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Home My Public Portal About6237 LOMA AVE_Building__ DIVISION OF BUILDING AND SAFETY Department of County Engineer Lai Nu County of Los Angeles APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY rJ DISTRICT N0. PLAN CK. OR R¢O.NO. PERMIT NO. BUILDING ADDRESS �\)P LOCALITY R�Qff�VED BY DATE OF APPL [,,DATEISSUED NEAREST / (`/a/ � CROSS ST. BUILDING ADDRESS tO Z 3 /L�b l O n/1/a OWNER LOCALITYMAIL ADDRESS 7 /f NZARKSTCROSS ST. CITY. ./la'_I NO. /C/T IrS FIREI PLANS NO.OF I TYPE I�� GROUP VJ ARCHITECT OR � � TEL ZONE 'ENGINEER �� -N0. BLDG. ORD. NO. SETBACK LINE ADD EBS USE APPROVED TELZONE BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS �, MAP NUMBER NO. ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. OP B F SIZE OLOT .�9 / CSV NOW UPC LOT13T USE OF //�j� ,1 s` !_ 1 N0.OF EXISTING BLDG. FgN1uEe DESCRIPTION OF WORK A NEW ALTERATION 1 ADDITION ✓1/ (Y p D REPAIR DEMOLITION 1 r r 04.FT. NO.OF SIZE ROOMS STORIES EXT.WALL ROIIF' �. COVERING OOVERING L USE OF STRUCTURE e i / INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: IOCATION FORME, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISS AP-, FRAME: FIRM STOPS, PLICATION AND TATE THAT THE IN GIVEN IB, CORRECT. BRACING, BOLTS I ABREE TO COMPLY WITH ALL-' COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. QAB VENT,DUCTS SIGNATURE OF / LATH, INT. PERMITTEE /y / Z // LATH, EXT. ADDRESS (d' /! // • PLASTER, INT. AUTHORIZED AMT. PLASTER, EXT. FEE HOUSENUMBER COR- RECT AND POSTED VALUATION FEE FINAL / � q 76AG38A DBS 3 7-52 V S`COMPENSATION DECLARATIONWFIEF m that I have a certificate of coneeni to selfD D D ' insure, or a certificate sof Workers' Compensation Insurance, �_ or o cer,'t.ifed copy thereof(Sec 3800,,Lab C ) COUNTY OF LOS ANGELES BUILDING ARID SAFETY Pglicy No _Company ❑, Certified cohereby-furnished J _ _ _ s f •• ~BUILDING , copy hereb y' urnished FOR APPLICANT TO FILL IN ADDRESS Gj 2 3 7_ ❑ Certified—ccpy is filed with the-county building inspec- BUILDING iron department ADDRESS, Date+ J.. .n Applicant ' CITY 1� G/� ZIP - LOCALITY ` CERTIFICATE OF EXEMPTION`FROM WORKERS' G NO OF BLDGS NEAREST ,� COMPENSATION INSURANCE .+ SIZE OF LOT 7 NOW ON LOT CROSS 5T ' (Th'i's`section need not be completed .f.•the-permit .s for•one - �_ ASSESSOR -r hundred dollars ($100)or less•),, TRACT BLOCKRt LOT NO EL CC�� MAP BOOK" L PAGE, PARCEL 1 4. OWNER 7 NO�C p•� �� USE ZONE MAP (.'certify that in the,lperf&mance of the work for which,this fJ0 I vVD; .. permit is issued, I shall not employ any person in'any mariner / �- SPECIAL- - - - d ADDRESS 6.�-� L- {��- - so as-t8 become"sublect to the Workers'Compensation L s ry— p CONDITIONS O Date , - Appl CITY I `C C/_ ZIP / c�� _ . _ _._ r _ Ot .cant c ARCHITECT OR TEL NOTICE TO'�APPLICANT If, after making this Certificate of _DISTRICT GR UP TYPE _ FIRE _ PRO! SED BY.,-„ ENGINEER NO s^ Ezenipt.on,'.you should become subject to" the Workers' - � '� CONST / ZONE Compensat.on,prov.sions of the Labor Code, you must forth= ADDRESS a�/— L 4, 1+ �i !/Y 1/I f r� with comply, with-such provisions or this-permit shall,be _ - Y J -' y; deemed .evoked TEL - STATISTICAL CLASSIFI ATION APT �?NDO CONTRACTOR NO - } y LICENSED CONTRACTORS DECLARATION LIC CLASS tV0DWELL'UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS t/j — hx O } (commencing with'Section7000):of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full-forcetand effect CITY G� /�� C/T y CLASS + - - - - ^- •, ` ' BK PG -, VALIDATION SQ FT• NO OF NO OF CHECK j License Number "' "Lic Cldss SIZE ' STORIES FAMILIES ONE ' VALUATION �i 4 Contractor Date - ' ' DESCRIPTION OF'WORK �'/ 7 ,;W - E] ^D $ , „ J o (f(/Cir I am-exempt under SecA-&L12 _ ALTER ❑ + s , B&P C for this reason REPAIR ❑ $ OF Dare USE�- '_ k,.