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7GA636A CE 4\032-63 APPLICATION FOR- BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /� +
DEPARTMENT, OF COUNTY ENGINEER ADDRESS (�
BUILDING, AND''SAFETY DIVISION• LOCALITY `
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST:?- t
WILLIAM A.JENSEN, SUPT OF BUILDING _ CROSS ST. '
• DIS I T _G P..! TYPE E D -
FOR APPLICANT TO FILL IN ''CON
BUILD STATISTICAL GL S 1FICATION, WER MAP
ADDRESS 011Ve St. -Temple Ci !y CLASS. IVO. DWELL.UNITS—_L,
�— �1-Z-23
LOT NO. 35 E.J.B. .ldwin BLOCK WATER NOT REQUIRED.1�'1� REC IVED
CERTIFICATE: /� 1LJJ
TRACT' jjt i NO. ` (CIRCLE) STATE MAJOR SECOND LOCAL '
NO. F BLDGS.
SIZE OF LOT 501 ..]� 15211 NOW ON LOT -0- USE ZO SPECIAL
USE OF. CONDITIONS (�C
EXISTING BLDG. none { P.•
TEL
OWNER • O. ' BUILDING �YA•R HWY STREET NAME EXIST.
TSETB4CKWIDTH
ADDRESS.
N. Santa- Anita. Ave o "FRONT + /
ARCH'TE
OR TEL P. L. _
ENGINEER same N 56 SIDE ,2 '
ADDRESS S arm. D_
' 0
CONTRACTOR Same 190. `y r �TEL. A ' 1 ` j
ADDRESS S+Ig rlip. lvjiY y
DESCRIPTION OF WORK u
Lu
NEW ADD — ALTER e REPAIR= DEMOLISH c_p, �Ij / ""' ✓ r Z
11.
SQ.FT. NO.OF NO. OF W � 1' •i_. � _
SIZE 1393 STORIES 1 FAMILIES 1
N
USE OF 0'r
STRUCTURE House. 1393 s 'e•' f t
Car Po t 400 sq, hto.
SIGNATU �
APP ! `i'' AW
..
VALUATION$ ? 60.00
Y APPROVALS D TE INSPECTOR,'S SIGNATURE
P.C. PMT. . r✓' FOUNDATION: LOCATION
FEE �r •FEE FORMS, MATERIALS
FRAME: FIRE STOPS,. ppp
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS {...•A:L 1 �� ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 1'j,i�i�'' •..+�` ">'C!y' - �'r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK g / l
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PE ON VIOLA- 'L'ATH.INT. P ,ti C{
TION OF THE LABOR GO E OF THE SJOE OF C 6 REL,/1T-
ING TO WOR MEN' E SAT 10 UR CE. �✓�. '. -!':,.yam„*,�.!1 ,{
LATH,EXT. . O'�f,�P r7��•� -181/
SIGNATOR 1 HOUSE NUMBER COR-,• {'
PERM[ RECT AND POSTED• ”
ADDRESS 1660 . Santa Anita • Are e FINAL
JOHN F. LEWIS. PRINCIPAL STRU UPIt�AL ENGINEER
PL1iN CHECK VALIDATION cK. .�.M:o. cnsH '" : ' PERMIT.VALIDATION cK. M.O. cnsH
u-0 9 5 0 9 AUG 2'$ 2 3 D 2 B.5 GA
�k"9 8 �.i ZEO