HomeMy Public PortalAbout9511 OLIVE ST_Building__ TEMPLE C9TY'
FM030A 4E#8.082/410 APPLICATION FOR BUILDING PERMIT" '
COUNTY OF LOS ANGELES BUILDING
DEPARTYMNT' OF COUNTY ENGR=R ADDRESS
BUILDING AND SAFETY DMSION 'LO
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST.
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT-NO. GUQUP E: P CESSED BY
FOR APPLICANT TO FILL-IN NST.
BUILDING STATISTICAL CLASSIFICATION 'SEWER MAP
ADDRESS Q K PG
CLASS:NO.�DWSLL.UNIT
LOT NO. BLOCK MAP -f 6 a H� YES O"
NUMBER— -
'TRACT USEZONE „SPECIAL
NO.OF BLDGS. w CONDITIONS
SIZE OF LOT43. I NOW ON LOT \�
USE OF
EXISTING BLDG. - - BUILDING EXIST.
77��,�,,, v �F TE rFs SETBACK YARD, HWY STREET NAME W TH
OWNER P11 He - •q N S - NOLA1 60 FRONTP.
ADDRESS. 1- . O iV6 St Temple Cit SIDE
ARCHITECT OR TEL. P.L. '
ENGINEER NO. INSPECTION RECORD
ADDRESS'
CONTRACTOR P�tjQ Con—St -C NOti 2 4
2' O
> ADDRESS 3ri0 Rna amAati Al vyl �.•Pa as V
DESCRIPTION OF WORK �
O.
NEWADD ALTER REPAIR DEMOLISH
SC±.FT. NO.OF NO.OF '
SIZE STORIES FAMILIES
-USE OF
STRUCTURE ()Tiprl- Patio
' SIGNATUR O
APPLICAN
VALUATION,s 60o.Oo I
APPROVALS DhTE INSPECTOWS'SI6MATURE
,�✓ FOUNDATION:LOCATION
FEE. '� I FEE $LJ FORMS MATERIALS c 3
FRAME:FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING.BOLTS /i'
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, -
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT' DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMENNSATION 6AWS OIFO LATH,EXT.
P RMI7TEE ��lf�c-'�` HOUSE NUMBER COR- -
RECT AND POSTED.
ADDRESS R P FINAL'
GL.YDE N. DIRLAM;PRINCIPAL.STRU RAL ENGINEER
PLAN 0=11 VALIDATION cm -m:0. '.casH PERMIT VALIDATION M.o... CASH
LJ L,�
0 3 B 0 Z, JUL ?1 1 D 5'.00'.