HomeMy Public PortalAbout5532 PERSIMMON AVE_Building_4/14/1972_NEW BATH AND BEDRM 76AV8A%E 9809 1/71
' • APPLICATION FOR BUILDING PERMI
-Q;COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS v
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Cv
FOR APPLICANT TO FILL IN -NEAREST
Print or tvoe only) CROSS ST.
BUILDING DISTRICT NO GR P TYPE PRO E}D
ADDRESS •. u 19 � CONST. : C
LOT NO. BLOCK
STATISTICAL ASSIFICATION SEWER MAP
�
•CLASS NO. DWELL;UNITS BK (SPG 40
TRACT USE ZONE MAP h
NO.OF BLOGS. NO. Q�V
SIZE OF LOT I' 1( .� NOW ON LOT / SPECIAL
USE OF fi) COM.D_ITIONS
EXISTING BLDG, J /
TEL./OWNER 7 / NO.-• BLDG.SETBACK FROM
ADDRESS 1 �� FRONT PROP.LINE OF (STREET)
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TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY �L HIGHWAY WIDT FROM C.L.
3014
ARCHITECT O TEL. }
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL G
CONTRACTOR V W r W NO, HIGHWAY WIDTH FROM C.L. C
ADDRESS LIC.NO. = C
NO.
LIC. F
CITY CLASS CORNER CUTOFF YES ❑ NO 0 y
CONSTRUCTION LENDER n
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO. FT. ANO. OF / NO. OF NEW ❑ ! zi
SIZE � STORIES / FAMILIES _
USE OF ADD
STRUCTURE '�/ ❑ I)ef r
ALTER 44X^ 7/A Cl' !/fA) /.cREPAIR
SIGNATURE F ' �. �' Y DEMOL ❑ ANI SS 1OF G �e� lr l�1t)F ;`V V
APPLICANT ,
VALUATION$ (J VVr APPROVALS TE INSPECTOR'S SIGNATURE
FEES FEE$ J�. p2 rOFORMS,IMATER ALS ON: LOCATION 5-��-72 -
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 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
ILI
WORKMEN'S OF INSURANCE. LATH, EXT. l� Z '
SIGNATURE OF;% / HOUSE NUMBER COR- /1 /
PERMITTEE RECT AND POSTED
ADDRESS J FINAL
-JOHN-P. LEWIS. PR.IN I A/L STR RAL ENGINEER
PLAN CHECK VALIDATION CH. M.o. CASH _ PERMIT VALID TI CK. M.O. CASH
LriCo 5 �'. . APR1 � -D •3 5.2 5N rt -