HomeMy Public PortalAbout5124 DALEVIEW AVE_Building__ 76A638A CE#8038-64 APPLICATION FOR BUILDIN6 PERMIT LI
COUNTY OF LOS ANGELES BUILDING 1 2 LF VSE N'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY _TrVApLQ CIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JE NKINSSUP'T.OF BUILDING CROSS ST.
DISTR CT NO. G OUP TYPE P SSED BY
FOR APPLICANT TO FILL IN } CONST. �c CiX l_
BUILDING STATISTICAL
CLASSIFICATION SEWIER MAP
ADDRESS 1517-4 L CLASS NO. I ..DWELL UNITS `- 'BK 'PG
LOT NO.` BLOCK USE ZONE MAP
NO.
TRACTr�eedLL h-\07_Q SPECIAL
NO. Ol BLOGS. -
CONDITIONS
512E OF LOT U Now oN LOT _
ESE TIG BLDG,�.� D 4.�1 _ (�(Zp(OE, BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF - �1'L'�t'� (STREET)
NO. TYPE OFE%ISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS VH',VAt HI WAY
/ ' 'FMY, /M C.L. /p
CITY / V V - + �_ = J
ARCHITECT OR TEL BLDO. SETBACK FROM _
ENGINEER 'f,.Tea_ NO. 910E PROP. LINE Of (STREET)
/� Yf -�y- TYPE OF EXISTING SETBACK HIGHWAY '+ YARD = TOTAL
ADDRESS L—A Ip FCCq HIGHWAY WIOTH FROM C.L. - O
TEL. } o U
..CONTRACTOR VE1J �'BOU NO cbo--%A1pI
ADDRESS 5tA7 C• ALLE NO.2%tkk.LQ ( CORNER CUTOFF YES NO O
I-
CITYLA- LN TL LID C� 'SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK
NEW41 ADD ALTER REPAIR DEMOLISH n �
SIZE FT. NO. OF NO. OF
c�0. STO IES FAMILIES
STIR TU RE-P - ATE .I V,: L.
ST :'PLAN �. / O5� 0� SCI . /b�r✓;-, ' � B�- UQ� �. -' - .
"'NATURE
OF
APPLICANT
VALUATION G��, '� APPROVALS (�D/ATE'/ "INSSPECT�OR..,9SIONATURE
P. 'PMT. LI-fl' FO FORMS MATERIALS
C. ON
FEE S ��� FEE
FRAME, FIRE STOPS,
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS /.TO CO TION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY -FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWN REGULATING GAS VENT. DUCTS
AUILO RIZ CONSTRUCTION, CERTIFY THAT, IN DOING THE WORN
TION
THE
HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA .LATH. INT.
TION OF THE LABOR COPE OF THE STATE NC CALIFORNIA RELAT-
ING TO WORHMEN'B COMPENSATION INSURANCE. LAT H. EXT.
SIGNATURE OF �' , OSP „� HOUSE NUMBEROCOR-
PERMITTEE ��'144tt���� �11tiRE ANO POSTED -`
- ADDRES$_ f FINAL
JOHN F. LEWIS. PRINCIPAL ST OTURAL ENGINEER
PLAN CHECK VALIDATION. cN. M,0. CASH _ PERMIT VALIDATION aK, M.O. CASH
5 2 5 ,.3 SEP .j 2 1 3.7 5
5 2 5 00 SEP 3 1 D 1 5.00—