HomeMy Public PortalAbout9174 JAYLEE DR_Building_10/13/1961_closet 76A638A CE#'8035-61ALL 11 LOCA11 HON FOR BUILDING PERMIT
Y
COUNTY OF LOS- ANGELES ' BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN 'SUP'T OF BUILDING CROSS ST.
DIST ICT GROUPSED BY
FOR APPLICANT TO FILL IN. TYPE "
�J� CONST.'
BUILDING STATISTICALCLASSIFICATION `SE ER MAP
.ADDRESS - CLASS.NO.- DWELL.UNITS
B P
LOT NO. - BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT <" MAP �� HIGHWAY `
NO.OF BLDGS. .y/ NO. ICIRCLE) STATE MAJOR SECOND L Z`AL
SIZE OF LOT.•- NOW"ON-LOT / 'USE ZONE SPECIAL
- USEOF - - - CONDITIONS
'EXISTING BLDG. ,
�✓� 'TEL. ..
OWNER NO. BUILDING - EXIST.
YARD HWY STREET N ME
• SETBACK 'WIDTH
ADDRE /rj0f( -FRONT
ARCHITECT O -TEL: P. L.
ENGINEER NO. . , SIDE
ADDRESS - E INSPECTION RECORD,,f -�
.CONTRACTO �C�(B ` O." w O
ADDRESS u.
:DESCRIPTION OF WORK J�f/ '/ro
NEW ADD ALTER REPAIR DEMOLISH -
SQ. FT. NO.OF NO.OF
IZE STORIES 'FAMILIES - - -
USE OF'-
STRUCTURE ' O - Gr"
A � .
SIGNATURE OF y
APPLICANT -
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ FEE $ �G FOUNDATION: LOCATION .
„ 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, -
WITH ALL'COUNTY ORDINANCES'AND STATE LAWS REGULATING GAS VENT DUCTS '
BUILDING CONSTRUCTION..1 CERTIFY THAT IN DOING THE WORK -
AUTHORIZED HEREBY I W LL NOT EMPLOY ANY PERSON IN VIOLA. LATH,-INT.
TION OF THE LABOR C OF"THE STATE OF CAL ORNIA RELAT- ,
ING TO WORKMEN'S PENSATION INS RA , -
LATH,EXT. -
SIGNATURE OF �Q� HOUSE NUMBER COR- �^
- PERMITTEE _ RECT AND POSTED
ADDRESS- r FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION cm M.O. CASH PERMIT VAIIDATION. cK. M.O. CASH