HomeMy Public PortalAbout5306 DEGAS AVE_Building__ ITEM' Lt-CITV
7..Ut.VEf.4,.11, r APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ' BUILDINGADD3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LocaLlry
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST `
-WI LLIA M A. J ENSEN SUPT OP BUI LDIRO CROSS ST.
OIST IGT N GR TYPE RO S BY
FOR APPLICANT TO FILL IN % CONST.
BUILDING zz /� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS' __J D.IA•— D�y S .L}V� CLASS.N0.ILDW ELL.UNITS BK PG
LOT NO. ��-f u BLOCK WATER
Z E+Sz Z CERTIFICATE: NOT REQUIRED ❑ " RECEIVED
'TRACT �.+ MAP HiGMWAr STATE MAJOR SECON LOCAL
USE OF SIZEOFLO7. X / I NOW ON LOTS AN G. US OJJE� CONDITIONS SPECIAL
.EXISTING BLDG.
OWNER e bei- NO
OS
o L_ ILD G YARD HWY, STREET NAME 'EXIST.
ADDRESS (J63Z-` ,Los T�Lttn S• ��"'^ SETBACK WIDTH-
FRONT �O
ARCHITECT OR TEL. P.,L. _
ENGINEER NO. SIDE
Ri.
ADDRESS ��JJ _ )TEL. INSPECTION RECORD a
CONTRACTORiJj? &i& Deyd.NN5 AT-
ADDRESS 11�D33 ✓ � r�,t`„�P+ t^L/�1'd //Y.✓.S .aVr sir ��LT
DESCRIPTION OF WORK �a ' �� G✓/%Qevtlit'
u
W
NEW ADD ALTER REPAIR DEMOLISH K D_
SO.FT. NO.OF r NO.OF Z
IZE d STOftI ES l FAMILIES
USE OF
STRU TURE
SIGNATURE OF
APPLICANT ^ _
VALUATION
r APPROVALS DATE. INSPECTORS SIGNATURE
PMT
FEE $ �� FEE $ J - ' FO FORMS, MATERIALSLOCATI�N D7t�/-• / -/�r,-�f-cry
FRAME: FIRE STOPS, t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS 1 .:J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, flJ"' `I IR} K'J'
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT DUCTS IVJ
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY'PERBON IN VIOLA- BATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFOfl IA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE - ['L`•.' -' -' - -'
-- -' - - LATH,EXT. P
SIGNATURE_OF -HOUSE NUMBER COR-
PERMIT
OR- Imo'
PERMITTEE RECT AND POSTED
ADDRESS 2'�, 44 K4j_L/r .FINAL /IIkIU� `J/T�/vr
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK ei.o. uBx PER UT VALIDATION ,m M.O. cAsH
LAS ,.1 8 8 SE? 2 7 2 3 .0 - 2.'.5 0 k
LAIho� i 4tDOCT i 10 1 0 45 :00 ?^ �j