HomeMy Public PortalAbout6053 LOMA AVE_Building__ C.
76A 638A'CE#808 8-63' APPLICATION FOR\ U l`D'1 G PE M T
COUNTY .OF LOS ANGELES BUILDING, ��/ - 6�
DEPARTMENT OF•COUNTY 'ENGINEER aD°KESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE'COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN,SUPT OF BUILDING CROSS ST. �
DISTRI T N GR` UP TYPE O ESSED B
FOR APPLICANT TO FILL. IN corysr. ` �
BUILDING - STATISTICAL CLASSIFICATION SL WER MAP
,.ADDRESS 0 '`BK
CLASS. NO. _ DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED❑ RECEIVED ❑
CERTIFICATE:
TRACT - MAP -ylGHwnv.
O. OF BLDGS. NO. ,�'"' (CIRCLE)' STATE MAJOR SECOND, CAL
SIZE.OFLOT B NOW ON L"OT . USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. t
OW.N.ER' NO, 'BUIL 1NG EXIST.
SETBACK YARD HWYr REET NAME WIDTH
ADDRESS" C : FRONT - '
ARCHITECTR TELT. P: L. �f
ENGINEER NO:_ SIDE
- P. L. - >.
ADDRESS - G6
TEL. 0
'CONTRACTOR NO. '
c
ADDRESS Q
DESCRIPTION OF WORK
a
NEW ADD -ALTER Iz
REPAIR DEMOLISH _
SQ. FT. N . NO. OF -
SIZE STORIES FAM.ILIES - - -
USE OF i. r
STRUCTURE ' -
SIG ALIC NTU E
OF
A TT
VALUATION $ -,� -
_ APPROVALS }t� DATE'
!� INSPECTOR'S SIGNATURE
P.C. PMT.
FO UNDATFORMS, MATERIIALSLOCATION
FEE $ FEE $. '
FRAME: FIRE-STOPS.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION '. BRACING. BOLTS /
AND STATE THAT THE"ABOVE-IS CORRECT AND AGREE TO"COMPLY 'FURNACE: LOCATION.' r>
WITHALL COUNTY ORDINANCES AND STATE, LAWS REGULATING GAS VENT: DUCTS o '
BUILD I NG.CONSTRUCTION. I CERTIFY 'THAT-IN DOING THE WORK S p
AUTHORIZED HEREBY'I WILL°.NOT EMPLOY ANY PERSON IN VIOLA-' .LATH. INT.
TION''OF'THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE:' LATH, EXT.
SIGNATURES Or HOUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE 'RECT AND POSTED / ,�
ADDRESS FINAL , 6f�ra' �,
' = JOHN F. LEWIS:`PR!'NC'IPAL ST T RAL ENG'I'NEER
'PLAN, CHECK VALIDATION : CK. M.D. CASH PERMIT VALIDATION cK WO. CASH
LA,a 4 4 2 7.- 00 T 11 D 4.00