HomeMy Public PortalAbout5439 PARMERTON AVE_Building__ o ` I
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALIT V
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM JENSEN SUP Tor BUILDING CROSS ST
DISTRICT NO _GROUP TYPE- PR ESSED BY
FOR APPLICANT TO FILL.IN �1 91 c.NSr
BUILDING -� Q' r O� y�.�E STATISTICAL CLASSIFICATION ` SEWER MAP PG
ADORESS / HY K
CLASS NO DWELL UNITS
LOT NO 70 BLOCK MAP _STATE YES NO
NUMBER !� HWY
TRACT 1 '3 (/-3 USEZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT Qx Q-O NOW ON LOT
USE OF (� S i (�¢
EXISTING BLDG IG ((+'0.' p^' BUILDING YARD HWY STREET NAME EXIST
OWNER D T,Aw.,j NO �84 a SETBACK WIDTH
3R N r w ZaA FRONT
/ac12 `
ADDRESS SIDE
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
}
ADDRESS n d
TLAI
CONTRACTOR VVIR VAAUUn�C4 . N(�0� � -Tb7J7 '
ADDRESS O W kite IJl
DESCRIPTION OF WORK W-1 e- O
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF / NO OF 1
SIZE STORIES FAMILIES /USE OF
STRUCTURE a k✓
4
SIGNATURE OF
APPLICANItT
VALUATIONS D� n
FOUNDATION
DATE, INSPECTOR S SIGNATURE
FEE S FEE $�'J ATION LOCATION
FORMS MATERIALS
FRAME FIRE STOPS `
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OFTHE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBVECT
TO'THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA
` LATH EXT
NU
SIGNATURE O - HOUSE NUMBER COR-
P ERMITTE RECT AND POSTED
ADDRESSMA FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION cK M o CASH PERMIT VALIDATION CK MO GDN
LAC08 3 9 5 JUN 9 1 D 5.0 0