HomeMy Public PortalAbout9156 JAYLEE DR_Building_11/10/1966_conv bdrm 76A638A CE08033=66 APPLICATION �'®R B ALD14G ��R��It
COUNTY OF LOS ANGELES BUILDING r
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT.N GROUP TYPE-. P CE Y
FOR APPLICANT TO FILL IN O CONST:
BUILDING �� /� �+ L� 7� STA TISTICASSI FICATION
ADDRESEWER /MAP
SS f /`•L v CLASS NO. DWELL UNITS. 6KA1 PG
LOT NO. BLOCK USE ZONE MAP sL2 !)CJ_
NO. (:
TRACT 3 R 1 SPECIAL
NO. OF BLDGS. CONDITIONS
SIZE OF LOT �D F. NOW ON LOT -
USE OF
IS NGBLDG. SETBACK FROM,
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TEL ? FRONT PROP. LINE OF (STREET)
OWNER ,� !!/Y NO. / � TYPE OF EXISTING BACKrGHWAY '�' YARD = TOTAL
ADDRESS G c /� �, HIGHWAY WIDT FROM C.L
CITY o L i /7 ( +
ARCHITECT OR TEL BLDG. SETB FROM _ . _
ENGINEER NO. SIDE PROP LINE OF (STREET)
TYPE OV EXISTING SETBACKHIGHWAY -F YA = TOTAL
ADDRESS HIGHW WIDTH FROM C.L..
TEL.
CONTRACTOR NOLIC
ADDRESS NO CORNER CUTOFF- YES NO CL
C7
CITY GIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTIO F WORK
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NEW ADD ALTER REPAIR DEMOLISH �-
SO.FT. NO. OF NO. OF
SIZE ST RIES FAMILIES
USE OF 7f02,17t
STRUCTURE i
SIGNATURE OF T/j"ef- lz# �w. .S Q
APPLICANT
VALUATION$ vq 6 :
•00 APPROVALS DATE
INSPECTOR'S SIGNATURE
_ FOUNDATION, LOCATION.
FEE$ FEE$ �� FORMS, MATERIALS
FRAME, FIRE STOPS,'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDI CES AN STATE LAWS REGULATING GAS VENT. DUCTS
9UILOING CON STRUCTIO . I CERTIF HAT. IN DOING THE WORK
AUTHORIZED HEREBY i ILL NOT P ANY P SON IN VIOLA- LATH. INT.
TION OF THE LABOR ODE F T E OF C I NIA RELAT.
ING TO WORKMEN'S MP 'ATI LATH. EXT.
SIGNATURE OF HOUSE.NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS Fl NAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN NEER
PLAN C A TIO CK. 140. CAS _ PERMIT-VALIDATION CK. M.o CASH
5v 7 T 9'- ,NOV 10- . 1 D 6'.0-0r, Iq