HomeMy Public PortalAbout4820 DOREEN AVE_Building__ 16A63Ah CE9803 I_BT APPLICVTION `F BUILDIN PERM
COUNTY OF LOS ANGELES FL
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DEPARTMENT OF COUNTY ENGINEER DREss U �c 0 / r
BUILDING AND SAFETY DIVISION CALITY
JOHN A. LAMBIE- COUNTY ENGINEER AREST
COLEMAN W. JENKINS,SVP'T OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
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LICANT TO FILL IN O CONST!/-
BUILD O STATISTICASDWEIIL UION NI TS SBKER MPAG
/ C •3,�SCLBLOCK USE ZONE NOPC,SPECIAL/1 7� NOw ON LOTp - CONDITIONS
USE OF CS/�F�/GG
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. SETBACN iROM
OWNER.,] ��/"/�C-.CKI NO. ���OSL FRONT PROF. LINE Or Q l FFN 4L'L "C _ (STREET)
yy ^^ /� 7� TYPE 01 E%19TI N0 SETBACK HIGHWAY + YARD — TOTAL
ADDRESS A!� /I/ I Y� HI pHWAY D FROM C.L.
CITY T /'li4F
ARCHITECT OR TEL. BLOB. SETBACK FROM
ENGINEER NO. SIOE PROP. LINE OF (STREET)
TYPE OI EXISTING GET5ACK HIGHWAY + YARD = TOTAL
ADDRESS /� �j�'/ HIGHWAY WIDTH FROM C.L.
C ON TRA CT��0(R EH�'P�4A�11aFe /iJOLarL'�/'�/>/Jf7" +
ADDRESS Y'/ SAs��'`P��'crv�St NO/r7 r7`J.S CORNER CUTOFF YES NO INC
CITYLA AB�°�� L10 SEE REVERSE SIDE FOR SPEC APPROVALS
DESCRIPTION OF WORK j G8 a
V
NEW ADD) ALTER REPAIR DEMOLISH
S GFT. ) �J NO. OF NO. OF ✓ �y(��
SIZE / Jr STORIES FAMILIES
USE
STRUCTVRE
SIGNATURE OF
APPLICANT
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VALUATION$ - S� G� •00
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION r/
P.C. PMT. �) FORMS, MATERIALS I2--?•'fL«7 �C^/!I
FEE$ FEE$ .�.j� EJ If�
I HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION FR BRACINGEBOLTS S _L,A
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
SU)LDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK ry�
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. t/1 - ll' •.
TION OF THE LABOR COD[ OF THE STATE OF CALIFORNIA RELAY. /
I NG TO WORKMEN'S COMPFNSA 10 )NSU RNCE. �2 FA p� ;e •.%
LATH. E%T. 6Y _ Y
SIGNATURE OF _ HOUSE NUMBER COR-
PERMITTE[ RECTANO POSTED
AODRESS .E.,vF -NAL -
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
LAN CHECK VALIDATION CH. M.O. CASH _ PERMIT VALIDATION GK. M.o CASH
Lrt o 1 s Q 0D etc 1 = D 3 3 U v