HomeMy Public PortalAbout5342 MCCULLOCH AVE_Building__ 76A63BA CE#8035-61APPLICATION FOR BUILDING PERM N
COUNTY OF .LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGWEER ADDRESS ,
BUIMING AND SAFETY DMSION LOCALI
JOHN A..LAMBIE, COUNTY ENGINEER NEAREST h .
WILLIAM A.JENSEN SUPT OR BUILDING CROSS ST. J K
DISTf!IZT N GROUP TYPE pit
S _BY
FOR APPLICANT TO FILL IN p CONST,
BUILDINGr . STATISTICAL CLASSIFICATION SEWER MAP
i4DDRES I CLASS.NO. c'� DWELL.UNITS__L
LOT LOCK �, WATER 'NOT REQUIRED RECE(ED'
CERTIFICATE:
TRA r C k RA r MAP [-�/, HIGHWAY STATE MAJOR SECOND, OCAL
SIZE OF LOT�O X �� I NOW ON LOTS VSO•ZONE O J SPECIAL.LE)
USE OF ' --h CONDITIONS
EXISTING-BLDG.
TEL.
OWNER L - NO. '0 17 BUILDING EXIST.
YARD HWY STREET NAME
ADDRESS ;SSl OAI b Z. FRONT,SETBACK WIDTH'
FRONT, ( S p.
ARCHITECT OR TEL. P.L. �(� - 6 y.
ENGINEER .NO. SIDE
ADDRESS P.L.
V
INSPE ON RECORD
CONTRACTOR I LL.aI + „ TEOL.5r 7 1 _ O
ADDRESS IDSA--2 hoVdER A?+USA IZb- AG7
DESCRIPTION OF WORK
DD ALTER REPAIR DEMOLISH
NEW')( A •w p r�1
SQ.FT, NO.OF NO.OF 't !�,� f. "i%L. µ. p � .9?,"1_ e:✓".i�� �'A�'lslt 6_
IZE STORIES FAMILIES
USE olr
STRUCTURE f , ��
SIGNATURE O .,.-
APPLICANT / � � .
VALUATION$ ��
APPROVALS DATS. INSPECTOR'S SIGNAT,UItE
FEE FEE $- O 07 FOFORMS!MATERALS N �J� �(� A- ` >"•Lcy° �{3
FRAME:FIRE STOPS, yr
1 HEREBY ACKNOWLEDGE THAT 1 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
..WITH
CONSTRUCTION. 1 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- FL-
ING TO WORKMEN'S COMPENSATION INSURANCE. 'LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- '
PERMITTEE RECT AND POSTED /
ADDRES FINAL
CLYDE N. DIRLAM. INCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK M.o. cABH: PERNIIT VALIDATION M.O. CASH
L` ,2667 ; 3 D 2 J
�� 7 511 P 5Q.t r . ,+•