HomeMy Public PortalAbout9027 JAYLEE DR_Building_9/20/1963_furnace 7-
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76A638A CE13031-62 APNATQON OR BUILDING PERMIT SMIT
COUNTY OF LOS ANGELES BUILDINGa
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY C- Az' c y
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE PROCIESSW BY,
FOR APPLICANT TO FILL IN oIR 7- CONST. 1f�/
BUILDING a STATISTICAL CLASSIFICATION SYWER MAP F
ADDRESS �P '� LA •---� K P
CLASS. NO. DWELL. UNITS
LOT NO. _ BLOCK WATER NOT REQUIRED' RECEIVED
CERTIFICATE:
TRA T 1.41? '�� l F BLDGS. NO.MAP -;).—&c73 He HWAY E) STATE MAJOR SECOND, LOCAL
'SI E F OT o� NOW ON LOT USE ZONE SPECIAL
USE OF - .d!� _ CONDITIONS
EXISTING BLDG. Civ_' i,
TEL.p�y^
OWNER xy_OD)q NO.J"7 / UIL DING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS. FRONT _ ok
. ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS 0.
TEL0
CONTRACTOR '' G' f NO.(� 3. ! V
ADDRESS — 0
DESCRIPTION OF WORK
W
NEW ADD ALTER REPAIR DEMOLISH //yy
SQ. FT. NO. OF - NO. OF �1r�(..-0 V
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $ �
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E $ FEE $ �w(`�� 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.
WITHALL 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-
ING TO WORKMEN'S COMPENSATION INSURANCE.
ATH, EXT., ._
SIGNATURE OF Y^ ' fi �G,� J HOUSE NUMBER COR-
PERMITTEE Y� RECT AND POSTED ,iF
ADDRESS FINAL _/� J . f•6�-�it..�
.JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER -
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK., M.O. CASH
LII.,_ ,0 4:.2 8`%a .SEP,2 0 1 D 6 0 0~ a
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