HomeMy Public PortalAbout5526 PARMERTON AVE_Building_6/7/1972_foundation 76A'B3BAyCE 0803 I/71 �I T y F T�/YJ PIF7-4
{ APPLICATION FOR BUILDIN'8/ PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE _ PARCEL
BUILDING AND SAFETY DIVISION' BUILDING _
ADDRESS (I�� _
COLEMAN W JENKINS, SDI T OF em LOING LOCALITY
FEAREST
OR APPLICANT TO FILLiIN 1 CROSS ST
Pon, r I nl
DISTR CT NO GROUP TYPE,_,,: PROC SEO BY
BUILDING"�S D �'OA CONS1y
ADDRESS ` 3 _
LOT
STATISTICAL CLASSIFICATION SEWER
MAP
BLOCK CLASS NO DWELL UNITS B�`T NGS
TRACTT 3 USFFF ���AAANE MAP
NO OF BLDGS C J� NO
SIZE OF LOT NOW ON LOTC ,y` SPECIAL
EXISUSE OTING BLDG Lo A-/- P CON OI TIONS
-a`ER TEL
OWNS
NO '
'1 FRONT PROP CK FROM F
LINE OF _
ADDRESS �_ ,Fj 7� r '/ To ISTR EE T) •-
TYPE OF EXISTING SETBACK HIGHWAY } YARO = TOTAL
CITY 7k—p 7 - r-,I rLi '• HIGHWAY WIDTH FROM C L
ARCHITECT-ORE _V '} /� = 'ZCJ
ENGINEER /P q NO BLDG SETBACK FROM
A DD RESSr )•` _ ' SIDEPROP LINEOF (STREET)
/� TEL _ /L•,J- TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL d
CONTRACTOR(_ )_ C O HIGHWAY WIDTH FROM C LLll
V
ADDRESS�` �F UJ I't r UJ NO 1 + - O
LIC J_ V
CITY � L /�Q�,fj- CLASS !i Y• CORNER CUTOFF YES,[:]
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS E
ADDRESS
SO FT NO OF - NO OF
SIZE Q STORIES FAMILIESNEW/ f _
USE OF1 --,On ADD 1YJ-'1
STRUCTURE St-
ALTER ❑
SIGNATURE OF lV DEMO REPAR❑,
APPLICANT
VALUATION $
- APPROVALS DATE IHS VCC TOR'a SIGNATURE
P C PMT /. FOUNDATION LOCATION
FEE S ,5 FEES /> 0(:n FORMS MATERIALS 0 7AAMEF ,
`I• 1'H EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION FR IRA
CI N'GF
,
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
'STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE • LATH EXT
, O \
SIGNATURE OF �� ,,N�-- nn,``111I z)1 HOUSE NUMBER COR-
PERMITTEE" LY'�'�'KY •� �YR1e'1l RECT AND POSTED' , ,
ADDRESS ESS FINAL
" H JOHN F LEWIS PRIN IP L ST AL ENGINEER
PLAN CHECK VALIDATION cK o CASH _- PERMIT VALID N CK , KID CASH;
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LG'6 4•i 7;S,r IUNy '7 1 ,p 1 ,5,00- W ,