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HomeMy Public PortalAbout10424 DAINES DR_Building__ �S 76A638A CE"O, ,,�d_ -APPLICATION• FOR BUILDING P R T ' COUNTY OF LOS ANGELES BUILDING O DEPATMENiT OF COUNTY ENGINEER ADDRESS 7 BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W JENKINSSUP T OF BUILDING CROSS ST DIST CT NO GR YPEo P S BY FOR APPLICANT TO FILL IN r r CONST BUILDING STATISTICAL C SIFICATION' -SEWYPG AP t ADDRESS DWI DE�j CLASS NO DWELL UNITS BK / LOT NO 3 �J �� USE ZONE MAP NO TRACT IN , D SPECIAL , D L� J NO OF BLDGS a CONDITIONS SIZE OF LOT j� NOW ON LOT •L-�/ ' USE OF NG 15LQQMfr+ BLDG SETBACK FROM OWNER � / I Z NOL/.. �(��y FRONT PROP LINE OF - (STREET) TYPE OF EXISTINGI SETBACK HIGHWAY +, YARD - TOTAL ADDRESS TMJ C/�� /I7 /Y HIGH Y 'FROM C L CITY r ea Ci !� n C L5 + �� ARCHITECT OR TEL BLDG SETBACK FROM. ENGINEER NO SIDE PROP LINE OP (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL >_ ADDRESS HIGHWAY WIDTH FROM C L CL TEL - .' _ + = O CONTRACTOR NO LIC ADDRESS NO CORNER CUTOFF YES NO O H Y LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS W- DESCRIPTION OF WORK 7-0 NEW 40 ALTER REPAIR DEMOLISH {^� SQ.F T " /� NO OF NO OF 1 SIZE J STORIES FAMILIES USE OFA I,t''�� STRUCTURE X4X S I G N A T E O F APPLICANT / VALUATION$ FOUNDATION,f-�MIIIIIIIIIIIIII APPROVALS qq DATE/ INSPECTOR'SSIGGN`A�TURE J FEE$ FEE$ 15 1 FORMS MATERIALS /1 FRAME, FIRE STOPS, r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT* l I� `7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 9UILDING 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 CAL ORNIA RELAT INC TO WORKMEN S OMPENSATI N INSURAN LATH EXT C J�j SIGNATU HOUSE NUMBER COR- / li PERMITTEE REC AND POSTED ADDRESS FI N A L 7777-617 JOHN F LEWIS PRINCIPAL STRUCTURAL ENGI R PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CASH 2 9 1 D 15.0( - r 76A638A CE#803 B-84 APPLICATION FOR BUIL ID N; ERMIT _ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS O BUILDING AND SAFETY DIVISION -LOCALITY'• JOHN A LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W JENKINSAUP T OF BUILDING CROSS ST I I DIST GCT NO-� 'GRO�I P T PE PROCES D�BY t FOR APPLICANT TO FILL IN 6 7-- ONST, ' B ILDING /�' Q ,STATISTICAL I�SSIFICATION' SEWER MAP A RRESS D g 44A s D� ` c S Dr;� CLASS NO -DWELL UNITS BK t PG LOT NO"-'� 3 Bk.00L, USE ZONE NOP !r• TRACT fl, 6D J SPECICONDITIONS " SIZE OF LOT /1J�/10 '�3 / NOWOONBLOTS USE OF - - I BLDG SETBACK FROM + TEL h FRONT PROP LINE OF I _ _I (STREET) OWNER /� C, ,,y.LTN ✓ TYPE OF EXISTING SETBACK HIGHWAY YARD - TOTAL ADDRESS �� ` d / / �r �J/P+ HIGHWAY -WIDTH F(�M4 nCy L + z- CITY e a lr i �J, JV I ABLDG_s BACK FROM ARCHITECT OR TEL - ENGINEER NO- SIDE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK -HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L a TEL + = 1 0 CONTRACTOR NO V LIC CORNER CUTOFF YES ❑ NO O ADDRESS NO CITY CLASS LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS �u DESCRIPTION OF WORK A a NEW ADD AL AER REPAIR DEMOLISH SQ.FT NO OF NO OF 1` F ) �!F 4L` ro-A-ArTj k-*�„J SIZE STORIES FAMILIES - (02USE OF STRUCTURE- W�-I/VL�fiL�(.!