HomeMy Public PortalAbout9161 JAYLEE DR_Building_7/22/1971_foundation —_�,,16A63e,1,ICE #803 1/71 -57
'* .A-PPLI CATION - FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING /i
. ADDRESS l �= JA
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY IZjlry' % �!
FOR APPLICANT TO FILL IN NEAREST
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DISTRICT NO. GROUP TYPE ESSED BY
BUILDING .C'��� CONST
ADDRESS A ,449& J --. /�/J�C
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK '
CLASS NO. �f DWELL.UN ITS BKPGgI
TRACT - USE.ZONE MAP
NW O.OF BLDGS. NO. - Q�
SIZE OF LOT NOON LOT r / SPECIAL
USE OF - CONDITIONS.
EXISTING BLDG.. - (��
/
BLDG.SETBACK FROM -• •
ADDRESS ` A FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
TY
CIr 4 >'` HIGHWAY Wd DTH FROM C.L.
ARCHITECT OR - TEL.
ENGINEER NO. BLDG.SETBACK FROM _
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK. HIGHWAY + YARD = TOTAL d
CONTRACTOR ) NO. HIGHWAY WIDTH FROM C.L. U
LIC.• - -
ADDRESS _ - NO. + O
LIC. ,. .. U
CITY CLASS CORNER CUTOFF YES Ll NO'
CONSTRUCTION LENDER W
LW
NAME AND BRANCH SEE REVERSE.SIDE FOR SPECIAL APPROVALS Z
ADDRESS -
SQ. FT - NO. OF NO. OF T
SIZE ( STORIES FAMILIES NEW El
USE OF ADD' {
USE
rn'"
ALTER ❑
REPAIR❑
SIGNATURE OF '
APPLICANT DEMOL ❑
VALUATION..$ XX APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION .
FEE $ FEE$ SFORMS, MATERIALS ��rtfy.,yi yf
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS "71
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, r
WITH ALL ORDINANCES AND LAWS REGULATING. BUILDING CON- GAS VENT, DUCTS
STRUCTION. .I CERTIFY THAT IN DOING THE.WORK AUTHORIZED -
HEREBY I WILL NOT LOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF T STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPE 101 IN UR i
LATH, EXT, .,
Ile
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
1-
ADDRESS FINAL t
,JOHN F.;LEWIS. PRINCIPAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION' M.o.''I- CASH
r . J L22. . 1 D 3 5.21:5x- t