HomeMy Public PortalAbout5351 WELLAND AVE_Building__ IGA638A CE#803 1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS\� �J
BUILDING AND SAFETY DIVISION LOCALITY q
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT NO,, I GR UP TYPE �/ P "BY
FOR APPLICANT TO FILL IN T., (n/ tJY CONSQ
BUILDING Welland STATISTICAL CLAS IFICATION SEWER MAP
ADDRESS.VJS l CLASS.NO.--Z—DWELL.UNITS
LOT NO.2(7� except E-k 195t BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT 10260
NO.OF BLDGSh NOP -� (CIRCLE)VS ATE MAJOR SECON LOCAL
SIZE OF LOT 71 tx -f1 5 t I NOW ON LOT ` USE ZONE SPECIAL
USE TI Dwelling and detached ara CONDITIONS
EXISTING BLDG. T C+ g g �
141
OWNEFWil-liam V• SCOtt N%145271 BUILDING YARD HWY STREET NAME EXIST.
K V SETBACK WIDTH
ADDRESS 4145 Halifax FRONT
ARCHITECT OR none TEL. P. L. T'L
ENGINEER NO. SIDE
P.L.
ADDRESS __CC INSPECTION RECORD a
CONTRACTOPSanta Anita Constr,"kT79744 S
ADDRESS 8717 Las Tunas, San Gabriel w
DESCRIPTION OF WORK
U
W
NEW xx AD ALTER REPAIR DEMOLISH O-
a N
$IOZE 18a+ TORIEs1 FAMIILIESI
TT
USE OF
-STRUCTURED
STRUCTUREDWelling and attached garage
SIGNATURE LAI c:
APPLICANT _
VALUATION$
APPROVALS D DATE ,'INSPECTOR'S SIGNATURE
P C .-� $� FOUNDATION: LOCATION
FEE $ FEE FORMS, MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND 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 CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COM PEN SA N INSURANCE
LATH,EXT.
SIGNATUR �. HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 17 FINAL
CLYDE N. DIRLAM, PRINCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
5856: DEC, 7 1 0 39.00 M