HomeMy Public PortalAbout8756 LESLIE DR_Building__ _76A6 38A CE b8032-63 APPLICATION FOR BUILDING PERMIT (J
COUNTY ,OF LOS ANGELES BUILDING .I
DEPARTMENT' OF COUNTY ENGINEER ;ADDRESS ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUP T OF BUILDING CROSS ST _
DISTRICT NO GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL CLASSIFICATION S ER MAP -
ADDRESS
CLASS NO DWELL UNITS
LOT NO • BLOCK - WATER
CERTIFICATE NOT REQUIRED ❑ RECEIVED
TRACT - ;MAP HIGHWAY STATE MAJOR'SECON 'LOCAL
NO OF BLDGS NO ,o N (CIRCLE)
SIZE OF L-OT NOW ON L'OT. /Qyf USE ZONE SPECIAL
USE F /� CONDITIONS '
EXISTING BLDG '�� / p //,� -
TEL
OWNER - Pe j"0 �(�z•O�g BUILDING EXIST
y.._ SETBACK YARD HWY EE NAME WIDTH
ADDRESS Z e C/ 1- V FROT
ARCHITECT OR - TEL P IN
-N '
ENGINEER NO - SIDE
F L C
ADDRESS, TEL
-CONTRACTOR _ 4. NO - I ad
ADDRESS
DESCRIPTION OF WORK ' ; a
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES,;?,STORIES,;?, FAMILIES' L ••
STRUCTURE
SIGNATURE OF
=APPLICANT
VALUATION - �JCrD -UCI-Cl 0/2
t APPROVALS DATE INSPECTOR'S SIGNATURE
PCPMT FOUNDATION LOCATIONol
FEE $ - FEE $' ' FORMS MATERIALS -(fi/
} ~ FRAME FIRE STOPS,'
I HEREBY'ACKNOWLED GE 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 fjjf/�,y
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 LIFO IA RE LAT-
ING TO WORKMEN S COMP NSATI N INSURANC
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE RECT AND POSTED
ADDRESS ��`+/"�'1 �—
FINAL
„_ - JOHN F LEWIS PRINCIPAL To
URAL ENGINEER `-
PLAN CHECK VALIDATION cK l M o - CASH' _ ' . -PERMIT-VALIDATIONS -- WO, - CASH.. :.
L -sem : 2 6!;D-- 4 15 2 .3 A 3 3.'7,5 a
7 .C-0
9 0 `� FEB 2 5 1 A N -