HomeMy Public PortalAbout5486 SARA MAR LN_Building__ Tb.B]EA CE h90]S 9] APPLICATION FOR BUILDING PERml; '
COUNTY OF LOS ANGELES BUILDISSVIr S,a,. /h�T. L-o .at
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY T¢n+ 1• C.V
'JOHN A LAMBIE COUNTY ENGINEER NEAREST '
WILLIAM A JENSEN SUP T Of BUILDING CROSS ST 13 R GAO d tAJ
DISTRICT N G TYPE E BY
FOR APPLICANT TO FILL IN CONST Q
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS A�T ti y tC _ r BK
CLASS NO DWELL UNITS
LOT NO 3-7 BLOCKVFRONT
~ TE NOT REQUIRED RECEIVEp
TRACT ,r Soc,N V/eW, C/n.&S - HIGHWAv
NO OF BLOCS (CIRCLE) STATE MAJOR SECON LOCAL
SIZE OF LOT y'Y �/yJ,yL7 NOW ON LOT -------
USE OF (� CONDITIONS
EXISTING BLDG SAw• �I
TEL
OWNER r `.�, NO YARD HWY STREET NAME EXIST
r p WIDTH
ADDRESS V S/ (. a .y } /,
ARCH ITECT OR �� r TEL
ENGINEER NO SIDE
P L
ADDRESS -0
OE
CONTRACTOR � � � I 0
ADDRESS S7/j U F
DESCRIPTION OF WOa
Z
NEW ADD ALTER REPAIR
SO FT NO OF
SIZE 3i.y STORIES
USE OF
STRUCTURE AL ('
SIGNATURE OF-
APPLICANT
VALUATION S
VALS DATE IHSPE SIGNATURE
PC PMN LOCATION
FEE S FEATERIALSE STOPSI HEREBYACR NOWLEDGE THAT I HAVE READ THIS APPLICATION ACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT iN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF TME LABOR CODC OF THE STATE OF CALIFORNIA RELAT
INC TO WORKMEN S PENSATION INSURANCE LATH EXT
SIGNATURtt
E OF HOUSE NUMBER COR' \
PERMITTEE RECT AND POSTED
ADDRESS 7i�' - FINAL Q
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK M D CASH _ PERMT VALIDATIO cK M D cABH
LA�p 1 3 4 412 OCT 11 1 D 4.00- V,
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Rb. 770Ae3aAA CC;;a,zL, APPLICATION FOR BUILDI PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY Iec, T
JOHN A LAMBIE COUNTY ENGINEER NEAREST �
WILLIAM A JENSEN BUI T OF BUILDING CROSS ST Riz pA b C{)q
DI ST JCT P TYPE . B
FOR APPLICANT TO FELL IN CONST
BUILDING A�.� Ap �YL I STATISTICAL C SI FICATION 6 ER MAP
ADDRESS �/ T BK
. CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT li ♦ ns �QL+� GA - MAP ^ HIONWAY
NO OF BLDGS NO `,0 ¢gcLel `TATE MAJOR SECON OCAL
512E OF LOT ib,'Jy it S•5�7,y7 NOW ON LOT USE ZONE SPECIAL
USE OF QQrr CONDITIONS
E%ISTING BLDG A�/M k . er •
TEL
OWNER�. t.C;}L!W" NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS (e61
,.I FRONT �JI
ARCHITECT OR TEL P L CC//
ENGINEER �� NO SIDE
P L 1
ADDRESS O
TV
CONTRACTOR NOEL C&
ADDRESS AS LJIR, C Q
DESCRIPTION OF.WORK I
4
N
NEW 't"ADD ALTER REPAIR DEMOLISH
SO FT NO OF ) NO OF
SIZE ZSYO STORIES FAMILIES
USE OF
STRUCTURE Z 7t i O
SIGNATURE OF I�
APPLICANT k 1
I
VALUATIONS
APPROVALS ATE IrvYPECTOR Icn T
PC PMT �}{1 FOUNDATION LOCATION O f;
FEE $ FEE $ (f V FORMS MATERIALS 'f
FRAME FIRE STOPS
HEREBY THAT
ACKNOWLEDGE ARCS THAT CORRECT
NEAT GRE APPLICATION BRACING BOLTI R
AND STATE TNAT THE ABOVE 1E CO ND S AND AGREE E COMING FURNACE LOCATION
WITH ALL COUNTY TION INCER AND STATS LAWN REGULATING GAS VENT DUCTS -
AUILORIZ D HERE UCiION I CERTIFY THAT IN DOING THE WORN 4
TJONO F THE
HERE By
WILL NOT ESTATE ANY CALIFORNIAN IN VIOLA LATH INT
TION OF THE MANOR COOC OF THE STATE OF ALIFRELAT
TNG TO WORKMEN N COMPATION INSURAMCC LATH EXT
SIGNATURE OF _ HOUSE NUMBER COR
PERMITTEE `RECT AND POSTED
ADORE55 T� —PFINAL
JOHN F LEWIS PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION CK M T CASH PERMIT VALIDATION cK S o CASH
1
LAAO 1 3 4 7 Q DCT 11 1 D 8.00- 7