HomeMy Public PortalAbout9856 LEMON AVE_Building__ VEMPLE CITY
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7GA83OA CC#803,1-81 ' APPLICATION FOR BUILDI G PERMIT
COUNTY OF LOS ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER ADDRESS _
BUILDING AND SAFETY DIVISION LOCALITY 1
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DIS�ICT N GRO TYPE PR C S Y
CONST.
BUILDING STATISTICAL C SSIFICATION SEWER MAP
ADDRESS AAj Q, SK PG
.� CLASS NO DWELL.UNITS '
LOT NO. '� BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP 4 /10 HIGHWAY STATE MAJOR SECOND OCA
NO OF BLDGS NO 0/ (CIRC IE) I _
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL I ✓�
USE OF - CONDITIONS
EXISTIN BLDG
Al y- TEL
OWNER NO BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITEC ORTE P L -
ENGINEER NO SIDE
P L
ADDRESS INSPECTION RECORD
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CONTRACTOR I - O V
ADDRESS' „ O
DESCRIPTION OF WOR_Kor
may✓ ' G
W
F^ r IL
NEW ADD ALTER - REPAIR DEMOLISH - Z
SQ FT. / NO OF `^ NO OF _
IZE G •STORIES FAM IL S '� e
USE OF
STRUCTURE'
SIGNATURE OF
APPLICANT -
VALUATION$ A1,7", ���„`•`!"�� 10 /�
og ' APPROVALS •DATE { INSPECTOR'S SIGNATURE
q FOUNDATION LOCATION
=E $ r v`' FEE $ 1 �y� FORMS, MATERIALS / I. Q/•�B A
FRAME. FIRE STOPS, '
I HEREBY ACKNOWLEDGE THAT 1 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 1 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�ZPEN ON 5ANCE
LATH,EXT.SIGNATURE OFHOUSE NUMBER COR- /,/�PERMITTEE F � RECT AND POSTED 1 n z-/ _,-A.11111 B
ADDRESS FINAL
CLYDE N DIRLAM, RINCIPAL ST5pCTTAL ENGINEER
PLAN CHECK/VALIDATION cK M.O. CASH PERM VALIDATION cK m.o. . CASH
• C09 b" 7 AUG 2 5 1 D ..? to