HomeMy Public PortalAbout5005 HELEO AVE_Building__ Qy;
78.630.C. 8031-B= APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES . BUILDISNs�d
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST -
WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST. L�
015T N CT GR UP TYPE CESSED BY
FOR APPLICANT TO FILL IN �: r CONST -
BUILDING AATT a6 STATISTICAL CLASSIFICATION WER MAP
ADDRESS, z O BK/� G
C LASS. NO._ DW ELL. UNITS
LOT NO, s BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT O' MAP��LHIGHWAY STATE MAJOR SECOND. L CAL
NO. OF SLOGS. ; NO' G' 1 (CIRCLET
SIZE OF LOT �] NOW ON LOT USEZONE SPECIAL
USE OF - CONDITIONS
EXISTING B DG. Y
T L 6p PA
OWNER JILDIIING EXIST.
SETBACK YARD HWY RE T NAME WIDTH
ADDRESS FRONT /
ARCHITECT OR \ TEL. P. L.
ENGINEER NO. 'SIDE .: ..
ADDRESS 0
T
CONTRALTO /' `� •-7 ag'd Q
ADDRESS ��0 � /.��I..a J � � �• / /�II-N- �f'" // YARA.[Ni-
DESCRIPTION OF WORK / �'�"y ^� A /- u
ily. � `x/47/ /�/i�o •-.+��.1IbF-� G.r"�r�.bsA/� vii.
NE ADD ALTER REPAIR DEMOLISH i/
Q. FT. NO OF NO. OF / �� lrbT7.. /�.ro -wd
SIZE O STORIES FAMILIES/ - .sI///
USE OF .1 ^SYJCie' eke
d(EV{Y�_ ttv Jc^/f31L1/�•
STRUCTURE
SIGNATURE OF A . 11,77,
APPLICANT � - , V J Ay! sy�-D `A� ,,�d/� z•
VALUATION S � [r � b `M
APPROVALS// OATB IN PECTORR;S SI_GNAATT))JREE '
F E S FEES MT. j�7PO FORMS. MATERIALSON,,�
FRAME: FIRE STOPS. i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. _ )I
WITH ALL CONNTT ORDINANCES ANO 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-
TION
IOLA LATH. INT. -
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT�
ING TO WUORKMEN'B MPENS.TION INSURANCE. LATH. EXT. /
SIGNATRE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS FINAL �p7- �o"�.Sd✓r'
JOHN F. LEWIS. PRINCIPAL STRUQJURAL ENGINEER
PLAN CHECK VALIDATION GK M.O. CASH _ PERMIT VALIDATIONcK. M.G. CASH
4206G MM 323 D 20.500 v ,
A. L;;i a i 4 0 JUL'2 5 , 1 D 5 '7.0 0- 7