HomeMy Public PortalAbout5647 PAL MAL AVE_Building__ 7u'A638A CE #8033-69 APPLICATION FORTBUILDING PERMIT ' u
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COUNTY OF LOS ANGELES - BUILDING -�
DEPARTMENT OF,COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY„
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING NEAREST _
CROSS,ST
FOR APPLICANT TO FILL IN ° cT
(PRINT OR TYPE ONLY)
BUILDING / :jJ / /� STATISTICAL CL SIF(CATION ` SE R MAP, I
ADDRESS �(. y ' / /, `4119 `
CLASS NO DWELL UNITS BK hn PG
LOT-NO BLOCK USE ZONE MA
P"3
/ ,� NO - e�
TRACT ,, '1 ' SPECIAL - - ,i• ,
NO OF BLDGS l CONDITIONS I
SIZE OF LOT• Q All III NOW ON LOTUSE
EX STING BLDG S /AV A NL E `
BLDG SETBACK'FROM
TEL FRONT PROP LI NE'OF_ - (STREET)
OWNER I YRN NO y'�I�f.'3� I r TYPE OF EXISTING 'SETBACK HIGHWAY" r+ 'YARD j = +TOTAL(
ADDRESS S-L R/ A4 q H&6 HWAY WIDTH FROM C L1 - --_ I
CITY 7,M P 1E G'r T
ARCHITECT ORTEL LDG TBACK`FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
. TYPE OF-1 UISTNG I SETBACK' HIGHWAY - +Y' YARD-- -TOTAL
ADDRESS HIGHWAY I WIDTH I FROM C L r
CONTRACTOR ,qj y (s6BS NOLjjpf
ADDRESS 7fr�e f/EBl LIC I
NO 33,4 H _C 9P NER CUTOFF _ YES_❑ _ NO ❑ , C
CITY -p�{,F ftJ,p CLASS /,;- / SEE REVERSE SIDE FOR SPECIAL APPROVALS y
CONSTRUCTION LENDER C
NAME ANO BRANCH r,/( /If AegC
ADDRESS
LL
SO FT NO wOF No
OF O ryr t Z
SIZE a STORIES FAMILIES NEW ❑
STR UUSE �TURE _ /ifM/� y A4 ADD _
ALTER
REPAIR ❑
SIGNATURE'OF DEMOL
APPLICANT E] ' J
t
VALUATION $ / FOUNDATION
APPROVALS DATE INSPP.E�CTORR�S SICNA"PE
FEE FEES ( • Z� FO FORM IO MATERIIALSN 40-70 P9/)9J'1 .'.r—,—,J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME BRACIFIRE TOP
AND STATE THAT ,THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRM G V DUCTS
'
TION CERTIFY THAT IN DOING THE WORK'AUTHORIZED HEREBY II /J
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE - LATH INT - /I?-7o
OF THE STATE OF CAL& ORNIA IN RELATING TO WORKMEN,S COM-
PENSATION INSURANCE . a
SIGNATURE OF / ' E.- LATH EXT
PERMITTEE zw— 44-0. HOUSE NUMBER CORRECT _
jI AND POSTED
I
ADORES &164 - oc 44 FINAL.
JOHN F LEWIS' PRI CI AL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK MO CASH - PERMIT,VA LIDAT ION cK Mo cASN
_= -I_Ar,-'5 3 O 99 -" 9 10 1 7.2 5;� M
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