HomeMy Public PortalAbout4839 GLICKMAN AVE_Building__ 76A638A CE4803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY _-7
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / `J
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. sC`o'��►JiE.�' �� �J'/ �V/'U
DISTR CT NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL INS CONST. �l
BUILDING - STATISTICAL CLASSIFICATION •S WER MAP
ADDRESS (/L BK PG
CLASS. NO. DWELL. UNITS 11
LOT NO. BLOCK NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT MAP /A_ //` HIGHWAY
NO.OF BLOGS. NO: G% f C_� (CIRCLE) STATE MAJOR SE/C/ON D, LOCA
SIZE OF LOT NOW ON LOT USE Z NE COND TSPECIAL
L '� / 'fUSE OF -�^ S/�17
EXISTING BLDG. G.0 .O.L_llycz
TEL.
OWNER ,t�.0 �i� NO. / �rG B ILDING ST.
SETBACK YARD HWY EE AME EXIST.
ADDRES /y J' -- �f%��Q�A/h�� FRONT l
ARCHITECT OR TEL. P. L. -/
ENGINEER NO. SIDE
P. L.
ADDRESS d
TEL. . "l-onl o
CONTRACTOR 4F NO.
ADDRESS at
DESCRIPTION OF WORK bK GELLOAQ, bz�
V
d
NEW ADD ALTER REPAIR DEMOLISH 2 - N
S . FT. NO. OF / O. OF _� C�-' I A ✓r �� (71 � - z
/
SIZE ,r STORIES AMILIES
USE O
STRUCTURE .�f,O,C��IYC,C= _� •
kx 11
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SIGNATURE � 5 ®
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SI G,NATU RE
P.C. ��L� PMT. �� FOUNDATION: LOCATION
FEE $ _5 ` FEE $ -G-^ FORMS. MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK q
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. /� I
LATH. EXT.
SIGNATURE- HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS '✓ �a '� • FINAL A -
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L.A o 7 4 1 41 JAN 1 1 2 3 D � 5.�. J A
,:._
7e82 JAN 19 1 D 5 0.0 0