HomeMy Public PortalAbout9162 JAYLEE DR_Building_8/30/1967_ac on roof 76A638A CE#803 8-63 A TICAT IO FOR, BUILDING PERMIT . �• s
COUNTY.OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY,ENGINEER NEAREST �^If
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
- D✓_S_�21C N G�3QH� TIE P BY
FOR APPLICANT TO FILL IN �J�" (}/) // CONST.
BUILDING STATISTICAL CLASS[ (CATION S W��Efj MAP
ADDRESS - B'4.f/ PG
_ CLASS. NO. DWELL. UNITS__j l(`
LOT NO. aIZ44 BLOCK' jWATER NOT REQUIRED ❑ RECEIVED ❑ -
CERTIFICATE:
TRACT - ' ' NOP MA ®O.3 HIGHWA STATE MAJOR SECOND, LO
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZO SPECIAL
USE OF ,/� CONDITIONS
EXISTING BLDG. t/�Il„0
TEL.
OWNER NO q 9 BUILDING EXIST.
SETBACK YARD HWY STREET NAME - WIDTH
ADDRESS 9 / FRONT
ARCHITECT OR TEL. P L.
ENGINEER NO. SIDE
ADDRESS d
TEL. O_
CONTRACTORNO. _ _ V
ADDRESS OC
O
DESCRIPTION OF WORK ri.
W
d
NEW ADD ALTER REPAIR DEMOLISH - N
z
SQ. FT. NO. OF NO. OF
SIZE STORIES FAWLIES
USE OF
STRUCTURE Gia
SIGNATURE OF
APPLICANT
VALUATION -
O• APPROVALS DATE INSPECTOR'S SIGNATURE
P C - PMT n FOUNDATION: LOCATION
FEE $ FEE $ �'(f FORMS, MATERIALS
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.
WITHALL 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.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSl�
ION INS CE. '
/ E .. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS/`PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L Ao u 3 ? 4 AUG 3 1 Q 9.v 0