HomeMy Public PortalAbout5330 ZADELL AVE_Building_6/12/1962_ TEMPLE CRTY
7FA1199A CFeoe•+—F+
� APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES RUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDRESs
BUII ING AND SAFETY DIWSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT-NO: GRME I TYPE • ESSED BY
FOR APPLICANT TO FILL IN ) CONST.
BUILDINGSTATISTICAL CLASSIFICATION S MER MAP
ADDRESS L, K
� CLAS,3.NO WELL.UNITS
LOT NO..Z ;Ld •BLOCK WATER NOT REQUIRED EZ RECEIVED
CERTIFICATE:
TRACTA I - MAP �{ HIGHWAY STATE MAJOR SECOND, OC L
NO.OF BLDGS. NO `'(/ (CIRCLE)
SIZE OF LOT AQ X /L+9 I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING
BLDG. LLi�pp
OWNER(. �1/ �/�t^"e NO(y BUILDING ETBACK A EXIST.
r �j SYARD HWY STREET WIDTH'
ADDRESS,J' -W yB 2 '4 e�� , FRONT qq �
ARCHITECT OR TEL.
ENGINEER' NO. SIDE
P.L.
ADDRESSd
TEL ' t INSPECT ON RECORD „ O
CONTRACTOR NO. ,3
ADDRESSI�Oww, G J/ Sl+L1LG•� AC
O
DESCRIPTION OF WORK
a
N N ADD ALTER REPAIR DEMOLISH Z
FT. + NO.OF NO.OF
IZE STORIES FAMILIE
USE OF
STRUCTURE w(Ys
100'r 09
SIGNATURE OF �.
APPLICANT
VALUATION$
APPROVALS .DATE INSPECTORS SIGN/RTUR9
P.C. PMT. FOUNDATION:LOCATION //�//j� ✓f
FEE $ "'� FEE $ �� FORMS,MATERIALS /tl FJF4 r_ ti a
y FRAME:FIRE STOPS. r� •
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION BRACING BOLTS O /
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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT.
SIGNATURE OF /// HOUSE.NUMBER�COR-
PERMITTEE- (X RECT AND POSTED ) ! 1
Sa
ADDRESS FINAL
CLYDE N. DIRLAM, PAINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERM VALIDATION cK. M.o. CABN
;`�- D O 1 3- 6% JIM 12 1. D 8.0 0^'