HomeMy Public PortalAbout5521 PARMERTON AVE_Building_4/8/1969_foundation 26A638 e. E#803 9A68
APPLICATION FOR BUIL ING PERVIT ILJI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W JENKINS, SuP T of Bu1LOIHc CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP TY EPROs By
CONST
(Print typ. oM ) S
BUILDING '`� STATISTICAL C SIFICATION - SEWER MAP,
ADDRESS
CLASS NO O_WELL UNITS BK PG
LOT NO r ) BLOCK USE ZONE MAP
,7 INO �7 L/
TRACT / SPECIAL a r
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT t -
USE OF
EXISTING BLDG BLDG SETBACK FROM
IFRONTPROP L"INEOF (ST-REET),
OWNER ANO 'TYPE OF EXISTING SETBACK HIGH WA V- } YARD = TOTAL
HI HWAV WIDTH FROM L L
ADDRESS yF
CITY
SETBACK FROM
ARCHITECT OR TEL SIDEGPROP L NEOP (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK HIGHWAY } YARD rTOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL
J y
CO RACTOR H'r/O N�P'< <0 NO , S'}I/ - + -_ G
ADDRESS 6/. " .� NO / CORNER CUTOFF YES ❑ NO ❑ C
CITY L'hR CLASS. / SEE REVERSE SIDE FOR SPECIAL APPROVALS U.
CONSTRUCTION LENDER
NAME AND BRANCH Orn
ADDRESS
SQ FT 33 NO OF NO OF NEW ❑
SIZE '}' ' STORIES FAMILIES
USE OF ADD
STRUCTURE
N ALTER ❑
REPAIR❑
SIGNATUREO
APPLICANT F ) OEMOL ❑
VALUATION S �0jj'0j2.
APPROVALS 9ATFINBP oR a 61 uRC�
P C PMT ,y,/) FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS /E
FRAME FIRE STOPS
I HEREBY ACXNOWLEDGE THAT I HAVE READ THIS APPLICATION ± BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT ANDAGREE TO COMPLY FURNACE LOCATION -
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING ,CON GAS VENT DUCTS
STRUCTI ON 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 CO MPEN9ATION INSURANCE
//� LATH EXT
SIGNATURE OF GY�/Z/�y HOUSE NUMBER COR- 1
PERMITTEE r n7 I� RECT AND POSTED
ADDRESS 4715 -4� 1�� _M.f»^� FINAL iio �. 6
I JOHN F LEWIS-PRI CIPAL STRYgX.LJRAL ENGINEER
PLAN_CHECK VALIDATION CK M o =ASH PERMIT VALIDATIONL .. CA%
1 D 2.00
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