HomeMy Public PortalAbout9156 JAYLEE DR_Building_8/23/1967_air con 76A638A`C,E#803 8-63 AC4ION FOR, ,BUILDING PERMIT Ll
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY G
JOHN A..L°AMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST..t;,. t.
DISTRCT O. ,GROUP TYPE P OCE ED-BY
FOR APPLICANT TO FILL I.N $—,I Ie ,. , Y_ CONST.
BUILDING STATISTICAL'CLASSIFICATION - .., i WER MAP
,ADDRESSBK- PG
CLASS NO. �DW ELL. 0 NITS l
LOT.NO. BLOCK WATER
CERTIFICATE: 'NOT,REOUIRED -RECEIVED .�
' TRACT MAP` 7 HIGHWAY LLLJJJ
N O.'OF BLDGS. NO.. .2 v.pJ. .(CIRCLE) STATE MAJOR SECOND
SIZErOF LOT NOW ON LOT USE ZONE SPECIAL -
USE OF - L7 J CONDITIONS -
EXISTING BLDG.
TEL.
OWNE � � BUILDING EXIST.
YARD HWY STREET NAME
_ SETBACK - WIDTH
e ADDRESS . FRONT
ARCHITECT OR TEL. P. L. Z�. '+ 'Y�t '0' - 5-D
ENGINEER NO., SIDE.
ADDRESS
TEL.ej. - O
CONTRACT O FL d.Q"G,lca(J LU. NO.
.ADDRESS Q-o • C
01 .
DESCRIPTION OF WORK` G.
d
NEW ADD .ALTER REPAIR DEMOLISH qp. N
SO: FT. NO..OF NO. OF .`' y _
SIZE STORIES FAMILIES . .� .
USE OF
STRUCTURE
SIGNATURE OF 'd
APPLICANT -
eVALUATION $ 6 5,
APPROVALS DATE INSPECTOR'S SIGNATURE
_ �j i FOUNDATION: LOCATIONP C. '
PIVIT
FEE $' FEE'$ I/. �. 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
BUILD ING 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-
INGTO WORKMEN'S COMPENSATION INSURANCE. I '
LATH. EXT. -
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE'. RECT AND POSTED
ADDRESS B O S FINAL
- JOHN F. LEMS. PRINCIPA STR URAL ENGM4EER
PLAN-CHECK VALIDATION CK. MZ. CASH PERMIT VALIDATION CK. M.-. CASH
LtlLo U c a . ' v 2:3 1. 0 1 7: 5- `."'