HomeMy Public PortalAbout5819 CLOVERLY AVE_Building__ 7 7" C Ty
838A
7 A CE#803 8 63APPLICATION FOR BUILDING PERMIT
8
COUNTY OF LOS ANGELES BUILDING — Q / V�A
DEPARTMENT OF COUNTY ENGINEER ADDRESS (7 / (r K
BUILDING AND SAFETY DIVISION LOCALITY G T
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST rG -4J O IY S s
DISTRICT NO GROUP TYPE PR CES D BY
F. ,�j_q
R APPLICANT TO FILL IN ;`� CONST
I /� ` 9 L c STATISTICAL CLASSIFICATION S ER MAP
(�_,Lo L_ lC �r CLASS NO DWELL UNITSLBK EGYT �-O BLOCK CERTIFICATE ^WATER NOT REQUIRED I!/f RECEIVED6((D NOP Q / ({CRCIEISTATE MAJOR SECOND LOCAL/w � ` % NOW ON LOTLDGSUSE ZONE SPECIAL
„ ^�� CONDITIONS
DG (_,/"j �.��
�j� T r1
OWNERR,4i / S NOEssZ'/o�Ti BUILDING EXIST
I- ` SETBACK YARD HWY STREET NAME ` WIDTH
ADDRESS 3 /O W FRONT "LO
ARCHITECT OR TEL P L C LoVI�,R Ly ��
ENGINEER NO SIDE
P L
ADDRESS d
TEL Q
CONTRACTOR NO ^^> V
ADDRESS x-1-1 E (.,(. J.0 —.L C cob Y °C
O
DESCRIPTION OF WORK u
W
a
NEW ADD ��Add LTER REPAIR 5L
Z
SO FNO OF 7r�
SIZE T � TU STORIES FAMILIES
USE OF
Y STRUCTURE l�G rI
SIGNATURE OF
APPLICANT yam/,
VALUATION $ U U t ` V APPROVALS DATE INSPECTOR S SIGNATURE
PC FOUNDATION LOCATION
FEE FEPMT a
OV FORMS MATERIALS
FE $ E $
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
WITH ALL 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 CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S C MPENSATIO URANCE LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTEE / RECT AND POSTED
ADDRESS t- / FINAL
JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M O CASH
Ll 1wo u_ 1 9� AtjG 2 2 1' D 6.00-