HomeMy Public PortalAbout9179 JAYLEE DR_Building_9/26/1963_re roof 76A638A,CE'�8032;63'APPLICATION LIGATION FOR BOI•1 DI G PE \ T
•COUNTY OF LOSANGELES, BUILOINc
DEPARTMENT OF COUNTY ENGINEER ADDRESS .
BUILDING AND SAFETY DIVISION,,` LOCALITY d
JOHN A.'LAMBIE-,COUNTY ENGINEERNEAREST
WILLIAM A.�JENSEN, SUP•T OF BUILDING
• DIST CT O.' GRO P 'TYPE �y.�7 P ESSED BY
FOR APPLICANT TO FILL IN CONST. 1/'
BUILDING ry STATISTICAL.CLASSIFICATION �- S ER MAP-
ADDRESS 91( 9 .^aJa: lee BK PG . ,
e •CLASS. NO. DWELL. UNITS
LOT NO -� _ - BLOCK ',WATER NOT REQUIRED RECEIVED �. '
CERTIFICATE:
TRACT. �J %. - MAP. HIGHwnv- ••
• NO. OF BLDGS. ' NO.- IaRCLEI STATE.MAJOR SECOND(L
SIZE OF LOT NOW ON LOT USE-ZONE SPECIAL '
USE OF'.. CONDITIONS
EXISTING BLDG.
TEL
OWNERRobe3' Owens NO: - U-ILDING -'YARD HWY .STREET. ME EXIST,:':
ADDRESS 9179 a le,e :LDC o.. SETBACK WIDTH
tJ f�7 ,
FRONT � •
ARCHITECT OR "" TEL. P• -
ENGINEER NO: . SIDE. -
- P. L., C
ADDRESS - .. ... - a
'TEL 0
i CONTRACTORVi.r+ NO. , - - .0 .
ADDRESS600S.San Gabriel_- Blvd. � •
'0
DESCRIPTION 'OF WORK. G� ~
Lu
a
N•NEW' ADD ALTER R EPA IR` DEMOLISH. - h
SQ. FT'. - NO,rOF' 'NO. OF, _
SIZESTORIES FAMILIES' _
USE.OF •.
STRUCTURE Re-tbof "•
SIGNATURE OF, ... - -
APPLICANT' pp - -
VALUATION'$,SOOVo OO.'. APPROVALS . _ DATE INSPECTOR'S SIGNATURE' ,
P.C. p / PMT.,: .`FOUNDATIONS: LOCATION " -
FEE.$ FEE -$ �OOO, •FORMS"..MATERIALS - -
• .- - FRAME:AFIRE STOPS.. - -
'' I HEREBY ACKNOWLEDGE THAT'I HAVE READ'THIS'APPLICATION. I �'�,B R;4CITl G"BOLTSF'l
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. '
WITH ALL COUNTY-ORDINANCES-AND' STATE ;LAWS REGULATING GAS-VENT. DUCTS _
BUILDING CONST UCTION. 'I.CERTIFY--THAT-IN DOING THE WORK .
AUTHORIZED HER BY,I WILL NOT EMPLOY ANY PERSON N VIOLA- LATH.-INT.
TION OF THE' LA R ODE OF`T E STATE OF,CA LIFOR IA RELAT-
INGTO WORKMEN' MPENS�TI N INSURANCE. LATH. EXT. - -
SIGNAT.UREOF HOUSE NUMBER COR,
_PERM.ITTEE - RECT AND POSTED'
AooRESS•600 S.,"..San Gabri Blvd. FINAL'
' ..JOHN F.-,LEWIS, PRINCIPAL STIR URAL ENGINEER
5�a
., - ...
PLAN`CHECK VALIDATION- :. .CK. M.O. CASH PERMIT.VALIDATION CK. M.O.. CASH:
F ulo 0 7 2' 3 Z SEP 2 6 1 D