HomeMy Public PortalAbout6311 SALTER AVE_Building__ ' MPLE CIT.
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IOAssin C6}7 m f-BI ' APPLICAT.ION FOR BUILDING PERMIT
' COUNTY OF LOS ANGELES BUILDING 3
DEPARTMENT OF COUNTY ENGLNEER ADDRESS r/
BUILDING AND SAFETY DMSION LOCALITY /,,5 / -• =� T
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. O// 6-9,F I
FOR APPLICANT TO FILL IN DISTRIC NQ, _ GRO.UP TYPE P SSED BY
i CONST.
BUILDING' /� ? /� �, Q/ �� STATISTICAL CLASSIFICATION SE KR MAP
St DDRESS (Cj J! //L 9-r
o,�, CLASS.NO.�DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND, O
J n DO NO.OF BLDGS. D NO. (CIRCLE)
SIZE-OF LOT I NOW ON LOT USE ZONE SPECIAL
USE TI CONDITIONS
EXISTING BLDG.
WNER L-G S/��+L NO./7 6p BU.ILDING EXIST.
YARD HWY STR NAME
SEtiTBACK WIDTH
ADDRESS Gr 101YT4 I;RONT
ARCHITECT OR TEL. 4IP.L.
ENGINEERNO. {SIDE J
ADDRESS
TEL. INSPECTION RECORD O
CONTRACTOR NO.
r i y
f� Yl ie
ADDRESS . -• � 99
DESCRIPTION OF WORK
DLC �Tr, G
NEW ADD, ALTER REPAIR DEMOLISH
SQ.FT.J NO.OF NO.OF
/ ri /YSi7-=i' r f.%7i1� YZf:� `1 �f�'/ •;�.�
IZE ST IES FAMILIES
USE OF /r (� a.bf t�7 r`✓U/c�� rsd acP
STRUCTUREallet
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SIGNATURE OF r17��(.Z�/�� U �'"LJ�lW 6�1C-
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APPLICANT
✓..•�:+ter/
VALUATION$
APPROVALS /I DATE INSPECTOR'S SIGNATURE
P.C. $ FEE(r^,,; PMT. 9 FOUNDATION:ORMSLOCATION
FEE $ F ,MATERIALS
FRAME:FE STOPS, //
1 HEREBY AC NOWLEDGE TgAT I HAVE READ THIS APPLICATION ,I BRACINGIR,BOLTS �I �?7�='ri%'
'AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CObIPLY FURNACE:LOCATION, 1 w
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK J /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. ��/iI / v � ` fl' •r j
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA REL... I r + L f
INC TO WORKMEN'S COMPENSATION INSURANCE. 'LATH,EXT. j'�f �lr ,7,
PERMITTE SIGNATURE OF -}IRECT AND.POS EDR //J/
NUMBER I
//,/J `/�+,
ADDRESS :FINAL 3 U/, r %/!
' CLYDE N. DIRLAM, P I+O PAL STR " RAL E ER
PLAN CIU±CIC VALIDATION M.O. cABx PERNIIT VALT�ATION K. M.D. x
� c; 203 fl FEB � ? 3 p '� 4
., - 3 2 2 7'.t_ a'
LA." ,x8 7 1 4 No FEB 2 3 1 D 5 4.0 0