HomeMy Public PortalAbout5936 BARTLETT AVE_Building__ 7GAa3eACX#0031-011 APPLICATION FOR BUILDING PERM T -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDREs
BUILDING LAND SAFETY_DIVISION LOCALITY
. JOHN A. LAMBIE,.COUNTY ENGINEER NEAREST
WILLIAM A.JENSKN, SUPT OF BUILDING CROSS ST.
DIST ICT NO. GR TYPE
FOR APPLICANT TO FILL IN CONST.jZ
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS. NO. DWELL UNITS BK
LOT NO. BLOCK WATER NOT REQUIREDRECEIVED
_ CERTIFICATE: 1:1
TRAG�'T ` MAP 2 dD HIGHWAY ILSTATE MAJOR SECOND, OCA
• NO.OF BLD6.8. NO.
SIZE.OF LOT Q�� ,� i - NOW ON LOT USE ZONE SPECIAL USE OF CONDITIO
EXISTING BLDG. Y
TEL. r
OWNER S Fi NO. BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
ApDRE88 FRONT / - /
ARCHITECT OR TEL P. L
ENGINEER NO. SIDE
P. L.
ADDRESS
CO NTRAG'fOR VA. LA NO.
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ADDRESSJ O
DESCRIPTION OF WORK
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EW ADD ALTER REPAIR DEMOLISH
.FT. NO. OF NO. OF
SIZE STORIES FrAMIL1ES
USE OF
STRUCTURE
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mIGNATURE F _ "�
APPLI i
VALUATION
APPROVALS DATE INrrtcTOR•S•IGNwrURN
P.C. O'1� p FOUNDATION: LOCATION _
FEE FEE $ o o-�O FORMS MATERIALS
FRAME: FIRE STOPS,
I HWmY ACKNOWI.MDO6 THAT 1 HAVIr R[AD THI/ APFLICATIOH BRACIN BO T
AND 1TAtK THAT TH[ A60Y6 If cORRECT AND AGRKK TO COMPLY FURNACE, LOCATION, 41
WITH ALL COUNTY ORDIIIANCFJ AND OTATI1 LAWS. REOULATINO GAS VENT, DUCTS
EDIUILNG CONSTRUCTION: ICEPM Y THAT IN DOINO THK WDRK r
AUT�iORaFD H[RISY I WILL NOT XMPLOY'ANY PERSON IN VIOLA- LATH. INT.
TION OF,THE LADOR CO-DR OF TH[ JrrATK OF CALIFQRNIA RKLAT.
ING TO WORKM[N*S COMFiNIATION INSURANCE LATH, EXT.
SIGNATURE OF< HOSE NUMBER COR-
PERM IT-1711t � - Rt[CT AND POSTED
ADDRESS"O P2 Ir -1 Du/aFt -+iceys FINAL
JOHN- F. LEWIS. PRINCIPAL ST R RAL ENGINEER
PLAN CE= VALIDATIONcK. M O. CASH _ PERMIT VALIDATION cK M.O. CASH
6`6.4 '1 Flti1QV 72 3 A 25.00
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LACO � � 4:' NOV 21 s n 5 .0:0 0
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