HomeMy Public PortalAbout8625 HALDEMAN ST_Building__ 76A89BA C6},809•5-60 ,APPLICATION FOR- BUILDMG PE IT -
COUNTY OF LOS ANGELES . BUILDING`
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAR
WILLIAM A. JENSEN SUPT OF BUILDING CRO
DISTR NO 'GROUP, I TYPE' y E D BY, /11
FOR APPLICANT TO LL IN CONST
BUILDING - STATISTICAL CLASSIFICATION _ SE ER MAP'
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ADDRESS CLASS NO ° DWELL .UNITS"
LOT NO. BLOCK MAP ' "-TATE YES O '
NUMBER' 'WY
TRACT - USE ZONE 'SPECIAL '
SIZE OF LOT 7�x t I NO OF BLDGS J /�� CONDITIONS -
NOW ON LOT • • o '
USE OF l� '_ . _
EXISTING BLDG BUILDING EXIST
YARD HWY
,TJZOT NAME
'WIDTH
r SETBACK
OWN ER At 01A10CH GS T-9FRONT
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ADDRESS SIDE- ,
ARCHITECT OR - TEL P L '
ENGINEER NO - INSPECTION RECORD
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CONTRACTOR//Cel&sR/*C G jQ&St0 'per
ADDRESS /��I� I 0
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DESCRIPTION OF WORK r
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NEW ADD ALTER REPAIR DEMOLISH• - N
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SQ FT.• / J _%�/� NO OF NO OF -
SIZE STORIES FAMILIESUSE
STRUOCTURE
SIGNATURE
APPLICANT-
VALUATION
PPLICANT VALUATION S. ��, I _
APPROVALS DATE ` . INSPECTOR'S SIGNATURE
FOUNDATION
MATERIIALLOCATISON 'I6��•V YA-vt..�-'
P C �� $ s V�
FEE $ FEE
FRAME FIRE STOPS, _ •
I HEREBY ACKNOWLEDGE THAT I HAV E'REAWTHIS APPLICATION BRACING, BOLTS i n
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 P SHALL NOT . LATH, INT
' EMPLOY ANY PERSON'IN,ANY MANNER SO_AS T ECOME SU BUE T _
ATO THE WORKMENS PENEATION LAW OF C�LIF012N1
- LATH,rEXT
SIGNATURE HOUSE NUMBER COR- '
PERMITTE `RECT AND POSTED . I _ "3'+F' ,
ADDRESS FINAL:%,,•,
CLYDE N DIRL4M, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION%.1 OK., M.O. CASH PERD'IIT, VALIDATION CK. M O. CASH
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79AE3$ACE#903.9.60 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES B U I LO I N G
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY '
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS S
DISTRIC O. GROUP TYPE PR ED BY
FOR APPLICANT TO IN i CONST.
BUILDING S ATISTICAL"CLASSIFICATION SE ER MAP "
ADDRESS - K - PG
CLASS NO:�ZaDWELL UNITS
LOT NO ' BLOCK MAP STATE YES NO.
NUMBER HWY
'TRACT �(Q„ G, - USE ZONE SPECIAL : T
NO OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG BUILDINGEXIST
TE SETBACK YARD 4WY •STREET AME WIDTH
OWNER N FRONT
40010
P L
ADDRESS SIDE
ARCHITECT OR TEL P L -
ENGINEER NO INSPECTION RECORD
ADDRESS
TE '0
CONTRACTO ,yy NO '
ADDRES � "• 0
O
DESCRIPTION OF WORK W
CL
N
NEW ADD ALTER REPAIR DEMOLISH Z
T NO OF NO OF
SIZE S ORIES FAMILIES ,
USE OF
STRUCTURE- _
SIGNATURE OF
'APPLICANT _
VALUATION$
12-6 -
APPROVALS DATE INSPQCTOR S SIGN TURF
PC PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS 1
FRAME FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS c7
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 O AS TO.BECOME SUBUECT
TO THE WORKMEN OMPEN TION WS CALIFO IIA 3 /6
•LATH, EXT
SIGNATURE OF 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. M.O. CASH
A 9.C) t 2 0 5 1 IFE6 1 ,� .