HomeMy Public PortalAbout6144 BURTON AVE_Building__ 75A6 SEA CE#8038-63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRI T NO. GR-SJp CYlLONST. P OCES B
FOR APPLICANT TO FILL IN igv
-
BUILDING / STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 4 IC
/(/. v / r8R PG17
CLASS. NO. DWELL. UNIT�SJI
LOT NO. W, SQ f U OT /� BLOCK WATER NOT REQUIRED � RECEIVED ❑
CERTIFICATE: LL''JJ-
TRACT `�' 90.3 MAP' HIGHwAv
NO, OF BLDGS. NO. �-O D (CIRCLE) STATE.MAJOR SECOND. OCAL
SIZE OF LOT NOW ON LOT USE ZONE PECIAL
USE OF �- ✓r CONDITIONS
EXISTING BLDG. Sl1�C _
OWNERS ..f Q(/[ $rC(k/Pr91�iXJ0 1ZIFYP BUILDING EXIST.
EL
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT ' I
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. A
ADDRESS t
�'
TEL. 6
CONTRACTOR NO. 9 u
ADDRESS / f( O
DESCRIPTION OF WORK
d o
NEW ADD ALTER REPAIR EMOLI 1 ! �(/' Z
SQ. FT. ,/ NO. OF . OF I f
SIZE OO/r STORIES j FAMILIES V
USE OF
STRUCTURE /c�ci•+�-c R/
SIGNATURE OF15,
APPLICANT
VALUATION $ --�
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE 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.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN S PNSATION INSURANCE.
eT LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE� � RECT AND POSTED
ADDRESS ,61?/_ 115F FINAL Q
JOHN F. LEWIS. PRINCIPAL STRUrTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
LACO 1 1 7 7 JUL 10 1 A 4.00-
Q