HomeMy Public PortalAbout4828 GLICKMAN AVE_Building__ 76A638A CE�.03 2_63 APPLI CATION FOR BUILDING PE IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY t
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE CESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING / STATISTICAL CLASSIFICATION SNEWER MAP
ADDRESS BK J G
� CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT 1,V No (CIRCVLE) STATE MAJOR SECOND, OC L
NO,OF BLDGS.
SIZE OF LOT7� .3 r0 - NOW ON LOT ';7— USE ZONE SPECIAL
USE OF / CONDITIONS r3
EXISTING BLDG. ��//����..
TEL. ( '�4"�N'z��
i
OWNER BUILDING EXIST.
17 SETBACK Y HWY ET ME WIDTH
ADDRESS FRONT
ARC HI TE P. L.
Aj
ENGI E ,� N SIDE
P. L. CL
ADDRESS/7,3 jC P- i O
C TEL
ADORES ` U
DESCRIPTION OF WORK °J
r CL
N
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF a
SIZE Q STORIES FAMILIES
USE OF
STRUCTURE -
s '
Xx
SIGNATURE OF
APPLICANT 4
.
VALUATION $
Cl APPROVALS DATE, INSPECTO '
P.C. L PMT.q v FOUNDATION: LOCATION
FEE $ FEE FORMS, MATERIALS l!
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE 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 'A 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 CALIFORNIA RELAT-
ING TO WORKMEN' O PENSATI ON INSU
�— LATH. EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS -- FINAL
JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASK _ PERMIT VALIDATION CK. M.U. CASH
3 8 9 6 DEC 2 7 2 3 D 1 (-1.7 5,
^ L, i3O 4 1 8 6 JAN 8 1 D 3 c?.5 0