HomeMy Public PortalAbout9058 ACASO DR_Building_7/11/1963 • 36A638ACEbB03263 APP= TION FOR BUILDING PERMIT-, '
COUNTY OF LOS ANGELES, : 'BUILDING
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DEPARTMENT)IOF COUNTY ENGINEER ' ADDRESS ,S' L _
I BUILDING AND SAFETY DMSION LOCALITY I
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST ,
DISTRICT NO GR UP TYPE BY
FOR APPLICANT TO FILL INCONST I/
BUILDING - - : ST SfICAL CLASSIFICATION SEWER MAP
ADDRESS ` P
r CLASS NO DWELL UNITS—0—
LOT NO , BLOCK WATER '
_ CERTIFICATE NOT REQUIRED RECEIVED
TRACT i_ — MAPHIGHWAY STATE MAJOR SECOND OCA
_ NO F BLDGS NO (CIRCLE)
SIZE OF LOT �pY NOW ON LOT USE Z5NEI SPECIAL ,
USE OF CONDITIONS
EXISTING BLDG -A— 1 • "
• TEL
OWNER NO BUILDING YARD HWY STREET NAME EXIST
r SETBACK WIDTH
ADDRESS r FRONT �� r {� �{ „
ARCHITECT O TEL P L 1ACAJ V
ENGINEER NO SIDE
ADDRESS TEL r/ -� • 72 -5--a / 0 ,
CONTRACTOgRr� ' O //- i v, ,f`� V
ADDRESS•.t3;l 8 l W t'W. _ A W16 � g / �{_ ! { ,`l' OC
• ,r �.DESCRIPTION OF WORE _
NEW ` ^" ADD I(� AL"TER r ^ r REPAIR. ' DEMOLISH - N
A-
SQI ' �+ I NO OF - NO OF
SIZEFT �t^ t 'STORIES FAMILIES ! <
USE OF
STRUCTURE
SIGNATURE O
APPLICANT •
VALUATION $, +/� B Q ' � __
APPROVAL,+ AT INSPECT •S SIGNATURE
PC •' PMT
FOUNDATION r f +
FEE $ • + FEE $ FORMS MAT ALS c
1FRAME FIRE STOPS '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS-
AN
OLTS•
AND- HT
STATE TATHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS i, / • .I
BUILDING CONSTRUCTION I+CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY,I WILL NOT EMPLOY ANY PERSON IN VIOLA
'TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT LATH INT _
NG TO WORKMEN S COMPENSATION INSURANCE f
LATH EXT /
S•IGNATURE�OF,I ^ TJ _ nJ_ HOUSE NUMBER COR
PERMITTEE IIVV K� :Jcr6l.A J RECT AND POSTED + '
ADDRESS 1-3I � FINAL ,-a
JOHN s
PLAN CHECK VALIDATION, CKt M O CASH, , PERMIT VALIDATIO I CK - M O O CASHER
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