HomeMy Public PortalAbout9020 ACASO DR_Building_5/12/1966_new garage 76A638A CE#803 5-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE COUNTY ENGINEER NEAREST ,+ /
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT NO,. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN �; r CONST -105-A—
BUILDING STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS 9OAeasnBK/Z PG -�
CLASS NO. DWELL UNITS.
LOT NO. BLOCK USE ZONE MAP -J �^•7 /NO. L/G/ /
TRACT % SPECIAL
i % CONDITIONS
1 NO. OF BLDGS.
SIZE OF LOT l �(� NOW ON LOT / -
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
.
TYPE OF EXISTING SETBACK HIGHWAY -I- YARD = TOTAL �I
ADDRESS a so b b
HIGHWAY WIDTH FROM C.L.
CITY C 71 / BLDG. SETBACK FROM '
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
TEL. + = d
CONTRACTOR NO O
LIC CORNER CUTOFF YES NO - V
ADDRESS NO
CITY c ASS SEE REVERSE,SIDE FOR SPECIAL APPROVALS U
DESCRIPTION OF WORK W
a
N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ,FT. ) -7 NO. OF NO. OF
SIZE (� !°1' STORIES FAMILIES
USE49a a
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ -zj"'?o �QJ
ci v v APPROVALS DATE I'NSP EC R'S SIGNATURE
P.C. PMT. .� - FOUNDATION, LOCATION _
FEE$ FEE$ FORMS, MATERIALS _ Z
' FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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. I 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. 10
ING TO WORKMEN'6CPENSATION INSURANCE. LATH. EXT. � !SIGNATURE OF y/�/ HOUSE NUMBER COR-
PERMITTEERECT AND POSTED
ADDRESS '� _ Fl NAL G-
JOHN F. LEWI . PRINCIPAL ST CTRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.Q CASH
s 9 8 G 1'AY12 2 D 1 1.50- 1 .
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