HomeMy Public PortalAbout9152 LAS TUNAS DR_Building__ 76AG38A CE#809.1-81 .' APPLICATION FOR BUILDING
P ERMIT .
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADD ESS
BUILDING AND SAFETY DIVISION LOCALITY 7�,
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. G
FOR APPLICANT,TO FILL IN OUP TYPE CONS
SSED BY
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BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP
ADDRESS ��s�� " Lms /'l ivn S CLASS.NO. `.LADWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIREDECEIVED
CERTIFICATE: .
TRACT MAPHIGHWAY STATE AJOFZ ECOND, LOCAL
NO.OF BLDGS. NO.;, (CIRCLE)
SIZE OF LOT. I NOW ON LOT USE ZONE SPECIAL
USE OF _ CONDITIONS
EXISTING BLDG.
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OWNER v/�Z_ it NO. BUILDING EXIST.
_ - YARD HWY STREET N ME
SETBACK WIDTH
ADDRESS' '�,.5 Z ,�� � 3 J C9/Y/'�X� FRONT
ARCHITECT OR TEL. P,L.
ENGINEER NO. SIDE '
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ADDRESS CL
TEL. INSPECTION RECORD O
CONTRACTOR V NO V
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ADDRESS .4_Zy'�9
DESCRIPTION OF WORK u
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NEW ADD ALTER REPAIR DEMOLISH _ N
SQZEFT. L/ NO.OF NO.OF ?
7 TORIES FAMILIES
USE OF
STRUCTURE -
SIGNATURE OF
APPLICANT
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VALUATION$3aQ� m 7C
APPROVALS DATE INSPECTOR'S SIGNATURE
_ FOUNDATION:LOCATION
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�,� FEE $ Lia FORMS,MATERIALS
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FRAME:FIRESTOPS,
THEREBY 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.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- )
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. - •s /{
SIGNATURE OF- �L�J /li_ /�` ,HOUSE NUMBER COR-
PERMITTEE // _•/`7 - / RECTAND-POSTED'
ADDRESS FINAL %/��/ ��/ ✓�fl i��� 1
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.C. CASH
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