HomeMy Public PortalAbout9039 RANCHO REAL RD_Building_11/10/1971_patio cover 75AMBA CE 4803 1/71 le. v
APPLICATION FOR BUILDIN PERMKI
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING ry
ADDRESS / eA
COLEMAN W. JENKINS, SUPT of BUILDING LOCALITY _ C
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST.
DISTRICT NO. G P TYPE PR 9z;
ADDRESS � /�
BUILDING / tl C �
� I b, ' CONST. /
STA TICASIFICATION SEWER MAP
LOT NO. BLOCK
CLASS NO, DWELL,UNITS PG
TRACT42 USE 7,PNE MAP �7 �)
NO.OF BLDGS. NO. , (J
SIZE OF LOT NOW ON LOT e( SPECIAL
USE OF • CONDITIONS
EXISTING BLDG. l,d,P e_gc-
TE .
OWNER J, �' �/� NOL
FRONT PROP.�� yy
K FROM
ADDRESS �(/3 AA NCLA, LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITYa le-e HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. + _
ENGINEER
.}d NO. BLDG.SETBACK
ADDRESS ,6 6 !& p
a4 ',d d yin x 1 SIDE PROP.LINE OF (STREET)
TYPFOFEXISTINGI SETBACK HIGH W + YARD = TOTAL d
CONTRACTOR l7Or/4/� // .IL Lt HIGHWAY WIDTH 1FROMC.L. C
b C
ADDRESS ,e5/7 G. YL Qi:U NO. juao + = C
LIC. ��ss 1'
CITY JY CLASS Ci GI CORNER CUTOFF YES ❑ NO LL
CONSTRUCTION LENDER EL
NAME AND BRANCH tR
EVERSE SIDE FOR SPECIAL AWROYALS ALS
ADDRESS
SQ. FT;VA 1 STORIES FAMILIES NE7/SIZE , I USE OFr7STRCTURE 3'x / , �f�/J co E= ADALRESIGNATURE OFAPPLICANT DEVALUATIONS Jv SESSION PPROVALS DATE INSPECTOR'S SIGNATURE
PC. PMT. TION: LOCATION
FEE 0 FEE S � S, MATERIALS
FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COCE: 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 T
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT,
SIGNATURE O d� HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS lefdF �7 FINAL y�
JOHN F. LEWIS. PRI CIPAL STR T f AL ENGINEER
PLAN CHECK VALIDATION C .o CASH _ PERMIT VALIDATION CK. CASH
L,iU0 7' 2 1 1 a OV 10 2 3 D 5.4 0 N Q
uAuo � 2 1 2-P-3 NOV 10 1 D 9.0 0�'