HomeMy Public PortalAbout9823 OLIVE ST_Building__ P
lov,
76A63B� -
CE/Bn3(REV.6/7.8)
•
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN. ADDRESS ZEoZ� L ti
BUILDING �►/
ADDRESS Z3 C/ �� .s LOCALITY e
NEAREST
CITY , /c J (f__ ZL_ ZIP CROSS ST.
'NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE I PARCEL
DISTRICT �77�Up
TYPE FIRE SSED BY
LOT O �� G CONS ZONE
_ TEL. ,/ G
OWNER /s���L/C�l/ NOL�Y 5Gp •U 0 !/
STATISTICAL CLASSIFICATION EWER NOtf
ADDRESS CLASS NO. DWELL.UNITS"__Lj v8 PG
CITY�� /�% ZIP
ARCHITECT OR TEL. VALUATION
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
ll�S� FRONT PROP.LINE OF (STREET)
T 7
CONTRACT � IrFJ O• HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY CLASS /
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREET(
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT. NO.OF NO.OF CHECK + _
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ P.C.Fee$ Permit Fee
2-2
1111�1l; d ADD Issuance Fee
ALTER
C REPAIR ❑ I Total Fee
USE OF DEMOL V
EXISTING BLDV-y_<_g 2ZG
APPLICANT TEL
(PRINT) NO.
BY ISIGNATU_R8 > � [�// l
I HEREBY ACKNOWL K THAT I HA READT,TFiIS CATION AND STATE Y
THAT THE ABOVE IS CO RECT AND AGREE TO COMPL ITC ALL ORDINANCES 'Y' ;221 3.6 A
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z # 0 0 0 0 0 1
PENSATION INSURANCE.
SIGNATURE OF '2 0 031.00
PERMITTEE / lo-o o 3 1.0 0 c:5
ADDRESS O O ,l 0 9 7 9
• TEL. r
CITY NO.
c� � D
Z. NE MAP o� O O y Q
NO. O
SPECIAL i=
CONDITIONS X
FINAL / Z W