ADDRESS NO, 'F O
LIC. U
CITY CLASS CORNER CUTOFF YES ❑ NO ly
CONSTRUCTION LENDER 0-
NAME
NAME AND BRANCH DIVE SEE REVERSE E FOR SPEC L APPROVALS z
ADDRESS ye /jam
SQ. FT� �/ NO OF NO. OF NEW �s /j 7,
SIZE C/�� STORIES FAMILIES
USE OF ADD 11 I
STRUCTURE El ALTER / —
^
REPAIR❑
SIGNATURE O `
APPLICANT DEMOL ❑
VALUATIONS 1,57,6 d APPROVALS DATE INSPECTOR'S SIGNATURE
FEES FEES .1 FOUNDATION:
MATERIALS Jr / t
FRAME: FIRE STOPS, c�
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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF CALIFOEINIA IN RELATING TO
WORKMEN'S Co
ION INS RA LATH, EXT. /� �b
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED 00 •
ADDRESS FINAL ,z__. V
JOHN F. LEWIS. PRINCIPAL ST5W.C,7RpL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION f cK. CASH
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