HomeMy Public PortalAbout6148 LOMA AVE_Building__ 76A838A CE p803•9-60 APPLICATION FOR BUILDING PERMIT
1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF'COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST l j/
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN
DISTRICT No GROUP TYPE ESSED BY
�;& CONST'
BUILDING 7"�7G- STATISTICAL CLASSIFICATION WKR MAP ,
ADDRESS Y /2, jr _ CLASS NO DWELL UNITS —
LOT NO BLOCK MAP •STATE YES NO -
NUMBER t�L.•-�7..� HWY
TRACT. G - USEZONE • SPECIAL C ,
NO OF 11 CONDITION
SIZE OF LOT g r Q,3 I NOW'ON LOT �� ^
USE OF n ./�
EXISTING BLDG' /T.�'S r GY�i4GA BUILDING EXIST
YARD HWY BEET NAME
TEL SETBACK _ WIDTH - '
OWNER .4L JOh ;0 S'-.c Ph 1,Yf NO-,2-764 FRONT
P L Of' �
ADDRESS I p aL,g-rysif SIDE
ARCHITECT OR _ TEL P L
ENGINEER NQ INSPECTION RE ORD
n: }
ADDRESS a + CL
ANG TE
CONTRACTOR VA Ll.Vf47 fL/��"�„�2cgoL 6L 17'I � � 0',
a ADDRESS /D -
DESCRIPTION OF WORK
Lu
1NEW,.� ,ADD ,ALTER REPAIR DEMOLISH
N
SQ'tFT.-1 •"' NO OF �1 NO OF �. 0 h/
SIZE D STORIES l FAMILIES J.
USE OF STRUCTURE' OIL
- -
SIGNATURE OF(-/��C/
APPLICANT A�,,,
VALUATION$ /•} I- a_
v APPROVALS DATE INSPECTOR'S SIGNATURE
_ dC9 FOUNDATION LOCATION
FEE $ aw FEE $ - FORMS, MATERIALS
FRAME FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS �f/• 7�'<'l.C�.�..-
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 THE PERFORMANCE //
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATHINT c>� G1l<'
EMPLOY ANY PER ,SON IN ANY MANNER SO AS TO BECOME SUBUECT M.
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA
LATH,EXT
SIGNATTE E,OF O HOUSE NUMBER Co
RECT
PERMITTEE AND POSTEOR
ADDRESS C I FINAL
A_ -
CLYDE N DIRT PRINCIPAL STR 'RAL ENGINEER'S
PERMIT VALIDATION CK. M
PLAN CHECK VALIDATION CK. M.o. cwsH PERD: CASH
r16 3 2 1 fi,Y 2 3 t7
6 5 6 4ii�Y8 1 D