HomeMy Public PortalAbout8737 BURGHARDT RD_Building__ T&i5aL /ODIB035-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS _
BUILDING AND SAFETY DIVISION LOCAury
,JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. •�
DISTRIC NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL IN coNBT.
BUILDING
�JSTATISTICAL CLASSIFICATION 5 WER MAP
ADDRESS 8
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CLASS NO. DWELL UNITS BK PG
LOT NO. D BLOCK USE ZONE MAP
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TRACT �^^'��}} �)
ONSPECIAL
SIZE OF LOT JV OU NOWOBLOTS /1lc�Nc CONDI TIONB
USE OF
EXIST,
N�yGG BLDG,A / n 4 p A } BLDG. SETBACK FROM
OWNER V? /YA �• �C? CIIAA / N0 4 �_YOFRONT PROP. LINE OF - (STREET)
/ n TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
ADDRESS / /TL�(/ �IG �-//��- L � HI WAY IDTH FROM C.L.
CITY ��'�/T
T l DG. SETBACK FROM
ARCHITECT O NOL/T/ /'� IA
SIDE PROP. LINE OF (STREET)
ENGINEER (� TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS �J�~/ T p/� �IOS��`��N ,0
HIGHWAY
WIDTH FROM C.L.
CONT RA CTO))R W//L��I��I/I �L/RJJ,,cf}.f,Pbr+ /_T)L//7� + -
ADDRESS p� /TP'/ 3TEN L/
L /P NQ CORNER CUTOFF YES NO V
//� YF L
CITY ���/T/T// LLAS / SEE REVERSE SIDE FOR SPECIAL APPROVALS G
DESCRIPTION OF WORK W
a
E ADD ALTER REPAIR DEMOLISH / //•�
O.FT. I I-O/Y NO. OF NO. OF /�✓� t C� / nn'i'.� Ai..,-.,-.
SIZE J L/ STORIES FAMILIES
.USE C O �/UC C
USESTROF IME /!L 4
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A i9 6 E
SIGNATURE OF
APPLICANT (t
VALUATIONS &4 (J APPROVALS DATE INSPV43AGNATURE
P.C. 2,5'
PMT.A+ O FOUNDATION, LOCATION
FEES,_ ' FEEFORMS, MATERIAL S
ATERIALB ✓�
FRAME, FIRE STOPS, / J
t HER ERY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ��
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE E COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES. I AND STATE LAWS REGULATING GAS VENT. DUCTS
AUTHORIZED
D HEREBYNSTRUCI WILL
CERTIFY THAT IN DOING THE WORN /yI
AUTHORIZED HENEBY WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'$C ENSAjj'' N INSIIRAN Ey //Ay,- ) V F
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
/ �—
ADDREss �— FINAL
JOHN F. LEWIS. PRINCIPAL ST AL ENGINEER
PLAN CHECK VALIDATION (OMO.D. GASH PERMIT VALIDATION CK. M.O GASH _
LAC06 4 2 3� OCT13 2 3 .A 3 .0.25A v
LACo7 0 0 9—� NOV 2 1 A 60.50-
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