HomeMy Public PortalAbout6158 HART AVE_Building__ 76A638A CE#803 5-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADOREss 4 x —
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DMSION LOCALITY t!
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST !�t,
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN G = CONST r-t '3z z
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS /j S /` RIFTRK
��JJ CLASS. NO. DWELL. UNITS^ �
LOT NO. p-J BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT C7 MAP /' -,I) HIIGRHCWAY STATE MAJOR SECOND LOCAL;
SIZE OF LOTp,-X /.+J�: .� / I NOW ON LOTNO-OFS U9 ZONE 4 SPECIAL -
USE OF CONDITIONS
EXISTING BLDG.�'n/46L�/IJ�" / �R.?�3G15J
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OWNER l lj3�N JELJJ N0. YO 7j BUILID INGEXIST.
SETBACK
YARD HWY TREET NAME
WIDTH
ADDRESS ��,.'�L> �l'I�.P`7' FRONT
ARCHITECT OR TEL. P. L. -7L / n� r- d
ENGINEER NO. SIDE
P. L. 0
ADDRESS
r INSPECTION RECORD
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CONTRACTOR FSR �' NO.-7 1ot0
ADDRESS uLu
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DESCRIPTION OF WORK
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NEW U ADD ALTER REPAIR DEMOLISH _
SQ. FT Q NO.OF NO.OF
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USE CTF 7� /�
STRUCTURE.//WCL j,1N6 • �7 TTG%To2O
SIAGN�ATURE
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VALUATIONS
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE $ ( �J FEE $ ` FOUNDATIONFORMS, MATER ALSON
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. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT.
TIONAOFTLABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING KM OMPENSATION INSU RA E. LATH, EXT.
SIGNk , HOUSE NUMBER COR-
PS _ RECT AND POSTED
Ao Esel
s 9.f� FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK- M.D. CASH PERMIT VALIDATION cr, ,? M.c, cwsH
ALo 0275:01 JLL41423 D 19.75
L; Af'- O 8 7 7� JUN2 8 1 D 3 9.50- 4