HomeMy Public PortalAbout10129 GREEN ST_Building__ f .
76A638A CE#803 8.63 APPLICATION FOR BUILDING PERMI. \
COUNTY OF LOS ANGELES BUILDINGJ'{
DEPARTMENT OF COUNTY ENGINEER ADDRESS l/ OCi
f
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST +
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DIST T N.O.jj GROUP TYPEPROLES B
FOR APPLICANT TO FILL IN CONST1171
BUILDING -nt,, STATISTICAL CLASSIFICATION EWER MAP
ADDRESS o k-L rcQr�S
� CLASS. NO. DWELL. UNITS�� _a6__
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LOT NW �Q Q ��L�OCTr' WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT 4 MAP HIGHWAY STATE MAJOR SECON , LOCAL
NO.OF BLDGS.--7 NO. O (CIRCLE)
SIZE OF LOT 33 NOW ON LOT !�" USE ZONE SPECIAL
USE OF f CONDITIONS
EXISTING BLDG.
TEL.
OWNER S NO. L o BUILDING EXIST.
YARD HWY STREET NAME
/' Y SETBACK WIDTH
ADDRESS ICS (....as l(,�,VbEa_ FRONT +7
ARCHITECT OR TEL. P.
L.
ENGINEER NO. SIDE
P. L.
ADDRESS d
TEL. G
CONTRACTOR ;'bNO. "t42 a
V
ADDRESS ad
O
DESCRIPTION OlF WORK Il'- -
W
CL
NEW ADD ALTER REPAIR EMOLIS VI
SQ. FT. NO. OF Z
SIZE STORIES FAMILIES
USE OF
STRUCTURE G(�Q p �-�
SIGNA RE OF
APPLICANT_
VALUATION $ D -!-6—
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ .— FEE $ FORMS, MATERIALS
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
BUILDING CONSTRUCTION. 1 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 OF CALIF R A RELAT-
ING TO WORKMEN'S COM ENSATION I SU RANGE. LATH.EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG EI�p
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L ,o5 0 7 1:o OCT2r, D 4.00-