HomeMy Public PortalAbout5548 ROBINHOOD AVE_Building__ A PLICATION FOR BUIL NG PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R E 8!
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. CouNrr ENGINEER MEAREST
COLEMAN W. JENKINSAUP•T OF BUILDING CROSS ST.
DISTR CT NO O TYPE P D
FOR APPLICANT TO FILL IN CONST.
BUILDING e/ STATISTICAL SIFICATION SE REAP
ADDRESS z=14110alo CLASS NO. DWELL UNITS_r BK_�TPO
LOT NO, BLOCK USE ZONE MAF
O. 11
TRACT ,+► SPECIAL
SIZE OF LOT 'o �N • OF l p
OW ON LOT OT
USE OF 6 W17W
EXISTING 111-pa. /� BLDG. SETBACK FROM
4 OV NEL FRONT PROP. LIKE OF (31TREE7)
OWNER �p TYPE OF EXISTING ![;.ACK HIGHWAY YARD = TOTAL
ADDRESS Q 'R
C L.
CITY /7` BLDG. 1 ■ACK ROM _ +
�RCHI EC OR TEL. SID[ PROF. LIN[ OF STREET
NGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR r
f M Y NOL. - + _
ADDRESS NO I CORNER CUTOFF YES NO
LL SEE REVERSE SIDE FOR SPECIAL APPROVALS g
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FTNO. OF NO. OF
.
SIZE STORIES FAMILIES
USE OF
STRUCTURE
adv aeL22�
SIGNATURE OF
APPLICANT
VALUATIbN$ I I .00
APPROVALS BATH IXlP TOR'!lIGMATUR[
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEH$ f FORMS MATERIALS
RAM11, FIRE STOPS,-
I HGT[7Y ACKNOWLm E
GE THAT 1 HAVE RAD THIS APPLICATION BRACING D LT
AND WrATE THAT TH[ ANOV[ 1• CORRECT AND AGRM TO COMPLY FURNACEI LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAW! RKOULATIP40 GA N . D
•UILDI NO CON rRUCTI ON. 1 CER
TIFY THAT. IN DOING THE WORK
ALITH OR fZm HERSEY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TON OF TH[ LAWCALIFORNIAR COO[ OF TH[ STAT[ OF R[LAT-
ING TO WCIIIKMEN*S Cf)MP[NGATIIN6URANCL LATH. EXT.
IS T
[GNAURE of HOUIE NUMBER COR-
PEftMITTEE
ADDRESS FINAL
JOHN F. LEWIS. P INCI AL)6TRAL ENGINEER
PLAN CHEM VALIDATION CK. M.. �f _ PERMIT VALIDATION M.0 wH
_
Z6 a 3 lZ8 NOV28-8- 1 0 1 1
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