HomeMy Public PortalAbout9417 LEMON AVE_Building__ .
76A838A CE#803S6, APPLICATION FOR BUILDING PERMIT
COUNTY OF 'LOS ANGELES ADD ess /
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY C f e C t
'JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST
DISTRICT NO. GROUP pE PROCESSED BY
corisr'
FOR APPLICANT TO FILL IN= s' o�• T.
BUILDING STATISTICAL CLASSIFICATION WERM
ADDRESS ��// BK - PG.
CLASS NO_1LDWELL UNITS — - •�. O
LOT NO. F7 BLOCK WATER . '
- NO,A T CERTIFICATE N_OT REQUIRED RECEIVED-
TRACTIT
N . MAP HIGHWAY
SIZE OF LOT �, S X ,3, NOWOF BLDGd ON LOT USE ZONED O SPECI(CIRCAL STATE MAJOR
MAJOR SECOND LOCAL
USE OF - - CONDITIONS J 3 9 Te. -
EXISTING BL G -e
J '�11 TEL /
OWNER / U' NO. - UILDING EXIST.
YARD HWY STREET NAME
I&k � �� SETBACK WIDTH
ADDRESS Q FRONT ! -
ARCHITECT OR TEL - P L CI Le-/•r,d N
ENGINEER NO SIDEo d'
P L ,
ADDRESS Iitl TEL. INSPECTION RECORD u'-
CONTRACTOR NO - ^ t _ Q
ADDRESS AO ( i /!
DESCRIPTION OFIWORK �/�
NEW 01DALTER REPAIR DEMOLISH -,'I
' 6/Jsq�,y, �
SQ FT. NO OF NO OF 1 P `���„'�'�
IZE STORIES FAMILIES
USE OF
STRUCTURE
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SIGNATURE OF P '� ' f�44n� �A •-<"r..,� /� fCrE>� Ota-�'AL
APPLICANT
VALUATION$
�./! APPROVALS I DATE INSPECTrOR:S,S GNATURE
FEE $ FEE $ �/''' FOUNDATION LOCATION
_ .�� FORMS,MATERIALS
FRAMEFIRE STOPS, ,( 1
IHEREBY ACKNOWLEDGE THAT I HAVE READ•THIS APPLICATION, BRACING,
RACING BOLTS t
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 1 CERTIFY THAT IN DOING THE WORK
AUTHORI ZED,HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION-OF THE LABOR CODE OF THE STATE OF CALIFORNIA_ RELAT.
ING TO WORKMEN'S PEN ATION INSURANCE „��,. II 1 I
LATH,EXT
SIGNATURE n, HOUSE NUMBER COR-
PERMIT TE RECT AND POSTED f9f Y
ADDRESS FINAL �"`Y���Y 1
CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER
PLAN CHECK'VALIDATION cv. M.o. cAsH PERMIT VALIDATION , cIi Ia.o. CASH
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