HomeMy Public PortalAbout9180 JAYLEE DR_Building_10/13/1971_reroof 76A638A.CE 9803 12/69
APPLICATION FOR BUILDING PER 0T �
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type,only) CROSS ST.
BUILDING DISTRICT NO. G TYPE P -(`$8$D.B
ADDRESS 9180 Jaylee Drive CONST,
LOT NO. BLOCK STATISTICAL CLASSI FICA TION, SEWER MAP
CLASS NO. DWELL,UNITS BK PG
TRACT .-USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT �( SPECIAL
USE OF - CONDITIONS
EXISTING BLDG.
E W Loeffler LoefNO�'
OWNER
,BLDG.SETBACK FROM
ADDRESS Same FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY - 'HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. +
ENGINEER NO.
BLDG.SETBAC ROM
ADDRESS - 'SIDE PROP.,LINE (STREET)
TEL TYPE OF EXISTING SETS HIGHWAY + YARD = TOTAL
CON TRACTORVir in Roof Co. No. 287-0507 HIGHWAY WIDTH FROM C.L.
ADDRES S San Gabriel Bl. NO 160650 � +• _ � ar.
CITY San Gabriel 91776 CLASS C-39 CORNER CUTOFF YES ❑ NO E] Cf
CONSTRUCTION LENDER O
NAME AND BRANCH t SEE REVERSE SIDE FOR-SPECIAL APPROVALS W
a
ADDRESS N
SQ. FT. NO. OF NO. OF NEW ❑ z
SIZE STORIES FAMILIES
USE OADD
STRUCTURE R roof with 2 ❑
ALTER
composition shingles ❑
REPAIR
SIGNATURE OF ® I
APPLICANT OEMOL ❑
I
VALUATION S 627.00
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S FEES 12.00 rOFORMS. MATERIIALSON
(FRAME: FISTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG 'BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY iFURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE 'LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION NS URA NC E. !
iLATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
(FINAL
i JOHN F. LEWIS. PRINCIPAL ST URA} ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M. CASH,
(
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1 A 1 2,00- 14