-: 2-3564A EXISTING BLDG DEMOL ❑ #•e o 0 o e- APPLICANT TEL t Signature FINAL- o.�-9 Q 8 OWNER-BUILDER DECLARATION PRINT) NO -_DATE - /�-. �� - - -•-o e 1 9'9.8 8 I hereby affirm that I om.exempt-from.the Contractor's License Caw for the following.reason.(Section 7031 5, Business and ADDRESS FI ¢ ;°'• :'�' �: -Professions Code) u R EN B - t V `�'2 7 8=`5' BUILDING ' s 4 �J 1, as owner of the property, or my employees with ADDRESS Wit " ql _ wages ds their sole.conipensat.on,w.11'do the work'and y�1 , t the structure a not intended or offered for sale(Section LOCALITY J 7044; Business and Professions Code) - - MOVING -TEL- ",os TEL - Dom- - _ I, os'owner of the property, am exclusively contracting CONTRACTOR NO / //l/�� t with licensed contractors to construct the`prolect'(Sec- - - ` D�" •! - - - t - - - - tion 7044, Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FR "CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of-the work for which this permit-is issued P L (Sec 3097, Civ C-) SIDE i t• Y _. P L ' Lender's Name - P C Fee-$ Permd Fee LDMA Ref # -Lender's Address certify that I have read this application and state that_the Issuance Fee t:� V - LDMA P/C#y - - N ;r }•: y I above information is correct I agree to comply with all CountInvestigation Fee Ft x ' c• i ;, `- � g ordinances and State laws relating to building construction, • Total Fee -/4 S D - LDMQ Perm'#i - --• - '-• and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes tt _ SEE REVERSE FOR EXPLANATORY LANGUAGE - f . .•.. Signature of Applicant or Agent Date^- - .- - -- - -..- .__ _ _ _-,_ ._ _ _ . . ._., __._ __ _ _ --- •, 4 - l _ '-WQg KERS'COMPENSATION DECLARATION I hereby affirm' that I have a certificate of consent to self 0 O D O O D O irkur,, ora certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDINGAND SAFETY Policy No Company a Certified copy-is hereby furnished �' FOR APPLICANT TO FILL IN a��REss 3 Certrfietd'copy is filed with the county building mspec- BUILDING' �'7 ' z j. ��J,„t/J tion department ADDRESS ,V s. v, Date Applicant CITY ZIP / . LOCALITY T� CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST (This section need not be completed if the permit is for one TRACT BLOCK LOT NO ASSESSOR hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL TEL USE ZONE MAP I certify that in the performance of the work for which this OWNER /� ii NO S"r�5 D NO permit is issued, I shall not employ any person'm any manner ADDRESS F=) S [ .�� SPECIAL so as to become subject to the Workers'Compensation Laws / CONDITIONS O Date Applic6nt� _5 CITY Q V V ZIP � NOTICE'TO APPLICANT If, after'making this Certificate of ARCHITECT OR TEL DISTRICT G OUP TYPE FIRE PR CESSED BY O Exerription, 'you should become subject'to the Workers' ENGINEER NO CONST ' / ZONE " F— Compensation provisions of the Labor Code, you must forth- ADDRESS �"� V W with comply with such .provisions or this permit shall be LL' i deemed revoked TEL , STATISTICAL CLA$�IFI ATION APT C DO fn CONTRACTOR NO : Z LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division-3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect CITY CLASS BK PG VALIDATION SQ FT NO OF NO OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE - a VALUATION - ContractorDate 'DESCRIPTION OF WORK ( 1 NEW Ls yv ADD (�lJ a 1 am exempt,under Sec. �l pp -�t. ALTER B BP.C. for this reason 1�a LL �� V/ REPAIR ❑ $ Dote: USE OF REMOL EXISTING BLDG 0 e Signature APPLICANT TEL FIN AL �! S'/ OWNER-BUILDER DECLARATION PRINT NO DAT V V -2-7 5 2 6A I hereby affirmathat I am