HomeMy Public PortalAbout5111 DOREEN AVE_Building__ 76R636F OE p8093'63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. t
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FOR APPLICANT TO FILL IN i coNs .
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STATE MAJOR SECOND LOCAL
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SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONTARCHITECT OR P. LENGINEER SIDE
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APPLICANT �' -
VALUATION E ,�MA c
APPROVALS DATE INSPECTOR'8SIGNATURE
P.C. PMT. 00 FOUNDATION: LOCATION - �
FEE S FEE S FORMS. MATERIALS
FRAME: FIRE STOPS.
I HEREBY 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 ORDINAN CEB AND STATE LAWS REGULATING GAS VENT. DUCTS -
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY. a
ING TO WORKMEN'S/Q g/(�IPENSA'TIONN INSURANCE. yr LATH. EXT. V i
SIGNATURE OF/ V HOUSE NUMBER
PERMITTEE �lif..� 7_"_I ,w COR-
RECT AND POSTED '' ``
ADDRESS_ FINAL 1 13 W I
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION M.G. CASH _ PERMIT VALIDATION CK. M.D. CASH
8999: AUG16230 , 28.50A NT
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