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8A 838A CE#803 B 8 3 L
APP ICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING I
DEPARTMENT OF COUNTY ENGINEER ADDRESS � —
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO 11 GROU I TYPE R ESSEDB Y
FOR APPLICANT TO FILL IN �v �/ 4 CONST
BUILDINGSTATISTICAL CLASSIFICATION S WER MAP
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ADDRESS ff � '' / CLASS NO DWELL UNITS
W
LOT NO `t�66 BLOCK WATER '
CERTIFICATE NOT REQUIRED RECEIVED ❑
TRACT MAPHIGHRCLWAY STATE MAJOR SECON LOCAL J
Q NO OF BLDGS NO (CIE)
SIZE OF LO j NOW ON LOT USE ZONE SPECIAL
USE OF ,^ CONDITIONS
EXISTING-RI D d?
TEL
OWN NO yo BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
A D D R E SIz—c-peFRONT
ARCHITECT OR TEL
P L DO
ENGINEER NO SIDE
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ADDRESS4 IL
TEL O�.
CONTRACTOR NO U
ADDRESS
OC
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DESCRIPTION OF WORK �+ a5 P y ri
ADD ALTER REPAIR' DEMOLISH � N
SO FT NO OF NO OF z
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF r
APPLICAN
VALUATION $ �'�-'U'
APPROVALS PATE INSPECTOR_,§SIGNATU RFy
`-"`_ FOUNDATION
MATERIALS
PC FRAME FIRE STOPS
ON
PMT c'J�
FEE $ FEE $
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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 I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT r1^r
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENS N INSURANCE LATH EXT
SIGNATURE OF r HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRLI RAL ENGINEER
PERM VALIDATION CK MO CASH
LALo 2 5 9 7% AUG 13 1 D 800- 1.7
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I i�® 1
`---WM J FOX CHIEF ENGINEER Ne
FOR ApPPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN CK NO J PERMIT
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ADDRESS / `wNsa/1 v �( r! �° / 'L �/ \'_ `� / r�
LOCALITY r—/,e��r�f (, o `p9 t I RECEIVEDD�A'tt � DATE OF APPL D�ATEE�ISSUED
CEAREST OBB BT �f I� 4/ Jl y• //� _ 3 - `9�'`s A�o
OWNER �� 151z BUILDING / yr• y /// ,
MAIL �s®z/:� ye �,'.9✓�`; ADDREBB ss�c"P� /�♦ V�yi t.�+
ADD ESS /� - �1/ / �-`�+ ��yQ i, '�p� J LOCALITY
CITY '�"'� "' NOL!I bSg6 f NEAREST
ST
ARCHITECT OR TEL. ZONE PLANS / TYPE OROUPI
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ENGINEER NO
BLDG ma�yy � . ORD NO
ADDRESS SETBACK LINE ��ld /®� e—
��+'t? APPROVED
NO BY DAT 7 r
CONTRACTOR PTEL.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL /``� ®� }+'1 j"J( r CORRECTIONS
DESCRIPTION LOTNO �L J BLOCK v v
TRACT
NO OF BLOBS
SIZE OF LOT id , � NOW ON LOTUSE / / /--'
EX SNO OF
T NG BLDG F�OF E5 ROOMS ....(� 1 Q
DESCRIPTION OF WORK 0 AlAlb 12-rI k �./.� �/ ,J
NEW ALTERATION ADDITIONk' P'-'� / Or /_4�lV!�S'' p�
C A
REPAIR MOVING DEMOLISH �� �
Bq FT NO OF _ /Z
SIZE Y ROOMS STORIES
WAL
—COVERINGS, O I COVERING ' f �+
USE OF NEW_
9UILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND BTATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION NSFECTOR ATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
r� FRAME FIRE STOPS.
SIGNATURE - 7`��, BRACING BOLTS
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PERMITITTEEE
LATH, INT
AUTHORIZED AOT LATH, EXT
76A636A 3 7 as $ P C $ PASTER INT
70-0
FEE �`/! PLASTER EXT �
VALUATION FEE $ / � FINAL til- 116,41
7 A638A CE*803 8.83 APPLICATION FOR BUILDING PERMIT
8
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
y !
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING GROSS ST.
