HomeMy Public PortalAbout5351 ZADELL AVE_Building_5/17/1967_ 76A638ACE#8033-66 1 D1rERMIT �3SIJZADE4
APPLICATION FOR U N
L
COUNTY OF LOS ANGELES BUILDING '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
t
BUILDING AND SAFETY DMSION LOCALITY-
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST.
DISTR T NO TYPE S7AP
BY
FOR APPLICANT TO FILL IN 0 CONST.
BUILDING STATISTICAL C IFICATION SE ADDRESS //�� ASS NO. DWELL UNITS BK
LOT NGjFjw �A2xin�F4 4111II&I1.1f goBtOCKf 0' USE O E MAP ,!1]
NO. CV/
TRACT SPECIAL /
N0. OF SLOGS. 1 CONDITIONS i r_
SIZE OF LOT ���r NOW ON LOT
USE OF
EXISTINF%A BLDG. SETBACK FROM E 52e-1 T
TEL. , FRONT PROP. LINE OF
SJ (STREET)
OWNER NO. .,TYPE OR EXISTING I SETBACK HIGHWAY + YARD = TOTAL
ADDRESS •HIGHWAY WIDTH I FROM C.L.
CITYS�r C g S + ZO = ZO
ARCHITECT OR TEL. BLDG. SETBACK FROM rl,Y, Z: A.
ENGINEER NO„' SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 6 'HIGHWAY WIDTH FROM C.L.
CONTRACTOR NOL +
LIC' CORNER CUTOFF YES NO G
L 'ADDRESS NO
LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS c
CITY C
DESCRIPTION OF WORKAld 5. 0 A -t. 06
NEW DD ALTER R AIR DEMOLISH ''•
SQ.FT. - NO. OF_ NO. OF
SIZE STORIES' AFAM14.11E$
USE OF 0 r
STRUCTURE
SIGNATURE OF
APPLICANT /
o IW.
VALUATION• Q
APPROVALS DATE / R_
INSPECT 'S,,r9LSNATURE
P.C. FOUNDATION,
MATERIALS ON/7•9-�ff/'S/ '
FEE$ r FEE$ FRAME, FIRE STOPS,-
1 HEREBY ACKNQ�WLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT4 if
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOI NG CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. /dt ___:•
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S Cr) PENSAT INSURANC
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PEIRMITTEE RE T AND POSTED n r
ADDRE S FINAL
JOHN F. LEWIS. PRINCIPAL STjWGjURAL ENGINEER
PLAN CHECK VALIDATION .K. .0. CASH _ PERMIT VALIDATIO CK. M.0 CASH
LACO8 02 8c%'Q- APR11 2 3 D 1 9.75 •°
LAW 8 6 12 MUMS' 17 2 3 5°-5.- .a
c,Valu7�i'o�- �i3o a o LA�e 6 1`3 r� 17 1 0 5 0.00-