HomeMy Public PortalAbout8622 HALDEMAN ST_Building__ 7GA638A CE#803.9-60 • APPLICATION' FOR BUILDING P tRw1 T;, -
,..'COUNTY-OF,LOS ANGELES BUILDING f
DEPARTMENT OF COUNTY ENGINEER ` . Aoo.Ess
BUILDING .AND SAFETY DIVISION LOCALITY,
JOHN,A: LAMBIE, COUNTY ENGINEER• ' NEAREST
WILLIAM A JENSEN SUPT OF BUILDING CROSS S
DISTRICT.-N.0 ' GRO .,TYp P SED BY
FOR APPLICANT T FILLCONST . L
BUILDING /y STATISTICALCLASSIFICATION SE EAP•
ADDRESS -g� _ K'RMPG.
s CLASS NO:d.c�DWELL UNITS' '
LOT NO.'. a '` ' - BLOCK MAP- STATE' YES NO ° -
Q � NUMBER HWY
TRACT - USE ZONE
TSPECIAL '
' .CONDITIONS
' NO OF BLDGS ��%�
SIZE OF LOT 4 I NOW ON'LOT //
USE'OF 6 �
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SETBACK WIDTH''
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ARCHITECT'OR',' TEL P L
ENGINEER- - NO - INSPECTION RECORD
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CONT.RAC �G"•",C_ A'` 604-6 O , ! OU
ADDRESS
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DESCRIPTION OF WORK
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N ADD ALTER REPAIR - DEMOLISH H
FT ,,II NO OF - NO OF —
SIZE 4, �I STORIES FAMILIES
STRUCTURE' /??'
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SIGNATURE
APPLICANT
-VALUATION$ • _ _ ,
APPROVALS DATE INSPECTOR'S SI NATURE -
_ PMT FOUNDATION' LOCATION
FEE $ ' `—� - . F,EE $ ' FORMS, MATERIALS - �D-u -
`— FRAME-FIRE STOPS, -� A„ -
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 CONSTRUCT ION CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (`SHALL NOT LATH, INTI
EMPLOY ANY PERSON IN-ANY MANNER SO AS TO BECOME SUBUE T
TO THE WORKMEN 5 CNSATI LAWS OF ALIZt
LATH. EXT ! ,.
SIGNATURE ,-HOUSE NUMBER COR- '� -
PERMITTE RECT AND POSTED
r•
•ADDRESS "-FINAL ,
^ CLYDE N DIRLAM, PRINCIPAL'STRU RAL ENGINEERy
PLAN_CHECK VALIDATION CK. M.O.` CASH ' PERMIT VALIDATION CK. -M O. CASH
U80 2 0' .4: 7 FEB 3 � A
7o►eseACr.#eoa 8.60 APPLICATION FOR BUILDING PE - T
COUNTY OF LOS ANGELES BUILDING /)
DEPARTMENT OF COUNTY ENGINEER' ADDRESS !�
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAR
WILLIAM A. JENSEN SUPT OF BUILDING CRO
DISTRICT NO. GROUP TYPE P SED BY
FOR APPLICANT T coNsr
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS •• K PG -
CLASS NO DWELL UNITS__j_l
LOT NO. BLOCK MAPTATE YES O
NUMBER HWY '
TRACT L USEZONE SPECIAlf
NO OF SLOGS. CONDITIONS
SIZE OF LOT �_I� I NOW ON LOT
USE OF
EXISTING BLDG BUILDINGST' NAME EXIST
It
EL SETBACK YARD HWY WIDTH
OWNER JWIt k°C � O FRONT
P L
'ADDRESS SIDE
ARCHITECT OR TEL P L
ENGINEER NO -INSPECTION RECORD
ADDRESS •_ _ a
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CONTR /r G' L. / f - G6L 1A
.ACTOE �C1 f O i V•
ADDRESS �•'+Q)�' ��I l/LO�/G L 'O -
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DESCRIPTION OF WORK G
CL
NEW PADD ALTER REPAIR DEMOLISH _ Z'
SQ FT. J/ NO OF NO OF
SIZE / / STORIES FAMILIES
USE OF /
STRUCTURE
SIGNATURE OF '
APPLICANT
VALUATION$
APPROVALS DATE INSPEC R'S SI URE
PC PMT 514?,ao FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
FRAME FIRESTOPS, _
IHEREBY 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 I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT- IS ISSUED'I SHALL NOT LATH, INT
EMPLOY ANY PERSON IN ANY MANNER SO AS BECOME SUBUECT
'
TO THE WORKMEN S COMPENSATION LAW CALIFQR IA
LATH, EXT.
SIGNATURE O HOUSE NUMBER COR- ,
PERMITTE RECT AND POSTED
ADDRESS FINAL '
CLYDE N DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT 'VALIDATION CK. MO. CASH
LAC�l 6 74,10 Jrll� -'7 2 3 A _ 1 9.5 0
L ,2 o 4 61— FEB 3 1 A 3 g 0 C).