HomeMy Public PortalAbout5412 ARDEN DR_Building__ 76A638A SE#803 9-68 L�✓ �- �
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APPLICATION FOR BUIL R
COUNTY OF LOS ANGELES BUILDING -
DEPARTMENT OF COUNTY ENGINEER ADDRESS �J E
BUILDING AND SAFETY DIVISION LOCALITY !
JOHN A. LAMBIE; COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. Z/,(--�
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN CONST.
(Print or type only)
BUILDING ' /^,�� �// n sy',/ ' STATISTICAL CLASSIFICATION - SEWER MAP
ADDRESS -7- �'-//1� �♦ /',J� •��` /( CLASS NO.'A DWELL,UNITS BK PG
LOT NO., �[�LOCIC O sl USE ZONE�MAP
SPE
TRACT AL
NDPECIIT ONS
NO.OF BLDGS. '
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BLDG.SETBACK FROM
OWNER
d L. FRONT PROP.LINE OF -(STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS ` ,. u .Y
CITY � ,Y CQ �IVIe ` I�i +
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINEOF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _ >
CONTRACTOR S NO. C
LIC. C:
ADDRESS l NO, CORNER CUTOFF YES ❑ NO ❑ ck
LIC. C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS c
CONSTRUCTION LENDER A LL
NAME AND BRANCH
ADDRESS
SQ. FT. NO. OF NO. OF NEW
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE
� ALTER ❑ S �6-
R PAIR❑
SIGNATURE OF n
APPLICANT MOL ❑
VALUATION $ yGO/
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEE $ FEE $ p QI FORMS, MATERIALS / y
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,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STIR UC
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CAL-IFORNIA IN RELATING TO
WORKMEN'S COMPEN TION INSURANCE.
LATH, EXT.
SIGNATURE OF
PERMITTEE HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.o. CASH
t':�,9 9 7 MAY 14 1 D 9.00-
76l,638A CEi1803 3-68 1
•PLICAT-ION FOR BUILDING PERMIT
AP
COUNTY OF LOS ANGELES BUILDING [
DEPARTMENT OF COUNTY ENGINEER ADDRESS / /2 M/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
DISTRICT NO. GEDUP TYPE PFj CESSED BY
FOR APPLICANT TO FILL IN �/ CONST
/�.
(Print or type only) �(' j� ;�/ � p 27;c-
BUILDING ADDRESS rl /V f �/Y /JI[d STATISTICAL CLASSIFICATION SEWER MAP
CLASS NO. DWELL,UNITS. '�� BK PG/�T+
LOT NO. re., ;� BLOCKUSE ZONE MAP
WR
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{� yy�� NO. 'Z d
TRACT 'I` SPECIAL
�j NO.OFBLDGS. CONDITIONS
SIZE OF LOT OW ON LOT
USE OF /
EXISTING BLDG. Piyup�lS�y BLDG.SETBACK FROM
TE FRONT PROP.LINE OF 4 (STREET).
OWNER RAfAkdv TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS�'7'� /•fes, fC�t /— _ HIGHWAY WIDTH FROM G.L.
CITY `��f C�-6 4"/* Gam , ��— 46( 60 ! ac/ + 2-C) = U
ARCHITECT OR TEL. SIDE ACK
FROM (STREET)
ENGINEER NO. SIDE PROP.LINE OF
TYPE OF EXISTING SETBACK HIGHWAY = TOTAL
USE
ADDRESS HIGHWAY WI-DTH FROM C.L.
TEL )� j
CONTRACTOR _ J f + d
ADDRESS LIC
NO.& .2 CORNER CUTOFF YES ❑ NO ❑ U
t.
CITY (fir.. 0vj. S LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK n
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'NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. // r NO. OF NO. OF
SIZE 6 �Oh r� STORIES J FAMILIESUSE +-1l
STRUCTURE ECSC. Q �n��. ` ���
SIGNATURE OF ✓ / a
APPLICANT ./ ® .
� `m
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P,C. PMT. FOUNDATION: LOCATION
FEE $ y �►� 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 (,✓
BUILDING CONSTRUCTION. I.CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. cx
ING TO WORKMEACPENSATION INSURAN E.�� ! LATH, EXT.SIGNATURE OHOUSE NUMBER COR-
PERMITTEE / RECT AND POSTED a .�
ADDRESS ty4aAl 4L5 FINAL
JOHN F. LEWIS. PRINCIPAL ST GCTURAL ENGINEER
PLAN CHECK VALIDATIONOK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
Lo 7 .6 6 6�8 DEC 16:2 3 D 5 4.4.51 T
Leo 7 7..5 4:2 DEC 2.6 2 3 D. -9.4 5
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FORAPPLICANA PLICiALL IN TIoONtypeonIG FOR BUILDIN � ERMIT
BUILDING COUNTY OF LOS ANGELES
ADDRESS a //'5. .al , DEPARTMENT dF COUNTY ENGINEER
CITY �'. ZI` oD BUILDING`.AND SAFETY DIVISIO
40.OF BLDGS. / BUILDING
SIZE OF LOT/"`o �X !/ /NOW ON LOT / ADDRESS
TRAC �,J L LOCK LOT •O 5 LOCALITY
TEL NEAREST
OWNER la� NO. !L ^CROSS ST.
