HomeMy Public PortalAbout10547 BOGUE ST_Building__ 76A638A,CE#803 2-63APPLICATION FOR BUILDING . PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS O_S LJ/=
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAWi BIE, COUNTY ENGINEER NEAREST �q
WILLIAM A. JENSEN, SUPA"' L-
T OF BUILDING CROSS ST. l
DISTRICT NO. GROUP TYPE PROCESSED.BY
FOR APPLICANT TO FILL IN �"o CON ST.
� .
BUILDING - - STATISTICAL CLASSIFICATION SEWER•MA
ADDRESS ' O �ij �/.'" CLASS. NO. 0 DWELL. UNITS /� BK PG
LOT NO. 21 _BLOCK WATER
r�f� �7 .,WATER
NOT REQUIRED ❑ RECEIVED.❑
TRACT Gv60( NO. ,�t V HIGHWAY
STATE MAJOR SECOND, OC
NO:OF BLDGS.
SIZE OF LOT 2 x[ O NOW ON LOT none USEZONE SPECIAL
USE OF - CONDITIONS
EXISTING BLDG. - ,Z7
OWNERBa.ldwin Bldg COntr NO _ BUILDING YARD HWY. STREET NAME EXIST.
SETBACK WIDTH
ADDRESS 041 Baldwin Ave. T'em leCity_ FRONT 9 �
ARCHITECT O TEL. P. L.
ENGINEER u _ OdV'Te l NO. SY 4=685 SIDE:
ADDRESS 4224 Aralia' Rd. Altadena -TEL --cam O
CONTRACTOR B.B.C. NO. O �—
ADDRESS 5041 Baldwin TEmple Cit p � 0
DESCRIPTION OF WORK '`��'� ��`" �-°�'- a
NEW
. FT ADD ALTER OREEPAIR DNMOLISH ' v "�i'�Ra+..•i'.
O OF
SIZE DRIES 2 - FAMILIES 1,
USE OFVU
/ G
STRUCTURE Residence Gar-age
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SIGNATURE.OF
APPLICANT
VALUATION .---ll AX16110
APPROVALS. DATE' I NSPECTOR'SSI G NATURE
�- FOUNDATION: LOCATION ��"lrj `¢
P.C. SO _ PMT. 77 V
FEE $'., �•� FEE $ ��• FORMS, MATERIALS
FRAME: FIRE STOPS.
'THEREBY 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 A
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK f7`p
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-- LATH, INT. / I,•- q
TION OF THE LABOR COPi- OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S�P NSATION INSURANCE
may/ �J/ �✓ LATH, EXT.:
SIGNATURE O �_wG� //1•✓" HOUSE NUMBER COR- 'e
PERMITTEE RECT AND POSTED
ADDRESS FINAL -
vr
JOHN F. LEWIS, PRINCIPAL STRXnURAL'ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION ()K. M.O. CASH
I7 6. 6 6 APR1.423 o 5.5(DA
�i ilitJ 71200•..