HomeMy Public PortalAbout9014 ACASO DR_Building_9/27/1961_fire replacement of den and dinnette 76AS38A CE#803200 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER .
BUILDING AND SAFETY DIVISION LOCALITY i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.. /
DISTRICT NO. GROUP -TYPEPRO ESSED BY."
FOR APPLICANT TO FILL IN _ Q CONST.
BUILDING � STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS BK PG
CLASS.NO.SDWELL.UNITS
LOT NO. / BLOCK MAPSTATMB � �� HWYE
NUMBER YES
-
TRACT USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOTi i
USE OF
EXISTING BLDG. BUILDING EXIST..
TEL // SETBACK YARD HWY STREET NAME WIDTH
OWNER �, C NO. FRONT
90/� ACA50 D Q P. L.
ADDRESS SIDE
ARCHITECT OR TEL. P.I-•
ENGINEER NO. - INSPECTION RECORD
ADDRESS
CONTRACTOR �7 I - O
ADDRESS �VtJ�/!'/ v
DESCRIPTION OF WORE O
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE ��� STORIES / FAMILIES n
USE OF �� �� 4'
STRUCTURE
,6 s
SIGNATURE OF -
APPLICANT
VALUATION
APPROVALS OATE INSPE?OR'S SIGNATURE
/ FOUNDATION: LOCATION
FEE FORMS, MATERIALS J'Gy CBp
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS.
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 HE WORKUTHORIZ 1 LATH,INT. iG�� 9
WILL.NOT EMPLOY Y PFS IN VIO ATION OF HE a
WORKMEN'S CO AT IF P LATH,EXT. a' ✓
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL �'u w�.'.� iJ +.l ire✓•"
CLYDE N. DIRLAM, PRINCIPAL STT VJCTfIURAL ENGINEER
PLAN CHECK VALIDATION' CK.. .MMIT.o. CASH . PERVALIDATION` CKf, M.O. CASH