`,^�� C`'�'� Poo 4�u .,�- JLoa►•- !0 T6 J--d 1-A Ta 41 4U Y�/ y SIGNATURE OF ^I /I /" �707� p- 2�- � 7 KOLh +' �KQ APPLICANT y �( ,_j VALUATION$ e.9-6 APPROVALS DATE INSPECTOR'S SIGNATURE PCP C PMT 6'-J FOUNDATION, LOCATION FEE$ �' FORMS, MATERIALS FRAME, FIRE STOPS, 5--1 o-` j (J r q (/��� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT �o 1�/�/UL�fF AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ( l WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS v 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK // AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT zU/ Cfe�., V"—,- TION OF THE LABOR ODE OF THE STATE ��ALIF NIA RELAT- ING TO WORKMEN S MPENSATIO INS RALATH EXT SIGNATURE F HOUSE NUMBER COR- PE,RMITTE RE T AND POSTED ADDRESS Fl NAL �6 (Q PLAN CHECK VALIDATION cK M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGI R PERMIT VALIDATION CK MO CASH L1�01 2 0 2 MAY 4 1 D 4.0 0 76A638A CE 803 2-63 APPLICATION -FOR 'BU ILDI NG'-PERMIT COUNTY OF LOS ANGELES BUILDING 1 DEPARTMENT OF COUNTY ENGINEER ,-,"' ADDRESS A BUILDING AND SAFETY DIVISION- ' LOCALITY ,' JOHN A .LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF,BUILDING - CROSS ST _ DIq1,RICT NO, GROUPYPE PR OC ED Y FOR APPLICANT TO FILL' N �•{ CONST , BUILDING ' ^ - . + STATISTICAL CLA�S/gIFICATION V SEWER MAP ADDRESS (/` I hes '��(UCi. t./ Al" vies CLASS NO sZ DWELL' UNITS , LOT Nom--, '�- ! otic= WATER__ ,_ :�'.�"` — •-' • CERTIFICATE NOT REQUIRED ` REC TRACT- — �. MAP HIGHWAY u' NO OF BLDGS NO (CIRCLE) STATE MAJOR SE N OCAL _ SIZE OF LOT �3 S !' NOW ON LOT z USE ZONE SPECIAL USE-OF 1 - y 1''CONDITIONS _+� 'd` •� EXISTING BLDG ' e$�' p•2iACce- -OWNER ��• _-0.�vn 0, NOG 73547 BUILDING I c EXIST _ YAR WY. E STREA ' SETBACK WIDTH Qi h� it, � _ FRONT ADDRESS + o 41, 1 / ARCHITECTOR TEL q�// c�/ I L ,ENGINEER �// /h' NO `I'�7� ,SIDE v ADDRESS d LE IC. �IU[J- iQq [ O -- -' TEL "' `- '1 VAk. _- CONTRACTOR • NO` ADDRESS - O DESCRIPTION OF WORK NEW DO ALTER REPAIR DEMOLISH Z_ SQ FT // NO OF NO OF _ SIZE 7 a _STORIES FAMILI S_ ' USE OF ��//�� " + ,,( a STRjUCTURE Vr-PJJS I-`DQ �. a;r APPLICANT VALUATION $ —0 .y. APPROVALS DATE INSPECTOR 5 SIGNATURE AP C, S 0 - PMT FOUNDATION LOCATION _ FEE $' e - ' FEE $ ,? + FORMS MATERIALS ' • 7 _ I HEREBY ACKNOWLEDGFRAME FIRE STOPS 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 'C ONSTRUCTfON I'CERTIFY THAT +(N DOING THE WORK- F AUTHORIZED HEREBY I WILL"'NOT EMPLOY ANY PERSON IN VIOLA LATH INT'- ` TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- _ r ING TO WORKMEN S CO MPENSATI ON)NSU RANCE -LATH EXT- ­ 7 XT- -7 SIGNATURE OF , - t ^ � HOUSE NUMBER COR- ` ` PERMITTEE 'I' -'RECT AND POSTED ADDRESS - - FINAL• ' t -W JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER ' -PLAN CHECK VALIDATION CK Mo CASH _ t PERMIT VALIDATION CK M O CASH LALO75 9;1 9� SEPt17 2 3 D 1-4-501 -` DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR�RMIT COUNTY OF LOS ANGELES - =®_�_8�® ' 4. J. FOX, CHIEF ENGINEER ® V �, N FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ IDISTRICT NO. PLAN CK.NO. PE/RRMMIT/�^JN�O. ADD ESS aC/ • /(Ko / Lrl LOCALITY �/Q RECEIVEDBY-- - DATE OF APP(rL.