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HomeMy Public PortalAbout9030 ACASO DR_Building_11/17/1969_add family and laundry room I . I I , I -,;, . \7 76A6�'4�C i#803 3-59 2 APPLICATION FOR. BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS (:7e S� + BUILDING AND SAFETY DIVISION LOCALITY ^C9� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. i FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE C ST. PR SED BY (PRINT OR TYPE ONLY) �© BUILDING p STATISTICAL CLTIFICATION SEWER MAP" . ADDRESS a GLASS N0. DWELL.UNITS BKM PG73 LOT N0. BLOCK U `?ONE MAP �a N0. TRACT SPECIAL N0. OF BLDGS. COND TIONS SIZE OF LOT . �f f NOVON LOT USE OF EXISTING BLDG. e.%- 2 rlr m 11 P BLDG. SETBACKFROM TEL. FRONT PROP. LINE OF14, (STREET) OWNER `Z N0. TYPE OF EXISTING SETBACK HIGHWAY + YARD _- TOTAL ADDRESS 67f� Z,' () A(?_R-,70 D P. HIGHWAY WIDTH FROM C.L. fCITY 05" + 2d= -0 o ARCHITECT OR / TEL. BLDG.SETBACK FROM ENGINEER N0. SIDE PROP. LINE OF (STREET) TYPE..OFEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR "a ' NO. FRE NO CORNER CUTOFF YES ❑ NO L LIC. �� CLASS"'7 SEE'REVERSE SIDE FOR SPECIAL PPRO LS p CTION LENDER D.BRANCH '' Z. ( G, .�•� �.-�.� L �LcG� LL p v N0. OF NO. OFSTORIES FAMILIES / NEWE i' �� ��?USE OF ADD ALTERREPAIRE OF j'/ DEMOL ❑ APPLICANT /a VALUATION $ lJ ��^ APPROVALS DATE INSP cT R's 31G A RE P.C. PMT. FORMOLOCATION MATERIALS1 ) -. — FEE $ FEE $ FOS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS1191 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS a TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I ,�gg ✓/ WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. tf' ( U OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. // 1� LATH, EXT. NIL SIGNATURE OF /� � //� HOUSE NUMBER CORRECT ?� PERMITTEE � _ /CsJ�ts(f AND POSTED ADDRESSA— +iQ2F I NA L � i + 7 4 l JOHN F. LEWIS, PRINCIlPAL'ST TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH I .