HomeMy Public PortalAbout4843 GLICKMAN AVE_Building__ 715k631A CE#8038-64 APPLICATION F R BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINFER
BUILDING AND SAFETY DIVISION LOCAL TY `
JOHN A.'LAMBIE• COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST,14_L//e-,;,-
DISTRICT NO. GROUP TYPE. PR' CSSED BY/
Ii FOR APPLICANT TO FILL IN - j� CONST. ', _
f BUILDING j �.•.,. ✓� y-i ,�/' STATISTICAL CLASS]FI CA TI ON SEVER MAP
Q ADDRESS `: J.. "� of,�'" C_' �/r,C_i-�.,1'/.-- -� BK PG /
CLASS NO. DWELL UNITS �•
LOT NO. BLOCK �•'`y USE ZONE MAP 3
NO.
TRACT 14 L'�;� ECIAL SP
NO. OF BLDGS. CONDITIONS
SIZE OF LOT r ,�•�• �tf�� NOW ON.LOT
USE OF
EXISTING BLDG. �C�r.'J•' �'/?C C 4v C-� G✓- BLDG. SETBACK FROM
> TEL. ` FRONT PROP. LINE OF � f/'�� -���7`'ti��C� (STREET)
OWNER^�yl,C1 ,L%/ t NO. 3��4 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESSHIGHWAY WIDTH 'F OM C.L.
C I T Y z %c'' GJ � Gr.�rfC: !^ L�� _ pp -
"i�v�� ✓ -��C_ -
BLDG. SETBACK FROM
ARCHITECT OR '" TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
a
CONTRACTOR C/r,�ri-s-L,G` NOL + 0
LIC. CORNER CUTOFF YES NO ix
ADDRESS NO. - O
LICITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS u
W
DESCRIPTION OF WORK a
NEW ADD ALTER REPAIR.'" DEMOLISH ....� I-
SQ.FT.' NO. OF NO. OF
_ ..
STORIES
USE OF FAMILIES t
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! , :� �,'��,•�. I"-'krti 4a. s tom• ���.. .
S T R U C T U R E
SIGNATURE O �'"'.'d•`J�''%y�'^
APPLICANT//.�! ,,.`,r'�'yl's�?j(/
Q 7
VALUATI/ I�w-s" Z--'o
APPROVALS DATE INSPECTOR'S SIGNATURE
PC• PMT. lj'`i�� FOUNDATION, LOCATION
FEE• $ -^ FEE$ FORMS, MATERIALS
- FRAME, FIRE STOPS, (j
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS vv
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMP�N SATION INSURANCE.
�,•'�✓� LATH. EXT.
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SIGNATUR '-O �� !,/: •/2�--�� HOUSE NUMBER COR-
PERMITTEE,• �`:J r�%" G , - RECT AND POSTED
FINALtA'j'1'-11.,Pjj.iL1..!
J•. w JOHN F. LEWIS. PRINC!IPALrSTR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. �M.o. CASH