HomeMy Public PortalAbout5428 WELLAND AVE_Building__ 78A638ACE#8031,-S2 APPLICATION FOR BUILDING PERM1
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.
DIST T•NO. GROUP • -TYPE CESSED BY.
FOR APPLICANT TO FILL IN NSr.
BUILDING a STATISTICAL Cl AS ICATION EWER MAP
ADDRESS�^ 7-C BK
CLASS.NO.�DWELL.UNITS
LOT NO. BLOCK B WATER' NOT REQUIRED RECEIVED ❑
/� CERTIFICATE:
TRACT % MAP HIGHWAY
NO.OF BLDGS.
NO (CIRCLE) STATE MAJOR SECO CAL
SIZE OF LOT ]_ NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL:
OWNER NO. BUIL INC YARD HV1/Y STREET AME EXIST.,
SETBACK WIDTH
ADDRESS -FRONT
ARCHITECT OR TEL. P. 1-••
ENGINEER NO. SIDE.
•ADDRESS
T r Q
CONTRA �'l• N -•
ADDRESS •/y("R/J O
aC
DESCRIPTION OF WORK i-A AA
ADD ALTER REPAIR DEMOLISH V
NO;OFJ �
SE r STORIES/ FAMIILIES
USE OF
STRUCTURE CTURE
77�� aWfT i•`,
7 a
/tom / 1i
SIGNATURE OF r%. :l.i, / +'6 _! _ 7 r
APPLICANT �/ ✓fes%�i1 f %� .' �
VALUATION$ /./tfrw'�e_. ..1{
APPROVALS �, k_ TF, INSPECTOIj'S SIGNATUIjE
P.C. PMT. ✓ �Q FOUNDATION: LOCATION- /
FEE FEE $ ... FORMS, MATERIAL'S / ,+ i —• ��'`J w
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS ! 1`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:_LOCATION, �rY V,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS'VENT, DUCTS „Yrs f
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- .. V
ING TO WORKMEN'S
SIGNATPENSATION INSURANCE. LATH,,EXT. nz
.. c �-
URE OF HOUSE NUMBER COR-
PERM ITTEE / RECT AND POSTED
ADDRESS FINAL d �•`G�^'/ =''� , 4Y
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION cK. A.D. CASH _ PERMIT VALIDATION� M.O. •CASH
\ ' L ilio 7 4 0 9 JLL 12 1 0 5 7.0 0-