�j DATE ISSUED CNEARE ROSS ST T. �r�•�- •�— �—�/� BUILDING / WNER A�� ADDRESS �(/� ,�/- - OMAIL ADDREHAGO 10 ply �� LOCALITY B -- �— - —NEARET_.^�^'^ ~TEL15,fW-/ D CROSS ST. CITY NO. FIRE NO OF / `TYPE 'DROrP O ARCHITECT \TEL. i ZONE PLAN9� _� ENGINEER NO. ' \ BLDG. / J''` //ORD.NO ADDRESS - SETBACK"L`INE /'��, _ �cor• ~ APPROVED, TEL. ' r CONTRACTOR NO. - -BY - DATE USE _ APPROVED ADDRESS - ZONE BY DATE _ LEGALK CORRECTIONS DESCRIPTION LOT NO. V BLOCK }T,RACT - 5 ;2 .. -D' - - - - - - - - All r 1 NO.OF SLOGS. �1 'SIZE OF,.LOT 3' V I NOW ON LOT LJBE OF NO.OF /I NO. F 5 EXIBTINGBLDDs?yL�aP-� I FAMILIES 1 I OROOMS - DESCRIPTION OF WORD NEW - /�CL'�'ERATION ADDITION - O ;a„y REPAIR -MOVING DEMOLISH Sq FT. ND.OF Z” SIZE 3 ROOMS STORIES D WALL' p 1 ,ti - ROOF r COVERING I' COVERING 1 USE OF NEW BUILDING ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPR AL9 ' APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION IN E OR ATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS s � s� _ AND STATE LAWS REGULATING BUILDING CONSTRUCTION 'TY f FRAME: FIRE STOPS, ' SIGNATURE OF BRACING,BOLTS PERMITTEE /� LATH, INT.: - -, AUTHORIZED ABT LATH,EXT.: LIM VSS,3 50M SETS 7-47 $ P C. ; PLASTER, INT. ©' F ® O EE PLASTER,EXT. - "t VALUATION L7 FEE c A O FINAL DSS-3 25M BETS B-45 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES Ell U ® L t u WM. J. FDX, CHIEF ENGINEER W FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ' BUILDING 2 (�1 n DISTRICT NO. PLAN CK. NO. PERMIT NO. ADDRESS � /2 / 2 / — LOCALITY 7(m�} � �f (REEC/G(If'VED SY DATE OFF APPL./ DATE ISSUED NEAREST Yl V '�'/ F� "" (�to 2,- / W - 46 CROSS ST. � TTT ✓ BUILDING OWNER'/7,/P»n 4 S QA %A1 -ADDRESS ADDRESS f� / N�Q /7 MAIL LOCALITY t! Y NEAREST - clrY ,Pf] SGt �l Pyl�l C� rTi'. 51/l 7�n ft caass ST. R FIRE .OF f T1rPE GROUP ARCHITECT OR TEL. ZONE ��I PLANS I .� ENGINEER NO. .........iii���� `X111!!! _ BLDG. - CORD. NO. ADDRESS t SETBACK LINETEL -- APPROVED � - _ - N o. BY DATE CONTRACTOR � �� NO. USEAPPROVED - ADDRESS ZONE.-� BY DATE � DES LEGAL IPTION LOT NO. BLOCK �!!! CORRECTIONS BLOCK1 ^fin ,{( (/c� �✓/ TRACT � �- — A O - - I' ilRllq'A,b AV(iNIAI� ,1 � J NO OF SLOG SIZE OF LOTS NOW ON LOTS USE OF I NO.OF I NO. OF _ I EXISTING BLDG, FAMILIES— ROOMS I ji L DESCRIPTION OF WORK jf NEW I ALTERATION I ADDITION - D m REPAIR MOVING I DEMOLISH p NO.OF size �J� �b ROOMS STORIES D r WALL ( ROOF COVERING - y.�� i-COVERING USE OF NEW BUILDING APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR DATE MATERIALS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,AND STATE LA:TZ14.) ATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, - SIGNATURE OF y BRACING, BOLTS OWNER LATH, INT.: AUTHORIZED AGT LATH, EXT.: . - $ PLASTER, INT. P. C.5 e' FEE ��"'_"'"' PLASTER, EXT. VALUATION y ` 'FEE ° j, FINAL WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self ms APPLICATION F O R �B U I L�D I N G PERMIT ' su�: or a certificate of Workers' Compensation Compensation Insurante,' j. or a certify d copy thereof (Sec 3800, Lab C ) ' N COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING Pol Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS a ❑ Certified copy is filed with the county building inspec- BUILDING tion department ADDRESS LOCALITY NEAREST �- Date Applicant CITY ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' / NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT V S� NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one TRACT BLOCK LOT NO USE ZONE MOP 1� Q hundred dollars($100)or less ) Cyt TEL _ SPECIAL I certify that in the performance of.the work for which this OWNS NO UUU CONDITIONS d' permit is issued, I shall not employ any person in any manner �, JJ�� n DISTRICT GROUP J�� FIRE PROCESSED BY O so as to become subject to the r ers'Compensation Laws ADDRESS/Q (-� dJ 11Q. � �� n� ZONE U Im Date �v Applic CITYT(4" ( ZIP - STATISTICAL CLASSIFICATION APT CONDO v NOTICE TO APPLICANT If, afte making this Cerfi icate of ARCHITECT TELI CL Exemption, you should b e subject to thLU e 'Workers' ENGINEER NO CLASS NO DWELL UNITS _ Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be EL \ _ deemed revoked CONTRACTOR M NO� 'JG/ BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC< I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect CIT ,IV ���� CLASS $ �O V M1 ^, SQ"FT-' NO OF NO OF CHECK License Number "I Lic Class-k)`' SIZE STORIES FAMILIES ONE Pik H�T1 DIS $ ConiractorO�w mgjfc�L►VlJ Date DESCRIPTION OF WORK _ �y� NEW ❑ ❑ I am exempt under Sec ADD _% ALTER [_] FINAL , B&P C for this reason ❑ DATE (��� REPAIR Date i USE OF FINAL n_ EXISTING BLDG DEMOL ❑ BY f7` Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor's License poll. f Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) El BU ; I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code) MOVING TEL ❑ j, as owner of the property, am exclusively contracting CONTRACTOR_ NO with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) :93 1 1L2 A REQUIRED TOTAL SETBACK FROM dEX CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LIN #,-.0 0 0 0 1 j hereby affirm that there is a construction lending agency for FRONT s pill. - the performance of the work for which this emit is issued P L (Sec 3097, Gv C ) SIDE m PL o Lender's Name ' Lender's Address P C Fee$ Permit Fee I certify that I have read this application and'state that theIssuance Fee above information is correct I agree to comply with all County Investigation Fee p ordinances and State laws relating to building construction, Total Fee 7 d / >j and hereby authorize representatives of this County to enter o t above-ment oned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ofApplicant or Agent Date ®s n' x APPLICATION FOR BUILDING PERMIT It COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS -2 .�� « .�.