HomeMy Public PortalAbout4918 ARDEN DR_Building_5/28/1968_DEMOLISH SINGLE FAM 76A638A CE#803 9-67APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING r '
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4 ,7/) G
BUILDING AND SAFETY DIVISION LOCALITY 0
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FEXISTING
OR APPLICANT.TO FILL IN DISTRICT O. GROUP PE P ESSED BY
(Print or type only) f0� �. CONST.
G STATISTICAL CLASSIFICATION SEWER MAP
S / v CLASS NO._�__DWELL,UNITSBK PG
. BLOCKAr USE ZONE NO. 20 16)
V
/ ~( CONDSPECIAL
IT ONS
NO.OF BLDGS.
LOT O NOW ON LOT
G BLDG. BLDG.SETBACK FROM
TE .FRONT PROP.LINE OF (STREET)NO OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
DHIGHWAY WIDTH FROM C.L.
S }ACTO TEL. BLDG.SETBACK FROM
SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK - HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTORNO. O
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ =
IC
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK �
z_
NEW ADD ALTER REPAIR EMOLISH
SQ. FT. NO. OF NO.
SIZE I, S TOR IES FAMILIES
USE OF
STRUCTUR
SIGNATURE OF
APPLICANT
VALUATION $ /j
-v APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ 6�- FORMS, MATERIALS
'FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH, INT.
ING TO WORKMEN'S C MPENSATION INSURA ICE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE` - RECT AND POSTED
i
ADDRESS a FINAL (y
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN R
„. PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
LFl;O4 5 .11 MAY28 -1 D 6.00,