HomeMy Public PortalAbout9663 LIVE OAK AVE_Building__ 76A698ACE#8092 60 APPLICATION FOR BUILDING PERMIT-.
COUNTY OF'LOS ANGELES BUILDINGt
DEPARTMENT OF COUNTY ENGINEER A°DF2Ess -
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
i WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. I G OUP E.. P SSED:BY
FOR APPLICANT TO FILL IN ' r coNsr:-
/� /f �I STATISTICAL CLASSIFICATION SE ER MAP
{ ADDRES �L� /�III P �.k ' ' `$K PG
�I'' / ` 5.1--j—DWELL.qMAP �yUNITS r- X B• -
LOT NO.(//,(/ .h//D .h0 �S L� �D' BLOCK - NUMBER ry�iC/ !/ HWYtTATE YES NO�
TRACT (O SIO .l USE ZONE SPECIAL .
" Y / NO.OF BL GS CONDITIONS t'14—a'13
Q SIZE OF LOT �Q /�/ "NOW ON LOT ' - -
y USE OF
EXISTING BLDG.. BUILDING ` EXIST. ..
YA D HWY STREET NAME-
- - t' SETBACK ';WIDTH
E L.
a OWNE - NO Cp31I FRONT - -
ADDRESS L' — '-SIDE
ARCHITECT OTEL P.L.
.ENGINEER NO Z INSPECTION RECORD
.ADDRES I! -
e N
CONTRACTO NE /( A X111 — O
ADDRESS V
DESCRIPTION OF WORK
e . . O
NEW/----ADD ALTER REPAIR DEMOLISH ,I - 7
SQ.FT.- NO.OF - _ NO.
SIZE STORIES FA (LIES
USE OF.
STRUCTURE
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SIGNATUREOF 'S ✓6�,' S.BA.w..Osvn ,t�'r ¢3
APPLICANT / - -
VALUATION$
APPROVALS- DATIX INSPE 011 SIGNATURE
FEE $ I FEE $ FOUNDATION: LOCATION
FORMS, MATERIALS C4
FRAME: FIRE STOPS;
THEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,-BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION. -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS. G/
STATE- LAWS -REGULATING BUILDING .CONSTRUCTION. -
I CERTIFY THAT IN DOING THE WORK'AUTHORIZED I LATH, INT. ...,m
WILL NOT EMPLOY ANY PERSON IN VIO TION OF THE - -
WORKMEN'S.COMPEN ION LAWS F IFORNLA. LATH,EXT. O �G
SIGNATURE OF. HOUSE NUMBER COR-
PERMITTEE. RECT AND POSTED
ADDRESS I. -FINAL A f
CLYDE N. DIRLAM, PRINCIPAL STRU URAL ENGINEER
PIAN-CHECK VALIDATIONM.O. CASH' PERMIT_VALIDATION CI(. M.O. CASH