HomeMy Public PortalAbout4841 GLICKMAN AVE_Building__ ,
76A638A CE#803 .-63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST 1
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. .�,�.�-r�' /y� i"�gl:`� C: iv.f�-l/�
DISTRICT NO. •aaQ11,1 TYPE ESSED BY
FOR APPLICANT TO FILL IN `�
Co
BUILDING r� STATISTICAL CLASSIFICATION EWER MAP
ADDRESS �Y- ''�� -��f� %��� BKPG
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED1:1RECEIVED
CERTIFICATE:
TRACT MAP / HIGHWAY
No.�3[
NO.OF BLDGS. (CIRCLE)��-" STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW ON LOTUSE ZONE SPECIAL
'USE OF CONDITION. -! L
`EXISTING 8LDG.
�{,' /�J� h�' .'� NO.
TEL
OWNER BUILDING EXIST.
SETBACK YARD HWY TRE /NAME WIDTH
ADDRESS ej7el /S/ C/�f/�S�'-/}jd,�'�' t��°✓^/ FRONT /
ARCHITECT ORTEL. P. L. / I
ENGINEER NO. SIDE
P. L.
ADDRESS .
_ TEL. _"_`� .`�✓� ..:� ib..r"�.xt✓4 P,_f' 141 i".
CONTRACTOR ° ,�; NO.
t 16u
ADDRESS cin C � + I mg
DESCRIPTION OF WORK �� f`. �zc-� fi�Pdsr,;• _ k_:._.s
Lu
NEW ADD ALTER REPAIR DEMOLISH _ kn
T. NO. OF NO. OF >> '1-? ..m 8 (ZI Z
SIZE _V"`� STORIES FAMILIES /
USE OF' v Ij N-e;rtG. �. > o�fw 6`•1 r.,.1` mor.'... M l ='{C,a Fz-6
STRUCTUREd."�`iJ�f./%.� CG�
S I G N AT U R E__Qj ("�f'�--^�6 .dee• 'k7 ..m em£,io I, 1 A-k-c-:,F m.4s, a�'
APPLICANT
6
VALUATION -
F P?
z ��
f APPROVALS DATE INSPECTOR'S SIGNATURE `r
P.C. PMT. �• `.'--.-� FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS s�,�- pa_ rt�.{,.L��,•�., K` fi;5
FRAME: FIRE STOPS, 1�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �p
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. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPE'I SATION INSURANCE.
-fLATH. EXT. �'1f -7.,c,
SIGNATURE,1 ,��re�C � HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS ✓ '" �6'rL ! . �Z •�''�.E � '" `" >e
FINAL ,!
JOHN F. LEWIS, RI CIFAL ST �
w �URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION CK. M.O: CASH
1 5:3 JN2 3 D 2 5.O 0 L
— Lr l,O 7 b 8 3 Jilts i J 1D 5 0.0 0