HomeMy Public PortalAbout8615 HALDEMAN ST_Building__ 79AG38A CE#8079-60 APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING-AND SAFETY DMSION LOCALITY ` ' 7
JOHN A. LAMBIE, COUNTY ENGINEER NEARES
WILLIAM A JENSEN SUPT OF BUILDING CROSS
Dl:Tp NO. - GROUP TYPE E ED BY
FOR APPLICANT TO IN CONST:'
BUILDING j STATISTICAL CLASSIFICATION SE ER MAP
PG
ADDRESS
CLASS NO DWELL UNITS
LOT NO. BLOCK MAP STATE YES
NUMBER HVY
TRACT d USE ZONE •SPECIAL
�p NO OF BLDGS CONDITIONS
SIZE OF LOT G3 I NOW ON LOT -
USE OF
EXISTING BLDG. BUILDINGEXIST
/� SETBACK YARD HWY T E NAME WIDTH
OWNER �^ ICCR AAS FRONT
P L
ADDRESS SIDE _
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD -
d
ADDRESS T I Go'YI.Gn/� w,��>C��=�� VJr J Q
CONTRACT C J ,�J alo r-D
ADDRESS ,i/J O
DESCRIPTION OF-WORK u
W
� O_
`
NEW `' ADD ALTER REPAIR DEMOLISHSQF - y
Z
ZE T �,(/ NO OF NO OF
S '
S/T/OyRIES FAMILIES
USE
STIR UOCTURE A1
SIGNATURE OF
APPLICANT ,
VALUATION$ 13, •'o i - -
APPROVALS DATE INSPECTOR S SIGNATURE
P C /} _ PMT " - O� FOUNDATION LOCATION f��' _I_ 1
FEE $ -mss FEE $ FORMS. MATERIALS A -�6'
FRAME -FIP.E STOPS;
�• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
'rANDy STATE THAT THE ABOVE IS CORRECT AND AGREE TO,COMPLY FURNACE LOCATION, 71 _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS IS UED I SHALL NOT LATH,9NT
EMPLOY ANY PERSON IN ANY MANNER 50 AS BECOME SUBUECT
TO THE WORKMEPENSATI LAW F�CALIFO fIIA LATH, EXT
SIGNATURE O HOUSE NUMBER COR-
PERM ITTE
OR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK ; MO.
CASH CLYDE-PERMIT VALIDATIONT CK uRM.O ENGINEER
PLAN
LACO 1 6 7 9PI All 2 72 3 A 2 1 .0.0 A.n-
�,'� �2 0 3 3 FEB 3 1 A 42.00