HomeMy Public PortalAbout9564BISBY ST_Building 7eA830X CENeOa "7
` APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSfjFO* J 4
BUILDING AND SAFETY DIVISION LOCALITYT- -c-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
F
OR APPLICANT T F IN DISTRICT NO. P TYPE P ESSED BY
Print or a only) ,�',QY � CONSTa�- _
// STATISTICAL CLASSIFICATION EWER
D C i CLASS NO- V DWELL,UNITS [,'.BK PO��
J BLOCK ZONE OP a/�
7 7 / SPECIAL
ff�� NO.OFQ L,DGS. CONDITIONS
LOT �J ON LOr
BLDG. .PSicj�/• BLDG.SETBACKFROMTEL FRONT PROP.LINE OF (STREET)
Vlw�d NOTYPE OF ISTI SETBACK HIGHW + YARD = TOTAL
6 �� p HIGHWA WIDTH FROM G.L.
CITY BLDG.SETBACK FROM
ARCHITECT'OR TEL. SIDE PROP.LINE OF (STREETI
ENGINEER NO.
TYPE Of EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L
TEL. l + _
CONTRACTOR � - IRQ�zI o
ADDR t' i• NO. q 6 �- CORNER CUTOFF YES ❑ NO S
l
CITY - v cli�;ss SEE REVERSE SID FOR SPECIAL APPR VALS t
Lu
DESCRIPTION OF WORK a
/• 1-6 r
NEW ADD scALTER REPAIR DEMOLISH '
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE M4df
SIGNATURE 6F
APPLICANT *�
VALUATIONS APPROVALS DATE INSPECTOR'S 816HATUR
P.C. PMT. 7 , , FOA'TI=TERALSOATI N
FEE S,; FEE f FORM
FRAME: FISTOPS,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGRE BOLTS
AND STATE THAT THE ABOVE I■ CORRECT AND AOR[[ TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCCf AHD STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZID HERESY I WILL NOT EMPLOY ANY PGR&ON IN VIOLA• LATH, INT.
T10H OF THE LAMaR COD[ OF STAT[ OF CALIFORNIA RILAT•
ING TO WORKMEN'S COMP[ NSU ANC[,
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE— RECT AND POSTED
ADDRESS FINAL G
JOHN F. LEWIS. PRINCE AL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CA.9H _ PERMIT VALIDATION
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