exempt from the Contractor's License Law for the following reason-(Section 7031 5, Business and ADDRESS FINAL rofessionsCode): BY #.o`0 0 0,0 BUILDING 1, as owner of the property, or my employees with ADDRESS I o o 2 a 5.0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY o 'o{o e 2 a5 Q 5 7044, Business and Professions Code) MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO 07.24t 8 7 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY SETT BACK YARD' 'HWY TOTAL OPAHUM, EXIS INE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE Lender's Name m LDMA Ref # P C Fee$ Permit Fee Lender's Address I certify that I have read this application and state that the Issuance-Fee f//�t J (/ LDMA P/C# D oabove information is correct I agree to comply with all County Investigation Fee 0 ordinances and State laws-relating to building construction, c� - Total Fee J LDMA Perm' # R and hereb authorize representatives of this County to enter `1 m upon the ove-mentioned property for inspe n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Y Signoture of Applicon or 4gq6t e Date WORKERS'COMPENSATION DECLARATION _ I.hereby affirm that I have a certificate of consent to self (0'�, DO n n�n D 0 N [E'R n n insure, ora certificate of Workers'Compenstion Insurance, or �l�LI L/-il �`JJ M v 1� U . (f�fu a certified copy thereof (Sec 3800, Lab C ) - � COUNTY OF-LOS•AiN(`aELES BUILDING AND SAFETY Policy No Company , Certified copy is hereby furnishedT FOR APPLICANT TO FILL IN BUILDING /� c�1 ADDRESS Go Certified copy is filed with the county building inspec- BUILDING q� / p tion department ADDRESS 6237 -IV LOM A LOCALITY J NEAREST - )ate Applicant CITY>TL Hs ( Lle'P ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE.OF LOT O 6, NOW ON LOT MAP BOOK PAGE I PARCEL , (This section need not be completed if the permit is for one - USE ZONE MAP hundred dollars ($100)or less ) ,• TRACT - BLOCK LOT NO S NO '9 0 /,� TEL SPECIAL d I certrfy that in the performance of the work for which this-_" OWNER /l o f4 NO 2- 7 CONDITIONS O DISTRICT GROUP TYPE FIRE PROCESSED BY perm fis issued, I shall not employ any person zany manner: V ADDRESS 623 � �—o�-►-, 9 � CONST� ZONE` r so as to become subject to the Workers'Co ensu n Laws T / { 0 L CITY / e l i / ZIP O F� Date Applicant STATISTICAL CLASSIFICATION APT CONDO NOTICE TO PLICANT If, aft m c g ih Certificate of ENGINEER ARCHITECTOR - -•- _No. W Exemption, you should beco a IecT,to the Workers' CLASS NO DWELL UNITS d Compensation provisions of the obor Code, ou'mustiforth- - -- N P P Y ADDRESS' SEWER MAP Z with comply with such provisions or This permit shall be - �+1� deemed revoked CONTRACTORG�•a�i - No L/y2d�O5/ BK �PG, ,,,/ �/ I- VALIDATION LICENSED CONTRACTORS DECLARATION LIC 1-hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS, .� C._C v��G c _'NO 33 VALUATION (commencing with Section 7000)of Division 3 of the Business andUC �/ / Professions Code, and my license is in full force and effect 4- CITY TC-&- �[ C� f CLASS C7.` $ 'S` zlo SQ FT NO OF NO OF -CHECK 1 License'Numberr —Liic (Classes SIZE STORIES FAMILIES ONE Contract / f�rY �• e -6d( 'L DESCRIPTION OF WORK � ,re, NEW ❑ $ ❑ i ADD' ❑ I am exempt from the licensing requirements as I am a �j vi (* p licensed architect or a registered professional engineer " / - ALTER _� FINAL acting in my professional capacity (Section 7051, "►O✓ t r,7DATE �� REPAIR Business and Professions Code) o USE OF - ' ❑ EXISTING BLDG �s Lj ov�Y DEMOL ❑ FINAL Lic'or Reg No DateCLAPPLICANT TEL By - OWNER-BUILDER DECLARATION PRINT)- NO��Z-�V�� I hereby affirm that I am exempt from the Contractor's License y I Law for the following reason (Section 