HomeMy Public PortalAbout4902 FIESTA AVE_Building__ 76A638A CE#803 3-66APPLICATIO N FOR DIN' PE M IT
O B I U L
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION L O C A L I T Y / r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST.
DISTRICT NO. GROU TYPE. PR B
FOR APPLICANT TO FILL IN `6 � CONST. �.
BUILDING '
� STATISTICAL C ASSIFICATION SEWER AP /}
ADDRESS D"i. Al. / " i \�(.�<� - CLASS NO. DWELL UNITS. BK PG Y
LOT NO. O BLOCK USE ZONE MAPo
NO.
TRACT z SPECIAL -
N0. OF BLDGS. 'l CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
I-XtSTjNG BLDG. BLDG. SETBACK FROM ✓T7 p�
TEL. +y
27
OWNER M r j FRONT PROP. LINE OF 1 �� (STREET)
a ^ NO. w C? TYPE OF EXISTING I SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 2r f //9�`' C'?, HIGHWAY WIDTH FROM C.l. /
CITY l/L 0-i"Al-
+ �Q
ARCHITECT OR TEL. DO. SE BACK FROM
ENGINEER NO. SIDE PROP. LINE OR (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS I
^ �y HIGHWAY WIDTH FROM C.L.
CONTRACTOR rYk . a
TEL
3D--i z,3 + }
ADDRESS _ Cj Wox.L iW. LO I /b//J— a
Q CORNER CUTOFF YES NO
CITY 61-� 0' irr_ y cIC C—� SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK 4
a
- u.
NEW ADD ALTER RE AIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ r ,OO
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ � FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
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 COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE 1 •-=Z-`�'"�"{�"""'�-��-- r RECT AND POSTED n
ADDRESS ��(-�� Fl NAL
JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER
PLAN CHECK VALIDATION dc. M.O. CASH _ PERMIT VALIDATION CK M.O CASH
LAo9279 1.0 JUN 26 1 D 9.00cv