HomeMy Public PortalAbout5327 BARELA AVE_Building__ � r
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76A638A CE 48032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTE�ACTr O Gfr TYPE PO§wD BY
FOR APPLICANT TO FILL IN CONST.
BUILID INGSTATISTICAL CL I ICATION SEWER MAP
ADDRESS K
CLASS. NO. ��fJJJ DWELL. UNITS-
7w..
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE: LLLJJJ��\
TRACT MAP HIGHWAY STATE MAJOR SECOND OCAL
NO.OF BLDGS. NO. �// (uRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL,^
USE OF - CONDITIONS
EXISTING BLDG. - /
TEL.
OWNER NO. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS Al ,[ FRONT
ARCHITECT OR TEL. P. L. pL(J
ENGINEER NO. SIDE
P. L. 0
ADDRESS
e TEL * ., U
CONTRACTO O� - r - O
ADDRESS J ' �-s -e-
DESCRIPTION
�'
DESCRIPTION OF WORK f' j a
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF �
SIZE STORIES / FAMILIES
USE OF
STRUCTURE {�
44/24
SIGNATURE OF
APPLICANT
VALUATION $ r
APPROVALS DATE INSPECTOR'S SIGNA7U17E`
FOUNDATION: LOCATION
FEE $ FEE $ /: V' FORMS, MATERIALS P.
FRAME: FIRE STOPS,
I 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 r
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. oe
TION OF THE LABOR CODE- OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURA E.
LATH. EXT. ,_„✓
SIGNATURE OF F HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED 0-0
ADDRESS_ FINAL '
JOHN F. LEWIS, PRINCIPAL STR E
RAL ENGI ER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH
Lim 0 5 8 4 SEP 2 4 1 D 1 8.5 O N