HomeMy Public PortalAbout9560BISBY ST_Buildingr
TEMPLE CIS Cn�
run..ateal-I.-" APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY Emsmxm NEAREST
Y J T OF CROSS 8T.
WMICT
FOR APPLICANT TO FILL IN 41 fid`7_�_ I = I
TYPE »eY
CONST
BUILDING STATISTICAL IFICATION S ER HAP
ADDRESS �.
.NO L.UNITS
LOT NO. BLOCK WATER NOT REQUIRES RECEIVED
CERTIFICATE: tj
TRACT z z qly, MAP .HIGHWAY STATIE MAJOR SECON LOCAL
NO.OF 19LDGS. NO. CIRCLE
SIZE OF LOT. NOW ON LOT USE ZONE `,SPECIAL .
USE OFCONDITIONS
EXISTING BLDG.
TE
OWNERNO BUILDING EXIST.
'o YAD HY BTRE,ET E
rWIDTH
ADDRESS r RHl
Ivy FRONT
ARCHITECT OR TEL P.L
ENGINEER NO. SIDE
ADDRESS
O —
,-� lN3PEC.TI N
CONTRACTOR NO.
�i
ADDRESS '
DESCRIPTION OF WORK
a
N
NEW ADD LTER EPAIR DEMOLISH Z
SQ.FT. NO. NO.OF
IZE STORIES FAMILIES
USE OF
STRUCTURE nn
0/IG_
SIGNATURE OF r r
APPLICANT
VALUATION s
,� APPROVALS DAT INSP OR'S SIGNATURE
P C, � T FOUNDATION: LOCATION `
FEE FEE FORME MATERIAL8
FRAME: FIRE STOPS,
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS I�
AND
STATE THAT THE ABOVE IN CORRECT AND AOR[[TO COMPLY FURNACE'. LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZEREB
D HEY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT
TION OF TH[WOJDIK OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKM<H' P ■URAN L
LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITT'E '- RECT AND POST
ADDRES
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN VALIDATION x o. PERMIT VALIDATION ax- Y.O.
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