HomeMy Public PortalAbout5523 WELLAND AVE_Building__ 76A688A CE 608 6-62 APPLICATION FOR BUILDING PERMIT � a07
COUNTY OF LOS ANGELES 1 BUILDING OJ i
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION. ' LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. ,r
DISTRICT NO. GROUP TYPE ESSED BY
FOR APPLICANT TO FILL IN g- ONST. -
BUILDING r STATISTICAL CLASSIFICATION S WER MAP
ADDRESS J� a la G v4 /� (g
CLASS. NO. DWELL.UNITS BK P J
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED ❑ RECEIVED
TRACT D MAP /I HIGHWAY STATE MAJOR SECOND, CAL
�/ NO.OF BLDGS. NO. r (/ (CIRCLE)
SIZE OF LOT 31 NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER N UILD NG EXIST
ADDRESS 70 s SETBACK YARD HWY STRE T AME WIDTH
FRONT
ARCHITECT OR if TEL. P. L.
ENGINEER NO. SIDE
P. L..I r /! rr .4 w }
ADDRESS
�I
� r Y i�»: 'r -%"4 Q
CONTRACTOR U 6¢ C /T TEL /�NO 7 n, � .,�, '"a
ADDRESS '� ' y
DESCRIPTIOtN OF WORK %' ?'-��) t
E ALTER REPAIR DEMOLISH f j{r((( �+ „ �� �J/ ri c �xt��r a
SQ.FT. - NO.OF NO.OF _-C+'!%`�.r`>�t�'
SIZE STORIES ! FAMILIES !��✓yl' •y ?
USE OF _ ►! TT 1 /,)/(f�/ ;
STRUCTURE t /
SIGNATURE O� yQ
APPLICANT ✓/
VALUATION $ 400(3
APPROVALS •� DATE INSPECTOR'S SIGI,VATURE
FEE $ FEE $ �(p S� FOUNDATION: LOCATION
' FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY 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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY7.1 WILL NOT EMPLOY ANY PERSON IN-VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- r
ING TO WORKMEN'S COMPENSATION INSURANCE.
L'ATH.'EXT. Gf�.'L�^'�'-�a 3, ��4Zro•-- r „
SIGNATURE V� y�l HOUSE NUMBER COR
aa��y
PERMITTEES RECT AND POSTED tri' � IlG_ �^r" •
ADDRESS O FCNAL
JOHN F. LEWIS.. PWIN01PAL ST URAL ENGINEER
PLAN.CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LAGo 1 1 5 6 FEB-20 2 3 D 2 3.2 5 d Z
Lko'1 7 65 G" MAR 7 .1 D 46.50—
y -