HomeMy Public PortalAbout9015 ACASO DR_Building_8/9/1979_new two story APPLICATION FORUILDIiNC _ �. : .. T'
COUNTY OF LOS ANGELES BUIL DING AND SAFETY
EJILDING
FOR APPLICANT TO FILL IN ADDRESS C i `> >
BUILDING r
ADDRESS U/ LOCALITY .__ �.�.(%-�.� .,x ' �-
tJEAREST
CITY _` LF ZIP (� L3OSS ST. _ y �„��
NO.OF BLDGS AS'ESSOR
SIZE OF LOT �o[iS0 NOW ON LOT Mk)BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
TRACT oc LOT NO. CONST. ZONE
(�
/// ^/ STATISTICAL CLASSIFICATION EWER MAP
ADDRESSgQ/ �'JCA50 .A lb CLASS NO. DWELL.UNITS BK{-_jPG
CIT V yj ��� ZIP ?,fU
ARCHITECT OR TEL.
ENGINEER NO. ° (• VALUATION Y G'�l&
ADDRESS !i E" So p,p d CA BLDG.SETBACK FROM
/^ TEL FRONT PROP.LINE OF �� ISTREETI
CONTRACTOR W F t+(u00 a NO. CSS HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC, FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO.
LIC
CITY CLASS
CONSTRUCTION LENDER BLDG.SETBACK FROM Olt
NAME AND BRANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O
SO.FT. NO,OF NO.OF CHECK + = U
SIZE STORIES FAMILIES ONE OL
DESCRIPTION F WORK ) 710C. 51-0k►' NEW ❑ P.C. Fee$ Z ef<� Permit Fee
Two Ro(2ov--^ ,0i ion-1 Gvl-j ADDIL
a Issuance Fee r Z
ALTER
SAT'lj,foom � CCr'
Ofr ovcje tylsrREPAIR ❑ Total Fee DU
r
USE OF / DEMOL ElZ
EXISTING BLDG. 7, 7 �4t'
APPLICANT TEL C
PRINTIu.v ACO C 0 w 4r "Z Q -
BY ISIGNATUREI f 6p
I HEREBY ACKN LEDGE THA E READ THIS APPLICATION AND STATE " '/ V
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES W
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Z
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF d(V U �� V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- r3(i �,_�r+s�- 2 `
PENSATION INSURANCE. g
SIGNATURE
PERMITTEE a
ADDRESS l
2
O
TEL
CITY �C� CAL NO. !� Q
O
USA ZONE MAP . Q
NO.
12
,LCL' SPECIAL
CONDITIONS
FINAL BY
m
cL
DATE