HomeMy Public PortalAbout10027 GREEN ST_Building__i
76A685A CE 0803 "'APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES ASSESSOR
-DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION AD LDING
.ADDREG..,4 O O
COLEMAN W. JENKINS, SIFT OF BUILDING LOCALITY
R AP FILM N NEAREST
CR06S ST.
(Print or type only)BUILDING DIST��T NO GROUP TYPE R B
ADDRESS
O CONST.
�
STATISTICAL CLAS$IFICATI N SEWER MAP
LOT NO. BLACK �
CLASS'NO DWELL,UNIT5 BK PO
TRACT USE ZONE§PFE
P
NO.OF BLDG3. (�
SIZE OF LOT NOW ON LOT CIAL
LLSE OF DITIONS
EXISTING BLDG.
OWNERM'L' TEL _
Q NO. BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAYWFDTH FROM C.L.
ARCHITEC i • TEL. } _
ENGINEER NO.
BLOG.SETBAC jl�Kj
ADDRESS SIDE PROP.LINE O (STREET)
TEL TYPE OF IBTING BETBAX:K } YARD = TOTAL
CONTRACTOR - NO, 282-195HIGHWAY WIDTH FRAM C.LIC' �.. S
ADDRESS NO. Z X16 } _
LIC.
CITY N CLASS CORNER CUTOFF YES ❑ NO
RLV
CONSTUCTI a
cn
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE O
STRUCTURE 9 Roof inc & reset Til. AL.I ER ❑ .
SIGNATURE OF REPAFR
APPLICANT DEMOL ❑
VALUATION ! 385.w APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEES FE3 9.00 FORMS, MATERIALS
RAME: FIRE STOPS.,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS.
AMD STATE THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY FURNACES LOCATION,
WITH ALLORDINANCES AND LAWB REGULATING AUILDING CON- GAS VENT DUCTS '
STRUCTION. I 'CERTIFY THAT IN DOING THE WORK AUTHORIZED
HGREG
Y I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TME LATH, INT.
LABOR CODE OF TME STATE OF 'CALIFORNIA IN RELXTING TO
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OPrank Foulk HOUSE NUMB R COR-
PERMITTEE RECT AND POSTED
ADDRESS 712 So- MaT n=. Al A"ra 'FI N AL
JOHN F. LEWIS. PRIN L sTRLJCYURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CAQH _ PERMIT VALIDA QN CK. M.O. CASH
-79t.4,.ozgS& 7 1D 9.04- v