HomeMy Public PortalAbout10748 FAIRVIEW AVE_Building__ 76A688A CE#803 8 . APPILICATION FOR BUILDING F'
COUNTY OF LOS ANGELES BUILDING"
ADDRESS 11112 4 U-LPcJ'-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY p--
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JOHN A LAMBIE COUNTY ENGINEER NEAREST — �
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST ��J LLC Z-c-f 0'177
DISTRICT NO GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING / ^� STATISTICAL CLASSIFICATION' SEWER MAP
ADDRESS G/ �Vl� CLASS NO DWELL UNITS �K///PG -
I �
LOT N BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED ❑
TRACT p MAP NO � QS ({CGRCLE)WAY
STATE MAJOR SECON LOCA' '
NO OF BLDGS
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG >"IAF <_3
TEL w
' OWNE J_ W, BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRES4., -/ _ f}t/j ,_ Pi- FRONT �Q
LL
Y--P L Gi`L-�'l '`Q `- -, j
ARCHITECT OR TEL J_
ENGINEER NO SIDE '
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CONTRA
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DESCRIPTION OF WORKLAPPROVALS
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dNEW ADD ALTER REPAIR DEMOLISH Y " VfSO FT NO OF NO OFSIZE yL STORIES yFAMILIES3 Q �SIGNL I CVALUATION $ (�-7¢.� DATE INSPECTOR S SIGNATURE
/I FOUNDATION LOCATION
F E $ .5&- S� FEE 710 00 FORMS MATERIALS
FRAME FIRE STOPS I _
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
F BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INTI.
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT ' v
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED .,
ADDRESS FINAL rw
PLAN CHECK VALIDATION 6 Mo CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION 6 M 0 -AS. VALIDATION cK '0
CASH
X1530- JUL 18230 53.50 •'
x{,02os9� , JUL31 1 D 1.07.00-