HomeMy Public PortalAbout6126 BURTON AVE_Building__ I -
TrAurA cr♦Crr,z/ru APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES. ' Bu1LD rvc
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSSST.
0 DISTRICT NO. I GROUPPRO ESSE BY
FOR APPLICANT TO FILL IN TYPE
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BUILDING I STATISTICAL CLASSIFICATION
UNITS�I. SEB APPS
ADDRESS
CLASS. NO.LL
L
' LOT NO. BLOCK NUMAP MBER: 0 STATE
HWS, YES NO -
TRACT USE ZONE SPECIAL - •
QNO.OF BLDGSCONDITIONS
SIZE OF LOT O k_5/ I NOW ON LOT � �(`el•'
USE OF
EXISTING 8,LD,,-G. I WT
•-� c, Qs BUILDI G YARD fjjpt� STREET NAME EXIST.DTH
OWNER --u r l TEL. SETBACK
/ 'T1�� I ' NO. FRONT q ^, 4 „{ � L h /.
ADDRESS (� /I D IL At u E�'V �'° SIDE "{r�
ARCHITECT OR .'TEL. I' L
ENGINEER NO. INSPECTION RECORD
f. 1
ADDRESS TEL.
CONTRACTOR NO. 'W ✓ a
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ADDRESS i/ V
DESCRIPTION OF WORK U0
W
NEW ADD .ALTER REPAIR DEMOLISH%
SO.FT. o, NO.OF F
SIZE T LTJ STORIES FAMILIES y
USEOF
C
STRUCTURE
SIGNATURE OF
APPLICANT - -
VALUATION 5
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $� I FEE 5 FORMS. MATERIALS
FRAME FIRE STOPS, -
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE 15 CORRECT AND FURNACE: LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT, DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL NOT EMPLOY ANYAERSON IN VIOLATIONAOF THE
WORKMEN'S COMP OVWF CALIF IA. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PER----- _ /1_ RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E INEE
PLAN CHECK VALIDATION CK. M.O. GASB PERMIT VALIDATION cK M:o. cAax,'