HomeMy Public PortalAbout5311 ZADELL AVE_Building_9/12/1960_ i
lUB30A CB#803?/go APPLICATION FOR -BUILDING PERMIT . �.
COUNTY OF LOS ANGELES BUILDING
DEPARTNffNT'OF COUNTY ENGiNm ADDRESS
SU=ING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUwT of BUILDING CROSS ST. 1
FOR APPLICANT TO FILL IN DISTRICT O. TYPE P O HY
CONST.
BUILDING STATISTI L C IFICATION E ER MAP
ADDRESS K P
CLASS.�NO. DWELL.UNIT
LOT NO. BLOCK MAP
/�1 STATE YES NO '
r. NUMBER (.� HWY.
TRACT / CJ U E ONE - SPECIAL
NO.OF t�r BLDG
SIZE OF LO o S' NOW ON LOTS Z- CONDITIONS
USE OF G
EXISTING BLDG B ILDINGEXIST.
TE SETBACK YARD 'HWY STREET NAME WIDTH
OWNER N FRONT • -
ADDRESS Z 4/ / $vt Xo,'r#/ ' . SIDE iV!
ARCHITECT OR TEL. P.L.
ENGINEER._ NO. INSPECTION RECORD
ADDRESS
TE a
CONTRACTOR a�IV. IVO. O
ADDRESS/1 Q54 ..2&k�.'ck &j, v
DESCRIPTION OF WORK as
0-
IM
NEW ADDt--ALTER REPAIR DEMOLISH
SQ.FC. NO.OF NO.OF
SIZE. �d.0 STORIES FAMILIES. y
USE OF \
STRUCTURE 40 )
Add
SIGNATURE OF --- ^
APPLICANT qof
VALUATION$' J I
APPROVALS DATE INSPECTOR'S SI.GNATURE
�9,� FOUNDATION:LOCATION
F E '$ I4 FEE $• /'(/V FORMS,MATERIALS
THEREBY CKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIREST
'� BRACING,BOLTS.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. .h.-
WILL NOT•EMPLOY ANY PERSON IN VIOLATION OF THE .
WORKMEN'S COMP NSA N LAWS OF CALIFORNIA. LATH,EXT.
SIGNATURE•O % HRECT AND POS EDOUSE NU1419ER R
PERMITTE
ADDRESS FINAL
CLYDE N, DIRLAM, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION.• CK, _ M.o. cAsH PERM VALIDATION'_& MO. CASH
LP 6248 SEP 12 1 U �:l✓ V ®.