�'• I hereby affirm that I have a certificate of consent to self Insure, u DI G D Ess or a certificate of Workers'Compensation Insurance or a certified CIS zIP copy ther f 8 QN1r t LOCALITY 7 POIICy No Company _ SIZE OF LOIJ NO OF BLDGS NOW ON LOT Certified copy is hereby fuktGounty � NEAREST CRO ST _ TRACT BLOCK LOT NO LL K/C LL ❑ Certified copy IS filed Wbull I Spection USEZONE MAPNO :ZZd a t ,�/ASSE55OOR-MAAP/BOOK PAGE �jPARCEL A /�1.Date�Appllcant O 1$ 1 v �oC d ©� / � / SPECIAL CONDITIONS CERTIFICATE OF EXEFROM WORKER ' OWNER TE N c COMPENSATION INSURANCE WITHIN 1000 FT OF SCHOOL? YE No A DR (This section need not be completed If the permit Is for one hundredIU DISTRICT GROUP TYPE CONST' FIRE ZONE PROCESSED BY dollars($100)or less) ITYZIP I certify that in the performance of the work for which this permit Icy Y Is Issued, I shall not employ any person in any manner so as to A CHITECIF @RZUCi&EW TEL NO become subject to the Workers'Compensation LawsSTATISTICAL_CLASSIFICATIONAPT CONDO Date Applicant ADDRESS CLASS NO 21 DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of NTFIA R REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' 1 SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT - comply with such provisions or this permit shall be deemed revokedA D P L SIDE >' LICENSED CONTRACTORS DECLARATION ITY LIC c P L o I hereby affirm that I am licensed under provisions of Chapter 9 Q' SEWER MAP S FT I NO OF STORE NO OF FAMILIES a CD (commencm with Sectn 7000)of Division 3 of the Business and Professions S'O Is In full force a ffect NEW ❑ BK PG D C I ION O RK = V License Llc Class ADD VALUATION !/ _�t„a 2 Contract ate �- ALTER ❑ � aFV� 1 i 1`N z REPAIR ❑ ,_!Tk_ '7- 45 ® 7 ❑ jam axe pt under Sec � C B&PC for this reason DEMOL 11LDMAP/C N CL `}a.'f Date OF IaXIST BLDG URM ❑ c'jfi,bli;_ Signature AP ICANA / LOMA Perm q El I, as owner of the property, or my employees with wages as �a 1 Z ,a e their sole compensation,will do the work and the structure Is DD 1:Cie,E—i. 1+I, 1 i -11?�I not Intended or offered for sale (Section 7044, Business and coFINAL DATE Ci 9 ,�,��o€ Professions Code) 3 V q I WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A DOLS MATERIAL , .Q ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y 9 THE AMOUNTS LPIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B > licensed contractors to construct the project (Section 7044, YES❑ NO' PJ Business and Professions Code) / WILL THE INT DED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST I FOR GUIDELIN S I hereby affirm that there Is a construction lending agency for YES❑ No the performance of the work for which this permit Is Issued(Sec I HA READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD 3097,CIV C) PERMI ING CHECKLIST I U ST D MY REQUIREMENTS UNDER THE LOS ANGELES Lenders Name COU CODE.TITlE2 CH E SECTI NS220100 THROUGH22014000NCERNING kRYOMwTERIALS R R G N F A{�11NG A PERMIT FROM THE SCAOMD IL Lender's Address o I certify that I have read this application and state that the above PC FEE PERMIT FEE Information Is correct I agree to comply with all county a,3.,Z �9 ordlna ces and State laws relating to building construction,and hereb authorize ntatives of this County to enter upon ISSUANCE FEE J t a e merit.. ed rty for Inspection purposes / 1 If INVESTIGATION FEE TOTAL FEE «AyeM Dm SEE REVERSE FOR EXPLANATORY LANGUAGE