HomeMy Public PortalAbout5526 PARMERTON AVE_Building_6/19/1972_foundation piw•TSAb`BA� + `
CE #803 1/]1 �/>J r ,,fl'-' ./
,f APPLICATION FOR BUILDING PERMIT
3 COUNTY OF LOS ANGELES AS
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING '
, ' ADDRESS` Al
COLEMAN W JENKINS, rSurT Oi 9UILDINL LOCALITY -// @ G, e� �+
FOR APP CANT,TO FILL IN NEAREST ^
Prinr r onl CROSS ST
BUILDING o DIS ICT'NO GROUP TYPE L PROCESSED,B;
CONST
ADDRESS l + U r
STATISTICAL CLASSIFICATION EWER MAP
�
LOT NO BLOCK DWELL UNITS_ B ^
CLASS NOS +
TRACT USE ZONE MA ,
NO OF BLDGS [/� NOw rJ V 1
SIZ EIOF LOT NOW ON LOT �S �� SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
'OWNER ' �} - NO - BLDG SETBACK FRO -
ADDRESS FRONTPROP LINE OF '(STREET)
TYPE OF EXISTING SETBACK I HIGHWAY + YARD = TOTAL
CITY ? ` `Z " HIGHWAY WIDTH FROM G L y t "
ARCHITECT TEL 1�✓ , 5 I ' }
ENGINEER ,, ILI-NO -/ /
BLDG IS CK FROM
ADDRESS - /'L /" SIDEPROP LINEOF ' }+IS T,REET) yy..
a ,TEL TYPE OF EEISTING SETBACK HIGHWAY + YARD 'M=3 TOTAL C.
CONTRACTOR NO HIGHWAY WIDTH FROM C L- U
U
ADDRESS / Q C.✓ ' 'NO
Lic
CITY E , ' CLASS SCORNER CUTOFF +• YES G N&,E] } U
W
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS i
ADDRESS `
-SQ FTNO OF, NO'OF (NEW
SIZE STORIES FAMILIES (�
USED - ADO ® ' ° '✓ rOL`�� b
STRUCTUR ` gLTEft ❑ '
- T
y/ 7
- REPAIR❑ .:... ..
SIGNATURE OF � •i 6 ' � '� ;
APPLICANT A , DEMOL ❑ + c
VALUATIONS 10
F � APPROVALS DATE INSPECTOR 3 SIGNATURE
P C + PMT <I,—, OG FOUNDATION LOCATION
FEE`S FEE S FORMS-MATERIALS A — Q,- Ftp
�_ FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
BOTS
AND STATE THAT THE,ASOVE IS,CORRECT AND AGREE TO,COMPLY' YFURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT EDUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN'VIOLATION OF THE 'LATH INT
LIBOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATIE NSURANC
I
N •• N
� (Jp LATH EXT `
SIGNATURE OF' STC ^O�. `_'^ l HOUSE NUMBER COR-
PERMITTEE �JI q�( / RECT AND POSTED
ADDRESS _ FINAL
L ' f JOHN F LEWIS PRINCIPAL STRUCTURAL+ENGINEER
+ 'PLAN CHECK VALIDATION Cl M O CASH PERMIT VALIDATION CN , M.0), CASH A „[
LloS S.zls :. 19 1D 9'.00 Q
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