HomeMy Public PortalAbout6228 LOMA AVE_Building__ 76A638A CE#803 2-63'APPLI-CA.'T'1ON:'-FOR BU I'LD NG' PF_RMlT`_ _
.COUNTY.OF LOS ANGELESBUILDING
DEPARTMENT OF'COUNTY ENGINEER-, a DDriEss
BUILDING AND SAFETY-DIVISION, • LOCALITY -
JOHN A. LAMBIE. CoUNT,Y, ENGINEER. NEAREST"' _
• WILLIAM A JENSEN, SUf T'OF BUILDING CROSS ST
7 DI_ST�..ICT C- _• TYPE •( PR ESSED; Y
FOR-APPLICANT TO FILL IN ' S p coNsr'
BUILDING /f QQ 1 _ �/� STATISTICAL CLAS IFICATION r••` SEWER MAP
ADDRESS CG/�'�p'^' ^ 0 _ /� C CLASS' NO DWELL UNITS' BK73 -
.LOT NO BLOCK s WATER - A•' 1
CERTIFICATE " NOT REQUIRED - "RECEIVED
TRACT �7 %Q - T - MAP HIGHWAY STATE MAJOR SECOND, LOCAL
NO OF BLDGS NO O (CIRCLE) _
SIZE OF LOT NOW LOT- USE ZONE SPECIAL h T
USE'OF _ CONDITIONS
EXISTING BLDG 4L;, -
TEL_
OWNER ,r37; .,•NO BUILDING- 't' EXIST
YARD HWY. STREET NAME.
.� - ' • SETBACK P WIDTH
ADDRESS + QJ7•(w Al IV FRONT,
ARCHITECT,OR T P L
ENGINEER - NO SIDE
ADDRESS .i '_ �/ �y / 'd
TEL• p �/`/ C� ` "F.U�'�/ , .. i O
CONTRACT._R pY> ••NO
ADDR_ES ,=- l O
DESCRIPTION OF'W RR;: Av
w
r
NEW ADD .ALTER- ° - REPAIR`Y --DEMOLISH
SQ FT r 1} NO OF •NO OF'
•a
SIZE, �/,1 C/. 'STORIES - FAMILIES ,nf '• �•_ - 'K
USE OF
STRUCTURE' - - -„ - • a
041
SIGNATURE OF,,'
_ APPLICANT ^ ti-
--
VALUATION$ ' '• - � - •~M 'ti .ti .., - •' .•' ��.
APPROVALS r'�T.• ./; ADATE• INSPEC_TOR'S SIGNATURE
PMT F"
P Com' OUNDATION LOCATION' ��Q� ",n+••',� �E• '
- `'FORMS, MATERIALS r,' ��G7=cp� .y A
` FEE•$ '. '_ FELS,
,'
FRAME FIRE STOPS,';
I HEREB,Y;ACKNOWLEDGE THAT I HAVE'READ THISAPPLICATION' ''BRACING BOLTS f/
AND STATE�THAT,,THE ABOVE IS CORRECT'AND 'AGREE TO'CO MPLY '� FURNACE LOCATION j••'
',.WITH ALL COUNTY ORDINANCES AND, STATE LAWS'REGULATING GAS-VENT`DUCTS' ''� `S u` •� 'c�',
BUILDING CONSTRUCTION 1/CERTIFY'THAT IN DOING--THE WORK
AUTHORIZED HEREBY I WIL'L.NOT EMPLOY ANY PERSON I '.VIOLA- •''
•� TION OF THE.LABOR CODE.OF,THE STATE:OF, ALIFO RELAT. CATH, [NY' "� �, /• ��;� _ "
'fir �ING�TO.WORK MENS CO MPEN SA NSURANC
LATH. EXT
SIGNATURE OF ' HOUSE NUMBER-COR-
' PERMITTEE= _ .RECT AND POSTED
�1
A'DDRESS _ FINAL
1`
• _`; " - JOFi N.F LEWIS ,PR yNCIPAL.STR RAL ENGINEER
PLAN CHECK VALIDATION`,- CKM o CASH_ °. PE
' _RMIT VALIDATION CK M O CASH,'
' -. - -• ` '
27