HomeMy Public PortalAbout9730 VAL ST_Building__ - TEMPLE CI'T'Y
76"30A LE la032 E] APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING A
DEPARTMENT OF COUNTY ENGINEER ADDRESS C/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN BUR T OF BUILDING CROSS ST
DI T CT N GR TYPE P E Y
FOR APPLICANT TO FILL IN '� CONST
BUILDING STATISTICAL CLASS ICA ION SEWER MAP
ADDRESS I B.K--
_qCKR
CLASS NO DWELL UNITS
LOT NO ' S WATER
CERTIFICANOT REQUIREDRECEIVED
TRACT I41
MAP HI GHW.YNONO �� O� ICIRCLEI STATE MAJOR SECON LOCAL
SIZE OF LOT NOWUSE ZONE SPECIAL
USE OF / CONDITIONS
EXISTING BLDG -
OWNER NG SE BAICKYARD HWY ST EET NAME WIDTHADDRESS FRONTTE R P LENGINEER SIDEdP LADDRESS
CONTRACTO T Y C�ADDRESS Q C FyDESCRIPNON OF WNEW A� ADD ALTER REPAIRISHSO FT NO OFFIZE STORIESIES
USE OF _
STRUCTURE
SIGNATURE OF
APPLICANT
O� Ov
VALUATION $ �
APPROVALS PATE/ \INBP[CTOR EIIOIUTURE
PC PT FEE S FEE FOUNDATION LOCATION
FORMS MATERIALS
FRAME FIRE STOPS
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1PPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS 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 THE LABOR CODC OF THE STATE O CALIFORNIA RELAT
ING TO WORKMEN S C PENSAT N IN A E /
LATH EXT
SIGNATURE OF HOUSE NUMBER COR _
PERMITTEE RECT AND POSTED
ADDRES FINAL
PLAN CHECK VALIDATION CK MJOHN F LEWIS PR CI AL STRUCTURALNG_EE
o CASH
_ PERMIT VALIDATION CK M C Sw H
L tico 6 1 5 6 1 IAR 3 1 D 4.00-
/VL
.00-/ "