HomeMy Public PortalAbout9174 JAYLEE DR_Building_8/24/2022_convert att gar into bedrm 7GA638A CE#80811_57 APPLICATION FOR BUILDING PERMIT 1J
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
ADD'E"
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE I I SEWER MAP
FOR APPLICANT TO FILL IN SK PG
I CONST. [`
ADORE
BUILDIN i I STATISTICAL CLASSIFICATION I �'
CLASS.NO. DWELL.UNITS
LOT NO. ' �. BLOCK MAP STATE
NUMBER HWY YES -NO
TRACT USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT ,/ f NOW ON LOT / i
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONT
MAIL P.L:
ADDRESS SIDE
TEL P.L.
CITY - NO. .!''-- -.
INSPECTION RECORD
ARCHITECT Oft TEL.
ENGINEER NO.
ADDRESS
TEL
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF i APPROVALS
APPLICANT -
" DATE INSPECTOR'S SIGNATURE
ADDRESS !'^S^ - I It�. FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. $ FRAME: FIRE STOPS.
r FEE BRACING,BOLTS
VALUATION FURNACE: LOCATION,
FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEF RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0 VP :mak 2 4 A 4
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