HomeMy Public PortalAbout5130 DALEVIEW AVE_Building__ TEMPLE CRTY
1YtlIAR#e03-1-., APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES - BUILDING !� �
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETYIDMSION LOCALITY!, C 1r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
D15TRICT NO. GROUP TYPE PR ESS )BY
FOR APPLICANT TO FILL IN p T, CONST.
BUILDING STATISTICAL CLASSIFICATION EWER MAP
ADDRESS 30 LEI//fS`t,/ ✓6 BKy PG
CLASS.NO.—:/—DWELL.UNITS '2p
LOT NO. BLOCK WATER NOT REQUIRED ® , RECEIVED
_ � CERTIFICATE:
TRACT
d.
MAP HIGHWAv STATE MAJOR SECOND, OCA LI
O.OF BLDGS. y NO. Q IC IRCLEI
SIZE OF LOT. 36,fO IN
NOW
ON LOT USE ZONE SPECIAL
EXISTINGUSE BLDG. d-h ' �"j CONDITION
TE S Z {LY.LC'J�L(sf�
OWNE N BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS FRONT —T
ARCHITECT OR TEL. P. L.
ENGINEER ,✓/� NO. SIDE
ADDRESS c/L/ Pa La }
TEL. INSPECTION RECORD, A p
CONTRACTO ,J NO. 'VIAS ter/ � � X,.J✓L A/_A&I-/'&� J u
ADDRESS G, ;{ (�'�
ESCRIPTION OF WORK U / rtlw Or
W
a
NEW X ADD ALTER REPAIR - DEMOLISH . N
SQ.FT. JN NO.OF NO.OF ?
SIZE I%/ STORIES FAMILIES
USE OF
STRUCTURE
,jGNATURE L "
APPLICANT
VALUATION$ 41, 6
APPROVALS DATE INSPECTOR'S SIGNAL URE
P.C. jJ/'TJ PMT. FOUNDATION: LOCATION
FEE $ /� FEE $ FORMS, MATERIALS 77
FRAME: FIRE STOPS, r�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS I. /�f-
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 1,JI (r/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT 1 DUCTS I I
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK y
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON N IOLA. LATH, INT. I °
TION OF THE LABOR CODE OF THE STATE O CALIFORN 1 DAT-
IA/Ii
,NO
TO WORKMEN'S 'PEN
TION NB ICE. LATH, EXT.
SIGN
PERMAI TTEE OF HRECT AND POSTEDOUSE NUMBER 1_ /G3 ...,,1 !
ADDRESS .INAL GI ,• \T✓�� ,
CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL EC_=
INE R
PLAN CHECK VALIDATION cKc M.o. ;; PERMIT VALIDATION CK. M.O. CASH
Y` ,0325.S M`y ?925o 28 .50tM
LAfp.1 6:8 5Qt J&17 1 0 5 7.00- 9