HomeMy Public PortalAbout5420 ACACIA ST_Building_3/19/1962_Car Port 7u;saA CB#Bo! ,-61 APPLICATION ,FOR BUILDING PERMIT, '
-COUNTY OF LOS ANGELES BUILDING
-DEPARTMENT OF-COUNTY ENGINEER '�• ADDRESS \
BUILDING AND SAFETY DMSION t LOCALITY
JOHN A LAMBIE,'COUNTY ENGINEER I NEAREST,
WILLIAM A JENSEN SUPT OF BUILDING 1' CROSS ST
DISTRICT NO TYPE SSED BY
FOR APPLICANT TO MIN , , CONST C.(;
BUILDING 1 'STATISTICAL CLASSIFICATION WERMAP
ADDRESS J G( 6J. �tll r E^l 't�C tl�� ``''jj '� /�K PG
l CLASS •NOl_ WELL UNITS Chi'
LOT NO 1, ,�.,.) � ) BLOCK WATER NOT REQUIRED �YRECEIVED
�� U, - CERTIFICATE
r TRACT s� MAP HIGHWAY STATE MAJOR SECON LOCAL'
O. (CIRCLE) .11
SIZE OF LOT T4YYE6J'. INO OF BLDGS NNOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS 2 jet 4 -rr
EXISTING BLDG
l ^J �✓�IVVV��G4 NO ��.,�3 a .
OWNER BUILDING EXIST
��J YARD HWY S REET NAME '
ADDRESS sZ aZ C �/ -sit�.G� `� s
SETBACK- f WIDTH"
FRONT r -i •''
ARCHITECT OR / (f - ,TEL +" V` P L
ENGINEER NO- ",r' , SIDE
ADDRESS ` ' .' F ,P L d
{ TEL INSPECTION RECORD - O
_ONTRACTORNO //, V
ADDRESS
DESCRIPTION OF,WORK
NEW ADD ' "ALTER A REPAIR DEMOLISH ✓' �-/ % h
'SQ FT �'� ', 1't` a NO OF NO OF , f t;r t �1/..I`�% "Z
IZE , r' STORIES FAMILIES +c.•-r=/ ,
USE OF I"
STRUCTURE
SIGNATURE OF�( ,
APPLICANT ..""""CC
VALUATION$ ;`1 I - d '
APPROVALS DATE / INSPECTOR S SIGNATURE
PC- PMT ('�`�,%"' 'FOUNDATION LOCATION
FEE, $ '6 FEE 5- 1/1
FORMS MATERIALS
/� •, - - FRAME FIRE STOPS,
+, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION 'BRACING BOLTS
I =AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY;
A , FURNACE LOCATION,, _ 4
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING,9 GAS'VENTDUCTS f
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK !k`
' AUTHCRIZED;HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT L
°y aTION°OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE < ,�
LATH,EXT
SIGNATURE OF ` Q �q,) -� ,f�1 f ,HOUSE NUMBER COR-
RECT AND POSTED ���!/"���///
All
AD6 Ess 1 .-' �I.. / . G,.d,.s�,' !1'-\"7' `FINAL // 7/1 �l//d' �s
CLYDE N DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION _ cK M o ' r PERMIT VALIDATION �K M o cASN
�� M' ,6:0 0 '3 '