7031 5, Business and ADDRESS 3 /�.CC ✓f�Oc /C r� �� % b / �/ t Professions Code) PRESENT �o T BUILDING 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered forsale(Section'• LOCALITY - #,o oro 0 0 1 7044, Business and Professions Code) MOVING TEL e ' I, as owner of the property, am exclusively contracting CONTRACTOR NO_ - - 210'0 ']2,0 Q with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code), ADDRESS _ y o r0 so .7 Q Q= f U REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for 'FRONT - 0 R2 c3-82 the performance of the work for which this permit is issued p L (Sec 3097, Civ C ) SIDE -• -• PL Lender's Name enders Address P C Fee$ Permit Fee S�' certify that I have read this application and state that the - Issuance'Fee Q bove information is correct I agree to comply with all County Investigation Fee ^� rdinances and State laws relating to building construction, Total Fee ndives of this County to enter Pon the ab me ned property for inspection purposes 2 SEE-REVERSE FOR EXPLANATORY LANGUAGE i atur of Applicant or Agent Dat _ ®s WORKERS' COMPENSATION DECLARATION I he�eb affir�Wthpt I have a,certificate of consent to self O D O O y r a ertificate o`t Workers' Compensation Insurance; [3 M d D D[�]C C RG� insure, o c p or a certified copy thereof (Sec 3800, Lab C ) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certrfied copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS QCertified,copy is Bled with the county building inspec- BUILDING / 3 �14 tion department ADDRESS V D Date Applicant CITY ��el7 ZIP571 O O' LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS 51 (This section need not be completed if the permit is for one - ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER' ��d� pEL USE NE MOP permit is issued, I shall not employ an rs in any manner 2 o-�� SPECIAL �1 ADDRE A 3 7� '' CONDITIONS so as to become subject to the Wor r 'Co pensati Laws _ 04 CITY C ��SG �/� ZIP V Date 7 Applicant 1= t ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE PR SSED BY O, NOTIC TO PPLICANT If, after making this C if ate f ENGINEER NO CONST ZONE U Exem ion you should become subject to t orkers' Com ensation provisions of the"Labor Code, yo must forth- ADDRESS with coZ mply•with such provisions or this permit shall be / 1 TEL STATISTICAL CEASSIFICATION APT CONDO deemed revoked CONTRACTOR �E/�4 d o NO 7�33� LICENSED CONTRACTORS DECLARATION /- LIC 7, IV (-LA NO •2.( DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS&5&,e,; GO e— NO `'�/k (commencing with Section 7000)of Division 3 of the Business and LIC, SEWER MAP Professions Code, and my license-is in full force and effect CITY CLASS 4�3 , BVALIDATION K �Q✓ SQ FT NO OF NO OF CHECK ' License Number Lic Class SIZE STORIES FAMILIES ONE G / - NEW VALUATION Contractor GC Date �a DESCRIPTION OF WORK fJZCO O ADD $ I am exempt under Sec &J B�� " �iE D ALTER J B&P C. for this re on REPAIR E 02� SoU�i USE OF D EXISTING BLDG DEMOL Q Signature APPLICANT TEL FINAL OWNER-BUILDER DECLA 'Olk — PRINT NO DATE . I hereby affirm that I am exempt from hwe<ontractor's License Law for the following reason (Section 7031 5, Business and [ADDRESS FINA Professions Code) BY /'2�� BUILDING, F�Q 3 8 � I, as owner of the property, or my employees with ADDRESS .025'5 A wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY # 7044, Business and Professions Code) MOVING TEL. 1, as owner of the property, am exclusively contracting CONTRACTOR NO ,°(° 5 9.25 with licensed contractors to construct the project (Sec- ADDRESS •,° ° 5 9.2 5 tion 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH Q 7.20 '-8 $ 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE