HomeMy Public PortalAbout9617 LAS TUNAS DR_Building__ aA
f saeAce#eoa�s-so• APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. �
DIS,T�ICT NO. GR UP TypE P SSED BY
FOR APPLICANT TO FILL IN S� o Y,- CONST.
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS �"� K. PG
LOT NO. led -r0 ; CLASS.NO. DWELL.UNITS "„ '�
BLOCK MAP /L STATE YES NO
_ NUMBER V HWY.
TRACT S USE ZONE SPECIAL
NO.OF
SIZE OF LOT O X O I NOW ON LOTS O _ CONDITION
USE OF
EXISTING BLDG BUILDING YARD HWY TREET ME E IST.
TEL SETBACK WIDTH
OWNER NO. ,S FRONT
P. L.
ADDRESS SIDE
ARCHITECT OR TEL.. f' P. L•
ENGINEER NO. 7
INSPECTION RECORD
ADDRESS,?Z4 IL
TEL;mm- JKCo O
CONTRACTOR N 7 tJ
ADDRESS
DESCRIPTION OF WORK ' O
W
-lf6� _. �J tall
NEW ADD ALTER REPAIR DEMOLISH Z
SO.FT. NO.OF NO.OF .. ��,..,. - �
SIZE d Q STO I Ela FAMILIES
USE OF
fil
STRUCTURE
I � �
SIGNATURE OF
APPLICANT
VALUATION$ v o
APPROVALS DATE, INSPECTO S SIGNATURE
/ FOUNDATION: LOCATION
FEE $ �d FEE $ ��� FORMS. MATERIALS 2�/�
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS f R",* -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUfLD f NG CONSTRUCTION, I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT f
EMPLOY ANY PERSON IN AN ANNER SO AS TO BECOME SUBUECT LATH. INT.
TO THE WORKMEN'S P ATION LA OF C LI O A.
LATH, EXT.
SIGNATURE O HOUSE NUMBER COR.
PERMITTEE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. PERMM.O. caBH PERVALIDATION CK. M.O. CASH
;iAt � 6 1 i3 63 .E t '.I