HomeMy Public PortalAbout9402 LIVE OAK AVE_Building__ 7GA538A CE#803 8-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING I
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DISTWCTT NGROUP TYPE, P OC S BY
FOR APPLICANT TO FILL' IN „s� CONs
BUILDING STATISTICALCIFICATION SEWER MAP
ADDRESS BK PG
CLASS NO DWELL UNITS
LOT NO r WATER
CERTIFICATE NOT REQUIRED RECEIVED ❑
TRACT' /�'c/� G MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT NOW ON LOT US ZONE SPECIAL
USE OF / CONDITION ( D
EXISTING BLDG (/
�
1'(/.,
TEL
OWNER /tNO BUILDING EXIST
SETBACK YARD HWY ,STREET NAME WIDTH
'ADDRESS / FRONT
ARCHITECT OR TEI.J P L 6
ENGINEER NO SIDE _
P L �.
ADDRESS - 196
TEL
CONTRACTOR J 'INO
I
ADDRESS ' 1 i O
DESCRI TION 014 WOR G
NEW ADD ALTER REPAIR DEMOLISH ---- -----_ kn
Z
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
i
SIGN TU RE OF /
AP •ICANT
}
VALUATION $ 3
APPROVALS AD&TE INSPECTOR'S SIGNATURE
PC PMTFOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
FRAME FIRE STOPS b� CIS
• I HEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
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 DOING THE WORK
AUTHORIZED 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 COMPENSATION INSURANCE LATH EXT
SIGNATUREOF HOUSE NUMBER COR- 0 v
PERMITTEE _ I RECT AND POSTED
ADDRESS FINAL "
JOHN F LEWIS PRrlNCIPAL ST 'RAL ENGINEER
PLAN .CHECK VALIDATION CK M o CASH PERMIT VALIDATION( CK M o CASH
,: 9°616 ' 3 1 Q 6.00