HomeMy Public PortalAbout9413 EMPEROR AVE_Building__ 7GA638A CE#803S61APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY r
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE CESSED BY
FOR APPLICANT TO FILL IN (l CONST
BUILDING {' STATISTICAL CLASSIFICATION �� �WERMAP
ADDRESS (., '/. S
CLASS NO // DWELL UNIT }
LOT NO BLOCK `WATER 'AOT REQUIRED I YL RECEIVED
CERTIFICATE Lal EL
TRACT MAP HIGHWAY
NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND, OCA
SIZE OF LOT I NOW ON LOT USF ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
EL
OWNER NO BUILDING YARD HWY STREET AME EXIST
SETBACK WIDTH
ADDRESS FRONT
ARCHITECTOR TEL P L c;2-0 1
ENGINEER NO SIDE O
ADDRESS TEL INSPECTION RECORD m
CONTRACTOR NO I / O
f J -
ADDRESS135 N ) r t 1 1
PTION OF WORK dW
Z
NEW ADD ALTER REPAIR DEMOLISH
SQ FT CI/, NO OF I
IZE STORIES FAMILIES
USE OF n, /
STRUCTURE 'u-CJ
SIGNATURE OF
APPLICANT
VALUATION SG L --- '
APPROVALS AES V„lt,1/PECTOR�SnS/I G,tN�I,AT/IU�RE
PMT �� FOFORMSION MATERIALS/
N
FEE $ � _
FRAME FIRE STOPS, !/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS / u'
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION, I 4
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS 1
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S CO eNS/TION INSU NCE LATH EXT Itn
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED r �
ADDRESS FINAL 174 A0
'� ULIi�/
�' '
CLYDE N DIRLAM, P IN IPAL STRUCTURAL E
PLAN CHECK VALIDATION cK_ d o. CASH PERMIT VAI TION cK m o, CASH7
L ;�7 4 7 5 JAN 2 6 • 1 D 2.0 0