HomeMy Public PortalAbout9011 OLIVE ST_Building__ 7BA638AC908033-86 APPLICATION FORBUILDI G PERMIY'
COUNTY OF LOS ANGELES :.BUILDING
DEPARTMENT OF COUNTY ENGINEER A D O R E ss'
BUILDING AND SAFETY DIVISION 'LOCALITY
JOHN A. LAMEIM. COUNTY ENGINEER NEAREST-
COLEMAN W. JENKINSAUP.-T OF BUILDING CROSS ST.
DISTRICT? ROUP- TYPE Y
FOR APPLICANT TO FILL IN" . 0
_Z CONST
BUILDING STATISTICAL SSIFICATION SMIR MAP
ADDRESS ~ CLASS NO•. DWELL UNITS -- BK PG_
W
K. USE-ZONE MAP
I NO. 0
TRACT co.. 4 1 SPECIAL
CONDITIONS'
SIZE OF LOT 1 i NOW ON LOT
USE OF
BLDG. SETBACK FROM .. ,
VE STEL. _ FRONT PROP. LINE-OFF - (STREET)
OWNE NO. ^' TYPE OF EXISTING SETBACK HIGHWAY YARD ''TOTAL
ADDRESS q6L T'(Aa o O 0 H HWAY
]SETBACK
C.L.
CITY I,
ARCHITECT ORTEL. BLDG. 9E BACK FROM
ENGINEER NO. SIDE PROP. LINE OF STREET)
TYPE OP EXISTING SETBACK HIGHWAY__+, YARD = TOTAL"
ADDRESS HIGHWAY WIDTH FROM C.L:
TEL. - +
CONTRA CTO NO
ADDRESS NO CORNER CUTOFF YES 1:1NO El f
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C
CITY CIC SEE REVERSE SIDE FOR SPECIAL APPROVALS C
DESCRIPTION OF WORK . C
OM /7 a
NE ADD ALTER REPAIR DEMOLISH
CI.FT. NO. OF NO. OR GIGS Cef-e a door
SIZE1-71A STORIES FAMILIES -S ERS I I' ~y�9
USE OF KY `-
STRUCTURE
SIGNATURE OF O e• PGrmi}o {Or Curb' au}+0�' 'ICI~ r.I.- +-^:"+}„ Ai}adcla
16-1
APPLICANT 0 -1; �'� " o e
aS10}1Dns 0109 -,- L ,R C' Ci
VALUATION$ I s Io V .Qo *•'': ,
O9 }SI lf&14tL3Y Pi i): ,y. 'D,AT,E�, M$E§ ORtIlfSdLNTT
P.C. PMT. ��� p{i� i1 ImE t150d' N `
MS,.MATERIALS .
r
FEE ®� FEE$ D , FIRE STOPS, .'
1 HEREBY ACKNOWLEDGE THAT'IHAVE'REAC THIS APPLICATION BRACING-BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS .i
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK•
AUTHORIZED HEREBY TWILL NOT EMPLOY ANY PERSON IN VIOLA- ,LATH. INT. '
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ,
INS TO WORKMEN'S COMIPENSAT199 INSURANCE. LATH. EXT. "
SIGNATURE - HOUSE NUMBER COR-
PEIRMITTEE -RECT AND POSTED
ADt?REl CR FINAL
JOHN.F. ..�L�E�WIS. P*RRIINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O.. CASH _ PEIMYi VALIDATION '-CK M.O CASH
. -LAP-6-5 5 9 3. JAN 4. 2 '3 D _ 3 0.2 5 A.
,,, ... -7112
FEB 1 D 6 a0.5 0 Q '