HomeMy Public PortalAbout6124 SAINT JAMES DR_Building_5/11/1965_ TaAelaA CER003 S.aG APPLICATION FOR BUIL NG PER IT
COUNTY OF LOS ANGELES 'UILDINO
DEPARTMENT OF COUNTY ENGIN$ER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMANIN JENKINS,BUPT OF BUILDING CROSS 9T
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FOR APPLICANT TO FILL IN `} , C Nr I
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BUILDING STATISTICAL C ASSIFICATIOYPE N 8E ER MAP
ADDRESS O Q _ % CLASS NDWELL UNITS BK PO
LOT NO BLOCK USE Z NE MAP O
TRACT 7 W SPECIAL
CONDITIONS
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SIZ OF LOT~o-R 7•'Yo NOWDON LOT! If
USE OF
/' 7 OLDS SETBACK FROM
OWNER 4 w NOL G ( � ) FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SSTBACK, HIGHWAY YARD = TOTAL
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ADDRESS 'T( w IS C L
CITY F M O vjlQ }
ARCHITECT O C/ BLDG SETBACK PROM
/ NO TEL SID[ PROP LIN[ OF STREET
ENGINEER W L {
TYPE OF C%I[TINO ![TRACK HIGHWAY } YARD = TOT"ADDRESS HIGHWAY WIDTH FROM C L I d
TEL } = O
CONTRACTOR /A ld,A-,e A NO u
ADDRESS L NO CORNER CUTOFF YES NO OC
CL SEE REVERSE SIDE FOR SPECIAL APPROVALS �J
DESCRIPTION OF WORK g a H
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NEW ADD ALTER REPAIR DEMOLISH
PT NO OP NO OF
SIZE D O STORIES PA MIUES
USE OF O
STRUCTURE
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SIGNATURE OF r •Dr. /
APPLICANT �/^�p�/v ✓ ' CoAl
VALUATION$
APPROVALS VAL9 ATE INSPECTOR'S SIOMAT R[
P C n PMT FOUNDATION, LOCATION
FEE$ (/, FEES FORMS MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACRNOWLEDGE THAT`) HAVE READ THIS APPLICATION BRACING BOLT
AND STAT[ THAT THE ABOVE IG CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
•UILDINO CONSTRUCTION I CSRTI FY THAT IN DOIMO THE WORK
AUTHORIIED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT '
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAY
ING TO WORKML! MPLNMTION IN�E
LATH EXT
PENMITTEE _ HORSE NUMpHR COR- S n
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ADORER FINAL O��Sj" y
JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION _ cK M O CASH _ PERMIT VALIDATION cR No cASH
11,00 5 ,7-92 )loa 152 R 4 0.75A F
Q L-Co 1 4 6 8143 14AY 11 1 0 81.50—