HomeMy Public PortalAbout9036 ACASO DR_Building_10/1/1970_add family rm O, `
,,76A 638 t,CE 4803 12/69
�.; '• APPLICATION FOR BUILDING PERM, T f1
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BuILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Pri or type only) CROSS ST. 't
DISTRICT NO. ' 'GROU'P TYPE °PRO ES D•BY
BUILDING - / '_ / CONST- � !1
ADDRESS !V_ V
LOT NO. 2 BLOCK
STATISTICAL-CLASSIFICATION SEWER MAP
, CLASS NO. )2–,PGI DWELL.UNITS BK )2–,PG
TRACT �, C/ S�g 2–-/S USE ZONE MAP'
NO.OF BLDGS. NO. 52�0 17
SIZE OF LOT O:2%tLQl1�... NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTI LDG,
TEL.
OWNER pjQ�-- G ND 6 BLDG.SETBACK FROM
ADDRESS!�63 b FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY a HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + "�Q = a o
ENGINEER NO. BLDG. ETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
^ / TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR Li" I/ NO. HIGHWAY WIDTH . FROM C.L.
LIC.
ADDRESS NO, + = a
LIC. C
CITY CLASS CORNER CUTOFF AYES ❑ C:NO ❑ �
CONSTRUCTION LENDER Q�
NAME AND BRANCH SEE REVERSE SIDE FOR SPWAL APPROVALS
u
a
ADDRESS � v
SQ. FT. '/�++�� NO. OF NO. OF NEWE]
SIZE �C/ STORIES FAMILIES
USE OF ADD
STRUCTURE 1
ALTER ,
REPAIR❑ I • �` �
LAPPLIIANT
OF
DEMOL ❑
1
I.
$ APPROVALS - T7' INSP T.oR'S S NATURE
P.C. PMT. / FOUNDATION: LOCATION / f
FEE S FEE S ��b FORMS, MATERIALS (/
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT)DUCTS
STRUC TION. i CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. J "J!' 7
LABOR CODE OF THE ST
ATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S COMP NS IO]�PWE ,LATH, EXT,
SIGNATURE O HOUSE NUMBER COR-
PERMITTE _ECT AND POSTED
. - 4 41 a Of
ADDRESS C FINAL
JOHN F. LEWIS, PRI CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.-O. CAS
1 f' .1. 1 OCT 1 1 D 1 725-