HomeMy Public PortalAbout9926 MILOANN ST_Building_5/26/1969_CONVERT GARAGE TO FAMILY RM 78A638A'CE*803 9-88 -� �L�z
APPLICATION F
OR BUILDING P1
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COUNTY OF LOS ANGELES ADDRESS CSG >
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCAMITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. `
FOR APPLICANT TO FILL IN DISTRICT GROUP TYPE � PROCESSED BY
(Print or type only) �� -� CONST, -(/
BUILDING G {STATISTICAL C SSIFICATION SEWER MAP
ADDRESS _ E.�✓ J!G^ ! CLASS NO. DWELL•UNITS BK PG
LOT NO. BLOCK ' / USE ZONEj MAP
r 1/J NO.'
TRACT Or /1�. ,/ SPECIAL
NO.OF BLDGS. 'l CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG, S IBLDG,SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER
/� /•/�' /jZ�(>Sa�lf NO. 'TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS j��(„ ��/ Jy2/G)�7.-/ HIGHWAY WIDTH FROM C.L.
n +
CITY , 1. +
BLDARCHITECT OR TEL. SIDE GPROP.LINE OF.SETBACK M (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR NO. + c
ADDRESS LIC. cNO• CORNER CUTOFF YES ❑ NO ❑ i
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF /r._—ADD
fin—
ST UCTURE - � ,
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
VALUATION S ��}
��-� APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE,$ FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THEWORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S C M SATION IN URANC E. , -
LATH, EXT.
SIGNATURE <<� USE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS ` �--� FINAL
JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ ; PERMIT VALIDATION CK M.O. CASH
( „ 0 1 f'5:- 1-I-w26 Ll D 1 7.25
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