P L Lender's Name m �f.j D/ Co 7 PC Fee$ Permit Fee Lender's Address ✓ C �I��l��JJJJ I certify that I have read this application and state that the Issuance Fee LDMA P/C ff o Y PP above inf rmotion is correct I agree to comply with all County Investigation Fee o ordman and State laws relating building construction, M #Total Fee , LDA Perm $ and h re authorize re sentatives of this County to enter m upo t above-mentio a roperty for inspe ion purposes a SEE REVERSE FOR EXPLANATORY LANGUAGE m r Signature of Apoa or Agent to VOORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self O D D D O D I to sarcerhfied copythereof(Sete 3800 Lab nsCa)ton Insurance, Q p p d 0 C Q� O[ `� G3 C3 M d 0�H C� G'C� IRA 0�' ; COUNTY. OF LOS ANGELES, BUILDING'AND'SAFETY Policy No__Company ❑; CerhfieH copy is hereby furnished FOR APPLICANT TO-FILL,IN - ADDRESS ❑ Certified copy is Tiled with the county building inspec' BUILDING- pori department -77 ADDRESS LOCALITY r NEAREST Date Applicant CITY ZIP [ / CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' r 1 OF BLDGS ASSESSOR COMPENSATION INSURANCE ' SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ONE MAP hundred dollars ($100)or less ), TRACT BLOCK LOT NO NO TEL ;:� SPECIAL, �. I certifythat,in'ihe performance of the work for which this OWNER O ' CONDITIONS IL permit.is issued,'l shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Work sompensation Laws ADDRESS CONST ZONE U 'C DateaI��r, ,Applicant CITY 1C ZIP STATISTICAL CLASSIFICATION.- APT CO DO O ARCHITECT OR TEL NOTICE JO APPLICANT If; a er making this Certi icate of ENGINEER NO U Exemption, you should become subject to the Workers' CLASS NO -�/� DWELL' UNITS i d Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions,or this permit shall be TEL z deemed revoked VALIDATION CONTRACTOR NO BK PG, LICENSED CONTRACTORS DECLARATION LIC I`hereby affirm that I am licensed•under provisions of Chapter 9 ADDRESS NO �:VALILIATION d� (commencing with Section 7000)of Division 3 of the Business and LIC ?` ) ) " Professions Code, and my license is in full force and effect CITY CLASS J (/(J °:• . ' SQ' FTNO OF NO OF- ( CHECK D•r License Number Lic Class SIZE STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK NEW ❑ $ r ADD El I am exempt under Sec 5 w — ALTER N FINA { r a B&P.0 for this reason' &JC ` 1 , REPAIR ❑ DA �7 � 1,4A USE - USE OF DEMOI ❑ Date EXISTING BLDG FI # 0,0 0 0'.0,1 Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT NO _ D A o a 33,00 3,0O I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and ADDRESS I`O Profession's Code) E o,o a 3 31 p O,F, �7r BUILDING JO S 2 7 8 7 IJ�J I, as owner of the property, or my employees with ADDRESS a. wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY . 7044, Business and Professions Code) MOVING TEL `' ❑ CONTRACTOR NO 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec-. ADDRESS tion 7044, Business and Professions Code). ' REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH –': ' '•? a I hereby affirm that there is a construction lending agency for. FRONT the performance of the work for,which this permit is issued P L (Sec 3097, Civ C ) SIDE m PL Q Lender's Name nn X Lender's Addr ss PC Fee$ Permit Fee e ', I certify that I have read this application and state that the Issuance Fee U t ��o above information is correct I agree to comply with all County Investigation Fee ;j N $ ordinances and State laws relating to building construction, Total Fee J �i andreby authorize representatives of this County to enter upo he above-mentioned pro ert for inspection purposes z 7 SEE REVERSE FOR EXPLANATORY LANGUAGE • Signature ol Applic nt or Agent Date - ®s