HomeMy Public PortalAbout9015 JAYLEE DR_Building_5/26/1955_add wash room 76A638A CE#80311_57 APPLICATION FOR BUILDING PERMIT rJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. .;
DISTRICT NO. 0U_p_'. TYPE EWER MAP
FOR APPLICANT TO FILL IN y I BK- PG.
CONST.
BUILDING
ADDRESS_ J STATISTICAL C_LA.SSIFICATION
CLASS.NO. �� DWELL.UNITS
LOT NO. MAP STATE
NUMBER - HWY. YES NO
TRACT USE ZONE SPECIAL
NO.OF BLDGS. . CONDITIONS
SIZE OF LOT j I NOW ON LOT -
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER FRONT
MAIL P.L. -
ADDRESS SIDE
TEL P.L:
CITY No "'` INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW /'-'ADD ALTER REPAIR DEMOLISH
SO. FT.�-";.., NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STR URE
x=y
s
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS , , i 3 FOUNDATION: LOCATION
FORMS,MATERIALS
$ P.C. $ FRAME: FIRE STOPS.
FEE _u BRACING.BOLTS
VALUATIOJ $ FURNACE: LOCATION.
GAS VENT.DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH„EXT.
SIGNAIEUIRBOF .J HOUSE NUMBER COR-
PERMITTEE r ' RECT AND POSTED
ADDRESS FINAL
CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. A.-