HomeMy Public PortalAbout6342 TRELAWNEY AVE_Building_12/16/1960_chimney work ��/J71�� 4e_ C� 1
>. @Aczgmly« APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
ADDRE88
RUnDING AND SAFETY DIVLMON LOCALITY <
JOHN A LAMBIE, COUNTY ENGINKER NEAREST
1 A JENSEN. OU"OrBull-OtmaCROSS 8T
FOR APPLICANT TO FILL IN
DIFCT NO GROUP n pg en BY
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BUILDING STATISTICALC FICATION SEWER MAP
ADDRESS PG
�+ CLA89 NO WELL UNITS �+
LOT NO J BLOCK NU BER ITA R y� N
TRACToff USEZONB SPECIAL I
NO OF BLDG; CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BUILDING YARD HWY RE NAME EXIST
TEL SETBACK WIDTH
OWNER O FRONT
P L
ADDRESS SIDE
ARCHITECT OR TEL p
ENGINEER NO INSPECTION RECORD
ADDRESS
TEL
CONTRACTOR N 1 0
ADDRESS V
DESCRIPTION OF WORN - �'f' '"+ O
s / M Fs� /
NEW AD ALTER REPAIR DEMOLISH
SO FT NO OP NO OF I 1 CS-
SIZE ;TORIES FAMILIES
USE OF
STRUCTURE
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SIGNATURE OF PT • z/
APPLICANT
VALUATIONS oo
APPROVALS DATE INSPECTOR;SIGNATURE
PC PMT d FOUNDATION
FORMS MATERIALS
LS
FEE FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS "L
FURNACE LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT 0
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN S COMPIENSATIO W8 O CALIFORNIA. LATH EXT
SIGNATURE O HOUSE NUMBER GOR- _
PERMITTE RECT AND PoSTED
ADDRES FINAL
CLYDE N DIRLAW,PRINCIPAL STRUCTURAL
PLAN CBFJ= VALIDATION No c PERIMT VALIDATION cK. mo cAnK
LAC09884!S DEC 16 1 D 12.00 Wim,
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