HomeMy Public PortalAbout6238 BURTON AVE_Building__ � I
\AOGL.E A."S-sD APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDI s Z 3 —21 '� ,— Z'
DEPARTMENNT OF COUNTY ENGINEER ADDRESA /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRO TYPE 1/ P BY
FOR APPLICANT TO FILL IN �' I I CONST. Y
BUILDING �'7 y STATISTICAL CLAS S CLASSIFICATION / ER MAP
ADDRESS `�� •y�I+L 1G� ��• CLASS. NO.��7 D/'W EL UNITS—LI K� /
LOT NO'.N' 4pTS `
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r . BLOCK 'MAP
V (/ HWYE ES O
TRACT S ` O USEZONE
SPECIALy1
'( NO. OF BLDGS CONDITIONS
SIZE OF LOT WT I • !
4•� 7••i KNOW ON LOT rEltie
USE OF
EXISTING BLDG. - BUILDING EXIST.
YARD HWY STREEL ME.
OWNER ':F ,S (j -r
_CIM- /, SETBACK ♦♦ 'Sr
(/ f1 N IN L.P Iv IV 3• FRONT k J
ADDRESS 4 e 4Q \'\v�+�\t•I :� Cc)g:.
ARCHITECTC - SPI E
ENGINEER6Rrrs ().Co &iiIl3NO. - .L
2y ��� 0000' I INSPECTION RECORD r
ADDRESS C Q- �"at 0 S
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CONTRACTOR ' CS` P - pk'T��•�IF'{.I� N0LG Iii-t 3. V
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ADDRESS Q
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DESCRIPTION OF WORK
W '
S
NEW)( ADD ALTER REPAIR DEMOLISH_ _ - v7
SO.FT. Q U NO.OF NO.OF ?
SIZE STORIES FAMILIES -
`USE OF
STRUCTURE �I P'rti,' P'rn c u.
SIGNATURE OF
APPLICANT
VALUATION 13 0-, I /7
�]} APPROVALS DATE 'INSPECTOR'S SIGNATURE
PMT.
FEE $ •� V I FOUNDATION: LOCATION
FEE $ FORMS. MATERIALS
FRAME: FIRE STOPS.
IIT EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S PENSATION LAA CALIFORNIA.
LATH, EXT.
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SIGNATURE OF / 'HOUSE NUMBER COR-
PERMITTE J�1\ RECT AND POSTED
ADDRESS Z1 ` I �~ FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK-VALIDATION cK: m.o. CASH PERMIT VALIDATION . CK. M.O. c SH
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