HomeMy Public PortalAbout6202 MUSCATEL AVE_Building__ 18A888A CC 1/808.9.60 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING r
DEPARTMENT OF COUNTY ENGINEER . ADDREss
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING I CROSS S
DISTRICT NO. E
TYPE PR ESSED BY
FOR APPLICANT TO FILL IN � — I I CONST.
BUILDING STATISTICAL CLASSIFICATION -� SEWER MAP
ADDRESS BK PO
CLASS.NO.-DWELL.UNITS o / 6 V
LOT NO. NJ'— / J' BLOCK MAP STATE NUMBER��O HWY. YES NO
TRACT f O USE ZONE SPECIAL '
yyNo.OFBLDGS.. •n CONDITIONS
SIZE OF LOT e '"O x IJ lJ I NOW ON LOT
USE OF
EXISTING BLDG. A BUILDING YARD HWY STREET NAME EXIST.
.1
TEL SETBACK
OWNER N FRONT
ADDRESS SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS O
EL. �YJ
CONTRACTOR . NO.
ADDRESS .
DESCRIPTION OF WORK W
rw o.
'.N
ADD ALTER REPAIR DEMOLISH Z
511 •
S ZE O x e0) NO.OF NO.OF
STORIES FA LIES
USE OF j? '
STRUCTURE
SIGNATURE of
APPLICANT
VALUATION$ I
APPROVALS IdATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FEE $ FEE $ FORMS.MATERIALS
FRAME:FIRE STOPS,
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
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH,INT.
EMPLOYANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'S COMPENSATION LAWS OF ALIFORNI LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL ���
CLYDE N. DIRLi4M, PRINCIPAL STRUCTURAL ENG R
PLAN CHECK V ATION cK 41X �'CASH :PERMIT VALIDATION cK: M.o. CASH
f-
76A638A CE0803 1-67 APPLICATION FOR BUILDI G PERWT
COUNTY OF LOS ANGELES ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. Ad7wgf;
DISTRICT NO. [G,ROUP TYPEPRO SSED BY
FOR APPLICANT TO FILL IN �.� CONSTe
BUILDING �/� -7- _ f STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �p20 {_I USC ` F_t— CLASS NO.-DWELL UNITS B P?
LOT NO. 1/� 0 r jtWttBLOCK USE ZONE MAP �J
TRACT �G� 4)Al NO. �v0
_ SPECIAL
C N0. OF SLOGS. 2 CONDITIONS
SIZE OF LOT fJ' J✓ NOW ON LOT L�
USE OF vT. �OM�
No BLDG, RI BLDG. SETBACK FROM J ,��!/i�C_ j
L_
p/� TEL. FRONT PROP. LINE OF (STREET)
OWNER 14EL� L._ MO/Ak� NO. 26 -47'J3 TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS (o Zo2 =1,- HIGHWAY IDTH FROM C.L.
CITY L - ` + = 2CJ
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
r/•e�f ,W,' 7y•�� TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
V
ADDRESS iU L P, HIGHWAY WIDTH FROM C.L.
TEL. +
CONTRACTOR NO
LIC
ADDRESS NO
CORNER CUTOFF YES NO I
1
CITY CLASS LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK �
NEW ADD ALTER REPAIR DEMOLISH /L
SQ.FT. NO. OF NO. OF I%L ���4i/ .Lr�L�:> La) ^F'C[! e f? GC''rt1�f;•
SIZE STORIES FAMILIES /
USE OF 6�
STRUCTURE LjsCLN_t_ D V
SIGNATURE OF
APPLICANT
VALUATION$ .x•00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. lJ'f� FOFORMS!MA,TERIALLOCATION
FEE$ FEE$
FRAME, FIRE STOPS,
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
9UILOING CONSTRUCTION. 1 CERTI Y THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT MPIOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF TH STATE OF CALIFORNIA/ RELAT-
ING TO WORKMEN'S CIfMPENSA X10 NSUCE.� r ` LATH. EXT.
SIGNATURE OF ('�(� J\I- N` HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED /1 f
ADDRESS Fl NAL I-Z�_� V ,601ZLI4l.7
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENZ;7
AN CHECK VALIDATION CK. M.O. CASH PERNIIT VALIDATION CK. M.O
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