DISTRICT NO. GROUP I TYPE PROf�ESSED BY
FOR APPLICANT TO FILL IN CONST. J ' L
BUILDING7 STATISTICAL CLASSIFICATION S/ WER MAP
ADDRESS zwBK P
CLASS. NO. DWELL. UNITS
LOT NO. ' "�. �` (� 4 BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT �' MAPNO. -� �� F (iCIG CVLE) STATE MAJOR SECOND, OCAL
/ AY
NO.OF BLDGS. es+*
SIZE OF LOT_.ro ,o NOW ON LOT 4Z USE ZONE SPECIAL
USE OF2 _ CONDITIONS
EXISTING BLDG.
OWNE NE �7 BUILDING EXIST.
_ YARD HWY STREET NAME
n SETBACK WIDTH
ADDRES 7900 ♦ / D L FRONT I
ARCHITECT OR TEL. P. L. /
ENGINEER �' NO. SIDE
P. L.
ADDRESS
0. , >•= CL
TEL. 0
CONTRACTOR NO. V
ADDRESS - 09
0
DESCRIPTION OF WORK
W
a
W - ADD ALTER REPAIR DEMOLISH IN
SQ. FT. , NO. OF NO. OF j' •-� k.. z
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION % �
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. '7 /Q �) PMT. FOUNDATION: LOCATION
FEE $ 4 FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS, I
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. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- A�FM INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPE �E.ON INSURA LATH. EXT.
SIGNATURE0I
HOUSE NUMBER COR-
PERMITTEEy� RECT AND POSTED
ADDRESS,.�C'0; 2c FINAL a-
JOHN F. LEWIS. PRINCIPAL STIR TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5.001
jiLo 2 5 9 6 AUG 1 3 1 0 50.00-
�, ..9., 3 25M S.TS '6 n[`w.' erw ! , ,lY tY *,l 7..
b f DEPARTMENT OF BUILDING �`* App!.TI N`�FOR PE MIT
COUNTY OF LOS ANGELESMOM r � � ®��� °��,®
V'JM J FO , CHIEF ENGINEER } X71 { -qie*
I—OR APPLICANT 10 FILL IN FOR OFF'I'CE USE ONLY
BUILDNG /� ,( � (STRICT No PLAN CK NO PERMIT NO
ADDREI7 S5 Il+ J /' _I�f'7OY'� � " •• b-, �/ VOF _
LOCALITY / ,,�,�..J '�f�'�r - C...,.,./l/ Y ' REC++r
E/IYED BY DATE OF APPL DATE ISSUED
NEARESTJ.�l�� :+ `r �r
CROSS ST I�lI / �l' / J�,dl )
BUILDING //.,2 +f
DV✓N_R .q �1MAIL y�� ,/��+ /� �/ AUURESS / / / / •(,,,•� rte+
ADDRESS
�A l Imo' r r9 JE S 49 " ° OC4LITY \ [_�j+�,, 31�(�' 1.,..y � •-"I
TEL
NEAREST f�,e_.�
_CITY I�MnL� C.L i� �4Rt4❑ 1ST o�08r3 1RDss sT ,.� �.- [..�s
FIRE I ND OF I TYPE prry^- GROUP
ARCHITECT OR TEL ZONE I PLANS �J !/
ENGINEER NO .,r,e YYY
� BLDG e. ORD NO
i
ADDRESS ,,,,�),{� SETEArl, LINE
TEL APPROVED
CONTRACTDR NO BY DATE
_ US£ APPROVED i
1 ADDR S ZONE/ BY DATE
LEGAL /
DESCRIPTION I LOT NO (p � I BLOCK CORRECTIONS
TRACT 6 S'&/
1
I NO OF BLDGS
L SIZE OF LOT �f1 NOW ON LOT13T
USE OF I N0OF �I NO OF
M
EXISTING BLDG O''J FAILIE9 ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR //__ MOVING �NO OFi DEMOLISH to
SIZESP lir�.. ROOMS .I STORIES D
IF
WALL � �f` ROOF
COVERING () -(./Lw.s I COVERING
USE OF NEW `
BUILDING g
2� 3
APPROVALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE `
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS ' 0, Cl„�}' 4
AND STATE LAWS RP1111LATINs BUILDING ONSTRUCTION FRAME FIRE STOPS
SIGNATURE OF
BRACING BOLTS
T-
OWNER _/'\ LATH INT + y
AUTHORIZED AGT GY��1 LATH, EXT v V
$ P C $ PLASTER INT
n FEE PLASTER EXT
VALUATION
�(f FEE FINAL
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