HomeMy Public PortalAbout9073 OLIVE ST_Building__ 76A688A CEBO8'1.6i'APPLICATION'
.� FO.R BUILDING PERMIT•
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS f
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST.
DISTRICT N GROUP TYPE ESSED BY
FADDR
OR APPLICANT TO FILL IN y cam' . CONST. - .
t STATISTICAL CLASSIFICATION S WER MAP
BK
CLASS.NO. DWELL.UNITS
BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
MAP ) HIGHWAY STATE MAJOR SECOND, CA
•� Q'� O.OF BLDGS. NO.. L (CIRCLE)
OT GU WON LOT USE ZONA SPECIAL CONDITIONS
BLDG.
, UIL INC YARD HWY TREET NAME EXIST.
TBACK WIDTH
' D. U n FRONT
ARCHITECT OR TEL. PP. L. '
ENGINEER' NO. (SIDE >
iP. L:
ADDRESS /44
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CONTRACT :iS //// j (�
ADDRESS v / L.1
DESCRIPTION OF,WORK a
9/4
/ . v
NEW'• ADD.•;::>`AL'TER. REPAIR DEMOLISH //�/
'MrFT. NO.OF NO. OF l ,'�'T/.�/liG•'1X�1 "
SIZE, . "( STORIE .FAMILIES
USE OF
STRUCTUR
SIGNATURE OF '
APPL I CANT �{
VALUATION,$ ��CJ
APPROVALS DATE] INSPECTOR'S SIONATURE
PMT.
P.C. (� FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS ) �' •;f
FRAME: FIRE STOPS,
'1 HEREBY ACKNOWLEDGE THAT) HAVE READ THIS APPLICATION BRACING BOLTS 1/'. / 1/�ri'�.•is
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, 1 -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING :GAS VENT, DUCTS
BUILDING'CONSTRUCTION. L.CERTIFY THAT IN DOING THE WORK +f !+
AUTHORIZED HEREBY 1 WILL NOTN'EMPLOY ANY PERSON VIOLA. LATH, INT. .� �/ /7 �7 r.ifryf '�•r
TION OF THE LABOR CODE OF THE STATE OF CALIFO A'R AT-
ING TO WORKMEN'S CO SAT II7SU RANCE.
LATH,EXT.SIGN �F' I!/`
1
PERMpITTTURE EE OF HRECTANDPOSTEDR �.dOR_ III Ilf / A,'1��/✓/ I/�
ADDRESS FINAL 1 �•� � r��
-JOHN F:LEWIS, PRI`NCIIFAL STR RAL ENGINEER
PLAN CHECK VALIDATION. CK. M.O. '.CASH _ PERMIT VALIDATION CK. M.O. CASH "
: � :. 0;:'8 '0 3% .JM26. 1 D 5. 3.50- 9