HomeMy Public PortalAbout10510 FREER ST_Building__ 76A638ACE 803I-62 APPLICATION FOR BUILDING PERMIT LI
COUNTY OF LOS ANGELES BUILDING �,
DEPARTMENT OF COUNTY ENGINEER ADORE SS �/ -,�'
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. .f
DISTRICT NO. GROUP YPE CESSED BY
FOR APPLICANT TO FILL IN CONSr.
BUILDING ! o (r^ , STATISTICAL CLASSIFICATION EWFER MAP
ADDRESS ! J
.. CLASS. NO. DWELL. UNITS B
i p7
LOT N I WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑
TRACTi O �. /!19 a MAP HIGHWAY
LO AL
1 � NO. I (CIRCLE)
NO.OF NOW ON LOTSTATE MAJOR SECOND SLOGS. Y
SIZE OF LOT � �] 7 USE ZONE PECIAL
USE OF ' �( / CONDITIONS
EXISTING BLDG. /I,11
TEL.
OWNER NO. BUILDING EXIST.
SETBACK YARD HWY S REET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. ~'
ENGINEER NO. SIDE }
P. L.
CL
ADDRESS 0
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CONTRACTOM N
ADDRESS q 6 / JJAO -7`.-� `r•` °`
DESCRIPTION OF WORK Lu
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E ADDP ALTER REPAIR DEMOLISH > Z
SIZE T
S Cl STORIES j FAMILIES
USE OF
STRUCTURE
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SIGNATUREOF AA__ •'f: ��.-�`ti
APPLICANT `� !�T •"'
III
VALUATIONS 1
APPROVALS - DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $. �� FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY -.EDGE DGE THAT I HAVE 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 ' .
BUILDINGCONSTRUCTION. 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 CALIFO IA RELAT-
t
li ING TO WORKMEN'S C PENSATION NSURANCE. LATH, EXT. ljfzi
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED '?
ADDRESS FINAL '._ ` e'�? ""p...
JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION 0 -.-- CASH _ PERMIT VALIDATION CK. M.O. CASH
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