HomeMy Public PortalAbout10527 OLIVE ST_Building__ 6A636A CE x603 2-63
APPLICATION FO_ R''•B•U I LD1 NG PERM .T
COUN��rY QF„LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1-7
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT N G 'TE BY
FOR APPLICANT TO FILL'IN .�. C. NST.,• '
BUILDING STATISTICAL CLASSIFICATION -SEWER MAP
ADDRESS " G CLASS. NO.--O—DWELL.UNITS Bim-
LOT NO. .BLOCK WATER NOT REQUIRED ❑ RECEIVED• ElCERTIFICATTE:��'jI
TRACT MAPNO. (��V HIGHWA STATE MAJOR SECOND,LOCAL
NO.OF SLOGS.
SIZE OF LOT D NOW ON LOT O USE ZONE PECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL "
OWNER Q NO. BUILDING EXIST.
SETBACK, YARD HWY STREET NAME WIIPTH
ADDRESSid 1A T•, FRONT
ARCHITECTOR TEL, P• L•
ENGINEER NO. vo�zimxoSIDE
,P. L. y
ADDRESS ? ,
O•
TEL. U
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK a
NE ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF ' NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE R 2s
'
-J '
SIGNATURE OF G¢
N 0
APPLICANT
a"
VALUATION $� r
APPROVALS DATE INSPECTOR'S SIGNATURE ,
P.C. PMT. FOUNDATION: LOCATION �1
FEE $ 0 FEE $S FORMS, MATERIALS O' N
FRAME:.FIRE STOPS, yy��
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS •V`Z� _ .�•t�' L3„
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 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.
INC TO WORKMEN'S COMPENSATI N INSURANCE. LATH, EXT.
SIGNATURE OF / HOUSE NUMBER COR- I
PERMITTEE- RECT AND POSTED _
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRLWQTURAL ENGINEER
LAN CHECK VALIDATION CK. M.D. CASH _ PERMIT•VALIDATION CK. M.O. CASH
3 1 7 w AUG 31 1 D 5 7.0-0-