HomeMy Public PortalAbout5404 EL MONTE AVE_Building__ 7BAS38ACE#809.9-60 APPLICATION FORUIL>�I G� � PERMIT
COUNTY OF LOS ANGELES BUILDING [LQ -�
DEPARTMENT OF COUNTY ENGINEER ADDREss
BUILDING. AND SAFETY DIVISION 'LOCALIr
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'T OF BUILDING CROSS ST
DISTRICT NO. OUP -HYPE. PR ESSED BY -
FOR APPLICANT TO FILL IN I cONST. I .
BUILDING /, j^ �s STATISTICAL CLASSIFICATION EWER MAP
ADDRESS S�-{.U4 Lel-'. k'WA7�e "YV'L' CLASS. NO. -, DWELL. UNITS ) 'BK f G
LOT NO. BLOCK - MAP J"-'��j STATE
NUMBER L/ HWY. YES O JI
TRACT Z�}. p /-�' USE ZONE SPECIAL
SIZE OF LOT �, X ���.-1 tf I NOW ON LOTS• Z. / CONDITIONS
USE OFl
c-
e EXISTING BLDG. lz � � L - BUILDING YARD HWY- ..STREET.NAME EXIST.
OWNER l�'CLVI 'uk'RRR_U� NE '` SETBACK - WIDTH
M � �`� FRONT
`r ^� AA P. L.
ADDRESS 40 � EL kj0Aj l.� N-�[F SIDE " '
ENG NEERARCHITECT O NE a P.L.
���/� INSPECTION RECORD
ADDRESS S�V'� 'V I�.�0 �� �-• d
'. CONTRACTOR 0.k\j N Et-L- -d 4t_!s]
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ADDRESS54.04
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DESCRIPTION OF WORK °------ v
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CL
EV ADD ALTER REPAIR DEMOLISH N
SO. FT. /^-' //�� - NO.OF NO.OF ?
SIZE . DUO STORIES FAMILIES
USE OF
STRUCTURE ti1- 1 I -
SIGNATURE OF
APPLICANT—
VALUATION
PPLICANT VALUATION
v v ? APPROVALS A
FOUNDATION: TE" INSPECTOR'S SIGNATURE
`FEE "" e I - FEE $Id DATION: LOCATION
FORMS, MATERIALS
.FRAME: FIRE STOPS, '
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION, BRACING, BOLTS - -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO PLY' FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED' I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY. MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA,
CATH,'EXT. i
SIGNATURE OF HOUSE NUMBER COR- /
PERMITTEE RECT AND POSTED
ADDRESS J FINAL
CLYDE N. DIRLAM. PRIINCIPAL STRAL ENGINEER
PLAN CHECK VALIDATION M.O. CASH PERM�T VALIDATION
M.O. CASH
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