HomeMy Public PortalAbout5426 WELLAND AVE_Building__ 76A688ACE Bog,-6a APPLICATION FOR BU-I DING PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION. LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST.
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DISTRICT N GR UP TYPE O ESSED BY
FOR APPLICANT TO FILL IN 6, . CONS .
BUILDING STATISTICAL CLASSIFICATION EWER MAP
ADDRESSBK G•
- CLASS. NO. DWELL.UNITS
LOT NO. BLOCK WATER
'CERTIFICATE: NOT'REQUIRED RECEIVED ❑
•
TRACTMAP HIGHWAY STATE MAJOR SECOND, OCAL }
p� NO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT (/ NOW ON LOT USE ZO E SPECIAL
ed
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER NO. SETBACK BUILDING YARD HWY STREET. E EXIST.
WIDTH
ADDRESS --FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. S113E
P. L.
ADDRESS n
TE / 6
CONTRACT
NEW AQ1 N .�dl(yo D
ADDRESS -r."410✓� `r F
DESCRIPTION OF WORK u
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v
DD ALTER REPAIR DEMOLISH
SIZE T. , NO.OF NO. OF e
STORIES FAMILIES
USE OF
STRUCTURE
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P _ P�
SIGNATUREO f�• l':,. d1'rJ+IsI1. lLl:�r_ �r�+:�c�l'/l .G91.. •:Y"��'
PiPPLICAN }: /
r 75
VALUATION$ �L�L� - 'i1
!APPROVALS MII�� 4O DATA INSPECTO)i S SIGN(1TUI%E
�] FOUNDATION: LOCATION - �
,40
FEE (J FEE $� B FORMS, MATERIALS `�'-
FRAME: FIRE STOPS, 1
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:_LOCATION, •�' C� ¢( yy�rd,(.7^ '
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS 17, C•'
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _.
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA ELAT-
ING TO,W.ORKMEN'S CCAIPENSATION INSURANCE. LATH,EXT. v
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND.POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRI CIP,4L ST ORAL ERdINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
.2 3:20
i t' 3 .2. 3 D .:�3.5 0
7 4 U 8 0 JUL 1 D
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