HomeMy Public PortalAbout5134 ARDEN DR_Building__ 76A638A CE11803 5-65 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS S I s�L N
BUILDING AND SAFETY DIVISION LOCALITY . .
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. �ZV SIS
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN S.06 1 Z CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS y7l�yf _ `i CLASS NO. DWELL UNITS B �
LOT NO-W 15! `�Y ZZ BLOCK USE ZONE MAP
O.
'
T R A C T Z&Mt%.4 O R N
�A9 FeAS ITo- •` SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. n �� BLDG. SETBACK FROM
JC •Q S NOL 3,Sy� FRONT PROP. LINE OF �1 (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRESS -5-19111HIGHWAY WIDTH FROM C.L.
CITY22= BLDG. SETBACK FROM
ARCHITECT OR TEL.
NGINEER NO. SIDE PROP. LINE OF (STREET)-
E
TYPE OF EXISTING SETBACK HIGHWAY ,-I-, YARD = 'TOTAL* ,
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL.
CONTRACTOR NO 1 O
LIC .CORNER CUTOFF YES NO V
ADDRESS - NO
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS' 0
DESCRIPTION OF WORK W
a
NEW ADD ALTER REPAIR DEMOLISH Z
SQ.F T. ► NO. OF NO. OF
SIZE Z-Q STORIES FAMILIES
USE OF
STRUCTURE SC21', aL►��
cv'a It
SIGNATURE OF /
APPLICANT /
S ��O
VALUATION$ O '
APPROVALS DATE INSPECT- 'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ 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
13UILDING 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 COMPENSATION INSURANCE. ��e LATH: EXT.
SIGNATURE OF /A`_ %��``••��L HOUSE NUMBER COR-'
PERMITTEE_ !� L RECT AND POSTED
ADDRESS T< IFINAL
JOHN F. LEWIS, PRINCIPAL.STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK: .. M.O CASH
LHLo 1. 7 5 8 0 MAY 4 1 o . 4.0 O N
76A638A CE 1*803 12/69
APPLICATION FOR BUILDING PERMI fl
CVUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY -�
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST.
BUILDING DISTRI TN MJCONST.TYPE [ROc
ADDRESS _ l� � '� / Q J
/ STATISTICAL CLASSIFICATION SEW -MAP
LOT NO. J�'� BLOCK
CLASS NO.a 5LLDWELL,UNITS BK u
PG
TRACT
USE ZONE MAP J� }�
NO.OF BLD NO. (/ (�
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. �� 1 �' A:�91711- -14
OWNER O• � BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY \ HIGHWAY WIDTH FROM C.L. -
ARCHITECT OR p, TE }
ENGINEER NO.% '� ��� BLD .SE BACK FROM
ADDRESS SIDE SIDE PROP.LINE OF (STREET)
TE - TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR j NQ, Z � HIGHWAY WIDTH FROM C.L.
ADDRESS �"Z'Z, NO �L + = a
Y
LIC. tC
CITY , 1�f�I CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER C
C
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS �'}
SQ. FT -; NO. OF NO. OF NES Z
SIZE +�L7�'S STORIES FAMILIES
USE OF (�'�_ ADD ❑
STRUCTURE 1 ->�L�
JJrrER ❑ ..
SIGNATURE OF I
REPAIR❑
APPLICANT DEMOL ❑ _
VALUATION S APPROVALS DATE INSP .TOR's I TUNE
P.C. PMT. �/'7 FOUNDATION: LOCATION
FEE S r FEE $ / �� FORMS, MATERIALS ��
FRAME: FISTOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH,
LABOR CODE OF TME STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE p® r
LATH. EXT./ �� CcAr, a
SIGNATUREOF `}llm��/� 11✓Ay�/� HOUSE NUMBER COR-
PERMITTEE G� RECT AND POSTED
ADDRESS FINAL
r
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M:O. CASH
Iern5979c Jan 21 21 D 8.33' -
_.. 5 9 0- ,i 21 1 D 2. .'7 5
Irp
76A638A CE#80310_56 APPL..ICATION FOR BUILDING. "PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND-SAFETY DIVISION LOCALITY
U
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST,
DISTRICTNO. GROUP, TYPE ROC ED Y
FOR APPLICANT TO FILL IN - I CONST. !4(�
BUILDING .{ J I` STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS. AlV 4rcle.,7 U v-, - �. I '�f K) 2 P-
I _ j9 CLASS.NO. - DWELL.UNITS ,i
LOT NO. A�),7 Ch&Z I6 r/2,19•5. BLOCK N MA ER H STATE NO
TRACT U E ZONE SPECIAL
�j- NO. FCONDITIONS
SIZE OF LOT c..7 �`(�J a I NpWOO,: NBLDG
LOTS
USE OF
EXISTING BLDG. 12y�q��J 0.4 A .,_p J BUILDING YARD , HWY - STREET NAME EXIST.
SETBACK WIDTH
OWNER A/ro/Y1r5 r✓e/lc%� /C/J/Sf� FRONT
MAIL P.L. —
ADDRESS SIDE
TEL.. P.L.
CITY NO.NO. INSPECTION RECORD
ARCHITECT OR TEL. '
ENGINEER NO.
ADDRESSZ4r-72� /144-- �\ v
CONTRACTOR 'YClILc'� flc 'L'j''�E+'Ya
c '
`` j�
ADDRESS ✓ �� �C'�C'LCle17a E =, rd / L-
DESCRIPTION OF WORK ---
��v^/1 gctc o Ki
NEW`-- ADDALTER REPAIR DEMOLISH
SQ ? // I I
S ZETA/-
STORIES FAMNO.OF NO. ILIES.,-j OF 1'`x,1-•G� :'� /_d�'1+�ice( ��`"."""a !"'r.:T
USE OF .i. J / A.!1"" d'I""P' - QY_L� %77 °''
STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS DATE. INSPECTOR'S SIGNATURE
ADDRESS FFFFORMSTMATERIALSION BBr� , /,/Ym (r,
VALUATION 5 / Q
F $ I FRAME: STOPS,
, b
� r^LBRACING,BOLTS
$6/ 470 IPMT. ® FURNACE:LOCATION,
EE FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLED E THAT I HAVE READ THIS AP- LATH.IIVT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REG�.ATING BUILDING CONSTRUCTION. LATH,EXT. [7 )cz.
PE MpITTEF OF HOUSE NUMBER RECT AND POS EDR 3� �";-
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRys;I'URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION W M.O. CASH
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