HomeMy Public PortalAbout9072 ACASO DR_Building_7/2/1975_add bath and closet APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print o type only)' , "fl
BUILDING COUNTY OF LOS ANGELES _
ADDRESS 16l /{G A S O DR DEPARTMENT OF COUNTY ENGINEER
CITY -r /v% L.' CuT4 zip 917 rrO BUILDINAND SAFETY DIVISION
SIZE OF LOT OA ! 9 fo NOW ON LOTAO OF S ADDRESS p 1 ACAS O D iii
r BUILDING r� s
TRACT kS-6L— BLOCK'3 L T NO 2 LOCALITY
OWNER L,CIVIG-J%4 STZN EARES
L�NOLZ�{ CROSS STASSES
1 r
ADDRESS 90"72 /ACh S O 1L)R MAP BOOK PAGE PARCEL
_ DISTRICT GROUP TYPE FIRE ESSED BY
CITYITECT LC Cl-TA ZIP t7 �r w � CONS ZON
ARCHITECT OR TEL (i�TJi�
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO 2-f �DgWELL UNITS BK PG
CONTRACTOR TEOL ZONE NOP V
17
ADDRESS Np _y [SPECIAL
CITYvv LIC CONDITIONS X71
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO K'
CONSTRUCTION E DER �r
NAME AND BRANCH" BLOC SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY L TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
SQ FT --yy NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE ��j STORIES M FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ + ► a
O
BLDG SET84<FROM O
(O T,1 am — ADD SIDE PROP LIN
(STREET)
LTR ❑ HIGHWAY + YARD = TAL SETBACK FROM TYPE OF EXISTING �
p EPAIR❑ SI ROP LINE ; HIGHWAY WIDTH LLaJ
USE OF + = y
EXISTING BLDG iEMOL ❑ Z_
APPLICANT TE�l- A 4 CORNER CUTOFF YES ❑i N
(PRINT) ZFA,/1 I-A S JF AI NO L�,A
BY (SIGNATURE) ^ et' - Jp Y IN OPEN SPACE YES ❑ NO ❑�
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION s
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION rte-/ �/-- ' /�-//
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE / c,I /V"
LABOR CODE OF TME STATE OF CALIFORNIA IN RELATING TO /0�lf�,s VK -12> `�" G(-IL.f/UlT D
WORKMEN S COMPENSATION INSURANCE P _ w
SIGNATURE OF 't�7� 76 �NX1'L fN�
PERMITTEE 7 I --
ADDRESS OZ 'I ACAS U D 1C 4
!rFINAL BY "
CITY L Gl 1 NO �6 D•S DATE 7-4;1,!� �..
` AIA KE CHL CKS P>,I ABLL 10 s � P C a PMT Q
FEE P FEE P
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION- CK M O CASH PERMIT VALIDATION CK M o CASH
V JUL r 2 1 1) 5 5,5 01-4L
r � r
76A688A CE#809 5/74
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