HomeMy Public PortalAbout4922 HELEO AVE_Building__ $u5, 4 y6 SS
76A638A CE #803 3-69 r.}. -
APPLICATION o qua . ®u�� PERWT l
COUNT-Y OF LOS ANGELES BUILDING ;
DEPARTMENT OF'COUNTY ENGINEER ADDRESS
JOHN A. LAMBIE, COUNTYBUILDING AND SAFETY DIVISION LOCALITY
EGINEER -
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO GR YRST. C Y
(PRINT OR TYPE ONLY)
BUILDINGSTATISTICAL CL SSI ICATION _ SEWER.MAP
�� _
ADDRESS '�^ "
CLASS N0. DWELL.UNITS ,.BKS ..PG
LOT NO. 30 BLOCK USE Z _.ONE MAP'
N0.
TRACT •J .A SPECIAL 1
CONDITIONS 'f• c '•
NO. OF BLDGS. -
SIZE OF LOT y? NOV ON LOT
USE OF
EXISTING BLDG. i7_mIc y BLDG. SETBACK FROM
'-TEL. FRONT PROP. LINE OF - - -- - • (STREET)
N
OWNERJA P, /14jj G () NO. TYPE OF EXISTING SETBACK HIGHWAY +'• YARD - .TOTAL
'ADDRESS �. 2 e _r c) AV HIGHWAY WIDTH FROM C.L.
CITY ' '^ c V + V
ARCHITECT OR TEL. BLDG. ETBACK FROM - STREET)
ENGINEER N0. SIDE PROP. LINE OF - -(
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS �p G�' / i HIGHWAY WIDTH FROM C.L.
CONTRACTOR i '- . �' CoN0. ! �!?`��G y + _ CL
``�� a
ADDRESS Vo �,�() �� NOJ CUTOFF _ ,. YES.. ❑ N0. ❑ _
LIC. S
CITY e ,� CLASS SEE RE RSE SIDE"FOR..,S.PECIFIL`APPROVA'LSi_ C
CONSTRUCTION LENDER ~
NAME AND BRANCH' IV
ADDRESS �' 2
. SO. FT N0. OF N0. OF4
SIZE V STORIES FAMILIES NEW ❑ '� r _
A
USE OF ,�, ADD
STRUCTURE _ ALTER
S 3s
SIGNATURE OF ° DEMOL ❑ 1 0�
APPLICANT c
4
VALUATION $ , APPROVALS DATE INS CTOR'S SIG TORE
.P.C. / PMT. FOUNDATION: LOCATION y
FEE $ t V (/ FEE $ 7 cy FORMS MATERIALS f /�
I HEREBY ACKNOWLEDGE THAT KNAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS .
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL .NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. -In
if mm
OF THE STATE OF�CALI ORNIA IN RELATING TO WORKMEN'S COM- a
PENSATION INSURANCE'
LATH, EXT. ,N
SIGNATURE OF HOUSE NUMBER CORRECT '
.PERMITTEE r AND POSTED
ADDRESS �' �/- FINAL
JOHN F. LEWIS, PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH - PERMIT VALIDATION CK. M.O. CASH
lA 405'0n P:LSIt 2 23 D 4 5.0 0
^� F....
�,4 1 77� I, 0 1 D 7-5.0 t0