HomeMy Public PortalAbout9463 LONGDEN AVE_Building__ 711A638A CE#8031-62 APPL..ICATION FOR E§UlLDl.NG. ..PEfZKlT
COUNTY OF LOS ANGELES BUILDING ' 14r 9
DEPARThdENT"OF COUNTY'ENGINEER, ADDRESS
BUILDING AND SAFETY`DIVISION . LOCALITY'
JOHN A. LAMBIE, COUNTY';E'NGINEER NEAREST
WILLIAM A:JENSEN,SUPT OF.BUILDING CROSS ST.
DIST ICT NO. GR P TYPE P ESSED
FOR APPLICANT .TO FILL CONST.
BUILDING5P;4/49K
Q STA ISTIC L CLASSIFICATION S WER MAP
ADDRESS - 4/ K
CLASS. NO. DWELL.UNITS-
LOT
NITS LOT NO. ABL CK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT. . MAP �p moi{HIGHWAY STATE MAJOR SECON LOCAL
NO.OF BLDGS. NO. . [/ 1J (CIRCLE)'
SIZE OF LOT NOW ON LOT t
USE ZONE SPECIAL 2 j�
USE OF CONDITIONS J /
EXISTING BLDG.
OWNER O BUILDING YARD HWY REET NA E EXIST.
SETBACK' , WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P• L••
ENGINEER "' NO. SIDE.
P. L. .
ADDRESS c
CONTRACTOR
a
ADDRESS r �: i C
DESCRIPTION OF WORK j{�< G �X
NEW ADD ALTE REPA • DEMOLISH
SQ.FT. F NO. OF / r
SIZE STORIES FAMIL S;
USE OF-,:
STRUC RE / --
,•+.�. GAJ_G�...� /! I[c �:st-��.�_
SIGNATURE F
APPLICANT
VALUATION
APPROVALS /DATE! INSP,ECT0kq SI GGNATURE
UNDATFEE $ FEE $ FOFORMS!OMATERALS7;N l 't % "�v�L+E_ sz
FRAME;-.FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICATION :BRACING. BOLTSAND STATE THAT THF-ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE: LOCATION, I _
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- L:ATH,.INT: -
TION'OF T•HE LABOR CODE OF THE STATE OF ZCALIFIA RELAT.
ING TO WORKMEN'SICOMPENSATIO NSURANCE
LATH,EXT. r ti 3
SIGNATURE OF HOUSE-NUMBER COR- ,I ;•�
PERMITTEE - RECT'AND POSTED ' f/ sf l
ADDRESS FINAIL
JOHN F. LEWIS;P'gIN'CIPA.0 -' UCTURAL ENG R
PLAN'CHECK VALIDATION CK. M.O. CASH: _ PERMIT- T VALIDATION_ CK. M.O., CASH
LAGo'5 2. 7'2 Q; OCT. $ �- D 6.0'0 N cQ