HomeMy Public PortalAbout5318 MCCULLOCH AVE_Building__ a �
7SA@ZSACE#SOat-sa APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELESBUILDING AV
DEPARTMENT OF COUNTY ENGII M ADDRESS
BUl<MG AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE.COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,8UP'T OF BUILDING CROSB ST.
PTR:ACT
OR � TO M IN OISTRI NO. OUP . ESBED BY
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_53 /1 STATISTICAL CLASSIFICATION ER MAP
C
U CLAW.NO. DWELL UNITS BK
FW
BLOCK '�� WATER NOT REQUIRED RECEIVED
CERTIFICATE:
Z3 MAP HIGHWAY
'Z NO.OF BLDGS. NO. (CIRCLET STATE MAJOR SECONNOW ON LOT UBE ZONE SPECIAL wCONDITIONS e
DG. • TEL. NO.
SETBACNG K YARD HWY STREET NA E WIIDTTH
ADDRESS 7Z.2ke& vQ FRONT
ARCHITECT OR TEL P.L
ENGINEER NO. SIDE
ADDRESS
batTELTI 7X/
CONTRACTOR NO. .7 T y G
ADDRESS Q
DFSC 7nON OF WOBB '
A
IF
N ADD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO.OF
SIZE STORIES F ILIES ,
USE OF e
STRUCTURE
SIGNATURE
APPLICANT
VALUATION E 'xm 70
APPROVALS XkATP INsrEaOR+s slggATYRE
pM•r, / FOUNDATION: LOCATION
REE p '�" FEE S�. FORMS,MATERIALS
FRAME: FIRE STOPS.
1 HMMY ACKNOWLEDOE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
Al. STATK THAT THE ABOVE 12 CORKI=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
AUTHORIZED HERESY 1 WILL NOT EMPLOY Y PERSON IN VIOLA- LATH.INT. • f
TION OF THE LABOR CODE OF THE STA CALIFORNIA RELAT-
ING TOWORKMEN'S TION INSU •+'• r T
LATH.I".SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED14.
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ADDRESS FINAL
i
JOHN F. LEMS.P INCIPAL ST URAL ENGINEER
PLAN C = VALIDATION p N.O. CASH _ PEDW VALUATION MA.
MA. CASH
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