ASSESSOR
ADDRESS / L(�JMAP BOOK PAGE CEL
p' DISTRICT GROUP TYPE FIRE PROC SED BY
CITY (�(, ZIP / 1 d ON ZONE
ARCHITECT,6R TEL.
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO CQ46 _DWELL.UNITS / PG
CONTRACTOR TEL.
NO ONE MAP
LIC. ` / NO.
ADDRESS NO. SPECIAL
LIC. CONDITIONS
CITY CLASS
ROADEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH B G.SETBACK FROM
F ONT PROP.LINE OF (STREET) d
ADDRESS CITY _ TOTA-L SETBACK FROM TYPE OF EXISTING O
SQ. FT. NO. OF NO. OF CHECK HI WAY + YARD - FRONT PROP. LINE HIGHWAY WIDTH C-)
SIZE STORIES FAMILIES ONE =
+ O
DESCRIPTION OF WORK NEW ❑ C-1)
Lu
i• / ADD BLDG.SETBACK FROM STREET) vi SIDEPROP.LINEOF Z
f ALTER ❑ HIGHWAY + YARD _ TOTAL SETBACK FROM TYPE 0 EXISTING
❑
SIDE PROP. LINE HIGHWAY WIDTH
REPAIR
USE DEMOL ❑ +
EXISTING BLDG.
APPLICANT , '� TEL CORNER CUTOFF YES ❑ NO C]
RINT) / SJ / NO. iV
IN OPEN SPACE .YES El NO
El
BY (SIGNATURE)
IN COASTAL ZONE YES ❑ NO ❑
VALUATIONQ Y d a CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
'AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HERE BY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. 1
SIGNATURE OF
PERMITTEE
•ADDRESS '
'
TEL. � �`� FINAL / ` r_ Y
ATE
CITY N O. SPv/-T�'
1 AKE CHECKS Y:1}:ABLE 'l 0: F E FEE
HARVEY T. BRANDT. COUNTY ENGINEER
-PLAIVJCHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK' M.O. CASH
1 AP,., 2 7 3 •`373 AUG 15 1 D 3,004
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76A638A CE11803 12/72
,�7 b'A 638A,CE#003 9-68
APPLICATION FOR BUILDING PERMIT .
COUNTY OF LOS ANGELES ADDRESS.S'- /
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO G UP TYPE PROCESSED BY
(Print or type only) �� CONST. _ D
PEXISTING
r / / STATISTICAL CLASSIFICATION SEWER MAP-/
J � NVQ. Q � CLASS NO. DWELL,UNITS BK IV PG`
Ss
BLOCK USE ZONE MAP
NO. CJ
:4 -� fV SPECIAL
CONDIT ONS
NO.OF BLDGS.
OT �® JIC F NOW ON LOT /
BLDG, pYYµr� BLDG.SETBACK FROM
• A�� TES FRONT PROP,LINE OF -(STREET).
NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL
. HIGHWAY WIDTH FROM C.L. QG� (�
CITY '� o go + A0= T L
BLDG.SETBACK FROM
ARCHITECT OR T L. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING1 SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. }
TEL. - + = d
CONTRACTOR NO. C
C:
ADDRESS N0 CORNER CUTOFF YES ❑ NO C
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
CONSTRUCTION LENDER CL
v.
NAME AND BRANCH �
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES
OFUSE ADD
gQ �( �' ADD
ALTER ❑
SIGNATURE OF / r REPAIRS
,APPLICANT k 3- X �' DEMOL
'10 ❑
0 �
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P,C. PMT. FOUNDATION: LOCATION ��
FEE $ FEE$ y 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 ORDINANCES 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, INT.
LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. � LATH, EXT.
r
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED
ADDRESS ` "�1 / r IFINAL
3 �
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH
2 5 AUG 1 1 D 9.0 O N
76A636A CE#603 9-67APPLICATIONFOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGf� f� %�� X
DEPARTMENT OF COUNTY ENGINEER ADDRESS. A y
BUILDING AND SAFETY DIVISION LOCALITY rfmL
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. B
FN
OR APPLICANT TO FILL IN
DISTRICT Ny: GROUP CONST. �ESSED B
/
(Print or type only) / T .
B BUILDING
5-16T I
� , /T /� �! STATISTICAL CLASSIFICATION SEWER MAP
r
CLASS No.-DWELL.UNITS BK PG
�7 BLOCK USE ZONE MAP
NO. a(
�j v "gamSPECIAL
OF B '� CONDITIONS
`Y /���C,7 NOW ON LOTS
BLDG. _ . / BLDG.SETBACK.FROM
/)N ��J�('M �71� FRONT PROP.LINE OF –(STREET).
TYPE OF EXISTING SETBACK HIGHWAY + YARD – TOTAL
HIGHWAY WIDTH FROM C.L.
IV � �
CITY T � '(11, 141h C.�-/FF-C l ETBOM +
SI LINE O _
ARCHITECT OR TEL. DG.S
ENGINEER � NO. SDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR NO. O
ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U
LIC. CD
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS �
DESCRIPTION OF WORK N
z_
NEW ADD ALTER REPAIR EMOLIS
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE Q(
SIGNATURE OF
APPLICANT
VALUATION $ :26 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. - PMT. 0r-&__-—_FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS,
-1 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.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURAN
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE: - RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O. CASH
t' - � � a Lei;e, Q .' N
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