HomeMy Public PortalAbout9818 LONGDEN AVE_Building__ 7BA638A CE$8.03 1/71
>a _ . rte. APPLIC4TION FOR BUILD G PERM
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COUNTY OF. LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK -.PAGE. PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS �, a•
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR'APPLICANT TO FILL,IN NEAREST
Print or tvoe onl CROSS ST.
ADDRESS `�� J�� ;DI +ICe GROU TYPE CONST. P
L Qr '•STATISTICAL CL SSIFICATION• SEWER MAPF
-.LOT NO. BLOCK CLASS NO. DWE.LL,UNITS
TRACT d9 ap •IUSE ZONE MAP n
NO.•OF BLDGS. NO.
SIZE OF LOT '3®® NOW ON LOT SPECIAL
USE OF CONDITIONS ,
EXISTING BLDG,
OWNER o ,� NOL2 7� •
BLDG.SETBACK FROM ,
ADDRESS �,� �. FRONT PROP.LINE OF (STREET)
/r 'TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY /L /£ /�T HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. - + _
ENGINEER NO. BLDG.SETBACK F
ADDRESS . SIDEPROP.LINEOF - (STREET) • }}
+ TEL. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL 3
.HIGHWAY WIDTH FROM C.L, C
CONTRACTOR NO.
ADDRESS NO + = C
C
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ La.
CONSTRUCTION LENDER CL
NAME-AND BRANCH SEE REVERSE SIDE.FOR SPECIAL APPROVALS
ADDRESS
SQ..FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES
WX
USE OF fj' DO ❑ , -
STRUCTURE (�(/
ALTER
REPAIR❑
SIGNATURE
APPLICANO � ®� � EMOL ❑
❑
Zlco
VALUATIONS 0, APPROVALS ATE' INSP OR•S SIc TURF
P.C. PMT. FOUNDATION: LOCATION
FEES FEE$ Ytee
FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS'
STRUCTION. I CERTIFY-THAT IN DOING THE WORK AUTHORIZED
HEREBY I' WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE, OF THE 5 E OF -CALIFORNIA IN RYELATIG TOWORKMEN!S COMPEN N INSURANCE 'LATH, EXT.SIGNATURE OFf HOUSE NUMBER COR'-
PERMITTEE
RECT AND POSTED
ADDRESS
FINAL . L
JOHN F. LEWIS. PRINCIPAL STRUCTnL ENGINEER
PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATION CK. O. CASH
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