HomeMy Public PortalAbout9331 PENTLAND ST_Building__ 1APPLICATI01IIIIIi FOR BUIL&NG PER IJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY C
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM JENSEN SUP TOP BUILDING CROSSST Y
FOR APPLICANT TO FILL IN DISTRICTON GR TYPE , / PRO B
S, CONST �/ Q
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS
CLASS NO DWELL UNITS
LOT NO BLOCK I MAP STATE YE9 NO '
NUMBER HWY -
TRACT USEZONE SPECIAL'
OF SLOGS ,I / CONDITIONS
SIZE OF LOT OW ON LOT
USE OF
EXISTING BLDG BUILDINGYARD HWY STREET NAME ` EXIST
TE SETBACK WIDTH
OWNERJA0 N FRONT L / `?tel
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ADDRESS SIDE
ARCHITEC OREL P L
ENGINEER I INSPECTION RECORD
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ADDRESS S
TEL: ? O
CONTRACTOR NO
ADDRESS O
DESCRIPTION OF WORK + �i
_ a
N
NEW ADD ALTER REPAIR E OLISH Z
50 FT NO OF _
SIZE STORIES FAM I L I E9
USE OF
STRUCTURE
SIGNATUREOF
APPLICANT
VALUATION S ✓ 1. [T�
APPROVALS DATE INSPECTOR SSIGNATURE
PCPMT FOUNDATION LOCATION
FEE S FEE E FORMS MATERIALS
FRAME FIRESTOPS
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 % I
DO ILD I NG CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OFTHE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH INT A
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUWVT I
TO THE W KMENS COM PENBATION W5 OF CALIF RNID n
LATH EXT
SIGNATURE OR- HOUSE NUMBER COR
PERMITTE RECT AND POSTED A.
gooRE9FINAL
PLAN CHECK VALIDATION c,c III G c H - CLYDE P RMIT VALID\TIONTR cK Rtl o UL ENGINEER
LACC 7 4 8 2 3 1 D 200 