HomeMy Public PortalAbout9095 OLIVE ST_Building__ uesu CE#SO9•8.60 APPLICATION FOR BUIL E)INt PERMIT. .
COUNTY OF LOS ANGELES BUILDING.'-
DEPARTMENT OF COUNTY ENGINEER' ADDRESS D ,�
BUILDING AND SAFETY DIVISION LOCALITY P, •i
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUP'T OF BUILDING CROSS ST.'
DISTRICT N GR TYPE R S BY
FOR APPLICANT TO FILL IN' �� (j . I CONST.
BUILDING STATISTICAL CLASIFICATION131WER MAP
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ADDRESSCLASS.NOeP�nWELL..UNITs
LOT NO. BLOCK MAP. ATE
NUMBER H YES NO
TRACT USE ZONE 'SPECIAL '
NO.OF BLDGS. "CONDITIONS
SIZE OF LOT INOW ON LOT
USE OF
EXISTING BLDG. �hn_� ��2� B 1LDING EXIST.
TE ETBACK YARD HWY STREET NAME .yy DTH
OWNEFis. I I Ci L' N FRONT /1
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ADDRESS SIDE
ARCHITECT OTEL. P.L.
ENGINEER No.' IS�E 'TT ON REC..ORD, ' y.
ADDRESSO-
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� C i NO 7 Oc. V
ADDRESS Q� D:
DESCRIPTION WORK �� f .'� +r` - �, ' ,�
J ,(s� si u s_c: rl_ ..mss
Lu
NEW DD ALTER REPAIR "DEMOLISH - r ,yy// ' � 7 1t J� Z
SO.FT. NO.OF NO.OF !_ l .s✓. ; •f% �+�� lvG
SIZE STORIES FAMILIES ,ay� 1�t J1�.�•
USE OF :• i7s+ c'�%r%.w�.
STRUCTURE
SIGNATURE
APPLICANT
VALUATION'$ d Q I
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE' $ ' FEE $ FOUNDATION:LOCATION
.FORMS,MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS•APPLICATION BRACING BOLTS
r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY :F.URNACE:LOCATION. -
WITH ALL COUNTY ORDINANCES AND STATE LAWSPREGULATING !'.GAS VENT DUCTS
BUILDING CONSTRUCTION:'1 CERTIFY THAT IN THE ERFORMANCE i _ .
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT ,LATH, INT.
EMPLOY ANY PERSON IN ANY,MANNER SO AS TO BECOME SUBUECT 'r
TO THE WORKMEN'S MPENSATION.LAWS OF CALIFORNIA. •• - �.Y '
i LATH,EXT: _ J
SIGNATURE OF HOUSE NUMBER COR- J�
PERMIT E �p RECT AND POSTED ZX :yrs
y ,P s.•
ADD FINAL ' T''�r'`' dam' J�r•-�r
CLYDF��'N'. DIRLAM,jPRINCIPAL STR RAIL ENGINEER
P CHECK VALIDATION CIC. M.O. CASH : . PERMIT VALIDATION cK M.O. CASs
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