HomeMy Public PortalAbout10512 FREER ST_Building__ 76A63BACE#8031-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.'LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS'ST '
DIST CT NO GROUP YPE ESSED BY
Rss
OJRj APPLICANT TO FILL IN jJR, �j .� coNsr.
v ( •� � �� T� STATISTICAL CLASSIFICATION S W R MAP
CLASS NO DWELL UNITS
C WATER -
/� CERTIFICATE NOT REQUIRED ❑ RECEIVED
,JIUA-A �/� /` y v MAP HIGHWAY STATE MAJOR SECOND, LO AL
NO.OF
OGS. NO � (CIRCLE)./ Q NOW C LOT USE ZONESPECIAL
y� CONDITIONSDG
TEL
OWNER No BUILDING EXIST.
SETBACK YARD HWY 5 REET NAME WIDTH.
ADDRESS FRONT
ARCHITECT OR TEL. P. L -
ENGINEER NO. SIDE
P L
ADDRESS A A , d
TV
CO NTRACTON
ADDRESS j
DESCRIPTION OF WORE �/^ G` // / ¢'� Lu
OF
NE ADD ALTER REPAIR DEMOLISH r !f /A
SQ. FT. �j NO OF NO OF, >�fiiQ`.✓!.� fid_/t �� ?
SIZE j J ,3 o STORIES / FAMILIES �-
USE OF n i
STRUCTURE l
SIGNATURE OF p_ 1-JCr� a ��j%'d'b�l`
APPLICANT �) �.
VALUATION $ - I[
'I
APPROVALS PATE, INSPECTORjS SIGN TU RE
PC PMT. �/ -�-f FOUNDATION. LOC TION
FEE $ - FEE $ FORMS, MATERIALS
FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AC
BRING, 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
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHO 'ZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT
TION OF THE LABOR CODE OF THE STATE OF CALO NIA RELAT-
ING TO WORKMEN'S COMPENSATION CURANCE LATH, EXT A
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED -'�- ] - r✓e ;-
ADDRESS FINAL AN&
JOHN F. LEWIS,PRINCIPAL Sl' )CURAL ENGINEER
PLAN CHECK VALIDATION CK M.D CASH _ PERMIT VALIDATION c M D CASH
Lr i 1,� 4 2 1 3 MAY" 32 3 D lv A