HomeMy Public PortalAbout6334 TRELAWNEY AVE_Building_9/12/1962_new residence and detached garage 9 M' • T„��/� C � 7-7
ISABGBA CE#003 5 GIAPPLICATION FOR BUILDING PERMIT
COMM OF LOS ANGELES ADDRl6s 1 6 ?
DEPARTMENT OF COUWfY ENGIIIEER
BUIWING AND SAFETY DIVISION LOCALITY 7-- C
JOHN A LAMBIE, COUNTY ENGINEER 11
NEAR ST
WILLI M JENSEN OFB NO CROS ST AJ V
DISTRICT NO GROUPnpE PROCESSED BY
FOR APPLICANT TO FILL IN COST
1/21 uin el
BUILDING STATISTICAL CLASSIFICATION SItWFR MAP
ADDRESS // BK PG
CLASS NO HOWELL UNIT -
LOT NO 1, ATT L, BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACE p NO OF
BUILDING EXIST I
YARD NWY STREET NAM! CI_I
LYGI- C:G 6ETBACK WIDTH
ADDRESSLRN
ARCHITECT CHP l i TEL FP OLT I CC h- ,,7
ENGINEER NO HIDE
P L V
ADDRESS TEL INSPECTION RECORD
CONTRACTOR S NO Q^
ADDRESS ry
DESCRIPTION OF WORK I't- J N f C x
t o F0, 1rf 3�
NEW ADD ALTER REPAIR DEMOLISH
1* NO OF NO OF I (i -,
Ze I OS
STORIES
USE OF
STRUCTURE 1 `C 1 E G -
/Q
SIGNATURE OF
APPLICANT
VALUATION$ 3- Q .�-
APPROVALS •` AT INSPECTORS SIATTIRE
P C L�^ PMT FOUNDATION LOCATION• /1
FEE $ U l FEE S �� FORMS MATERIALS 7 L
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[THAT THE ABOVE IS CORRECT AND AGR[[TO COMPLY FURNACE LOCATION I • /
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HER[EY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH, INT
TION OF THE LABOR CODE OF THE STAT[ OF CALIFORNIA R[LAT
IMO TO WORKMEN COMPENSATION INBURANC
�- n f 7 HOU eNT
SIGNATURE OP ,[ e (d` HRECTANMBERCOR-
PERMITTE RlCf'AND POSTED �
ADDRES
FINAL �\
CLYDE N DIR PRINCIPAL BRAL ENGINEER
PLAN CHECK VALIDATION � r o T.E.x PERMIT ALIDATION( aLA r SH
o CA
�1 5-6 1Cd JM13 2 3 D 3 025' Q �/
LRL;o4 2 5 2-� SEP12 2 3 D 525 • p
lAL,0 4 2 5 3 0 SEP 12 - i D 7 1.00-
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