HomeMy Public PortalAbout6362 TRELAWNEY AVE_Building__ 76A638A CES 00033-69 APPLICATION FrOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /F
DEPARTMENT OF COUNTY ENGINEER ADDRESS 6 3 �O00,
BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING NEAREST -
CROSS ST
FOR APPLICANT TO FILL IN OISTRSTT NO G Tr.E NST ESSE
(PRINT OR TYPE ONLY) ��f
BUILDING ��� I, TATISTILALCUS IFDWELLN _ O 1pBK �.beP
ADDRESS N
CLASS NO DWELL UNITS BK PG
LOT NO BLOCK USfr ON MAP �l�y�3
/ /pp`` I NO
TRACT SPECIAL
NO CUCONDITIONS
SIZE OF LOT �' NOW O ON BLOTGS
USE OF
EXISTING BLDG BLDG SETBACK FROM ,
TEL
NO FRONT PROP LINE OF (STREET)
OWNER
TYPE OF MISTING SETBACK HIGHWAY + YARD = TOTAL
L a'•.� XIGHWAY WIDTH FROM C L
ADDRESS 15L4v
CITY
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTNG I SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM CCL
TEL
CONTRACTOR NO `
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ C
ETC-
L
CITY CLASS SEE RE ERSE SIDE FOR SPECIAL APPRCjVALE a
CONSTRUCTION LENDER - (,
NAME AND BRANCH r
ADDRESS S4
V
SO FT NO OF NO OF ❑ 2
SIZE STORIES FAMILIES NEW ft
USE OF ADD ❑
STRUCTURE
2ow.REPAIR ❑
SIGNATURE OF1 DEMOL ❑
APPLICANT
VALUATION APPROVALS DATE Sue• TOK'e nlanwTURK
FEES FEES FOUNDATION ATOCATION Q +
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRA MRA (NG FIRE STOPS, A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I a�� M
WILL NOT EMPLOY AMY PERSON IN VIOLATION OF THE LABOR CODC Nrt24R9
OF THE 3TATE OF CALIFORNIA IN RELATING TO RIT N 9 COM- '
SENSATION INSURANCE
`
PERMITTEE
SIGNATURE LATH, EXT
PERMITTEE NOOSE NUMBER CORRECT
AND POSTED
ADORE FINAL � �L
JOHN F LEWIS, PRINCIPALS RAL ENGINEER
PLAN CHECK VALIDATION CA M 0 CA.H — PERMIT VALIDATION cK M o cw.H
I ,Q(',,5 0 0 3P =19 ' D 1725~ V