HomeMy Public PortalAbout5716 RIO HONDO AVE_Building__ 7BA638A CE0803 5-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING / / `�
DEPARTMENT OF COUNTY ENGINEER ADDRESS T / �f / r✓
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN �� �- CONST �yJti
BUILDING
STATISTICAL CLASSIFICATION / SEWER MAP
ADDRESS
CLASS NO. DWELL UNITS BKS PG 1-
5
LOT NO. /C��,. '? 7 BLOCK USE ZONE MAP /7� /,
TRACT ,�jr z SPECIAL L� G
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
TEL FRONT PROP. LINE OF Zy ��� /I Vf^�✓G� (STREET)
OWNER / NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS �(Q HIGHWAY WIDTH FROM C.L.
per? (op ` �/ � +
CITY BLDG. SETBACK FROM
ARCHITECT 051 TEL.
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
J _
CONTRACTOR TEL +NO
LIC
ADDRESS b NO /39d/e CORNER CUTOFF YES NO 6 O
ii
LIC -� SEE REVERSE SIDE FOR SPECIAL APPROVALS O
C LA
CITY. SS
DESCRIPTION dF WORK w
a.
NEW ADD ALTER REPAIR DEMOLISH h
Z
SQ.FT. NO. OF NO. OF
SIZE _STORIES FAMILIES
USE OF
STRUCTURE J
SIGNATURE OF
APPLICANT
VALUATION$ �L/,60 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ a J FORMS, MATERIALS
FRAME, FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION K. M.O CASH
LAUc 2 0 .5 S I 1".AY 16 1 D 6.0 Olt, r,
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