HomeMy Public PortalAbout9084 ACASO DR_Building_5/26/1966_covered patio 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 NOV F P TYPE PR( C/E' S BY-_
FOR APPLICANT TO FILL IN 5'~ ONST. G/V
BUILDINGSTATISTICAL�.L A SSIFICATION SEWER MAP
ADDRESS4 A CLASS NO. DWELL UNITS. BK PG
LOT NO-�. / 0 BLOCK USE ZONE MAP
TRACT s SP O
SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF ,g
EXISTING BLDG. S 4fC' BLDG. SETBACK FROM +� ��p- -' n
TEL. FRONT PROP. LINE OF (STREET)
OWNER g5kff- NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CITY ARj: ,-ibiA BLDG. SETBACK FROM
ARCHITECT OR TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL
y a
CONTRACTOR , NO:�jj �J + O
ADDRES NO Q CORNER CUTOFF YES NO V
OC
CITY CLASS la-1 SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
DESCRIPTION OF WORK w
a
NEW ADD ALTER REPAIR DEMOLISH
Z
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIF_S
USE F
STR UOCTURE QU,CRt-b
SIGNATURE OF
APPLICANT
VALUATION$ APPROVALS DATE I NSPECTO" 'S SIG NATURE
P.C. PMT. D-d FOUNDATION, LOCATION r _ `� """"-•
FE FEE$ FORMS, MATERIALS
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
9UILDING 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.
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED' �..
A D D R E S S S r fLVI N A L 1'7 _A`✓s --'r•-,,'.
JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
�Hi 2 .3 .2 7� IMAY 2 6 1 D 6.00!l