HomeMy Public PortalAbout9569 BISBY ST_Building__ 76A638A CE X8032-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS Y/
DEPARTMENT OF COUNTY ENGINEER (7
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS S
DIST CT N G P TYPE C S D Y
FOR APPLICANT TO FILL IN S Q coNsr: 14
BUILDINGSTATISTICAL CLA IFICATION SEWER MAP
ADDRESS �� Z BK G
CLASS. NO. DWELL. UNIT�Sj� L./
LOT NO. BLOCK WATER NOT REQUIRED I,7CI RECEIVED ❑
CERTIFICATE: IY i
TRACT MAP HIGHWAY STATE MAJOR SECON OCAL
NO. OF BLDGS. NO. (CIRCLE)
SIZE OF LOT b NOW ON LOT USE ZONE SPECIAL
USE OF ^ / CONDITIONS
pEXISTING BLDG.
TL.
OWNER NEO. OO BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT 1 /
ARCH ITEC OR TEL. P. L.
ENGINEER_ NO. SIDE �.
P. L p
ADDRESS . O I
�• TEL.
CONTRACTOR &1 /Z /� NO. fx
ADDRESS ..r
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DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF �� +� / '•A{'' u`yC f '`�"�/ -
SIZE STORIES FAMILIES '
USE C)'F
STRUCTURE .� t rffe _ ZA
'SIGNATURE
APPLICANT
VALUATION cy
l• APPROVALS DATE INSPECTOR'S SIGtJATURE
3
PM P.C. FOUNDATION: LOCATION
EE $ Q� FEE $ FORMS, MATERIALS
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
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. ?' 'K
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. / `S{
f ,�/ LATH. EXT.
SIGNATURE bf7�.. �'71%Li[�G� HOUSE NUMBER COR- v..,: .,.,� .....
PERMITTEE �1J 1� RECT AND POSTED
ADDRESS FINALj.+t..
JOHN F. LEWIS. PRI NCIPAL STR J URAL ENGINEER
PLAN CHECK VALIDATION (o M.o. CASH _ PERMIT VALIDATION CK. M.G. CASH
Ll 4 1 0 9 SEP 2 3 2 3 D 18.004
u,moo 4 5 1 2 OCT j D J 6.L 3 .,