HomeMy Public PortalAbout5554 PAL MAL AVE_Building__ 76A638A CE=8036-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
5
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT or BUILDING CROSS ST.
DIs�sIGT O. GROUP TYPE CESSED BY
FOR APPLICANT TO FELL IN •S cONsT 11�c
BUILDING /4� STATISTICAL CLASSIFICATION EW R MAP
ADDRESS47
CLASS. NO. DWELL. UNITS
LOT NO. lV BLOCK WATER
CERTIFICATE: NOT REQUIRED10 RECEIVED
TRACT MAP HIGIIwAY
NO.OF SLOGS. NO. (clwcLel STATE MAJOR SECOND, e2A0
SIZE OF LOT /R wS- Kj� NOW ON LOT USE ZONE SPECIAL �s
USE OF I / CONDITIONS
EXISTING BLDG. /J
TEL.
OWNER NO. BUILDING EXIST.
L Q SET
FRONTK YARD MWY ST ET NAM WIDTH
ADDRESS
ARCH ITECT OR TEL. P.
L.
ENGINEER NO. SIDE
P. .
ADDRESS I/6'` j O
CONTRACTOR .- 5ACL'Lb1gL
ADDRESS ,lJU .FAA, 0
O
DESCRIPTION OF WORK ) u
UJI
NEW ADD ALTER REPAIR DEMOLISHry Z
SO.FT. NO.OF NO. OF _
STZE 0 STORIES / FA LIES
USE OF
STRUCTURE
1141
SIGNATURE OF
APPLICANT _i. '
VALUATION 5444
Q
24_ / / w APPROVALS y f 'I DATE INSPECTOR SIGNATURE
P.C. PMT_ �J FOUNDATION: LOCATION
FEE $ O FEE $ V FORMS. MATERIALS
FRAME: FIRE STOPS.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY 0"0C
ANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONRRYCTI I CEIfTIiY THAT IN DOING THe WORK
AUTHORIZED HEREBY WI L NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TION OF THE LASO COD OF TME STATE NIA RELAT-
ING TO WORKMEN' M NSATION INS E. LATH.EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN
PLAN CH= VALIDATION cK. M.O. CASH _ PERMIT VALIDATION TRCK. URENGINEER M G
L,W9087G Jnra 323 0 21.501
Ll i3O 0 1 2 0 J,1 d j 1 D
46.50--