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HomeMy Public PortalAbout5357 PARMERTON AVE_Building__ C6.l803(REV 6/781 f. APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY _47 ' FOR APPLICANT O FILL IN ADDRESS (-l.�- AUILDIN ���, BUILDING ADDRESS LOCALITY NEAREST s:,. k CITU ZIP CROSS ST _NO OF BLDGS ASSESSOR + SIZE OF LOT NOW ON LOT ' MAP BOOKDISTRICT PAGE PARCEL yy TEL K, 0 Q GROUP TYPE CONY FIRE E �T PROC' BY TRACE d BLOCK , LOTNO�� V Cl 3 V OWNER NO STATISTICAL CLASSIFICATION /� WER MAP ADDRESS 'CLASS NO DWELL UNITS f' BK(e3G CITY ZIP .. ENGINARCHIEER R " NO VALUATION gj ADDRESS BLDG SETBACK FROM EL FRONT PROP LINE OF ISTREETI CONTRACTOR O HIGHWAY + YARD TOTAL SET BACK FROM TYPEOF EXISTING LICoe2 FRONT PROP LINE HIGHWAY WIDTH ADDRESS F NO ' LI C + CITY ° CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS `� CITY SIDE PROP LINE HIGHWAY WIDTH SO FT NO OF NO OF CHECK + (� SIZE STORIES FAMILIES ONE ryry {� DESCRIPTION OF WORK NEW ❑ PC Fee$ " Perma Fee p1 v Q1 ADD Issuonce Fee r ALTER REPAIR El Total Fee USE OF pp, ® EXISTING BLDG G `1 - APPLICANT ,� TEL .- �_` (PRINT) NO `la• G BY(SIGNATURE, I HEREBY ACKNOWLEDGE THAT I H READ THIS APPLICATION AND STATE •�J-��`''1 / S + , THAT THE ABOVE IS CORRECT AN EE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF •U 5' i THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM7312A. -' + ) PENSATION INSURANCE r y + , SIGNATURE OF IIS♦� !1 # • •S•L• of = Y PERMITTEE • , ' 2 • � 3Q00' ADDRESS .--. 1. 1 = kFINAL NO ' -C Y `\� zoNE No �QSD a IQ1 '-7A SPECIAL _ - 119 -- CONDITIONS - - - BY �0 �/ � (tjf 7t^606A • • , �F CE#t03(REV V96) ,LI111 APPLICATION FOR' BUILDING PERMIT 4 COUNTY OF LOS ANGELES BUILDING AND SAFETY " FOR APPLICQ TO FILL INq1 _3 BUILDING _ ADDRESS BUILDING ADDRESS LOCALITY NEAREST CITY ZIP CROSS ST AA^ OF BLDGSASSESSOR SIZEOF LOT by OW ON LOTMAP BOOK PAGE PARCEL TRACT I3 �/ BLOCK LO �STR�Q UP TYPE FIRE ROCBY ✓ O 3 CONST/ 2E OWNER NqV �/ADDRESS � STATISTICAL CLASS(FICATION /'` WERCLASS NO �" DWELL UNITS G BKCITY -ZIPARCHITECTOR 1 4 TEVALUATION $ENGINEER N / ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINEOF ISTREET) CONTRACTOR NO HIGHWAY, + YARD iOTALSETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS Z. NO CITY / ^ CLASS + ICONSTRLCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF 1EXISTING IL ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH G SO FT NO OF INC) OF CHECK + u SIZE STORIES FAMILIES ONE - O DESCRIPTION OF WORK NEW ❑ P C Fee E Permit Fee, t ( Ada %ADD Issuance Fee ' N ALTER LJ o / Z REPAIR EITotol Fee USEOF DEMOL ❑ EXISTINGBLDG Q APP IPRI TI O /9 _3 q BY(SIGNATURE Q - I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE ,+'F I lYlJJ THAT THE ABOVE I$CORRECT A AGREE TO COMPLY WITH ALL ORDINANCES Pd W AND LAWS REGULATING BUILD( CONSTRUCTION I CERTIFY THAT IN DOING THE 2 WORK AUTHORIZED HEREBY I VALL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM _ PENSATION INSURANCE 271. Q'6A SIGNATURE OF _ PERMITTEE • •Fi ems• 1 ' ADDRESS F 2 . 19600 ; r NO Y q p • e 196005 OP U > 009'-79 7 ECIALL NDITIONSBY ' i